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Home My WebLink About8112-zi~OBM NO. 4 TOWN OF SOI~HOLD BUrLr~ING DEPARTS~,~ Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. Z9~8~ Date March 29 ........................................ ,19..7.9. THIS CERTIFIES that the building located at .e/s..Taft, on. D~ive ........ ~ Map No ....~85.~ ....Block No ...........Lot No ........ ~9 ........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ....July.. 2.c1 ........ , 1975 · pursuant to which Building Permit No... 8~12Z dated ....July.. 2.q ......... , 19.7.5., was issued, and conforms to an of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. I~. ivate. Or~e. Famil.¥ · Dwet 1 ln~ .......................... The certificate is issued to ........... Cur.tis. J....DavSs ............................ (owner, ~l~ of the aforesaid building. Suffolk County Department of Health Approval ..... Robert A. Villa UNDERWRITERS CERTIFICATE No ...... 1~96568 ............................... HOUSE NUMBER .............. Street .......... ~/s..~arnon · Dmi. ve./ .......... ................................................ ~e~n,opt, · N6w · ,~or, lf ......... ..... County Tax Number 1000-05~-05-006 FORI~I NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N:. Y. BUILDING P, ERMIT (TH~S PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 811 Z Permission is hereby granted to: .~.J....~v&m ........................................... ..... ~mc..6 ......... ~1~o~; ............................... to .~ll~ ..~e~...Ol~...famillr.. ~lwetl~[]3i~ ..................................................................................... at premises located at ..... ~O~,,~9...,~JO11~1~10~14~ ..~--.-: ........................................................... .......................................................... ~..l)~ve ....... ~,s~m~m~'i' · · ~,~'e~ o~,'~ ........... pursuant to application doted .........................~.~,.....~ ........... , 19.~.'., and approved by the Building Inspector. Fee $.~-,~,~ ~,~, .......... NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. TEMPORA~RY Certificnte Occupnncy No. Z9280 Date October 31 19. 78 THIS CERTIFIES that the building located at . .5.7.5..T.a..r'p.o.n...D.~.i.v.e. ....... Map No.. 5.855 ...... Block No ........... Lot No ...... ./*.9 ......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... I~ .... .2.9. ...... , 19.79. pursuant to which Building Permit No dated ...J.~..ly ...... .2.9 ......., 19..7.5., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ....... .P.~.i¥.a.t.~. 0n.c..F.a~ily. D~.e~l$ng ................................ The certificate is issued to ...... Cu;c.~;ia. J....D~,v. ia ................................ (owner, ~~ of the aforesaid building. Suffolk County Department of Health Approval .... 1.Q/.~/.7..8 .... R.:..V.i.1..1.a. ......... UNDERWRITERS CERTIFICATE No ....... N. .~ .9.6.5. 6. .8 .............................. HOUSE NUMBER .... .5.7.5. ...... Street ......T.a.~.q .n..D.~.l. ¥.e ....................... .~../~. een. por~, Building Inspector TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N, Yo 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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 installations, 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 3. Copy of certificate of occupancy $1.00 $5.00 New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .~/,.~ ....... ~-,-~/~/?~.~....~..~/_, -- /-'),~ ....... ,.....~..z~.~..~...~...~.~....~.......~...~. ................. Owner Or Owners Of Property ........ [~..¢~..~..~..~.../..~;.....~Ls.....~¢'../~..L.~ ...................................................... Subdivision ~.J.c~.Z-.z~.~.:/,-~....~ ~.'./(..~..~-~.~......Lot No...~....~.... B, Iock No......'~Z....... House?o.~.."~.~...~.. Permit No. &/./....~.....?~.. Date Of Permit ~'.t~..~,Applicant .....~-..~ .¢~....'~..z..-c~...~.Z....~ .~.~....~. ................ Health Dept. Approval/.(r~/(.~//~_.~......~:..~../~/......Labor~ -~ ~ Dept. Approval ...~..~...