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Home My WebLink About8268-zPolt~ NO. 4 TOWN OF SOUTNOLD BUll,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy No..Z. 9.~A2 ..... Date . Au.g~..~X .. ] ................ ,197.8.. THIS CERTIFIES that the building located at . .6.0.0..E.a.s..~. 9.qd...Cg.u.r..~ ..... Street Map No... 5.6.05 ..... Block No ...........Lot No ........~. ......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .. ,0ctohe. r... 2.8. ...... , 19.75. pursuant to which Building Permit No...8..2.6.8.Z. dated ...Qctob.e.r.. ~.8. ....... , 1975.., 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&v.a. te..O.n~. F.a~i~-y. The certificate is issued to .... .G~'~'~r..8~. N.a~qy. ~o.r..t~)~ ............................ ( owner, of the aforesaid building. Suffolk County Department of Health Approval ...1 .lf. 15/7.6... 5.-.S0.-.127. ........... UNDERWRITERS CERTIFICATE No ..... .N3.7.?~5.7. ............................... HOUSE NUMBER 600 Street Eastwood Court Mattituck., New .Yo.r.k ..... .~ ., ........... ~,¢../!:./4- ....... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH')LO, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 8268 Z Permission is hereby granted to: G e.I.~:y...~..., ~,.~¢ .~ .. ,., ~.,~.~ .................................... ............... b~;.~.t~..t.uek ........................................... to ~J,l~J, ~,e¥t. ~r.~c..i:amJ. Ly. ~%~ ] 2£ng. ................................................................................ at premises located at ........I.<.0.~....6. ............... ?~.~.~:~..~:e,r.ql...M.qN¥'~..~ ......................................................... ~ ak, t~tuck ......................................................................... pursuant to application dated .................... OO.t......~, ................... , 19...'~.~, and approved by the Building Inspector. Fee $...~2.C~.~0] ........ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~-i~ ', , ,, as JOHN STREET, NEW YORK, NEW YORK 10038',," , ., ' , ' BUREAU OF ELECTRICITY ~ , , , ,,.,. ~a~h 7. 107~' .~,,,,,,,..,,o,,~o.o,,~.~ ~4~,07" N 3773r',', 7 THIS CERTIFIES THAT , ~' ' only the electrical e~l~ipme, t ~ d~scribed below a~d itltroduc~ by the appllcan~ ~amed o~ t~ ahoy. application number i~ th~ premises of Ger~y'Ho~to~; t~/s Eastward Ct.,' Mattltuck, N.Y. '' ' .~ i, thefollowin~locbtioni; ~Basement ..~l?tFl. ~ 2ndFI:'. O~tside, s~ao.: mA~ ~ /~t -' ~" ~.~.x.mi.edoa Hatch 2, 1978 an)fo~ndtobeln¢omPtiuncewlththereq~irem~,its~ofthisB~rd, R V 3/0 ~ ,Panelboards: l~lTclr, t50 amps t 5 ton AC Unit,,,_;,, ; ~,,, ].: 2 15 kw Electd~'D~'-Heaters'; 2G.F.C.I.~ · 3/0 This'certifkote must not be altered ~ any manner;, return ta i~ office of the ~rd if incorrect· Inspectors :~ b~';d~nfifed ~y the~ FOl~I NO. S TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, 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 ar 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 dispasal--(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 19§7), 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 formation required to prepare a certificate. C. Fees: ]. 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 ...... .,....?..7. ................ New Building ....~. .......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ................~.~.,~,,d,,,,.o,.~....~..s..~..¥..a_.~..d....~t..r ........................................................................ Owner Or Owners Of Property Gerry & Nancy Morton Subdivision ....E...a..s.~.~...~..d....~.~...~..o.~ ........................... Lot No.....6. ....... Block No ............. House No ............. Permit No. 8268Z Date Of Permit .].~.0./..2..8../..7..-~pplicant Gez~z'~ L. l~iorton Health Dept. Approval .........................e. ............ Dept. Approval ................................................ Underwriters Approval ..................: ........................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fincd Certificate ....... .~. ................................ Fee Submitted $ ...5......0...0. ........................ Construction on above described building add p~ermit meets oil applicable codes and regu at ans. .................................. Swam to before me this ................ day of ............................................ Notary Public .................................... County (sta~np,or seal) SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number APPLICATION FOR APPROVAL TO, CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant -",~ ~ ~,) \ -c-.,.~ Phone ._.-u~ Address : r~. , ~ ~ , ,, ,i ~ ~ ~,~ , ,, 2. Property Location .'~ ~ ~ ,,,,~ , Village : ',' --__ :.,,, '~- . ...., Township 3. Public Water Comp~yn Name 4. Lot size: Width_ ,., feet Length, 10. Sew?~Disposal System: A. {~O-gallon septic tank: Precast ,~ ~quivalent Block__ 5. Subdiv.L.', , 6. Section 7. Lot Number 8. Private Well ,,~'~ 9. Public Water Distance to main (For Health Dept. Use) B. Leaching pools: :,: Nu~l~er of pools__ :~recasE~lock , Special ll..If priv~e well, fill in the ~llowi~ blanks C, To~l well depth__ __ / //? ]~'~---~ D. Depth to ground water__ E. Amount of water in well__ -- ! The undersigned CERTIFIES: "Construction of author~ze~ will be in accordance with the Suffolk Coun~ Department of Health's curr~t~t'-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 De~ar~ent Permit is i~ effect. Date "'~' , Signed ~.