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Home My WebLink About8192-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~ .Z.~.~.~.IY. .... Date .............. Dec .... 1.8 ...., 19.75. THIS CERTIFIES that the building located at . }~/S .Ru.~h .Road ........... Street Map No. ax ......... Block No. y~X ....... Lot No... ~x..l~a~;~;itUck.. K,Y ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. Sept ...1,019..~. g pursuant to which Building Permit No.. R%92Z. dated ......... 8e.l~t...ID .... , 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 issued is ...Pr~.va~;e..one. i~amily..dwal].ing ..................................... The certificate is issued to . !,,~llliam. ~4.alchax~ ...... 0~me~ ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Dec., .16...1.97~....bY..il,. Y~.lla.. UNDERWRITERS CERTIFICATE No...1~I2~79.~9 ...... ~o.~.. ,25...]97.~ ............ HOUSE NUMBER ·.. ~600 ...... Street ... P~u~h. Kaad ............................ Building Inspecto~ 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? 8192 Z Permission is hereby granted to: ) at prem ses located at ........................... ~..t.!..ZL.H ....... k,.f..b..~ ............ t. · .~..l.~...~ ~ L, (:..L~ .... , pursuant to application doted ................................. ;~,~."T ....... L.~,\., IgC.g,..., and approved by the Building Inspector. FORM NO. 6 TOWN OF SOUTHOLD ~ Building Depmtment Town Clerks Office Sou~hold, 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, 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 U0derwrlters. 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: I. 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 December 2, 1975 New Building .......x...x. ..... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property 2600 Ruth Road~ Mattituck. Owner Or Owners Of Property William Molchan 2600 Subdivision ................................................................ Lot No ............. Block No ............. House No ............. 9/10/35 , Inland[ Homes~ Inc. Permit No.....................8192Z Dote Of Permit .................... ,%pp icant Health Dept. Approval . .:~. ...................... Labor Dept. Approval Yes /.//.~.:~/.~.. ~ Yes Underwriters Approval .......................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate Yes Fee Submitted $ 5. O0 Apphcant ........ _' T2 ." ................................. Sworn to before me this INLAND HOM~S, INC. //~c./~ ~ .......... ./.....~day of ...... ~..~.....~ i~.~[] (stamp or seal)~ / 0 ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS -- dl BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Willi~ Molch~, n/~ ~th Road (End of Rd.), Ma~tituck, L.I. ~239 November 2~, 1975 P. XTUR~ I i RXTURES 28 ': -GI~'~[~S FURNACE MOTORS t FUTURE AF~tJM, ICE F-~DERS ~ ,. 1/8 I 1 2 12 ....... ~ ~/]~1 ~ I ~ t 3 ~ 6 I 150 CB x i 2/0 1 2/0 George Zimllnghaus [~'~'~/~ ~ 4 Park Place GENERAL Pat chogue, L.I. 11772 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Heal th Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY Applicant I;~l) 1~ I~ Phone ~-~ Address P,O. ~ ~1.7~ ~,~r~ 2. Property LocationHl~i~- Itu~J~ Village N4~t~ Township 3. Public Water Company Name 4. Lot size: WidthS04 feet LengthL093 feet lO. Sewage Disposal System: 11. S. Subdiv. 6. Section 7. Lot Number 8. Private We~-- 9. Public Water Distance to main (For Health Services Dept. Use) Precast ~Equivalent B. Leaching pools: Number of pools Precast~ Block 900-gallon septic tank: Block 1 Special__ If private well, fill in the fol- lowing blanks: A. Tank capacity. 42 .gallons B. Pump G.P.M. ~ C. Total well depth 9O ~D.. D~th to ground water~ ~cE. /~unt of water in well T~bnde~Mgned CERTIFIES: "Construction of authorized installations will be in accordance w~ the Suffolk County Department of Heal th Services' current standards thereto." This ,a~icat~ Will be valid for one year from the date of approval indicated below and may ~Penew~if a current local Building Department Permit is in effect. =========================================================================== FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based on the information presented here- with, it is the opinion of the. Department of Health Services that an adequate and satis- factory Sewage Dis~ystem and Water Supply ca~bt)~ installe/d,~ . ,c~q this~, plo,t. APPROVAL DATE · SIGNED "'~ ' ~ ' ' S-15 Rev. 4/1/73 ~a'z$~ TOWN OF SOUTHOLD /-~ BUILDING DEPARTMENT '~/u(?~" TOWN CLERK'S OFFICE ~ ~UTHOLD, N. Y. ~ Ex ined . ~ / 19 .... Ap~licaton No ....................... ............... ........ ,o ............... ..................................................................................................................... .......... ............ ................ D~,~ September 10 19 75 o. This application must be completely fillod in by typowrlter or in ink and submit/od in triplicate to tho Buildino~ Inspector, with 3 set~ o{ plans, ~ccurato plot plan to ~olo. Feo occordin~ to schedule. b Plot plan show n~ oration of at and of buildings on premises, relationship amos, and ~ivino * detailed doscrlption of ~yout o{~roperty mus~ be drown on the d o0rom wh ch s po~ o{ th s opp cot on.