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Home My WebLink About8229-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y.. Certificate Of Occupancy No..Z J0¥55 Date JanuarM .2..~,. ., 19.8.1. THIS CERTIFIES that the building ................................................ Location of Property .... J .J .0.L~5...N..qr..t.h..b.a. yy.i.e.w...R.o.s.d.: ....... .S.o.u..~.h,o.l.d..,..N...Y.: .... House No. Street Ham/et County Tax Map No. I000 Section .... 79 ...... Block ...... .5 ....... .Lot J 9 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 7 ,19 .7.5. pursuant to which Building Pemfit No, 8229 Z dated . .0. 9.t.°.~..?. 7.,. .............. 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 ......... Private One-Family Dwelling The certificate isissued to Stanley 0 Case & W~ .................... .................... of the aforesaid building. Suffolk County Deparhnent of Health Approval .... .5..S.0. 7 ? .V.0.. 1. .2 ./.2.~/. 8..0..R?. b..e.r.t..A....V.i.l..1 a UNDERWRITERS CERTIFICATE NO ..... ~. 5.0.5/4.?5 ............... ~ .................... Rev 4/79 Building Inspector FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERICS OFFICE SOUTHOLD, N~ Y. BUILDING P*ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8229 Z Permission is hereby granted to: or prem'ses ocoted at ................. ~ ........................................................................................................ ....................................................... , 10 .., and approved by the Building Inspector. Fee $.....~ ............. ...... ~C~F~?S ~C)~ LV~L~t'~l~p,M~'f Building Inspector February COUNTY OF SUFFOLK DEPARTMENT OF HEALTH SERVICES 28, 1980 Stanley O. Case North Bayview Ro~d Southold, New York- SECOND NOTICE 11971 DAV|D HARRIS, M.D., M,P.H. RE: 5~SO-130 - n/s North Bayview Avenue, Southold, N.Y. Dear Mr. Case: A recent check of our files indicates that this office has .never issued a final approval for the above referenced job. Please be advised that it is' illegal to occupy the building until the following paperwork is submitted to this office and/ or the following inspection(s) are completed: Well Driller's Certificate Water Analysis Cesspool Certification Final Surveys (4 prints - no photocopies)' Other Should you ha~e any questions, please this office. Very truly yours, Calvin M. Smith Senior Sanitarian' feei free to contact Town Building Department~.~ TOWN OF SOUTHOLD , Building Department Town Clerks Office $outhold, ~4o Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR, ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new Use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--($-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters~ 4. Commercial buildirigs, 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 y ........... New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Locetion of propert ................................ Owner Or Owners Of Property ...~.*l~4.., ..... J.&~..~.. ....... ~'~ ....................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No..//..(]...~.~.~ Permit No..~.<~'~.~.',~. Date Of PermitC).~...,~,.Z~..Applicant ...~./~.~.,,~/.cJ2f ................ .~.~i .~..~,¢. ............ Health Dept. Approval U,;,,~.,~,,,~7..C.~...¢,4 ................ Lobar Dept. Approval ................................................ Underwriters Approval .ff..~.~..y..,~...y ................... Planning Board Approval ........................................ Request For Temporow Ce~ifioate ........................................ FinoJ Certificote ................................ Fee Submitted $ .................................... Construction on above described building and permit meets oll 0pplicable codes an4 regulations. A I ant ~ ~' ;*..~'~. ....... pp ic ................................ Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County DEPARTMENT OF HEALTH SERVICES Deaf A recent check of our files indicates that this office has never issued a final approval for the above referenced job. Please be advised that it is illegal to occupy the building until the fJl- )owing paperwork is suLmitted to this office and/or the following inspec- tion(s) are completed: fell Drillers Certificate ~]Water Analysis [~esspool Certification n~'~]Final Surveys .. []~]Other ShOuld you have any questions, please feel free to contact this office. 