The URL can be used to link to this page

Home My WebLink About8261-zTOWN OF $OUTHOLD BUH~I~G DEPARTMENT Town Clerk's Office Southold, bl. Y. Certificnte Of Occupancy No....Z9.1.9.2. .... Date . .A..u~3..s.~....29. .............. , 19...7.8 THIS CERTIFIES that the building located at 9./!.0.. ?.a. ,~..o.n..D,~.t.v.e. ........ Street Map No...~.8.5.~. ...... Block No ........... Lot No ...... .~.6. ......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....Oq.~.°.b.e.v.., .27. ....., 197.5... pursuant to which Building Permit No...8..2.6.'1.Z. dated ....0q.~.°.b.~v.., .2./~. ...... , 19.7.5.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ....... .~..~.¥.a.~.e..0..n.e./E .a~..i..1.y...~..e.l.l~n.g ................................. The certificate is issued to .... .H.e.n..ry..C.:..&..~.h..a?.l.o.$.~.e..II....~..e.:L.~.m...~. .............. (owner,:~:~) of the aforesaid building. Suffolk County Department of Health Approval ....... ? .-~3.-.325 .................... UNDERWRITERS CERTIFICATE No ...... N.~.9.79.~.6. .............................. HOUSE NUMBER ..... 9.&.0 ..... Street ....... .~.e.r~.°. ·n. .D.~t.¥.e. .................... ............................................. ............ Building Inspector · 'O~M NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N,. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ........................................................ , 19 ........ Permission is hereby granted to: et premises locate(] at ............................................................................................................................ ............ ;'";'; ........... ¢"~S~'~;'~"¢";;';'~'; ....... '5'i';';;¥'~'~: ............... ¢'~"~'5 .................. .............. : ...................... ~.,......: ..................................... ~:f....~.~./,......<~ ........................................ pursuant to application dated ........................................................ , ]9 ........ , and approved by the Bui[ding Inspector. Fee $ ........ ?...~.. ........ Building Inspector TOWN O~ $O~T~OL~ Building Department Torn Clerks office Sou~otd, H. Yo 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 411 A. This application must be filled in typewriter OR ink, and submitted in trlpJicate to the Building Inspector with the following; for new buildings or new u~e: 1. Final survey of property with accurate location of oil 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 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 site plan requirements where applicable. B. For existing buildings (prior to April 1957), Nan-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey aY 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre~existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date New Building /~/~ ~'<:' Old or Pre-existing Building Stb?.~¢ ~'4eg Vacant Land Location Of Property .... ~1...~..~ ....... : ........ .~.....~.~.fz .......... ~.?., ....... ,:.~ ......................... .~.u.'.~./.'....¢ ........... O~e~ O~ ~n~. O~ ~o~.~f.~ ......... ~ ........ Z~..~ ......... :'"'~ ........ ~. ~o....~.~/2<. ~e O~ ~.~ .................... ~"~.~ .................................................................. Health Dept. Approval .~X~...~..~ ..................... Labor Dept, Approval ................................................ ~.d.~.~e. ~o~, .-~.'~..-~-~.V~.f4 ....... ~,~.~., ,~ ~o~, ........................................ RequeStFee SubmittedF°r Tempor~ry$ ~...~JCc~ificate .................... ........................................ Final Ce~ificate ~.q~ .................................... Construction on above described building and Rermit meets all?pRlicabl~ c~es and regulations. ~,~ ....~'.~ ........... ~ ~~ ........................... Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal] THE NEW YORK BOARD OF FIRE UNDERWRITERS pr;1 BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CEffilFIE5 THAT only t~ el~t~c~ ~u~nt ~ ~s~b~ ~ a~ int~ by t~ ~l~nt~ on t~ p~ ~at~ n~in t~ ~8 of L. I ·~~x outs Ida inthefollowingl~ati~~e~O~__ lstFI. ~ 2nd Fl. ~ctio. Bilk ~t was examined on and found to be in compliance with the requiremen~ of this Board. FIXTURE ; IqXTURE$ OUTLETS~9 IECEPTACtEs~ SWITCHES~4 I N CAI~.EsSCENT FLUORESCENT MERCURY 2.,'"L o c' RANGES ECIAL REC'PT COOKING DECKS OVENS DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SERVICE DISCONNECT I NO. OF I S I 200 CB x l-$r~oke R V I C E EXHAUST FANS DIMMERS Henry C. Wels~ann [// 135 We~t Main St. ~ J // · Sml thrown, Lol. 11787 This certificate must not be olter~ in on monner, return to the office of the ~ord if incorrect Ins ectors mo~ ....................... Y___ ', ..................... __ COPY OR BU ~G DEP · THIS COPY OF CERTIF T NOT BE ALTERED IN ANY MANNER. AUgUst 12, 1976 Building Department Town of Southold Main Road Southold, New york 11971 Gentlemen: Last October I took out two building permits - one for a proposed residence and the other for a proposed garage-barn - to be constructed at the southeast terminus of Tarpon Drive in Southold. The promises are also known as lot No. 36,"Map of Southold Shores". While construction has been started on the house, we now do not anticipate completing construction of the house before the end of next May and we will probably not commence construction on the garage-barn until early next Spring. Therefore, it appears that it will be necessary for me to renew both building permits prior to their expiration date in late October. Please forward to me whatever application forms and instructions are necessary to renew both permits. HENRY C. W~iISMANN HCW:lcg ,/~/"~,K ,' Z ?,~ ,~' ~Ull.eINe DEPARTMENT TOWN OFPtCE SOUTHOLD, N. Y. 19 ........ Permit No. ~.. ................................. ,, =pp ve aXc .................... .................................................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building~ Inspector, with 3 sets ofplons, accurate plat plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construct on of buildings, additions or alteratio?,s/ or for removal or demolition, as herei.n described. The applicant agrees to comply with all applicable laws, ordinances, b~ilding code, housing code, and mgulahons, and to admit authorized inspectors on premises and in buildings for nece~/ary/l~ections.- __ "-- (Signature q~pl~lic~;~', or name, if o corporatio~i ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .,,IItlI~..C,..~~..~.C~.%~.C~..~-..~e~ .......................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: .~l.~...~.....~.~.. Lot No....~... .................. Street and Number ....l~ltlt~K~.~f~-~l ................................................................... ~$~lld~..Q~..~l~lbBJ~ ........ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: e. Exisiting use and occupancy ......V~.eltl~, ~... fa~' ~....~.~..~.~..~......~.~... s Lo fms g .. . b. intended use and occupancy ...... ~ ............................................................................... 3. Nature of work (check which applicable): New Building...,..~[, ......... Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... ~'~Z~. / b~- (Description) 4. Estimated Cast .l~.40.p.O.O.O.,.O0. .................................. Fee / (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... Q~ .............. 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 ....~17 .................. Rear ........ '~]1 :. ................. Depth ....~!~..~ .......... Height ....... ~Q.*. .......... Number of Stories ........ O~e .................................................................................................. Dimensions of same structure with alterations or additions: Front ............ ~ .................... Rear ....~.~,.,~1,: ........... Depth ........ ~.." .................. Height .....~¢~.'.~.". ........... Number of Stories ............ O1~ ............. 8. Dimensions of entire new construction: Front ......... 28.! ..................... Rear ....:..~1~. .......... ,~,.. Depth ,..L~II~.." .............. Height ....~.~...~. ...... Number of Stories ....... ~l~t..&l~l...Oll, l~l~,141[ ........................................................................ 9. Size of lot: Front .... ~.2.0,t,.'~ ...................................... Rear ...~,.0.:....'~ ......................... Depth ..~IJD.:....~.. ............... 10. Date of Purchase .~pCl~.~...~DT,~ .............................. Name of Forme~' Owner G~e..~ll~l~ll~ll ....................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation'. ........... ..