~ c. The work covered by this application may not be commenced be~ore ~ssuonce of Buildin~ ~ermit. d. Upon opprovo[ o{ this application, ~he ~uildin~ ~nspector wiH issuo o Bui~dino Permi~ ~o Ihe oppllc~nt. Such permlt~ sh~ll be kept on the premises available {or inspocfion throughout fhe work. e. No building shall be ~cupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to thek~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or~ Regulations, for the construction o~ buildings, additions or alterations, or for removal or demolition, os herein described.~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to~ admit authorized inspectors on premises and in buildings for n~essa~ inspec~ions. (SignatUre of applicant, or name, if o corporation) Box 117, M&ttituck, N.Y. 11952 (Address of applicant) Builder's License No ..................................................... Plumber's License No. 517-P 273-E Electrician's License No ............................................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................................................... ..C~....n.~..a..%.., g..o..n..~.¥.~ g.~ 9...r. ................................................................................ Nome of owner of premises ....~...~..~..~...~...8~......~...o..~...q.~...8:..~. ............................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer)~-'-~ Other Trode's License No ............................................... Dis. Property 1.Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ..... .R...~..~.h....R..9..%..d.~......¥~..-.~..~...:i:~.~.~'.k'. .......................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ................................................................................................................................ 1 - Family b. Intended use and occupancy ................................................................................................................................. 3. Nature df work (check which applicable): New Building, ...~ ..... Addition .................. Alteration ............... ', Repair .................. Removal .................. Demolihor ...................... Other Work ................................................... ~ ! ~ ~ (Description) 4. st moted Cos, ..................................... Fee ........ ........................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ 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 ...... ,7,.~ ......................... Rear .....?...5. ................... Depth ...... .~...~. ............. Height 18' Number of Stories 1 9. Size of lot: Front 204 Rear 220 Depth ....... ~.0.~. ................ 6/75 ,0. Dote of Purchase ........................................................ Nome of Former Owner ..,O.,,~.~?..,..~...'.~..?.. ................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.?.. ................................................. [3. Will lot be regraded ....~. ...................... Will excess fill be removed from premises: ( ) Yes (×) No William Molcham 14, Nome of Owner of premises .................................................... Address ................................ Phone No ....................... Nome of Architect .............................................................. Address "B~'~'"~I~' .............Phone No ....................... Nome of Contractor .Z.~.,.}.!..O~..,,~,~_L.~.~.~.". ................. Address ...~..,~.~,,~.~..~..~..~.. ........ 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 desc,ription according to deed, and show street names and indicate whether interior or corner lot. ' COUNTY OF ~~[::..~..:... f¢'¢ ................. ~,/)~.:.F¢:...~...I,.I.~...1~'.,.~.. ..................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. ~ ~s ~h~ ............................. .~.t~.T.~.~.~..~..~ .......................................................................................................... (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 all statements confained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before~me this ,~~~~~ ................... Noto~ ~~~. co~ ............................. ~UDITH T. BOKEN N~l~ry Public, Stale of New York ~ F~ 52-0~44~63 Suffolk Ceunt~/~ o -"PIPE ~ .- MONUMENF~ E & E VA FI ONS A~E REFERENCED TO AN ASSUMED DA TuM f fH~S SU~V~Y'I~ A"WO~ ~ItTloN ! ONLy TO TH~ RER~ON ,F~HO~ ~E ~ i YOUNG & YOUN 400 OSTRANDER AVENUE, ALBEN W. YOUNG SURVEY FOR; WILL lAM MOI CHAN ~ VERA MOLCHAN AT MA T~/YUCff TOwN OF SOUTHOZD GUARANTEED TO: THE FIT'i.E GUARANTEE CO. NOTE: 0 -' PIPE m = MONUMENT ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM R~WS~Oi~S ~ua~ZG, m7s YOUNG, &: YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK Al+DEN W, YOUNG HOWARD W. YOUNG :iSURVEY FOR: l,Y// / /,4,~MOI CHAAI ~ VEttA' MOLCHAN MATTI?UCK /TOWN OF . ~OUTHO£D SUFFOLK CO., N.Y. · c;~;£: i,,= I00' GUARANTEED TO: THE TIT~£ GUARANTEE CO, RIGHT SIDE ELEVATi, I i/ r .LEFT SIDE ELEV4TION NOTIFy BUILDING DEPARTMENT AT '765-2660 9AM TO 4PM FOR REQUIR. iED INSPE(~TION$: ~ION OR START F~AMiNG '~, BEFORE COVE~ING PIPELINE, FR{ONT:, 'ELEVAT ION, R-,218 PLAN SHEET-I TOTAL-': RANGE WALL KITCHEN CABINET SINK I~?~EF'G WALL ELEVATIONS L CHEN DINING RM B E D .:R M, PLOT, PLAN .,, J .R'.£18 'PLAN- TOTAL- ,i E, LE~ATI~N STONE VENEER SECTION (~),' ~" 218 "' ',PLAN. I :T, OFFA?~