'Very truly yours, ~ / ..~'~.~ 0 '- cc: Town Duildlng Dcpartmen~ · . y ":, '/~..~{=",,' THE NEW YORK BOARD OF FIRE UNDERWRITERS . ~ii:~j '~ " "' s~ Jo,N STR~ET.,~W YORK. ,~W ~O.~OO~ ~ "' ' ~ ?L~,,~ ~ THIS CERTIFIES THAT , :~: ' 5 only t~e electrical equlp~ne~t ~ ~riS~d ~1o~ a~d i~trod~ced by ~fle appiican~ ~ o~ the able application .u tuber in the premises of . .' ? ~stanley O. Case, North~Bayview Rd., E/O Reydon D~., 400' W/O Paradise , ~ Pt.r~Rd., Southo!d__L,I. ' ~ ~ ' ~ , ~ t~a~yotto~nsto~atio.; ~ Basement ~ lstFl. ~ ~ 2nd Fl~ ' O~e , ', ~ section Block ~ ~ ~.~ ~..,,..~d o. ~' '~ 8ap t omb eV ~ 0, [9 7 6: 'a.dfo.,~d to be ia co,.p,.a~ wal[ ~he r~ouirements of ~hls Board. ~tXlUa~ RXYUEES gANGES OVSN5 EXHAUS~ FANS OU~[a~S SWItCHeS 16 40 19 ' DRYERS FURNACE MOTORS FUTURE APPliANCE fE~D~S TIMECL~CKS DIMMERS ' UNiT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEET E Stanley O. Case No. Bayview Road Southhold, N.Y. 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. Applicant Address ,S,,~,~)~spo.~? /')vz ~,~)~.;-~?'~ 2. Property Location ~.F~'/U~ ~,~ ('Z~ ~illage Township 3. Public Water Company Name /) ,~,c 4. Lot size: Widtht?>%~ feet Length~:' ~/~.~feet 10. Sewag9 Disposal System: A. )~-gall~n septic tank: Precast~ ~/~'Equivalent , --Block B. Leaching pools: ~mber of pools Phone 5. Subdiv. ,~ 6. Section 7. Lot Number 8. Private Well 9. Public Water Distance to main (For Health Services Dept. Use) ~2, Preca~Sj~~' Block _Special ll~,-~'~'If pr~_ate well, fill in the fol- i~':~A. Ta~'capacity [~ gallons : C. To~al well depth ~,~ t' ' D. Depth to ground water .. E. Amount of water in well The undersigned C[RTIFI[S: "Construction of ~th the Suffolk County ~epartment of Health h application ~11 be valid for one year from ~he date of approval ~nd~cated belo~ and may be renewed if a current local Building Department Pemit is in effect. Date .~ ~ /~ Signed.~~22 2 ............ : ........... =============================================================== 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. APPROVAL DATE ~'/]2..~,/~ SIGNED t - S-15 Rev. 4/1/73 FOI~M~ N~. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION t PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances'or Regulations .... ........................................ at premises hereinafter described in that ...................... r-'""~;~';T;';g;;;;/;/;?';i;Gi;4~ .................. ........ ¢ ................. ................ ~ .......... 7~r~ ~ ............................................................................................................................. violation of (~;;~;";;;;;;~";7"~;;;~;';~";~";~i;;;~i;"i;7;::::::::::::::::::::::::: ...................... YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to re~:~dy the conditions above mentioned forthwith on or before the ...................................................................... day of ...................................... ~.~...., The premises to .which this ORDER TO REMEDY VIOLATION refers are situated at /~,,~..'~..~.........~.,¢/.R;c.~....,..~-,".~f./../...~"County of Suffolk, New York Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector ......... ......... ,,, ........ 'B~ildi In~) -- - -- ' - I~H~IO~$ ~~ ~ ............................ ~~~ .L; ............. 1 .i.... ~ ~. Thi~ ~lic~tion mu~ ~ compl~l~ fill~ in b~ ~pawrit~r o~ in ink ~ ~mi~ in tripli~ ~ ~ Buildi~ ~ b. ~lot plan ~h~ing I~ion o{ lot ond o{ building~ ~ pr~mise~, ~lotion*hip to ~joining premix* or publi~ ~tr~t~ o~ ~ or~o~, ~nd ~ivi~ ~ d~il~ d~eription o{ I~ut o{pr~ mu~t be dm~n m th~ dingmm ~hich i~ ~ o{ thi~ o~lie~ti~. c. ~e work c~er~ ~ this a~lication may n~ ~ commenc~ before i~uance of Building Permit. 1 d. Upon appeal of ~is a~lic~ion, ~e Building Ins~tor will issue a Building Permit to the a~licont. Such ~rmit shall be ~pt ~ the pmmi~ ~ilable for in~i~ ~r~gh~t the ~rk. ~ e.: No building shall be ~cupi~ or u~d in ~ole or in pa~ for any pu~e wh~er un~l a Ce~ificate of ~cu~y ~ shall h~e been gmnt~ ~ the Building In~or. ,~ '~ APPLI~TION IS HEREBY ~DE to the Building Depaffment for ~e i~uance of.