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Home My WebLink About7822-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~.7.97 ...... Date ........... ]:)ea...8 .... , 19.7~ THIS CERTIFIES that the building located at .. Horseshoe DA, ........... Street Map No.0.~e,..VW,. ~]~lock No ........... Lot No, 2~.... ¢.~tehog~.. ~,Y., ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ A~ 21 , 19 .~. pursuant to which Building Permit No..7.~22Z. dated ...... &l~.~ . .l.~ .... , 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 . .P~..l.V~..t.e....~.e...f..a~.i..ly..d.w..e.l.l..i~. g .................................... The certificate is issued to . ~O~l~ .HO~aX' ...... 0~ae~, ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . N.O.V..20..~.~.~...b. lr..R.,..V.$11.a ..... UNDERWRITERS CERTIFICATE No..~239~..1...A.~g.6..1.97~. .................... HOUSE NUMBER .22~ ..... Street ....H.o.I' .s~.o.e..D. ?.i..v? ....................... Building Inspector ~ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERARIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7822 Z Permission is hereby gronted to: &l~ -~ t~t...~ozp ....... ~. g...LouzLs..Hoclo~. ...... ..)~oat~.~ ................................................. .... }Iamt~to~..~.~.~ ..... ~.1.9~ ....................... ~o ...~ILL ~...~mf...~e ...r.a~:L Lg... ~2. llr~: .................................................................................. at premises located at Lg.f,..~. ...... .~:~go~...~:~..~s.f.~f.~s ........................................................ ............................................. .~.~i~.~..~rJ,.~.~ .......... g..~t~h~gu~ ........ ~.,.~., .................................... pursuant to application doted ................... ~,...~..I .................... , ]9.~.~ .... and approved by the Building Inspector. Fee '~-'-5~'. ............. FOB. M NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation 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. Fmc1 survey of property w~th accurate location of all buildings, property lines, streets, aha 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 F~re 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 s~te plan requirements where applicable B For ex~sting buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex~sting" 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 dwelhng or land use $5.00 3 Copy of certificate of occupancy $I O0 Date ............................................... New Building % Addition Old or Pre-existing Building ................ Vacant Land · oca,,o, of Owner Or Owners Of Property ............. ( .............. ~ ........ ~ ....................................................................... Subdivision Q..~..~..~'~/.~...~.....~.../~...~.? ......... ~...~...C.,~...kot No..~..... Block No ............. House No..¢:~ Permit No .2~.~..~... Date Of Permit ../!/.L./..~./.~..~...Applicant .,~..~..~i~....Z~.~.~..~f~'. ........................... Health Dept. Approval ....... ~abor Dept. Approval ................................................ .." .......... Underwriters Approval .~. ~ c~' ' ' ~...~. ........ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ..... ....~... ............................ Fee Submitted $ ..... .~Z~..~ ............... Sworn to before me th~ ~- Construction on above described building and permit m~eets all ,~/abJ~:ode. s add regulations ............. ......... .............. >.-'- (stamp or seal) ~' ~ 7~ 7 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Appllcant£~:,:,~'~','.~ ,~ ,~.z~ . cPhone~'~.~ - .2. ~ ,~-- ~ Address I . ~,,. ~/.. -~ ~'~,z..~ ~ ~ ~, , 2. Property Location ~'~, ~r~,~,,~ ~,,_~ 0,~,'~'~ 3. Public Wat'e~ CompanY Name ~.,~" 4. Lot size: Width.',.d,t fee't Length.~'~.~ feet 5. Subdiv.(~' 6. Section 7. Lot Number 8. Private Well 9. Public Water Distance to main 10. Sewage Disposal System: A. ~.~O~gallon septic tank: Precast ~/ Equivalent ~'~ Block B. Leaching pools: Number of pools z Precast~ Block Special__ 11. If private well, fill in the fol- lowing blanks: A. Tank capacity. 9allons B. Pump G.P.M. C. D. E. Total well depth Depth to ground water 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. 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 Disposal System and Water Supply can be installed on this plot. ~.~./~.~- , SIGNED .~-- ~ , APPROVAL DATE S-15 Rev. 4/1/73 Southold Town Planning Board 51DUTHDLD, L. I., N. Y. 11~?1 PLANNING BOARD MEMBERS John Wlckham, Chairman Henry Molsa Alfred Grebe Henry Raynor Frank Coyle August 27, 1974 Mr. Howard Terry, Building Inspector Town Clerk's Office Southold, New York 11971 Dear Mr. Terry: This is in answer to your letter of August 21, 1974 regarding the request for a building permit on lot 25, Oregon View Estates, Cutchogue, New York. A bond has not been set and approved. The work currently being done on the roads is not in conformance with the Highway Specifications of the Town of Southold. The Southold Town Planning Board is not willing to release this lot for a building permit. Yours truly, Muriei' Brush, Secretary Southold Town Planning Board REVISIONS YOUNG & YOUNG ~ Z, 19~E 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK S~PT 2~ 19 75 ALDEN W YOUNG [~ HOWARD W. YOUNG SURVEY FOR: - " LOT/VO. 25, "ONEGOfl VIEW EST/~t~- ~ ~ 1 BY ) 1~1974 t"°'74E I DAT~' ote ............. ~.