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Home My WebLink About12741-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... z. j .29.6.4 ....... Date .~.?Y.e.$b. 9?..? .................... 19 .~ THIS CERTIFIES that the building Ne.¥..qn.e...f.a.m. ~ ~ ¥..q~qO Z.l.~,ug .................. Location of Property 2870 Fairway Dr. & 80 Oreenway ..... q~.t.c~QgU~ ..... h~'~ '~'E ....................... 's'tie~i ....... Hem/et County Tax Map No. 1000 Section ... ! .09 ...... Block ...Q ~ .......... Lot ... 14. ...1.Z ........ Subdivision...F.a. ~ .ry.a. 7..F.a.~. m..s .............Filed Map No..6066...Lot No .... %7. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...N.o.v.:..~ ............ 19 .~.3. pursuant to which Building Permit No..1.2. ?~.I.Z. ............. dated ... ~ p.v.... ? .................. 19 ~3.3., 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 ......... New one family dwelling The certificate is issued to Ethel Frye (owner, ~l~K ~ of the aforesaid building. Suffolk County Department of Health Approval ...... ? .3.-.S.O. 7 J .9.5. ......................... UNDERWRITERS CERTIFICATE NO. # N 6 6 1 7 z~ 3 'Building Inspector Rev. 1/81 l~O~t~ NO. ~ TO~N OF $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLS'T'ION OF TH~- WORK AUTHORIZED) N? 1~41 Z Permissi°n is hereby granted ~o,~c~ ,~, ~ .,~.....~.'.~..~ ................................... .~.~....~.~..}~,~.....~.~:. ....................... ,o ..~~,.~....~..~......~.~...~~f'~..~.~......~ ............. .~.~....~ ................ ~ ...................................................................................................... ~' ~ ...................................................... [ .......................... '~ ..........1 ...... .......... .~~ ....... ~-~.~ ........................................................................ ;....~..:.:.;~ .......... Coun~ Tax Map No. 1000 Section ..... ~.~ ..........Bilk ......~.~ ....... Lot N .... .~. ............... pu~uant to application dated ..... ~.~.....~....I ................. , 19.~..~ and approv~ by the Building inspector. Fee $.~....~.:.~.~, .~.. .... Building Inspector Rev. 6/30/80 1000~l THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Date O~ob~rl, ].~ Appl,catloaNo. oafile a7=7~ N 661743 w~examinedon 8~ 24, ~9~ a~foundtobelncompllence~iththerequirementsoJthgsBoard. FIXTURE aXTURES RANGES OVENS ~ISHWASHERS EXHAUST FANS 57 7~ 54 57 SIJRVICE DISCONNECT S E R OTHER APPARATUS: Notor/s: ? 4/o I C E P~ul ?k~ns Town ~L~rbor ~Lane Southotd, N.Y. 11971 282 GENERAL Per_ This certificate must not be aJtered in any manner; return to the office of the Bootd if incorrect, inspectors may be identified by their credentiaJs. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEREDJ _NANYMANNEP~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ac This application must be filled in typewriter OR ink, and submitted-~.!~;t~to the Building Inspec- tor with the following; for new buildings or 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 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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 informa- tion required to prepare a certificate. C. Fees: I. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --?~'e-g×ls t, ing C.O. $15.00 3. Copy of certificate of occupancy $1.00 Vacanf, lariat C.O. $ 5.00 ~ Date.. ~)..~....I. ~o, · t · [.?~.¢. · New Building .............. Old or Pre-exi~in~ ~ _ Z~70g Building ............ Vacant ~nd ............. ~ Locat,o~ of Property ~u~'' '~( ~'' '~'~;'' ~ ~'~'~( [-,~;~*C~o~[]~ Owner or Owners of Property .......................................... .... ...... ...... ............. Subdivision .... ~*.J~y...E~fCg ...... Filed Map No. ~0.~¢ ..... Lot ~o..1<7 ......... Permit No ....... Date of Permit , ': ..... Applicant ................................. Health Dept. Approval ... O .Labor Dept. Approval Underwriters Approval ........................ Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and per,~it,~._ /~., ~ . ~meets all applicable codes and regulations. FIELD ~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION FINAL REMARKS: / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Approved ~0.~tfl:~...~..~..., 19 .~.~ Permit No. t DisapproYed a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tkis application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 Soutkold, 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 cojle housing code and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio , ' - (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~.417L'~..[... ~.. 1~..Y.~ .................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~..o.~..vt??....~..o~..A-t-T .... Plumber's License No ......................... Electrician's License No.~.¢3T/~...E~...~. ~ .~.~w. ...... Other Trade's License No ...................... 1. Location of land on which proposed w~k will be done .................................................. ...'