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Home My WebLink About8258-zFOB,M NO. 4 TOWN OF SOUTltOLD BUILDING DEPARTM~',BIT Town Clerk's Office Southold, BI. Y, Certificate O[ Occupancy No..~.7.0.~2~ ..... Date . ...... ~..1~..e.. 2 , 19. ?.~. THIS CERTIFIES that the building located at .W~gS. ns. Ls. tle ............. Street Map No. Cleaves. P.t Block No ..... III...Lot No, .~.8 ..... t~r00~lD01'~...E. :¥.o ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ................ .0.e.$.. ~9..7.5 pursuant to which Building Permit No..8~>%8Z.. dated ......... .0.e.$...2~ ..... , 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.r.i.v.a..~.e..o.b.e...ff.a.~.t.l.~r..d.w.e..1.l.L?l.g ........................................ The certificate is issued to ~..~-.~.~. 6 .~,~...~.~..~.~..k[... :~.k'n~l~ ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ,~. :Y.,..~.~....1.9?.6.,..b.y..R.:..V.J..l.]:a. .... UNDEaWmTERS CERTIFICATE No. .................... ..... Street .~...~-~ .~?.., .¢: ..c~.. ............... HOUSE BIUMBER. FOI~VI NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, H,. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N? 8258 Z Permission is hereby granted to: .~/~ ....... /-'2~.z.~..a.~..~..b ........... at premises located at ... t..(./,~ (,U ~ I ~J5 ..... /~/~ !?. ~. _ 0 Z....Z~ .......... .¢..~.~.~.~.~-A .p..at~.z.,....~.K.~....~-...-.. ....... ~x~.~.x.fe...~'...:.4.~,.,~..a ..... pursuant to application dated ................................... (~..(...~....,~.., li~...b...., and approved by the Building Inspecto~r. Fee $ ........................ Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ' : aS JOHN STRSET, NEW YORK, NEW YORK 1nasa A-~i' 6 ~.AT' 1976 ~*"~'%'~"'f" ~8~95 N 277389 ~ces Rose Ho~s Inc. n/s Wiggins ~e ~2'w/o MaPle C E 1 GPCI Four Point Elec. Inc. 863 Jericho Tpke. Smfthtown, L.I. 11787 Th4s certificate must nat be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified I~their creden~ial~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number ' ' ~ ~PPLICAT, IJ~N FOR APPROVAL TO CONSTRUCT ~t~ ~ATER SUPPLY ~V~ ~ ~,~. ', ~ i' _ , ' 6. Section 2. ~Propert~~ ~OuT~ '~ 7. Lot Num~~--~- ~ ' -- ~ 8. Private W~~ Village ~ ~Township. /~ 9. Public Water 3. Public Water Company Name Distance to main 4. Lot size: Width~feet Length. feet 10. Sewage Disposal System: A. 900- n septic tank: (For Health Services Dept, Us_e_e) 11. Precast ,Equivalent, Block B. Leaching pools· · Numb~""~f pools Precas t_,/~O Block ~pecial ~f pri~te well, f~l~_in the fol- lowing blanks: A. lank,.capaj:it~ '~gallons B. Pum~>~ G ~ ' C. To?sa3T well depth / D. De~h to ground water E. Am6unt of water in well ! '"G ''? I o. ]_.' 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 dat~'j~f approval indicated below and may be rerj~,i,J~a_cu~rrent~]DAc, al Building Department P~it ~I/~Jn effect. Date Signed '" - 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 '/'~/17/?/' SIGNED C- S-lB Rev. 4/1/73 TOWN OF SOUTHOLD ~ .UILDING DEPARTMENT~ TOWN CLERK'S oFFIcE ~x,j~-~ ¢/~ ~ ~ ~UTHOLD, N. Y. ..................................... , 19 ....... ¢ Application No ................................. .................................. , 19 ........ Permit No ......................... ; ........... ~ - ~proved b. Plot plan showing toc~tion o¢ tot and o~ buildings on premises, (eletidnship to odioining premises or public streets areas, ~nd giving o detailed description o~ I~yout o~proper~ must be drown On the diagram which is po~ o~ this ~pplicotion. c. The work covered by this ~pplic~tion m~y not be commenced be~or¢ issuance o~ Building Permit. d. Upon approval o~ t~is opplicofion, the Building Inspector will issue ¢ Building Permit to the cpplic~nt. Such permit sh~ll be kept on t~e premises owil~ble ~or inspection throughout th~ worb. e. No building sh~ll be occupied or used in w~ole or in pert ~or ~ny pu~ose whatever until ~ Ce~ffic~te o~ ~cup~ncy sh~ll hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment Car the 'issuance o¢ a Building Permit pursuant to Building Zone Ordinance o~ the Town o¢ Southold, Suffolk County, New York, and other ~pplic~ble Lows, Ordinances Regulations, ~or the consfru~ion o~ buildings, ~dditions or oltemtions, or ~or ~movo; or demolition, es herein described: The ~pplicont ~grees to comply with ell opplic~bl~ I~ws, ordinances, building c~, housing code, and r~gul~tions, ~nd t~ admit ~uthorized inspectors on premises ond in buildings for n~essaW in~ections. , (Signature of apphcant[.