~ ~, , -.. Z:, ,' .... ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health DePartment that an adequate and satisfactory Sewage Disposal System and Water Supply can be installed on this plot. S-15 Rev. 4/1/73 /,"lA ,/ v BUILDING DEPARTMEN~ ~('//'~ '~; ~;/.. ~ ~ - ~UTHOLD, N. Y. ~*~ /~ ~~ /~ ~ ......... ......... a. This application mu~t be completely filled in by typewriter or in ink and s~mitted in triplicate to the Building Insp~tor, with 3 sets of plans, accurate plot plan to ~ale. Fee acco~ing ia schedule: b. Plot plan showing location of lot and of buildings on premises, ~eloti~nship to adjoining premises or public streets or areas, and giving o detoil~ description of layout ofpropertymust be drawn bn the diagram which Js pa~ of this application. c. The work covered by this application may not be commenced before issuance 6f Building Permit. d. Upon approval of this application, the Building Inspector wi[J issue O Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the Work. e. ~o building shall be occupied or used in whole or in port for any purpose whatever until a Ce~ificate of ~cupancy shall hove been granted by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the~ Building Zone Ordinance of the Town of Southold, Suffolk County, New ~ork, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolltion, as herein described. The applicant agrees to comply with oil applicable lows, ordinances, building c~e, hOUSing code, and regulations, and to admit authorized inspectors on premises and in buildings for n~esso~ in~ections. ........................... (Address o~opplicont) /I ~ 7 -~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrlcian, plumber or builder. If applicant is a corporate, sig at e y ' ' · ~ (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 roposed work will be done M~p No · . ...? ......... ~ ............... Lot No....'*,.~( ............... Street and Number ...,~,~,~.,~,~,, ...... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ........................ '.~c" .................. ~ ........................................................................... Intended use and occupancy .~)....~....~ ......... ~'~¢~...~....v~k~ ......... ~'~--r.-~..~.....~J....~ .......................................... ~ 3. Nature of work (check which applicable): New Building' ....L .... Addition .................. Alteration ................ Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ . .... ~. ~' ~. (Description) 4. Estimated Cost .......... "'~.-,,,,,~,f.(,J~. ............................ 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 ~)f entire new construction: Front ....~(~' ........................ Rear ....~.~.. .............. Depth ........................ Height ....~.~. ......... Number of Stories ..................................................................................................................... 9. Size of lot: Front ..... 1.1~....:~ ..................................... Rear ...........~ .........................Depth .....'~¢~/--~ ............... 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 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 . ...... ...~...~.~ ......... Will excess fill be removed from premises: ( ) Yes ( 14. Name of Owner of premises .....%~..~..~,}~F,,4..M-r;::tl~ ................... Address ................................Phone Name of Architect .............................................................. Address ................................Phone No ....................... Name of Contractor ............................................................ Address ................................Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~'TATE OF NEW~Y-,.OI~ ii,~ ~¢S COUNTY O F _...,r",~,~..c~, · ~ · .~..°. · ,~...~t,..... ~ '~i'~ .................... ~.......t.~.~ ............................ being duly sworn, deposes and says that he is the applicant (Name of i~ividual signing contract) above named. (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 ~1[ statements contained Jn this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith, Sworn to before me this __ / -- ....................... ............................. ~ _ ~ ~ ~ ~ [(big~ture of ~pplicqnt) NOTARY PUBLIC, S~te 0f Ne~ Yor~ No ~2,8125850, Suffe/k County Term [~ires March 30, 19~ All distances to wells and e~,,~-~:,|s are by Jocation from house om~r~ and field observations, since m~t wel|s and cms- pools gm not visl~ ~ ,4jmen~on~ cannot be certified. LOT ? LOT 5 Unauthorized alteration or addition to Ibis survey is a v;olatlon af sectlofl 7209 of the New York Stole Educofio~ Low. Copies al~ Ibis survey map not bearing t,~ l~r,c~ tu.eyot'$ inked seat o~ embo.ed seal ;hall not be con:ider~ ~,- ! . ,,~l;d copy. Guo,antees or certifications indicat3d herecn shcll ~un only to t~e person for whom the sur~ey is prepared, a~d on his b~}~:l~ to title company, governmental agency and Jending insl;lution AT MATT, TUCK I I 765-2660 CAM TO ~PM FOR ED INSPECTIONS; 1. BE~E ~A~FjL~O PO~N~A~ TION OR ST~T