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HomeMy WebLinkAbout8281-zFORM NO. & TOWN OF $OUTHOLD BUH,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..~77.2.2. ...... Date .......... Jm~e .... 16 ....... , 19.-~. THIS CERTIFIES that the building located at . .~/oo~lcilff. 1~. ........... Street Map No...xx ........ Block No... :or ..... Lot No.:r~ ..... l~l&t.tituak ...N...Y.~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~0V.. ~..., 197~. pursuant to which Building Permit No. dated .......... No.v... 5 ......, 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 issued is l~.~.i.~'.a.~.e.o.n.?..i'.a~..i.!?..d?.?~..1.t.~:g. ....................................... The certificate is issued to .. ,Edwa~.d. $1aga ........ .~ne~ .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~I..u~.e...,~6....1.977...b.y...R...V.i..],~..a.... UNDERWRITERS CERTIFICATE No.. Appro.v.a].. b~ .J. :..K.ub~ck,t .. 6/.8 .77 ....... HOUSE NUMBER ...... 36.'1.5... Street .... ~o. Od¢~-i,I£, .Drive ...... Building Inspector / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, Nr. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 8281 Z Permission is hereby granted to: new oho famil~" d%:e3]ins at premises located - ~$oodCl ~ f.f Drive pursuant to application dated ........................?!..0..~_ .......... .~. ............ , 19...?.2"., and approved by the Building Inspector~ ,, 0,60 Fee Building Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number.-$~---Sb APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM ANDA WATER SUPPLY 1. Applicant Address y~'¥~ ~t-~ At~/ /~,,I-TF/ 2. Property Location ~R~ ~ ~2 ~i]~age. ~TT~Ta('.K Township 3. vuD~ic water Company Name 4. Lot size: Width ~ feet Length ~m~ feet Phone ~Z%~x- 2r'?~$- 5. Subdiv. 6, Section 7. Lot Number 8. Private Well 9. Public Water Distance to main 10. Sewage Disposal System: A.~gallon septic tank: Pre'~ast JEquivalent Block B. Leaching pools: Number of pools { Precast~/ Block__~pecial ll. If private well, fill in the fol- lowing blanks: A; Tank capacity ?'~. gallons B. Pump. ~.. P. M. C. Totai' well depth. ~ 0 D. Bep~h to ground water ~ E. Amount of water in well (For Health Services Dept. Use) The undersigned CERTIFIES: "Construction of a~thorized installations will be in accordance with the Suffolk County Department of Heal'th 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. Date / 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 {z~y~;?i' SIGNED .~ ~- S-15 Rev. 4/1/73 BUILDIHG DEPARTMINT" // ~"~ '/' C~ Sou'moLD, N.Y. INSTRUCTIONS Examined ...... ~ ................... , 19 ........ .Aaplication No....~...' ........../ ............ Approved ................ '. ........ .?.. .......... , 19./..~... Permit No...~....c~Z... ........................ ;~,,~__,~n, ,~u~e-.-- · '~, ........................................................................... ..... ......................... AP~I~TI~ ~R BUILDING fE~lT ~ ~e /V~V ~ 19~... ~ a. This application must be completely filled in by typewriter .in ink and submitted in triplicate to the Building Inspector, with 3 set~ of plans, accurate plot plan to scale. Fee accord,ng to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets Or 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 not 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 ~ 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 pumuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors o~ premises and in buildings for necessary inspections. ...... (Address of applicant) / (~_~'-~ -- State whether applicant is owner, lessee, agent, architect, engineer, generar contractor, electrician, plumber or builder. ......... .................................................................................................................................................................. Name of owner of premises ..... .E_..~).J~..~.,~. ........ .~.....~....~..~...~. .......................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...................................... r ............. 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.: ..~,~.~ ......... Lot No .................. Street and Number .......... J~.~.~.~.~,.~../'.~...~......~.J~. ............. ~.~r~.r.~.;...~...~..~ ................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................. b. Intended use and occupancy 3. Nature of work (check which applicable): New BuiM~ng-...~ ...... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... · (Description) 4. Estimated Cost ...... .