~[)game, if ~ corporahon) (Address o~ applicant) State whether ~pplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name If applicant s a corporate,,cignature of ~ly authorized officer. Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... i ,~,~.¢ 1. Location of land on which proposeC~wo~;k willie done. Map No.: ../~ ........... ...~..,.~,....~.....~...,... Lot No ............. Street a, nd Number/~..~.~`~.~..~..~..~~.~.~..~-.~.`~/.~:.~.~r~`~.~,~.`~.::~.~`~.~ ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ......... .3 ........................................... ......~ .................................................................. Intended use and occupancy ..... ~;;a'..~:f,,4~..4~:¢ ........ ~'-'¢~ '.w ~'" '~ ,'~ ..................... 3. Nature of work (check which applicable): New Building'...~....~ ......... Addition .................. Alteration ................ Repair .................. Removal ..................Demolitior~ .................... Other WorJ~ .................................................... ~ ~.~_~. (Description) 4. Estimated Cost ..... ~..~....~ ............................... Fee ............... .~....?...................i ................................................. (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 ................ t/ ................................................................. :: ........................................................ 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 ............................ Numls~er~of Stories ................... ~1.~ ....... , ~ ~!' 8. D,mensions of entire new construct,on: Front ...4,.~..~......>~,. ........ Rear..~..~....;,~.~.. ...... Depth .............. /:....*... Height y:.!~'. ............. Number of Stories ............./...:a~~ ................................................................................................ 9. Size of lot: Front ...... ../. Rear ....j......~. .......................... Depth ,./. ....... ~L~......:. ........... 10. Dote of Purchase(,~l~'..t¢~-~ ....................... Name of Former OwneE~.~/~.~..~.~'-,~ 11. Zone or use district in which premises are situated .-..~i~,¢~'~,.¢.'-~ ............................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ff.f~! ................................................. 13. Will lot be regraded ....~.~¢,~, .............. Will excess fill be removed from premises: ( ) Yes ~ ) No 14 .............. Nome of Owner of premises~,4~l~/*'/-*~/~' ' Addres~~ .~.~4~,i~/~a~cf.,... Phor~¢'No ........ ............... Name of Architect .................. ~:,. ............ .T;r.7~ ......... f:~ ............ Address,. ............................... Phone No...., ................... ........ ^dUte~s- PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed and indicate all~et-~ck dimensions from property lines. Give street and block number or description according to deed, and shov/'street names and indicate whether interior or corner lot. STATE OF NEW YORK, of said owner or owners, and is duly authorized to perform or hove performed the said war and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day of ............................................ , 19 .......... s~opP:~g ~stOt~s Lot SUFFOK COUNTY [EALTH DEPART~_ENE ~he sewage disposal and water supply facilities for this location hays been ina~cted~ by this~d~men%~d,fo~d to b~ satisfactor7. ~~ O' m = ~O~U~E~F Chief ~f General ~EngineerinE ~D~/~/~N ~P' 'P;~F~ iN'~ ~tC~ OF ~H~ .~LE~: O~ ,SU~OLK. _.CDU~ T Y_ D~ ~OT TO BE S~R~HD BY PUBLIC WATER, LAW .£ws,o.s YOUNG & YOUNG~ JA/E /,/.gZ'G 400 OSTRAHDER AVENUE, RIVERHEAD NE~/ SURVEY FOR: BEN ME~DOZZA LOT 78 "CLEAVES POINT, SECT/ON THREE' AT GREE~PORT GUARANTEED TITLE DIVISION OF AMERICAN TITLE INSURANCE CO. ~ ~. SOUTHOLD SOUTHOLD SAVINGS ~NK ___---..RIIFFOLK CO., N. _Y. aY ~ ~ ~/ SCAUE: '1"= 40' 'l DATE: NOK21, 1975 [NO: ~5-- 7~6 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEy tS A VIOLATION OF SECTION ?209 OF THE NEW YORK STATE EDUCATION rEViSIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: BEN MENDOZZA ~;~. [LOT 79 CLEAVES POINT, S[CT~~~ GREENPORT i GUARA~~ "~F SOUTHOLD ,~ :~. ,~.:~,.~-a ~,. ~., SUFFOLK CO., n.Y. ~ ~~¢~. ,0 ~ ] LAW7209 OF THE NEW YORK STATE EDUCATION 'I' TOWN OF SOUTHOLD Budding Inspector's Ofhce Town C[erl< Budding PPROVED AS rED~ BUILDING DEPARTMEN~ PI ; BACKFILLING ~OUNOA- j ' )R S~ART FRAMING ' , ,[ l-