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Home My WebLink About8376-zTOWN OF SOUTHOLD BUTLDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z?.~33 ...... Date ........... ~..u.ly.... ~.~. ...... , 19.76. THIS CERTIFIES that the building located at l~i:r. Ch. Lane ................ Street Map No..~.9.0.8. ....... Block No ........... Lot No, ! 3 .... G~.t.e.h~gl~...I;,X, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ .F.e.b .. ii5.., 19.76. pursuant to which Building Permit No..~7.6Z. dated ......... .F.o.b.. ?.~. ..... , 197.6.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P.r.i.v.~..~.e..qn..e..f.a.~..i.ly..c!..w.e~.l.~n. g ....................................... The certificate is issued to .~.a..1.t.e.r..~. P~tri¢_~ ~_ .Finger ...... .o.~e~'s. .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~l~Y... 2.0... 197.6. b~ .1~.. l/:l.~la .... UNDERWRITERS CERTIFICATE No..N.2.9.2.! ~..1 .... 4~lY... 7...~.976 ................. HOUSE NUMBER ....~.0. ~ ...... Street ...Blr~/~ .La.ua .... aui;ehc~aue ............ a~,.,f~ .~..~.~.. 'ti"' '! ~ ..... ~uilding Ins~ec or ....... FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE Pi~EMISES UNTIL FULL COMPI~ETION OF THE WORK AUTHORIZED) N? 8376 Z Permission is hereby gronted to: .~.~.~,z,~.~ ...... f.....~e.Z~..!.2.!..A.. ...... ..F.,!.~..~...~r~ nt premises located pursuant to opplicotion dated ........................:. ..... -~..~..~,:..~...../..~, 19.~....~..., end approved by the Building Inspector, Fee $....,~...~.....~. ~.~.... ...... : ; ~f/~..i.;Y,..~/Z~4,, ..................... Bu, ildi ng~ [nsp,,~cto/ FO~L.~I NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new bufldmgs or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features 2. Final approval of Health Dept. of water supply and sewerage d~sposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Muihple Residences and similar buildings and installations, a certifmate of Code comphance from the Architect or Engineer responsible for the buildmg. 5. Submit Planning Board approval of completed site plan requirements where applicable. B For existing buildings (prior to April 1957), Non-conforming uses, or buildmgs and "pre-ex~stmg" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildmgs 3. Date of any housing code or safety inspechon of buddings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ...... ~c ....... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ........ .~.~.D'n..~a~ae...g.~.t~.O4~l~,~L~ .......................................................................... Owner Or Owners Of Property ..W~]..~ez~...~.o...&..P~f;=.$~.a...$.[~g.e~ ................................................... Subdivision ..... B.~.a~..E£]L.La ................................ Lot No ....].3. .... Block No ............. House Nc~.0.5 ..... Permit No. 8.3.7.6Z ........ Date Of Permit 2,,,1.?.~,.?.6...Applicant l[a3.~e.~...&..P.a.~Lci~..Eizt&ez'. ........ Health Dept. Approval ....... 7.?.~.D.?.].~. .................... Labor Dept. Approval ................................................ Underwriters Approval ?.. ..~. .. ~ .¥ ................................. Plannmg Board Approval .......... .....~ ............ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ....~..... ........................... Construction on above described building and permit meets all apl~icable codes and regulations. , ......................... Applicant ........ ~~.. W' ff 7/ Sworn to before me this ...'~.....2...,..~.. day of .~ ...... .~....~....?.~ .......... mc,~v F. ,~r,(st°mp or seal)~ /' C~mmtSst0n Exper ' ~I.THENEW YORK BOARD OF FIRE UNDERWRITERS ,, , , BUREAU OF ELECTRICITY -- d 85 JOHN STREET, NEW YORK, NEW YORK 10038 I ,'a,~ ~U~V''/'. ~976 ~ppi.-.t,m.~'a o..f,e 856~05N 292111 THIS CERTIFIES THAT i only the el~t:rica! equipment 04 descrgbed belotv and introduced by the applicant named on the above application number in the premises of '. Walter Finger, Birch Lane of{ Duck Pond Road, Cutchogue, L_ I. was exa,nl.ed on J U I y I , 1976 RXTURE ~ ' '~ } FIXTURES OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENt -- ~ 53 39 35, ,, 33 ~DRYER5 [] 2od FI. 0 U t 5 i d e Section Block Lot ortd found to be tn cotnpliance wzth the requirements of this Board. RANGES FURNACE MOTORS FUTURE APPLIANCE FEEDERS ;PECIAL REC'PT TIME CLOCKS OVENS DISH WASHERS EXHAUST FANS UNIT HEATERS MULTI-OUTLET SYSTEMS NO OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS ; ,I ~' ~' Motor/s:' I-~l/2hp ' S E R V I C E NO OF CC COND j A W G NO OF Hi LEG A W G A W G PER .E ~ OF CC COND Of HI LEG OF NEUTRA~ I 2/0 NO OF NEUTRALS 2/0 Waiter Finger Box'991' Mattltuck, L. 11952 This cerhhcate must not be altered m any manner, return to the office of the ~oord If incorrect Inspectors may be ~dentJmd GENERAL MANAGER Lic 1845 D Per credenhals SUF The to bo / ~ COUNTY HEatH DEPARTMENT f~'~,~-,~ location have been Chief of General Engineering Services l~.~ .j,O~ .~ ~ SUFFOLK COUNTY DEPARTMENT, OF HEALTH SERVICES Heal th~Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant Address t~ 2, Property Location ¥illage 3. Public Water Company NAme 4. Lot size: Width feet (~¢~ Phone 2C~-~o~ 5. Subdiv. ~ ~ ~,,~,~c~ ~ ,..,~ 6. Section 7. Lot Number 8. Private Wel) Township 9. Public Water ~ Distance to main 10. 11. Length feet Sewage Disposal System: A.~allon septic tank: Pr~ast ~Equivalent Block B. Leaching pools: Number of pools ~ Precast~k~ Block Special.~ If private well, fill in the fol- lowing blanks: A. Tank capacity ~Z gallons (For Health Services Dept. Use) B. Pump G.P.M. ~ b~ C..~otal ~11 ~epth ,~ D. Depth to ground water ~ E~ Amount, of water in well ~+0 ~ The undersigQ~dCERTIFIES: "Construction of authorized installations will be in accordance with the Suff61~ County Department of Health Services'.current standards thereto." ,This application:will be'valid for one year from the date of approval indfcated below and may be renewed ~ a current local Building Department Permit is in effect. Date '~ ~ .... ~ ~ Signed .~.~ , FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based on the information presented here- with, it is the opinion of t'h~ Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. APPROVAL DATE S-15 Rev. 4/1/73 D~ o -¸1 ........... Z.5-b