~....,~.[.,..~..~..g .............................. 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 ar additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .............. .~.,~ ................ Rear ........ ~...q. ............. Depth .,..~..~. ............... Height .................... Number of Stories ................. [. ................................................................................. :) .............. 9. Size of lot: Front /OOr Rear ............. /....~..p.,...r. ................ De@th ...... .~.G...~.. ................ 10. Date of Purchase ..........~.~.../,Z.....L~...~...~.....[..~.~../. ....... Name of Former Owner ..... L~/4t~,~.....~...../P/I.~.~'~,-t/. ......... 11. Zone or use district in which premises ore situated ..................................................................................................... t2, Does proposed construction violate any zoning taw, ordinance or regulation: ............ /~. ...................................... 13. Will lot be regraded . ........................... Will excess fill be removed from premises:.,(~ Yes ( ) No 14. Name of Owner of premises ....~.J~.~.,~./,J.....,,~.~.,'f~.~...,(f. ...... Address/..~'/('J.IZ'. '.4C.,4~...~..~..~.... Phone No.,~-~'~:;~...7.~..~'..~ Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ 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 ar description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF .~,¥¢~.~¢r.~n~"-~.....-f ' '0 0 .................... ~'~ "'"'-- - ~'./....~....~.....c~....~:~.....~z.......c~.,....~.~..,~...¢...~.. ........... bein~ duly sworn, deposes and is the applicam (Name of individual signing contra(f) ' 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 fife this application; that oil statements contained in this applicction 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. Sworn to before me this . _ Notary Public, . ....... .~-~-~....>~ County .............. .'~..v~..r...~..~.¥.~...~..~ ......... ¢¢ ................................  ~,, (Signot~re of applicant) No. 52.4522026 - Suffo)k 'l ? .... Mo r ncepf Bi-Level MASTER BFDROOM 50~ CAR CAR ~ RECREATION ROOM 22" x lg" Plan No. G-5524 The clean, ~ontemporory lines of the exterior, in the lng so WeJJ.Jbved in California and other forward-looking states, distinguish this practical bi-level. It's got every contemporary convenience plus the major one of eco- nomical cohstruction and maintenance. On the lower level, the two-car garage makes room for storage too. The heater room offers a convenient laundry area. Off to the right, well away from any utilitarian functions is the FecrfStlon room, as blg as many living rooms, and with a wonderful fireplace, sliding glass wall to a covered patio (the first level balcony provides the cover) and the kind of space that every family with growing children needs more than ever today. Up the steps from the middle entry foyer is the full scale, no-steps-to-climb Jiving level. Here you have six very handsome rooms. The living room en- joys extra dimensions because of the open foyer area. The dining room behind it functions as a room on its own, but what wonderful combined space the two rooms offer. Out of doors there is the balcony with bi-level steps down to the lower patio, a wonderful addition to sum- mer living. The kitchen has that heart-of-the-house Ioo~. Wide work areas are shaped in L-counters and the corner dinette [sa bonus of good planning. Back-to.back plumb- ing installation still means economy and the bathrooms here are back to back (and over the plumbing line of the lower level, too). A lavatory alcove with built-in vanitory is a feature of the hall bathroom, while the master bed- room enjoys its own stall-shower bathroom adjacent to the closet room. Note the wonderful windows in the two front bedrooFns and the closet wall--all intended to make the youngsters feel at home. Overall Dimensions: 50' x 26'. Square Feet: 1,215. Architect: Letter Cohen. HOUSE PLANS, 48 W. 48, N. Y. 10036 To order this plan, see page 47. CODES ALL FEDERAL, STATE AND LOCAL CODES, ORDINANCES, REGULATIONS ETC., SHALL BE CONSIDERED AS PART OF SPECIFICATIONS FOR THIS BUILD- lNG AND SHALL TAKE PREFERENCE OVER ANYTHING SHOWN, DESCRIBED OR IMPLIED_WHERE SAME ARE AT VARIANCE. TI~IS PLAN IS NOT LEGAL FOR A BUILDING PERMIT IN N. J. UNLESS THE ARCHITECT'S IMPRESSION SEAL AND SIGNATURE ARE. HEREON. ' NOTE ~..ONTRACTOR TO 'VE~HF'~' ALi. DIMENSIONS AND CONDITIONS (IL '