~ ............................... , ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wit 3 sets of plans, accurate plot plan to scale. Fee according to sChedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoin;i~n~ premises or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Per, mit. d. Upon approval of this ~pplication, the Building Inspector will issue a Buildin{~ Permit t~) th~applicant. Such permit shall be kept on_i' the premises available for inspection throughout the work. r., ,- e. Nb',b~dIding%'hadl~3e occupied or used in whole or in part for ap.¥ purpose whateve'~"u~rtil a ~ertificate 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 the Building Zon~ Ordinm(~, d{ the. T~ of Southold, Suffolk County, New York,,,~l~ o*,hel' ~l)plicabla Laws Ordi~tance~'or Regulations for the construction buildings, additions or alterations, or for removal or demolition, as I~erein 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 neces~ar,y inspections. f/l~l~-~l~ ~..P, h c a ~ g~i.~l~l~,if a cOrpOratiOn) (Address °f applicTi State whether applicant is owner, lessee, agent, archilect, engineer, general contractor, electrician, plumber or builder~ ................................................................. ........................................................................................................ Name of owner of premises ..... --- - '-'''-"--"'" --~~J~J~I~......,~....~....~./.t..~. ...... ..,~...~..,~..~..~:~, ...................... : ........................... l' ap~po.~__ .~ho~ficer. ......... ..................... '1. Location of land on which proposed work will be done. Map No.: ...... , ............. Lot No.....'~.....'~...~.'~- ........................... Street and Number'...~...~J~..l~'..~.P.~'.. ........... ~.../~..~.Y...~. .......................................................................................... Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: E stn a. x g use and occupancy .................................. ...~-~..#.: .................................................................................... ......... ! ....... ................... ........................................ b. Intended use and o~upancy ! Nature of work (check which applicable): New Bufldlr~j .,....~ ........ Addmon ..................... Alteration ........... Repair ...... ; .................. Removal ......................... Demolition ........................ Other Work .................................... (Description) Estimated Cost ......... ..~....~..~.~ ................ Fee .....~.....~...; ................................................................................... (to be paid on filing this application) If dwelling, number of dwelling units ....... /.. ....... Number' of dwelling units on each floor ......................................... If garage, number of cars ............ ./.. ............................................................................................................................ If business, commerc!al or mixed occupancy, specify nature and extent of each type of use ..................................... 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 ....... 1~....~. ......... Rear ........ .~..~, ........... Depth ......~.~... .................... Height ....... ~.~......._, ...... £. .................... Number of Stories ........ .~ ..................... .; ...................................................... 9. Size of lot: Front ....... ~.~..~.. ..................... Rear .......... ,/.a.~.. ..................... Depth ....~......~...~... .................................. Height .................................................... Number of Stories ...................................................................................... 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 1 1. Zone or use district in which premises are situated ....... ~. ......................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......~.._~.. ............................................... 13. Will lot be reo_raded ........... ~...~'.~... ................. Will excess fill be removed from premises: [~q~es [ ] No 14. Name of Owner of premises ....X~.~...q.(~. ....... ..~...~i~?-~r..~. ......................................................... ..-~..~.......~...~.....//.. ......... (Address) (Phone No.) Name of Architect .......................................................................................................................... ;. ......................... (Address) (Phone No.) Name of Contractor ..... .~./~..~:.'.~...'~.........~.. ................ ..~f ..................................................................................... (Address) ' (Phone No.) ~-~-,~ ~--' :.~ ., ~, ~ ,, PLOT DIAGRAM j~.O~ c~ ~l~'ly~_81~'~ne&ly a~, buil~gs,' whether existing or proposed, and indicate all set-back dimensions from property lines. Giv~ street and block nhmber or description according to deed, and show street names and indicate wheth- er interior or corrJ~[,'l~t,~ ,~ Io (Name ~individ~ si~ing con~act) of ~aid owner or owners, and statements contained in thi~ application ara true to t~ ~st o~~and ~lief; a~ that the work will ~ ~ffor~ in t~ ~n~ set forth in the application filed t~rewlth. NO T£: · =MONUM£NT $~ImOI ¥1$1ON IItAP ?IL £O O~ 7'~E ¢l.~RK O FSUFFOL# COUNTY ON &$ .Ews~o.s YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK SURVEY FOR: ~A. LOT /VO. ~5, Ot?EGO/V VIEW ! ~o ,~ , ~,o ,~ c~ ~ CUTCHOGUE ~ ~T TRANCE.AbE TO A~ITI~AL SCALE: I m ~ I DATE: ~11~ I~ IQ ~ ~~, DROP WALLS 7 8 WA L LS FOUNDATI 0 N ,8 ~tO 0 O DECK I0 // d., o t~ c, 6'r oo e H, OM,.E,',,S:r i ~-°~33 3_o ~. 3-c 0 pjY~oo~ ' '~£UM B TP, EE ~ 7 SECTION LEFT SIDE BIGHT SIDE