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Home My WebLink About8325-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UFDATED Certificate O[ Occupancy No.. Z. 1. l 7.58 ........ Date ........ Jur~. 3 0 ................. 19.8.3 THIS CERTIFIES that tile building s .............................................. Location of Property .1. l 6 b .............. T h.e ~. e s a~ .D [' ............ [q~.t, t * g.~<k ...... House No. Street Hamlet County Tax Map No. 1000 Sechon . 1. l 5 ....... Block .... 15 ......... Lot ...1. 1 ............ Subdivision D~.e p. H.cxl e. C r.e e k. Ks t a L.e ..... Filed Map No..4.~ 5 6...Lot No... 2.6. ........ conforms substantially to the Apphcation for Braiding Permit heretofore filed in this office dated December 3 1975 8325Z · A u g~s t. 9 ............ 19 2.5 pursuant to which Building Permit No ..... ~B.7.8 ~ ~ ........... December 3 1975 dated . .Aug.us t,..9 ................ 19 7~5., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is Issued is ......... one-family dwelling and accessory garage The certificate lsissued to MICHAEL & KAREN CORBETT (owner, lessee or tenant) of the aforesaid buildtng. Suffolk County Department of Health Approval ........... ~I/& ........................... UNDERWRITERS CERTIFICATE NO. N / A B.P. 8325 had C.O. B.P. 8786 had C.O. No mnspectzon has. been made Z1759 issued Z7347 zssued sznce. ~-L Building Inspector Rev. 1/81 TOWN OF SOUTIIOLD BUILDING DEPARTMENT Town Clerk's Office Soul.hold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at I~ & ~ -n~. ~ .~.~.S..~... ?..~., cf. Street Map No. ~ Z 5 ~- . Block No. ~ Lot No. ~ ~ ......................... conforms substantially to the Application for Building Permit heretofore iH~ in t~s office dated ~a ~ .. , 19~ p~s~t to which Building Permit No. 9.~.~.~.~ dated b ~.. ~.. , lSX~was issued, ad conforms to ~ of the req~ ments of the applicable provisions of the law. The occup~cy for which this ce~ificate ~ issuedis h. P~gAT. ff..~kl~.. ~.~?.tk~..~%~[~ .................. The certificate is issued to .~h N.~.Eg.. ~9~-... ~ 9 ~ ~ ,.~C: ................. --. (owner, lessee or ten,t) of the aforesaid building. Suffolk County Department of HeMth Approval J ~kT Z ~).~ ~ ? ~ ~Eff. ~ -~q f ~ozaWaiTZaS CZaT~nCaTZ ~o..a. 8. ~.~ ? ~ a ........................... HOUSE NUMBER ~[ & 5 Street..Q~ ~.~.~.~ ..... ~).~- ............. .... ~uilding Inspee[or ' l~ORl~ NO. 2 TOW'N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N:. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8325 Z Permission is hereby granted to: , ,o ...................................... ~t prem,~s ,o~a,ed at .L~....: ....... : .......... '~ .......... ::~~ ~.( ......... r'": ............. :~ ~ .......................................... ~ ~ ' .......... ~ ~ ~ ' - 'Z ';y"~":'v~';: ........................ ..~: ............ : ........ L....:~... ~. ~ ..... : ...... : .................... =u~uant to ~pl,cat,on dated ................... ~,:~ ............ .,., l¢;:2.~.d~approved by tho Buil)jng lnsp~ok ..... ~ Fee $.....~;.~...:..,;~ ..... · ..... ~I~..~:~'..;;~Y....? ...... :....~'. ;~:}Z'I; ............ FORM NO. ~ TOWN OF $OUTHOLD , 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 Nnes, 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 buddings, Industrial buddings, 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, buddings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buitdings 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 B~ilding ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ................................................... ~....., ........................... :....'~,. ..................................... Owner Or Owners Of Property ....... ~?..~!i~...6'...t~.~ ........ ~.&..~.~..~.~. ....... !.J.L..t'.f'.~...Eb.....%~..../~.;.?.: ............................... Subdivision ..~..~:.~.~ ...... !:.~.'..~ ....... ~.[~'.~ ..... %~.]Lot No....~... B~ock No. - House No.!.!.~.~. Permit No ..... ~..~.~..~...7-Elate Of PermitJ~" .................... ' ' Appl.cant .... ~x/~; ............................................................. ,,c, /~ ~ , '~ - .. . Underwriters Approval ...,/~...~.~..~.~..,?....~.:.;; .............. Planning Board Approval ' ' Request For Temporary Certificate ................................. .~:T:~. Fined Certificate .......................................... ~ee Submittea ~ .................................... Construction on above described building and permit r~e~l~l,I ~ap/i~tiq~b~c:ocles#and regulations. Applicant .................. .~..~.~. · ~ -~.- ?. ................................ It .............................. Sworn to before me this ................ ........ ......................... Notory ~ubli¢ ............. ./ ..................... Coun~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building 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 Sept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical ~nstailation 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. Bo For existing buildings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. C. Fees: 2.1' Certificate of occupancy $5.00 / land use ~'/$ Certihcate of occupancy on pre-existing dwelling ~r ?'/ 5.00 Copy of certificate of occupancy $1.00 3. Date ~.9 " ................ or uddlng(X) .... = fVacant Land House No Street Hamlat Owner or Owners of Property ~.~.¢.~..~ . .~...~._~./4~ .~... g.o. ~c ~ ~.. ........... County Tax Map No. 1000 Section ~.1~--.~. ....... Block ./~ ,~ .......... Lot..~.~. ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.~. ~...~..-~,..~. Date of Permit /.~./).~>1.~...~Applicant..~.. ~.~.~...~..~..~.~.' Health Sept. Approval .7//.~. ~/?.~..~ .~.L! ..... .~...Labor Dept. Approval ......................... Underwriters Approval ~/~,-~-, ~..~..?.~...~. ........ Planning Board Approval .................. Request for Temporary Certihcate ..................... Final Certificate ........ - ......... - Fee Submitted $ ............................. Construction on above described building and permit' mee~s all app~cable~co.das and regulations. App~,cant ~.~ ~¢ ..... /~.~.. ~ lK~n.~ . ~P.~.~ .... ~ , THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~B JOHN ~I'REET, NEW YORK. NEW YORK 10038 <J ~ v THIS CERTIFIES THAT Frances Rose Homes Inc , e/s Theresa Drive i080~ s/o New Suffolk Avenue, Ha?tituck L I ~193 ~.,~ ....... /,,, ~e'/ I0, 1976 .n,troundt. t ......... I CFI ,lob ~ 193 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference[ ~u?b e r APPLICATION FOR APPROVAL TO CONSTRUCT ~ ~9. A~PRIVAT~ ~SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant ~l~e~ ROSe ~'eIlI:~one ~-[414 5. Subdi~],~ 2. ,Property Location ~S ~~ ~B..I~' a/O ~ 7. Lot NurSer ,~lk A~e. ~%~Zu~k. N.Y. ' ' 8. Pri, va~e~]Well~ V~ll]age ~tt~ ' Township ~_ 9. Pub]i~-~ater~ 3. Public W~er Company Name ~ Distance ~in ~. ~t size: Width~eet Length ~8~ ~eet ~ ~ (~;~r ~alth Ser~¢~ Dept. Use) 10. 11. ~a. ge Disposal System: 4: 900-gall°n septic tank: ~Peecast X Equivalent Block B'. Leaching pools: ~' NumGJr of pools 3. ~re~ast ~ B1 o'ck__Speci~al __ ft~'priva~e well, fill in the fol- ~qWj ng blanks: A, ~ank capacity 4~ gallons 6O Pump G.P.M. Total well depth D. Depth to ground water ~0 E. Amount of water in well 40 The u6dersigned CERTIFIES: "Construction of authorized installations will be in accordanm 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. FOR.THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Baeed on the information presented here- with, it is the opinion of the 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 NEW SUFFOI K P VENUE Io? 37 £500' Et- - - 182 00' Cot .~0 NO~z MONUME.NT u _- STAKE 5UBDIVI$10N IffAPFIIED ItV THE OP THE CLZ't?K OF SUFPOLK COUNI~' ON JAN28, 1965 AS FILE NO REV,S,ONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W. YOUR(3 LAND ~URVEYOR. N Y S ~IC ~0. 12845 N Y S LIC. NO 4~893 SURVEY FOE: BEN MENDOZZ~ LOT NO 56" DEEP H Tow~ ov SOUTH~ SUFFOLK CO., N Y. ~,'~~'-- ~&_ _ SCALE I '~ 40' d ' 75 - ~6G UNAUTHORIZED ALTERATION OR ADDITION TO TH~S SURVEY IS A VIOLATION OF SECTION ?209 OF THE NEW YORK STATE EDUCATION LAW COPIES OFTHIS SURVEY MAP NOT SEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT SE CONSIDERED TO SE A VALID TRUE COPY GUARANTEES INOICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PR/PARED, AND ON HIS BEHALF TO tHE TITEE COMPANY~ GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL LAW UFFOI K UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EOUCATION COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT SE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED~ ANC ON HiS BEHALF TO THE T~TLE COMPANL GOVERNMENTAL AGENCY AND LENDINGINSTITUTION LISTED HEREOh~ AND TO THEASSIGNEES OF THE LENDING ~NSTITUTION GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL COUNTY HEALTE DEPARTKEN~ 2 9 1976 .. ~he sewage ~isposal ~d water s~pply facilities for lhis lccatlon h~ve been inspeeted b~ th~s department ~d found Service~ I~2 00' wELLS ~l~D CESSPOOLS E LOC~[TION' OF ERV.KTION'S 1'H IELD OBS A~D/OR F~OM DAT~ ~,~...ED NO~,__ MONUMENT ~ -- STAKE SUBDIVISION &fAPFILED IN THE O~'FICE OF THE CL~RK OF SUFFOLK COUNTY ON JAN~'~ 1.955 A~° PIlE NO .EV,S,ONS YOUNG & YOUNG NOV.~ItI975 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK /~A~'//,I,,0~'6 ALDEN W YOUNG HOWARD W. YOUNG SURVEY FOR: B~N ~NDOZZA GUARANTEED TO: AT~ TTI TUCH SOUFHOL~ ~lNeS ~AN~ TOWN OF GUARANTEED TIT~ DIVISION OF SOUTH~ R AM~IC~ITLE INSUBANC~ ~ SUFFOLKCO., N.Y. sv ~/ ~~_ I I I 4 X I~ ~.U, WP, HBA. DBP~I, /X .,I b ~.~1~ M E, NT T I I i i '1 I