~__' Underwriters Approval~......-~..Z.~.i.~......~'?.....~.._~ ............ Planning Board Approval ..~('./.~...~...~. ................. Request For Temporary Certificate ...... ~. ................................ Final Certificate .......................................... Fee Submitted $ .............................. described building and rmi mae a plicable codes and regulations. Applicant/~,., ...... ' .... : ........ ~ .................................................. Sworn to before me this ................ day of ............................................ (stomp or seal) Notary Public County .................................... 1/ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 Bui{ding inspec- tor 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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusuat natural or topographic featu res. 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 informa- tion requ ired to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .. ~'P~ .29~./[979 ....... New Building . ~ ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ~/,$. House No. Street Ham/et Owner or Owners of Property ..... C. tzz't;±~ .~T,. ]~aV±S ..................................... County Tax Map No. 1000 Section ..... 0.~.3. ...... Block .... .Q5 ........ Lot ..... 00(; ........ Subdivision.. ~q. ou'b~,;L~L. $~a~es ............. Map No..38[~.~ ........ Lot No ..... ~9 ........ Permit No... E~112Z.. Date of Permit .72~,9/75, Applicant ..... Cur.~s .J....]~a~£s ........... Health Dept. Approval . .1 0/.1.9/7& ~, · ~¢J,11a..Labor Dept. Approval ..... ~T/~.° .............. Underwriters Approval ... ~T.~9(~5~8 ............. Planning Board Approval ....~f/R. ............... Request for Temporary Certificate ..................... Final Certificate ....... ~: ............... Fee Submitted $ Construction on above described building and permit meets all applicable codes and regulations. I SU, FFOLK c~UNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number ~/v~'~ APPLICATION FOR APPROVAL TO CONSTRUCT ,~ A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 0,~' Address '~,~>~ ' {,~ . '~]~ ~,~q _/~-~. il?l~ .6. Section. v\ 2. Propert~ Lo~a'tion IA~,,~ oE ~>~t~k,~ ~.,~{< ~,'~?~,. Lot Number ~ ~'~/~,a~'~/~/~,~'~,~po~y'~, ,/~Yo' ~,~k ,~2F~A~). Private Well 'Village ~m,~,~.~c~Township ~ ,~.~L~ ~..9. Public Wa. ter 3. Public ~ater Conipany Name/ ~e~ F~o,e~. ck)~_ u~s~ance ~o ma~n 4. Lot size: Width_~feet Lengi~h./~ feet 10. Sewage Disposal System: A. 900-gallon septic tank: Precast ~ Equivalent Block B. Leaching pools: Number of pools_ Precast Block Special. 11o If private well, fill in the fol- lowing blanks: A. Tank capacity. _gallons B. Pump G.P.M. C. Total well depth D. Depth to ground water E. Amount of water in well (For Health Services Dept. Use) The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health Services' current standards thereto." This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date Signed ~X~k~A ~"~ ~ ~~ FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based on the information presented here- with, it is the op~n~on 6f the Department of Health Services that an adegua~e and satis- factory Sewage Disposal System and Water Supply can b~e installed on~th~%,p~'ot. ~ / S-15 Rev. 4/l/73 W TOWN OF SOUTHOLD OFFICE OF BUILDI~,[G ]INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 November 6, 1978 Herman, McMahon, George & Herman 11 West Fairview Ave P.O. Box 56 Valley Stream, New York 11582 Attention: Mr. James A. McMahon Temporary Certificate of Occupancy # 9280 Dear Mr. McMahon, In reply to your inquiry of November 3, 1978 regarding this Certificate of Occupancy. Under an active Building Perm£t a "Temporary" Certificate of Occupancy may be applied for, an will be issued when the applicant has complied with certain requirements of the Building Construction Code. This gives the applicant an opportunity to complet~ the construction of building while occupying same which would otherwise be a hardship and financial burden. Au inspection of