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Home My WebLink About8020-zTO,FBI OF SOUTHOLD Btm.nlNG DEPART~WT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the bui]di~g located at . .~d..Street ..... ! ........ Street Map No~,Z,~tf,~tlll Block No ........... Lot No..7.2 ..... X~t~.e~... ,N.,..Y.. ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........Ju~e. 2~ .., 197~.. pursuant to which Building Permit No. ~)~.. dated ............. J.l~e...~, 19~.~., was issued, and conforms to allof the requLre. ments of the applicable provisions of the law. The occupancy' for which (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Heslth Approval NOv... ~2.. $~.~.. b~..i~,..V.~,~& .... UNDERWRITERS CERTIFICATE No. ~i~...NO~*...1 .l~...~97~. ................. HOUSE NUMBER .... ~0 ...... Stz~et..~LT~ .$~ ............................... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8020 Z Permission is hereby granted to: Geo /~,.~, ~e ..~a.~.]:~¢-~...~e ../~/~...~.i..~.14-a~.. [qu~ ligan ........... Cu.'beheg~ ............................................... to. ~J.]~L..aew...ccse...£e~ i3,y., dw~i 3,1t~ .................................................................................... at premises located at .k,e¢...~.....G~./.~.ia¢.~:..1.t..&..~z'~-,. ............................................................ .......................................... W./.~.- .t~l~:l:-~et:. · · $~ ~ee'~ ......... .:ba~tr~,t.....fi. ~.~- ~' ......................................... pursuant to application dated .................. e~.....~.~. ................. , lC7/¢~...., and approved by,,.the Building Inspector. ' '- Building Inspecttr BUILDING DEPAItTMENT -~,/~, ~/ ToWN ~E~K'S ~FI~ ~.~ ~'. ~' · '~ ................. ~ .... ~,~ ,. ,_ ~ ~,_ --Applicgtion ~o..~...~..~...~ ............... ~proved ..~ ..........~ .......... 19 .~. Perm~ No ~M~ ~.~' ~ , ....... ~;~ -~'"'~_ ~ -~ - .t ~ .. ~O ~ '~ APPLICATI~ FOR BUILDING PE~IT ' ................................................ , ............ INSTRU~IONS a. This application m~t be completely fill~ in by ~pewriter o~ in i~k and s~mi~ in triplicate to Insp~tor, with 3 ~ of pl~s, aocumte p~ p an ~ ~aJ~. F~.~cc~ n~ ~ ~hld~J~. b. P at p an show ng I~at on of at and of bu~ dings on premises, re at onsh p to ~jo n ng premiss or public streets areas, and givi~ a detail~ description of I~out ofpr~.~ must be drawn on the diagram which is ~ of this ~lication. c. ~e work c~ered by this a~Jication may not b~ comme~edbefore i~uance of ~iJding Permit. d. Upon approval of this application, the Buildi~ InspectOr Will issu~ a Building P~rmit to the applicant. shall be kept on the premises available for insp~tion thr~ghout the work. e. No building shall be ~cupied or u~d in whole or in part for any pu~ose whoever until a Ce~ific~t~ of shall hove been granted by the Building In~ector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lmm, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as ,herein described. The applicant agrees to comply with all applicable -laws, on:tinanaes~ building code, housing code, and reguldtions, and to admit authorized inspectors on premises and in buildings for necessary inspections. (S gnature of app icant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................ J~.~l.ld.~.~.. ................................................... ~ .................... ~ ,,,;, o Williaa Mulligan Name of owner o. pre ......................................... . ............ . ...... If opplican, twis a corporate, s~pgture of duly authorized officer. ........... ';F ....... Builder's License No....].ZB..HJ. ................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... · ~ / Location of land on which proposed work will be done. Map NO.: ..g~..][...~t~Jt.$,~,.lL ........... Lot No.....7..~ ................ Street and Number ..... 3=d...~J;~.ee.t.?...21~Os...oZ.£..B=~:~ ........................................ ~e,a=~3. ........................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................ ; ............................................................................... b. Intended use and occupancy ................ d.~e.l.l.tz~j ............................................................................................. 3. ~Natu~e of work (check which applicable): New Building .;L~c ............ Addition .................. Alteration, .................. Repair .................. Removal .................. Demolition .................... Other Work .................. ;; .................................. (Description) 4. Estimated Cost ................ ~.~.~.~.7.~.0.~.~.~.....; ......... *.....Fee ...../..../.~ ............................................................................. (to be paid on filing this application) 5. If dwelling, mumber of dwelling units ...... ..5. ................... Number of dwelling units on each floor ............................. If garage, number of cars .................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of' each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ................ 99. ............... Rear .......... :~ .............. Depth ...... .3.~ ............. Height 15' Number of Stories 1 9. Size of lot: Front ............. .5...0. ..................... Rear .......... ..~.~. ........................... Depth ..~..~.0 ....................... 