~ing Pe~it pu~uant ~ the ~ Buildi~ Zone ~inance of the T~ of ~old, Suffolk County, New York, and,~plicoble ~s, O~i~ or R~ulations, for the constr~ion o~. buS,dings, additions or altemti~s, or ~r mm~r de~liti~, as heroin ~ri~d..I ~e ~nnlien~ ~L';~: *~ 7TF-;'-;' ,',:; ...... HH;~[;;~ ~le I~, ordinance, buildi~ c~si~ c~e, a~ ~ulati~, a~ ~ ~ / TO REMOVE EXCESS . FROM ABOVE PREMISES BY . ........ ........... CONStrUCTION Stat, ,~m ~--' :~-I.-,-~ ~----~ ~: , ~h't~t, engineer, general c~tmctor, electrician, plumber or builder~ N~me of ~r ~{ premises .................................................................................................................................................... If applicant is a co,orate, signature of duly a~horiz~ officer. ~]~ /~17 ~ (Name and title of coq~orate officer) Builder's License No ..................................................... ,,/ ! '~ Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... I /ooo - 79- $-/.9 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ........................................................................................................................... ...' ................. ~ .... ' Municipality 2. State existing use and occupancy of promises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ' ' ' !-:: b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building.. ....... ~ ........ Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... ~ ' (Description) 4. Estimated Cost ............... ~F..¢....~..; ...... ::. ........................ Fee ................ ~ ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ J ............... Number of dwelling units on each floor ............................ If garage, number of cars ..' ..................... ,,: ................................................................................................................. 6. If business, commercial or mixed occupancy, specify_.,~a~ture 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 ............. .-. ..................... Rear ............................ Depth ........................ Height .................... Number of Stories ................ , ......... ~ .................................................................................. : ........ ~ / ' i .~ , ~ . ............................... Size of tot: ~:ront ....................... ~: ...... ~ ..................... Rear ......................... ; ................ Depth Date of Purchase ..............-../....~ ............ ~.....~.~.~../...~.~...Name of Former Owner ......... :.l ........................ ~ .................. ZOne or use district in which premises are situated ~ z , / :? Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ Will lot be regraded . ........................... Will excess fill be removed from premises: (/)" Yes ( ) No Name of Owner of premises ...~..,.:~ ............ ~.,?....,..' ................ Address .....~:[ ........................ Phone/~Nc~. '.I ....... ! ... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ....................... '...L'.....:...z~.....'.: .............. 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 description according to deed, and show street names and indicate whether interior or corner lot. 10. 11. 12. 13. 14. STATE OF NEW YORK, COUNTY OF ....'"-~'~-~'~ ~-,"~'"'"~"[~'"'""f~' ................................................ ~ ........... ~..4 ............................. be ng duly sworn, deposes and soys that he is the applicam -(No'me of individual signing contrecf) above named. He is the ............................ : ........ ,.....,....~ ........................................................................................................................... (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 contained Jn this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ........................ /day of ........................................ ~...7 19 ........ Nota~ Public, . ................................................... CO~l'nty '.~ ..................................................... ~ ........... ~ .......................... (Signature of applicant) T ;I I/.Lo" i t SZO'- 0" L