this dwelling was made and it was found that the minimum requirements have been met and a "Temporary" Certificate of Occupancy was issued accordingly. The conditions for a "Final" Certificate of Occupancy would be as follows: All construction must be completed to meet requirements · of Building Code (painting and decorating not included). All corrections from previous inspections structural or other must be corrected and approved by this department. Very truly yours, EDWARD HINDERMANN Building Inspector HAROLD P. HERMAN (1926-1~70) JAMES A. MCMAHON WILLIAM H. gEORGE H. PAUL HERMAN LAW OFFICES HERMAN, MCMAHON, GEORGE & HERMAN 11 WEST FAIRVtEW AVENUE P, O. BOX 56 VALLEY STREAM, NEW YORK 11582 AREA CODE 5,6 825-0620 November 3, 1978 Town of Southold Building Department Town Clerk's Office Southold, New York Re: Temporary Certificate of Occupancy No. Z9280 Gentlemen: This office is representing The Bank of New York on a proposed mortgage loan to Mr. Curtis J. Davis covering the premises for which the above Certificate of Occupancy was issued. I attach a photostat of the Certificate of Occupancy. Before proceeding further on the mortgage loan, I would appreciate a letter from your office specifying as to why the Certificate of Occupancy is "Temporary" and what conditions are involved in obtaining the permanent Certificate of Occu- pancy. JAM/mel eric. truly yours JAM . McMAHON ' ' .-. ' ' : ' " ',feel'ii'ties' for this location hav~ been- '. '. ~ lI]sp~'ots~.by %his dsparLmsnt ~nd f~und ,, '" " : '' ' ' S~t~das' ' ' ,' '., .... L_4N~ O~~ ~'~o~,.'.:. '" '.,~ . - : ' - >: ~ .... :~ ., "..',' .' '" ~ 5'X :- ~"~ . .~ ~ "' ' ' . LX, . '' '; I '..tX. ::~P ' 1'"'"' :" : "'-' ~ : ~- .' ,.oO,-~x ~ . - - . .,.: ',-~**~ :.,., ..... - .. } - . .' . .. . :.:::. ,: - . , . . ,.. ..... .... ~ .... ~ ~ · , ~- . .... ~- ~?O.O ~ '- '~ V Z~¢~'~'~'~,,u- ~ /~0-~0' DUFF. CO. DEPT. OF HEALTH $~RVICE$ STATEI'4ENT OF FOR APPROVAL OF CONSTRUCTION ONLY , ' DATE: ' " " ' ' H,S. REF. NO.; ____~ ~ANDARDS OF SUFFOLK CO. DEPT. ' ' , .. ........ - ~ . . ' facilities for ~his locatio~ have been l~s~oct'ed by this ~tment ~d ~oun~.,~ - ~hief of ~ene~al EnEineerin~ ~' ~/4 Se~[ces .. ,',, ~. ~'~"E. . · ~ 'u 0 ~ALZ: 40 '= l" ~ '~ ~ ~z m = /~on pipe ,~t'~ ~ ~ ~CATION LAW. ~. ~N~ IU~OR~R~. N. Y. ~ BUFF. CO. DEI"~. O~ H~ALTH ~VV'~'~ ~TATEMENT ~ +o~,~[, ~R AP~OVAL OF ~N$~U~N ONLY H.~. R~F. NO.: ~AND~ OF 8UFF~K ~0. DEPT. Disapproved a/c .................................................. '~ IN~RU~I~S / b ~lot plan ~h~in~ I~ofion of lot and o{ buildi~ or,os, ~n~ oivi~ ~ d~oil~ d~ription o{ I~ut c. ~ wo~ ~r~ ~ ~i, ~lic~tion moy n~ b* comm~ b~{or~ i~uonc~ o{ Buildin~ ~ermit. d. H~n ~pp~l o{ ~i* o~licoti~, ~ Buildin~ In~p~tor will i~u* ~ Buildin~ ~rmit to th~ ~ppli~nt. Such p~rmi~ ~holl be k~t ~ th~ pr*mi*~ ~il~bl~ {or in~i~ thr~h~t ~ ~rk. e. ~o buildin~ ~11 be ~eupi~ or u~ in ~o1~ or in pa~ {or ~n~ pu~ose whoever unHI ~ C~i{ic~t~ o{ ~eupancy 2 ,h*ll h~v~ ~n Oront*d ~ th~ Buildin~ Ink,for. A~LI~TIO~ I$ H[RfiSY ~D~ to th~ Buildino D,pa~ment {or th~ i~u~nc~ o{ ~ 8uildinfl ~i~ pumu~nt to th~ 8uildin~ Z~ O~in~nc~ o{ th~ T~ o{ ~u~ho~d, Suffolk Count, ~w York, ~nd other ~pplic~bl~ ~, O~in~nc*~ or ~ op~lic~nt ~r~ to comply with all ~pplie~b~ odmit outhofi*~ in~o~ on premix, and i~ ................. ....... ............... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... ........ ....... .......... ................... .: ........................................................................................ Name of owner of premises .....~...~.(.~.~.t.~ ....... ~..~...,......~..~:..~.!...'~ ................................................................................... If applicant is a corporate, signature of duly authorized officer. Builder's License No ..................................................... '~ Plumber's License No ................................................. Electrician's License No ............................................. License No. ~,~.. ~ Other Trade'Sland on whi h ........................................ proposed wod~ will b.e done' ..... Map No.: .~..~.J .~. ......... Lot No....~. ............... 1. Location of ~ ~.~ -c~l~ ' ~' '~ U .L:..~. ~'.~.2~ Number ./. ,~ z~..~....°.......~....~J. ............... .~z~..~'/~ r~ ~''-:~'"'~''' ''t''''''g ~ ..... ; ...... :'" ~ Street and -[-- .) y / Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ................. (~ ......................................................................................................... ~ ~ '[ ~'~ ~.~e~ t~.,~ . Intended use and occupancy .................~..~. ..........~..'~'A'l'a~""'t'~' ........... ~ ................ i'~W!......~.... ..... Nature of work (check which applicable): New Building.. ................. Addition ....~ ..... Alteration ................. Repair .................. R~maval .................. Demolition .................... Other Work .~ k~..~.~..~..~., d/~ ~/-~'~- ~ .. __ ~ ~-- ' " (B';;~;i~;~i;;;~'~ ........ I Estimated Cost ............. .~..~..'..~ .............. Fee ......~....~......~ .............................................. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ..~.........~.... ........ Number of dwelling units on each floor ..... ~..~......O.. ...... If garage, number of cars ........................................ : ................................................................................................... 6. If business, commercial or mixed occupancy, speci_fy ~natur~ltnd extent of each b/pe of use ....... ~ .................... 7. D mens ons of ex st,ng structures, ,f any: Front ,,~ ,--~.~L,~...:...:.~ l~ear .......... ~'m .............Depth ....... Height ...... .~..~. ........ Number of St~or~es~ ......... ........................................ .................................... .............. Depth ......... ..-~....-c.. ............. Height ......... ~.....-~... ......... Number of Stories ................................ 8. Dimensions of entire new construction: Front ................... , ................ Rear ............................ Depth ........................ Height .................... Number of Stories .................................................. ' .................................................................... 9. Size of lot: Front ................/...~....~... ............................ Rear ............... ./..?~......~... .............. Del)t~ .......... ..J..~.....~.... .......... 10: Date of Purchase ........ ..~..~..6~.. ........... ./.~...~...~.... ........ Name of Former Owner ......~....~'.......~.~. ........ ~.~......~....~..~....~... ....... 11. Zone or use district in which premises are situated ~/~...'. ............. .Zi-. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...................................... ~.., .............. 13. Will lot be regraded ...........r.x.b ......... .~.Will exce~_fill be removed from premise~ ( ) Yes (~-~/~No~, . Nome of Architect .............................................................. Address .............................. Phone No ....................... Name of Contractore~.~.L.~.....~.~...°.:~.:..~?......~...?.~..: Address .~{~.I~.......~..~.~Z Phone No~...../~.....~... PUOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate Jail set-back dimensions from property lines. Give street and block number or description according to deed, and sh6w street names and indicate whether' interior or corner Iot~ _ STATE OF qEW YORK, I¢ ¢ COUNTY OF .............................. ~'~ ~.(~..1:~.~ ....... .N....,......."~..~ · ....................... ..~.....~. ............ being duly sworn, deposes and soys that he is the applican~ (Name of individual signing controct~ above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or h~h'e 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 ....... ..... ....................... . Nora, Public,. .......... ~.U.~..~.~...~ .............. Co~n~ .................. ~...~-:~ .............................. (Signa~re of applicant) Attorll®y A Coun~e~lior lit 11. __llite o! I~ew Y~k }; T I f '0