10. Date of PurchaSe'. ....................................................... Nome of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ........ · .......................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~o ............................................... 13. Will lot be regraded ....~.~1 ................. Will excess fill be removed from premises: ( ) Yes (x) No ]4. Nome of Owner of premises ..?~..]:'..]...~..~..~....~...~..]:..]:~.1~..~..~. ............ Address ~.~.~.~r.;...A..~.e..,.~..~.~.~.~llh~Dn~ No ....................... Name of Architect .............................................................. Address ................................ Phone' No ....................... Name of Contractor .G..~.~..~.....A...~..L..~...~..~....B..U...Z..L.~.,.....Z~ress ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. see attached sketch STATE OF NEW YORK, ~ S S OF ............ .,..~ ....... ~ ...................... being dully sworn, deposes and says that he is the applicam (Name'Of~ iffe/'widual signing contract0 u above named. He ~s the ..................................................... .:..~m:...~m.--_.'~.......: ..... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that a I statements contained in this application ale true to the best of his knowledge and belief; and that the work will be performed in the manner set forth Jn t~e application filed therewith. Swam to before me this (' 1 .............. ...................... Notary Public, ........... ~~ ........ County ............. .,~..~....-. ....... .; ...... ..:. ;'.- ............................. ignorure or o p.canr, FOEM NO, 6 TOWH OF SOUTHOLD , Building Deportment Town Clerks Office Southold, H. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 disposal--,S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installatlons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" 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 buildings. 3. Date of any housing code or safety inspection of buildings 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 dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date Novemb. er 18~ 1975 New Building ...... ~ ....... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...... ~.~...~T..~.S.~.~..r.~e.~.e..~.~'~.~.~T..~.~`~..e~..~`.~`~.~ ...................................................... Owner Or Owners Of Property ....~.....~q, Tt~..~/~.~.,...]~J,~lJ.~crL.~g.~.[L.J..g~3. ............................................ Subdivision M~,p...o,,f,..G.,...,~,,,,T~h~,~,~,,.S~£.toli~,ot No... 7.2 Block No ............. House No ............. County Map 861 .......... Permit No..8020 .......... Date Of Permit .~./.~./..7.5....Applicant g.~zg.~...&b,~..¢.r.~.,...~u.tl~.~r.,...l~.. Hea th Dep. Approval ...... 7./,~....'./.. ....................... Labor Dept. Approval .......... j~..~..~.. ............................ Underwrters Approval .../,/./../..~/..''/-- .~...~.'] .............. Planning Board Approval ,...~....(?..~.,. ........................ Request For Temporary Certificate ........................................ Final Certificate /'~ Fee Submitted $ . .~........d~.. ..................... Construction on above described building and pre~,rmit meets a~e codes end regulations. Applicant .......... ;~...~ .............................................................................. George AHlers, Builder, Inc. Sworn to before me this ....... · /..,..~.. day of ..... ~ /J"~/. ~i(/~x'r':""/"~'~"~'~'""~'"' ,stamp or seal) ~ /,,~,/~ ........ SUFFOLK~C~NI'Y DEPARTMENT OF HEALTH SERVICES Health Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant I[il~It~ /~lilI~e,,~l~l ~l~hone_ 73~_ ~ Address_~9.~ Co~ ~e.. C~t~: ~ 2. Property Location 3. Public Water Company ~ 4. Lot size: Width ~lOfeet Length. ~,~ feet 10. 11. Sewage Disposal System: A. ~O~-gal]on septic tank: Precast ~_Equivalent Block B. Leaching pools: Number of pools Precast~~ Block Special If private well, fill in the fol- lowing blanks: A. Tank capacity ~ . gallons ~,~ Tota'T'well depth ~ Dep~ to ground water- 1~ ~-~:~-~! Amou'Q'ht of water in well 5, Subdiv. ~ ! 'l~Jhil! 6. Section ~ 7~ Lot Number~__ 8. Private Well 9. Public Water-~ -- Distance to main (For Health Services DeR~t, Us~e) Th~b~ders~j~ed CERTIFIES: "Construction of authorized ins{allations will be in accordance wi~ the S~folk County Department of Health Services' current standards thereto." This app~icatio~-will be valid for one year from the date of approval indicated below andmay be renewed if 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~-e Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. / S-15 Rev. 4/1/73 Seffolk Coun2y Health Depto County Center Riverhead¢ New York This is to certify that ?~0GHAN & SONS has drilled ~. :~' :~o~w~:l ~or___~.IJ~=~,~__~*:~-- on pPoperty located at As ,.f~" inch well to a depth of d/ feet ,¥.4~'" ' The well screen ia set in feet of water and has been chlorinatedo ? GEOGHAN & SONS Lic. ~189 William ~,}ulligan~ 3rd S~.~ Bray Ave° & Oea~ end~ Mattituck~ LoIo ~ 00: CB x , [~FnPnaces: Oil l~l/ehp~ 1-1/12hp ~Ost ligh~ ~,lat~situck: Lolo 11952 The ~,.,~ge , ' , ~, ~ ~ ,-ati~have been facili%!es ~or ~n~j ~oj~.,~n~and found Chief of General ~gineerin~ ?1 F. O0. O ', Nt~TiFY. BUiEDi~G ' ~"D EP^ETi~ENT , '7~5.2660:~AM'TO 4PM ~O~ REQUIA. ED INSPECTIONS - , "1 B~'FORE B,AC~F L~ING: FOUND6 ~iON OR ~T~RT FRYING -: ' 2~ BEFORE COVERING pIPE~NE., ' ' 3. RNAL WHEN .lOB cOI~piLET.'ED. ,' i~OT RESPONSIBLE FOR DE~ON O~ CC