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HomeMy WebLinkAbout8048-zTOWN OF SOUTHOLD B~TLll[NG DEPARTMENT Town Clerk's Off]ce Southold, N. Y. Certificate Of OCcupancy No. Z67~£ ..... Date ....(~.tR~r. ~., ........... , 11). 7J[ THI~aICERTIFIES that the buildi,g located at . ~./.$. I~&ilIV~..1~,... ...... zva~ Cuteho~ue, lq, Map No..Ft~..$ ..... Block No ...........Lot No ..... t~ ........................... conforms substantially to the Application for Building Permit heretofore ~ed in thl, office dated .?/~ .............. , 19 .... pursuant to which Building Permit No.8~i[... dated .?/~b/.~[ ............... , 19 .... , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is i~ued i~ .P. ri.~a~..~e. ~.~m.$.n~.. ~t~.e.~. g ...................................... The cegificate is issued to .Ii,iai. cl. !,.o.o.~ley. ..... (.~1') .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...1~. P....tg~...~...~.~..1.~)?~. ............ UN~gRWRIT~RS cF'RTIFIC~T~ No ............................................. HOUSE NUMBER .............. Street ............................. Building Inspector ~01~1~1 NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) No. 80 18 Z Date .............................. 0'.~ ..3 ........... , 19..~t.. Permission is hereby granted to: ............. · ~a.t ~i.t~ak. ...... .N...Y.., ............................ ~o.~..~..Z.~...~.~.?....°.~..e....~.f.;~Y...~','.e.~;ti~g .................................................................................... at premises located at .~..o.~...'[.,...~.a.~,~.~.ft~...~.~.Z~.S ........................................................................... .......................................................... ~aS,~a.y...D~.t.~ .......... q~e.ho~e ....................................... pursuant to application dated .................... ~.11~1,y .......... ~ .............. , ]9..~.~..~ and approved by the Building Inspector. Fee $...~.~.'.. ~'~ .......... Building Inspector / SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVZCES Heal th Services* Reference 10. Sewage Dtsposal System: APPLICATZON FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. ApplicaJ~t ~'-~¢~- ~ 2. P~~ , ~1tc age ~ns p 9. 3. * 01stance P~llc Vate~~. Lot size: gidth 4. Length 3~e e~ feet (For ~al~ Se~tces ~pt. Use) A. 900-gallon septic tank: Precast ~q~ival ent Block.____ B. Leaching pools: Number of pools ~Tffa~ Precast ~Block Special ll.m:If p~i~t~i:well, fill in the fol-. ~1 owin(~/~l anks:~l;. ~ ~ Ta~apacity. ~ .~allons,, ~'~ To~ ~el ~ depth ~ e ~ ~p~o g~und ~ate~ ~ E. ~nt of ~ate~ ~n ~ell ~ The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health Services' current stander~ls thereto." This application will be valid fcr one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Oate~//~ $' Signed~~///~~ FOR TNE DEPARTMENT OF HEALTH SERVICES~ USE ONLY. Based on the information presented here- wtth, it ts the opinion of the Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply be instal this plot. APPROVAL DATE~/~~ SIGNED S-1S Rev. 4/1/73 l&157N APFLI~I~TIOH ~ IUILDIN~ II~RM Date INSTRUCTIONS ~w~ curers omel _'.-'/~_ .~ ~'r~. ~ ~ ~ ~ SOUTHOLD' H' Y' ?/~-//r'~ ~"% /wT' '~ - ~z~o~' ~ Examined 19.~.~ ~l~m~ N~ .~..~...., ........... .~ ........... , ..... ............ ................ / ....... a. This application must be completely filled in by typewriter o~. in ink and submitted in triplicate to the 8uilding~ Inspector, with 3 sate of plans, aCcurate plat plan to scale. Fee aCcording to schedule. b. Plat plan showing location of lot and of buildings on premises, relationship t.o. adjoini .r~g. pre. mises or ..l~b. lic str. ee~.. o~ areas, and giving a detailed description of layout ofpraperty must be drawn on the d~agram which Is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. 'Upan approval of this application, the Building Inspector will.issue a Building Permit to the applicant. Such permit~ shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or Jn part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to tJa~ Building Department for the issuance of a Building Permit pursuant to ther~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable La~s., Ordinances or Regulations, for the construction of bUildings, additions or alterations, or for removal or demolition, as nerain described. The applicant agrees to comply with all applicable laws, ordinances, building co~, housing code, and regulotionsi and to admit authorized inspectors on premises and in buildings for necessary inspectionS. Edward Abitz Cohtractor Inc (Signature of applicant, or name, if a corporation) (Address of applicant) State ~hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Name of owner of premises ...,,l~.,.o~,.a...~..d.....L...o..o..s..:I:.,e.~. .............................................................................................................. If applicant is a corporate, signature of duly authorized officer. Builder's License No ..................................................... Plumber's License No ................................................. F:lectrician's L.icense No ............................................. Other Trade's license No ................... ~ ............. ; ............. 1. Location of land on which proposed work will be done. Map No.: .....~..~.~.P,X..~.~...~.~ ..... Lot No..1 ................. Fairwa Drive ~ CutchgA-B~ N.Y. ................ Street and Number .................... ~. ...................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy vacant land b. Intended use and occupancy ............ ..o..~...e.....~..a~....l..~.~....~..Y..e...]...~..l...l!.~. ..................................................................... 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4. Estimated Cost ............................................................ Fee .....6...~.?.~.~). ......................................................................... (to be paid on filing this appl?cation) 5. If dwelling, number of dwelling units ...... .o.~..~. ............... Number of dwelling units on each floor. ........................... If garage, number of cars ...... .O...~..e. ................................................................................................................................ 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 ................................ Dimensions of entire new construction: Front ...... ~.~. ......................... Rear ......... ~ .............. Depth ...2~....if/.~.~..lO Height .................... Number of Stories .....o..~...e. ........................................................................................................... Size of lot: Front ........................................................ Rear .......................................... Depth ................................ Date of Purchase ........................................................ Nome of Former Owner ........................................................ Zone or use district in which premises are situated ...!.~dtJ.t.~,~,$.~ .............................................................................. Does proposed construction violate any zoning law, ordinance or regulation: .... ~,(~ ............................................... Will lot be regraded ........ ..~..O.. .............. Will excess fill be removed from premiseS: ( ) Yes ( ) No Name of Owner of premises ....~,~¢&:~l~..~QD,~.],e~...~:..t~Lfe~ddress ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ....~.*...,~h~,.~....(~D~.^...~C ......... Address ....... .~..~,.t;.~,.~.1~.9~... Phone No ....................... PLOT DIAGRAM , Locate clearly and distinctly oil 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. 10~ 11. 12. 14. STATE OF NEW XOBK,, ~-~~-~ COUNTY Of ..... .~...'1.~:..;~:'.0...~... .......... ~ :~.:~ Edward Abitz ................................................................. ~....~ .......................... being duly sworn, deposes and says that he is the applicanl (Name of individual signing contract~ above named. He is the ................................... ..~..~.~..~..~'....~....g..O.~.]~....O...~..~..~.q.~.~'. .................................................... ~ .................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ .~.¢__~..~.... '~'~""'" ~ ..................... day of ............. , Notary Public,. ............ ~~..l,.,,,~.. ..... County . (Signoture~of applicant) .................. // FOP, M NO. ~ TOWN OF SOUTHOLD ~ Building Deportment Town Clerks Office Southold, N. 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, 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 Res dences and similar buildings and installations, o certificate of Code compliance from tl~e 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 $1.00 Date October 20~ New Building ...~ ........ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .$..~,.:~';~..r.~.2....~..~2~ .......... .g..~..~..g..~..o..~..~.~...~ ~)!; ~ o Owner Or Owners Of Property ...~.~[D.~a~.d...~D.Q~.~. ................................................................................. Subdivision ],'airway Far~s _ . ........... ............................................................... ~or No. 1 Block No ............. House No,..2,..~..O. .... Permit No. ~.Ct~.~-~J~ ........ Date Of Permit -.2./,~/.~.~,.,.Applicant ~ ~ ' Health Dept. Approval ..~./..~):?../.~...~ ......................... Labor Dept. Approval ........ !~,/.R. ................................. Underwriters Approval ..,~.~.Q~._~.~. ............................ Planning Board Approval N./..~. Request For Temporary Certificate ........................................ FinGI Certificate ......... ~ ................... Fee Submitted $ ....~.~..Q ...................... Construction on above described building an ~..~rm~it meets all aDplicable cedes and regulations. Sworn to before me this ................ day of ............................................ Notary Public .................................... County THE NEW YORK BOARD OF FIRE UNDERWRITERS ~' BUREAU OF ELECTRICITY ~-- ~5 JOHN STREET, NEW YORK. NEW YoRK lOO3B o,,,~ o,tober ~, ~97~ ~,,,,,~,,,,o,,,,o.o,,~,,~ S~S N 250731 THIS CERTIFIES THAT Ed. Abltz, ~airway Farms Dr., Cutchogue, L,I. .F , : i. n.~folto..~,,gt,,c,,t;,,,.; ~ /~ ......... {.~t [~ /~ ~'t. ~ ~a Fl. 6utside s~ct~W. . ~ ~to&: Lot .,,,~,.~.,,,~,,,,ao. October 14, 1975 andfo,~,,dtobeincomplia,,ce~iththe;eq~ir~n~ntsofthisBoard. ?;otor/s: i-1/2hp OF N~UTRAL llg4 Waverly Ave ilott sville, L.I. 11742 This ced[fico~e musl ooJ be ~[Iered in ony monner; relorn ~o lhe office of th~ Boord if i0correcl. Inspeclor* moy be identified b~ ~hoir credenl~ols. \ ~ ~ ', ~ ,A ~ now or formerly inspected ~y th15 ~par~e~t ~d found ~lef of C~eral Engtneert~ . ~ ~ -- ~ s~v~es 0.~e ',, ~o~ d ~'~ ~ formerly .' ~ ~ ~ ~ ~o~ H. ~x ~ Gl°dYs , ~ ~ ~ ~ .~ m: M~UMFN~ ~ ~ . -' OF THE CLF~K ~ ~FFOLK ~UNTY ON ~ ~B. 1~19F4 AS ~ ~ AND/OR F~OM DATA O~TAZHED E~OM OTHERS - ~O~ ~ , I SHOWN H~RE,N ARE FRO~ FAIRWAY REVISIONS YOUNG & YOUl~J~~~o~x SURV~ FOR: ~T NO I "FAIRWAY FARMS" CUTCHOGUE s~r~Lo S~V/N~S SOU THO ~ D I I