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Home My WebLink About8318-zTOWN OF SOUTHOLD BU-~,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ................. ' ....... Street ~o/,~ri-e f~z..~.~'~ i ~..~'(5'o e Map ........... : mock No ........ Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ... ~ ....... '~ $ , 19{.~..~. pursuant to which Building Pei:mit N~... dated f~0 ~' ~ 5- ~5~ ........... , 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 ~suedis ~.e!~..~.Tf .O..~..~: ..C. 2:-,..~.Z.....p...~..,-.~.~,.¥h'~. ............ The certificate is issued to /~.~.C. .~ .K.i-d.~. ~..f.~.L.k.~? A/ .~.I:.k'..U.L-~ ...... .~..GJ...~..Lt/.~L (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ..~ .~ ~.. (?. 7.~ .... ~. ~'.... ~ ~...~?~:~-, U~TD~W~n:E~S C~.~T~CAT~ ~To...N.. ~..3. (~(. ~ ~ .... ~.,f. ~..r.~.7..~. ..... HOUSE NUMBER ..~. &..f..O. .... Street ....~..~....'~.. f':..'..~-.. ............. Building Inspector TQWN OF SOUTHOLD : BUilDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. BUILDING PERMIT (THIS PI~RMIT MUST BE KEPT ON THE PREMISES UNTIL FULL , COMPLETION OF THE WORK AUTHORIZED) 8318 Z P~rmission is 15e}e~y gr~n:l:ed to:- ,.F¢J; t0~.. ~.~-,~ilSpl'cah°n.-. . dated.~:;~ ~ ....................................................... .:, ..~;~ ~¢ :~ ~-, ,~ ~ -r-- 19.~ .~,.,-,~" and approved by the FORM NO. 6 TOWN OF SOUTHOLD , B-ildlng Department 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: I. 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 $5.00 3 Copy of certificate of occupancy $1.00 ...... ...... ..... New Building .... K ........ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Lc)cat,on Of Property ..Sl.,~....k~.....¢~.~).~..~,...~'~....} ................................. ~/~..~ ........................... Owner Or Owners Of PropLrt~y .~..~.t~......~...;...~....~...~.S.~..~.~....~,...~..~' .~.~..'~ .............. Subdivision L.~,.~'..~...~.~,.~...~.~k...'~'~l.~.~...Lot No...i ....... Block No ............. House No PermitDate Of Permit L .l>S.L ,..App'icant ~,r//../'~~b ~'-~ Health Dept. Approval ...~....~... .............................. or Dept. Approval ................................................ Underwriters Approval ...¢~... ...../..: ............................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate ....... ~ ........................... Fee Submitted $ ....~.:. ........................... Construction on above described building and/~,.'~ r~eets a/~li_cable codes and regulations. Applicant ~.....d~..~,-M.l~l~l~..C,..~..~Ae~/~ ...................................................... Sworn to before me this ........ .dayof ..... ...... /...f..Z.4.... Notary Public ....... ~' .... County (stamp or seal) fl THE NEW YORK BOARD OF FIRF UNDERWRITERS , 93 JOHN THIS CERTIFIE~ '~,~AT kteha~d gee,;e, w/s Eugene R~,(~eebe ~,,, , ......... ~,, November22~ 1976 Fi ,~' U~l I' IXTU RI~$ X z,,,~ ~, outside ,,,,,,,, ~;,,~ L,,, ~ RAI',IGI~S CO0)~,N~ DECKSi OVENS-- DISH WASHI::RS~ I~XHAUST ~A~N= 6.87' 2 150 CB x t 1 350MCaM L~6.9 I 1'1.5 4, f UNIT HEATERS MULTI.OUTLeT DIM,'~ERS 1 Et ' 0" a ~ ~ 1 350MCM Motors: 1-1hD. 1GFCI. 1-10 amp garbage disposal, ] smoke detector. 1-4.Skw. hot water heater, 1-10KW. 1-20 KW. elec. furmaces. Samdstrom Elec. Inc. Box 145 Aquebogue, N.Y. 11931 lie. 869 E ~.^t ?~u~ ~_ t "/t L Th~s c,,rt,f,cate must not be altered m any rnonne*, ,elurn to tn~ off-e at the Board ,f incorrect lnsp,,¢tors may be *derJt*f,ea by lhelr credenhals ~ .~~/~~~:~2%~'~;~q~,~~~, .... l_ ' ~ ....... - _ _ ' ~DF~OLK COUNTY DEPARTMENT OF HEALTH SERVICES e APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY ~ ~ ~ ~ Phone ~-' ~ ~I,~ 5. Subdiv. Applicant t~.~ , Address ~ , ~ , ~'~ ,, , , ~' ~c,I Section Property Location Village ~, ' , Township ---,~:-~,~,~ 3. Public Water Company Nam~ ~ 4. Lot size: Width feet Length feet 10. 11. Health Services Reference Number~ ~_ .7. Lot Number ~ 8. Private We~l '" 9. Public Water ~k? ~ Distance to main Sewage Disposal System: A. //~O~-gallon septic tank: Precas-~ t ~X~,Equivalent Block B. Leaching pools: Number of pools Precast ~Z~¢OBlock ,, Special __ If private well, fill in the fol- lowing b_lanks: A. Tankcapacity ~'2_ gallons B. pum~.~. P.M._ C. Tot~rl~ well depth D. Dep~t~. to ground water E. gmou-~'t 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 ~\ i~ ~-~ q ~ Signed ...... ~ ~'~ .~ .x~ FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based 9n the information presented here- ~i~h-~ ~t ~ ~ ~-~i~To~- ~-~ ~ De~e~ ~ ~alth Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. APPROVAL DATE /~/~'/~Z7 SIGNED ~ __ S-15 Rev. 4/1/73 EusENES UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION ?NO9 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THiS,SURVEY MAP NOT BEARING THE LAND SURVEYOR'S iNKED SEAL OR EMBOSSED SEAL SHALL NOT SE CONSrDERED TO SE A VALID TRUE COPY I, ,' 'l'he CommOnS 80per~ spoce it REVISIONS YOUNG & YOUNG S~PT2$,/gF5 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ~ /6~'/~'~' ALDEN W, YOUNG HOWARD W. YOUNG APt? ,z, 19Y6 PROFESSIONAL ENGINEER* AND LAND SURVEYOR SURVEY FOR: RICHARD REEVE LOT I" LITTLE NECK PROPERTI~%%% AT EAST CUTCHOGUE TOWN OF SOUTHOLD SUFFOL GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEy IS PREPARED, AND ON HIS SEHALF TO THE TITLE COMPANY~GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON~ AND TO THE ASSIGNEES OF THE '1 ,4,-4 -q -'i .22.I. C.~i~' L-IVI, / 22:4~ %.. 12 lit I d ii ,I L JL .i,