.&2..-1 .v... F.o~..,>v..,.~...I>.~ ..~...c~. ~.~ .~..~.~ ............... .C~.-r~,.~ ~-7 ..... hr, .~... ..... House Number Street Hamlet County 'Fax Map No. 1000 Section .... I .~..~ ........ Block .... ~).~.. ......... Lot...[ .~..,. !.r~. ....... Subdivision..~'.O.l.~.t~..~..~'...~..~1~,..~ ............. Filed Mal, No..~..O. f4p..~. ..... Lot ..... I.Z ....... (Nmne) 2. State existing use and occupancy of premises and in[ended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... ~ .g'. ~..~... .~...~..~...~..,n 6.. . ...... b. Intended use and occupancy .. .......... . ............................ 10. 11. 12. 13. 14. Nature of work (check which appiicable): New Building ...Ir~/.. .... Addition .......... Alteration .......... Repair .............. Removlal .............. Demolition .............. Other Work ............... i (Description) Estimated Cost . .'7~ .~..~ .o..~.O.. ........................ Fee ...................................... (to be paid on filing this application) If dwelling, number of dwelling units .... I ........... Number of dwelling units on each floor ................ Ifgarag0 number of cars If business, commercial or mixed :occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structuresi, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... .. Height ...................... Number of Stories ...................... Dimensions of entire new constntction: Front ......... , ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of!or: Front ..................... Rear ...................... Depth ...................... Date of Purchase ............................ Name of Former Owner ............................. Zone or use district in which premises are situated...., ................................................. Does proposed construction violate any zoning law,. ordinance or regulation: ................................ Will lot be regraded ......... i ................. : Will excess fill be removed from premises: Yes><' No Name of Owner of premises .l~.'?q~O~D. ~J~t~q::.~.. Address .~.~..'T~.q~. P..~..'?...Pm-'~-... Phone No. q. } .~'.'.z.'l ['; .~.~.~. ~'. Nmrm-of-Areh-it, a~t--,- .......... ~olz~ o~ sq~ Phone No. Name of Contractor , .11~.~. ~..~T' ........... Address ./~1~..~ .~. ..... Phone No..'~.g. S ? .~?U.°. .... PLOT DIAGRAM Locate clearly and distinctly all ibmldmgs, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block rmmber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWY~K, -- ~ i~ ..... · ". [..x~... ~,~-~4-f-~5:....: · ~~ being duly sworn, deposes and says that he is the applicant (Name of individual sigging contract) ..... above named. ., He is the ..................... .~ .................................................................... ~(~g~tract~gent, corporate Officer, etc.) of said owCer or owners, ~d is du~lyfluth~d [u ~orm or have perfo~ed the said work and to m~e and file ~is applicatl ~n; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work wi I b,e performed in the manner set forth in the application filed therewith. Sworn , b~fore me this ~ (Signature of applicant) ,0.4 GR££/V / ..4 WAY f,_,,~. ---- / ,~--- - _ _ ~-:_ _ r/ '~_%, , / _ a ~ ~. 'o .'. · / 0 ~ ~ ~ ~,. .~ _~ ~ , ~ ' ' . ~i i~TM ~l~ ~ ~. r. . ~ ~ ~ I I ,N. 8~IZ'~"~ ~ ~ k 179.00' ~ Recreation Area water supply may contain trace amounts of pesficMes ond/or nitrate~. ~eda~ anoJ?~.~ require& SUFFOLK COUNTY DEPARTMENT ~ HEALTH SERVICES ETHEL FRYE LOT NO. I~ "~I~W~Y F~M~ ' FOR APPROVAL OF CONSTRUCTION ONLY ~T CUTCHOGUE D~TE: dilLY ~0, 1985 DA~ ~-~ HS ~F. N~~-~0: (~'~ SUFFOLK CO~TY, NEW ~RK NO. 03-,40 ~Pp~OV~ lC __ MENTAL ,AGENCY AND LENDING II~TITUT ON LISTED ~ r H~E~, ~ND TO ~E ASSIGNEES OP THE LENDING INSTITU~I~,.GUARANTEES ARE ~T T~SFERABLE ,THEWATERSUPKYA~SE~eE OI~AL SYIT~mlIR~IDE~ WDISTA~CES SHOWH HEREON FROM PR~ERTY LINES ._o,,......o,,o.._,o -' -,. ~,-~,o YOUNG ~;~/V/A/~ ~AP F/L~O /~ ~ ~/C~ O~ T~ C~i ~l AND LAND SURVEYOR N Y.S UCENSE RO~ ,~L~T~L(WJ,~ICTANKIST)~CE~OLS(~)~N~RE~ ~ m) N.Y.S. LICENSE N0.45893 SRE£N N. ~9~12 '10 "Vt. 179. O0 ' lot lB Recreation Area HEALTH DEPARTMEHT-OATA FOR APPROVAL TO CONSTRUCT I~ ~UFF CO, T~XMAP MIT Ic~QC~$ECTJON-J,.~E.~ ILOCK ~ LOT I~.l*) K. THE~E ARE NO D'WE~.LI~$ WITHIN IOO FEET OF TH4S FHOPERTY NOTE: · ~ MONUMENT 6 ~ STAKE SUNDIVI$10N MAP F/LED IN THE OFF/CE OF THE CLE~, suRVEY FOR ETHEL FR YE LOT NO. 17, "FAIRWAY FARM.,,c" AT CUTCHOGUE TOWN OV SOUTHOLD SUFFOLK COUNTY~ NEW YORK II ] YOUNG & YOUNG ALDEht W.YOUNG, PROFESSIONAL ENGINEER AND L~ND SURVEYOR N Y.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S, ~.ICENSE N0.4589S AUGUST % 19~4 DATE: JU£Y 20, 1.983 SCALE: / .: 40 NO. 8.7- 540 AVENUE RIVERHEAD, NEW YORK # NOTIFy BUILDING D~ 765-1802 9 AM FO 4 PM FOR THE FOLLOWING INSFECTIONS: ,l. FOUNr~ATioN . ~M/'O REQUIRED' FOR ?~URFD CONCRETE 2. ROUGh/ _ FRAMING & PLUMBING NY. D E$1~,N, RESPONSIBLE FOR J 4' j I k -f pc.y, v/~F- ~¢¢4¢F, ....... f ........ _4~_.-_0 ..... )¢._J~. ,'IoLo'' . LL I ! I