~..~.. ....................................... 13. Will lot be regraded .P~I~'.I:,t~J,~' ..... Will excess fill be removed f. rctra Rremises:, ( )_.Yes (~C) No 14. Name of Owner of premises/;l#/~l~...C,..l~litlflilir~..& ..... :~dressS~l.~OW~aSo~. Phone No.~.,'.."/.~?.~. .... 548 Rte 111 . Name of Architect ~lor~llm.~......Pilu~le~l .................... Addres~sm$~t~Fl~:.~.A Phone No.2~...~.~5.0. .... Nome of Contractor .H~.~...M...C.*...W.~.~a~'~.. .................. Address ..... : .......................... Phone No.~§~..'.?.~2~. .... PLOT DIAGRAM Locate clearly and distindtly all buildings, whether existing or proposed, and indicate all set-bock 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. STATE OF NEW YORK, I, ¢ c COUNTY OF ...[~.~I~.O~K ............ f"'" ............................. ~....~.....1~[l~ .......................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 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 ~id work 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 that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to befor~ me this Commi~sien ~xg~ros Murch ~O, 19~/ fac211tle~ fer tals ~ocat:on have been te be ~tls~tor~ m __ ~lef et ~eae~ gn ee C A ,,,,,aZ_. ~,T %,*N '"Fl_,¥,. , P- C. iL .... Yt% II NORMAN F, PAULSEN ARCHn'Ecr 548 ROUTE 111 HAUPPAUGE, L.I.. NEON YORK 11787 2_~ 7.. _ pc.. w~ T- JL it_ II . I] [: i[ il NORMAN F. PAULSEN ARCHITECT 548 ROUTE 111 HA~IPPAUGE, L,I. NEW YORK 11787 Lt. NORMAN F. PAULSEN ARCHITECT 548 ROUTE 111 HAUPPAUGE, L.I., NEW YORK 11787 D L~- VATI~ tJ NORMAN F. PAULSEN ARCHITECT ,548 ROUTE 111 HAUPPAUGE, L,I,. NEW YORK 11787 ,j · ? NORMAN F. PAI~.~SENAR. O~; oCT 3 HARBOR VIEW DRIVE STONY BROOK, LI,, NEW YORK 11790 ~OU ...... ' ~LA~' 14" " " C £ C,.':, .q c,.. E-,C -'-, I 0 I'--;14": f ELEV 2.o NOTES f 1. Excavate 811 clay from 329 square pool N area and replace with clean sand & gravel. 6"TOPSOIL 2. -Vse shallow leaching system as per Suffolk 18"CLAY Co. Eealtb Dept. Detail 3- All work to conform to Suffolk Co. Standards. e_ I /5"CLEAN SAND 40 Variance requested ala , 0 , WATER (a) fool to surface water 671 instead of 100 (b) Tank to surface water 66, instead of 751 g' ,. 2 CLEAN SAND s o � 0 AM TEST HOLE-DAM- 6Sen/.75 V 6 h _ — /04.98' \� 1 ' $ a � y �° \High �Yo1er 41ae � shoo °n 1i/ °d MOP — Proposed Residence LOT 36 MAP OF SOUTHOLD SHORES • /85 • PROPOSED SANITARY PL.41V EXASrING CANAL HENRY C.WE/SMANN RESIDENCE by R.M.MARSTEL L ER, PE 9-9-75 E_ SUFFO L K`P DEPAkTM _SE Hea1th "ServIt6s"'� :,!�IQUNTY �NT OF, HEALTH RVJCES ' ference R NUmber-� , e APPLICATION FOR APPROVAL TO CONSTRUCT- A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 61ri-,:Sbar i � Phone 265-7-575 5'. Subdiv' sbut Applicant Fenr7 C 'We I sme nn ' St., �mffh-town Address 145, W. ya 1 6, Section --- n, 0 "2 Property Location Southold, N.Y,", 7.1 Lot,Num6er' 36"," 8e Private �W&1,1 W Village Township Soutbold-, 9. Public a er , ,,"',�3 Public, Water Company Name Grpprpnyf,� wntrr ffistance to, main 4 Lot size: -Width ' feet __. _ -. Length feet A ed Ma P O.`�,56wa6e Di'sposal 'System:, (For Health, Servfces 'De�f-., Use) %';p Me .§00 gal"lon ��eptic__tank-:. Prkasf Equiv�al'bnt Block 4 P� LeaGh,ing pqo_l;s .,� Number of pool,8 5 �hallow Po EE: r �-p �l&k 'S- ec ial p ecast "A' I f ill�l' :1 e, t )riVate' n h "f6l,'_ n ing a ks: T ankL,- allons ' _§apacity- -Be Pump Ge P Ce-'Total wel I 6 p t h De 'i Depth, to 'ground,water Amount of water in well E 'The undersigned CERTIFIES' '�C nsitruction of authorize'd,i,ns,tallations will- be,' ini-accordan'ce the -Suffol k, County. Department of Health Serv1ces' ,curre6,t 'standards, t�ereto.`',T is e -val:id ,for one, year 1 rom the da application will b te of"approval indicated b6l,ow,.and may , be -renewed i-f a ,-current local-,'Buildi'ng Department Permi is in eff t. a -Signed D 't� 4 X� -------------------- J� ------------------ - ------------------- THE DEPART1MEKT,: OF,,'HEALTH SERVICES' USE ONLY. Based-,on' the' , info'rmation pr6s6,n'ted here-, OR _`V,with, it i-s the, qOini'6n of .the Department of Health ServIc e§��`that�an qua-te ,and satis- -'- m and,;Water Supply can be i 't' �t. 'factory. Sewage D spb�sal Systr s -SIGNED VAL ,DA E APPRO T f ILI' ,it, S-15 �1 I ppu 18-1,5 7N Rev. 4/l/73'