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Home My WebLink AboutI.M. YoungSUPERVISOR'S OFFICE 16 South Street C-reenporL N. Y. Tel. C~reenporf BUILDING DEPARTMENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. TO~A~N CLERK'S OFFICE Male Street Sou~old, N. Y. Tel. Sou~hold 5-3783 BUILDINg= rNSFE~TOR'S OFFICE Te~J Town Clerk, Office CERTIFICATE OF OCCUPANCY LABOR CAMP No, ~_~? Date ~'~,-'-'+~ 2! '9-6X- THIS CERTIFIES that the building located at ~/~ T~t: ~nm ~ ~'/~ ~,.T.R.R.. Street, Map No. ~ , B~ck No~ ~ , Lot No. in the Town of Sou~old, confo~s substantially to the app~ved plans and spec~ficaflons heretofore fi~d in this office wi~ Application for Building Permit dated ~l ~ 19~, pursuant fo which Building Permit No. 1~ , dated *~ ~ 19~, was issued, and conforms fo all of the require. ments of the applicab~ provisions of the law. The occupancy for which this ce~fficafe is ~ssued is This certificate is issued of the aforesaid building. Multiple Residence - DormatorF; (Labor Camp) Z. M. ¥oune & Co O~me~ {owner, lessee or tenant) Note! Special exception granted by Bd/Appeals ~ui,ldJng Inspector (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordlnances.or regulations affecting the premJses, and }n conformlfy w~th t~ne approved p'lans and specifications.) FORM NO. 5 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Aft:idavit: ot: Final Cost: ot: Const:rud:ion STATE OF NEW YORK t ss.: COUNTY OF ...... ~ .~..z.'. ~'..o. ,]:~. ......................... ~..m........Q.,....S..~.~r. lc.~...P, ar.t~n.~.,...I..~.,...Y.aT~g..&...Qo, ........ , being duly sworn, deposes and says: that he (she) is the applicant (or agent of the applicant) named in the Application. for Building Permit dated ...................... J.LL,~.....ZL,3 ....... 19..61 ...... relating to construction or other work to be performed on, or in connection with, the premises located at .~-~..~-..-.e.,~,P.~...Lfk~...k ..~.,.~',.,.~.~,.:. .Q.V,~Q,b.O~ILe.~..,LT..Z~ .......... ; that the estimated cost stated in said application of the construction or other work described therein was ....... ~.l.e.Y~...~]:tO~'Ct~] ....................... Dollars ($~:..3:.~...0..0...0.:..0..C~ .......... ); that the actual final cost of such construction or other work was ..~...e..~...e.~...~.b:...o.g..s..a.~....f.~.y..e.....b:..g~....d..:~.9.d.. ..................... Dollars ($..'~.]~.~.~..0..Q.....0.Q ....... ) and that the said construction or other work was performed in acco~h the applicable provisions of law. Sworn to before me y~..h../;tday of....g,3P, g~.s. ~ ....... , 196_1 ........... --- .............................. Permit No. ~. ~. 1~ Filed Cost $. 1.].,.qo.o.,. ©.Q ..... Permit Fee Paid $.3 ~ ,..0. .0. ............... Final Cost $(.~..~.. ~. ~. 0..0..:..0..0. ..... Additional Fee $ ........................... (Costs for the work described in the Application for Building Permit include the cost of all oI the construction ~nd other work done in connection therewith, exclusive of the cost of the land. If the final cost is less than the estimated cost stated in the Application for Building Permit, no portion of the fee paid upon the filing of the application will be refunded.) TOWN OF SOUTHOLD Multiple Residence Law Permit PERMIT NO, 1 ~ .T~snn 1 _~ 1gL APPLICATION NO. 1~ LOCATION ~ ~e~ot T~e? R/E~ RRt 01~tchoguet N.~. Application having been made on .T1~e '1~ , 1gL, for a permit covering construction on a TI~V (new, altered, or converted) multiple residence building, by or in behalf of ][. )1. ~OLl~g & CO owner) , for a dwelling located as above stated, and the said application having been examined and recommended for approval on .T1]nia_ 1~ , 19._6~ · PERMIT ;s hereby issued for the performance of the (architectural, structural, mechanical, etc.) work described in the above numbered application and any accompanying plans and specifications. If no work is performed within one year from the time of its issuance, this PERMIT shall expire by limitation. Approved ~mle 1~ 19 63. E~f~rcement Officer Door between kitchen & dining room to be self closing fire resistant steel door~ and kitchen partitions to extend through celing to roof (above celing may be sheetrook both sides of framing; TOWN OF $OUTHOLD APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW New Multiple Residence Building APPLICATION NO. LOCATION 'Street Disfanc; from Helght: (~q'~-iL- '~ Area: (I) Type o, Occupancy ~~ {PermanS~~~ (2) Type of Construction ~ ~ ~3) Estimafed Cost of Construc+ion /, ~ , C) 0 ~ (Pubmi~ sewer, private sewer, cesspool, etc.) (5) Occupancy (in detail) as follows: Story (include Cellar & Persons to be Basement) Apartments Rooms Accommodated CorB First ~ ~ '~ Second Third Fourth Fifth Sixth Seventh TOTAL DIAGRAM. The said lend and premises are situated as follows: N The north point of the diagram MUST agree with fha arrow Page I FORi~I NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exomined ............ ~.'.-'...~....I...~ ....... 19..~. .... Approved ....... ...,/.. ......................... 1c) ........ Permit No ............................... D sapproved o/c .......................................................................... ............................................. . .... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 Ioyout of property must be drawn on the diagram which is part of this location. 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 the progress of 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 Laws, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Sigr~tufe of applicqnt~ 9[. ~..an~e~,."i~a corporation) P.O. Box ~1~9, Riverhead, N.Y. (Address of applicont) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... .......................................................................................................................................................... Name of owner of I.M. Youn[ & Co., ?OBox #1~9, Riverhead, N.Y. 1~. a~v?lk:-~~r?e, signature of duly authorized officer. ........ ............. ........ (Name and title ~corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ~.~...~.~...~...~.~.~...~.~...~.~.~.,...~.~.~.f....~...~...~.~P.~ ................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy....~.$[.~.~,..~.~.~..~ ..................................................................................... b. Intended use and occupancy.....~[~a~...~Q~...~ ................................................................................ 3. Nature of work (check which applicable): New Building.~ ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................... 4. Estimated Cost....~:.,.Q.0.~9.'...0..©. ..................................... Fee ................ ..~...~......'~..:...~..~ ...................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units...~9,~.~$,~.~.e. .......... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....................... 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................ Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front 80! Rear 80! Depth 207 Height ...8..! ...................... Number of Stories ..~.~ ................... 9. Size of lot: Front 300~ Rear 300! Depth 10. Date of Purchase .... ..]-..9.~ .......................................... Name of Former Owner ~.e..~:.~...y.. ~,-~.e..~.~ ........................... 11. Zone or use district in which premises are situated .....&....%..K..~'.$.~...~Z..R..e...~.~..~..e.~.~.~.8:.~ ..................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... .~..~ ..................................... 13. Name of Owner of premises.~[.:~...¥..~....u~..~....&.....~...~..:.Addres~.&.y...e.~..~..e.~a.~..I~..:..¥.* ........... Phone NO?.K..Z.-.~.0.~.~... Name of Architecl~...h..a...s..,....A...,....~...o...(~...~....R..&.. ............... Address .~&C.$J~§...]~J,~.e.~..~.-~.*.~.,.Phone NON'~k9..-.~]~.0... Name of Contractor...~..~.~.~.e..~....-&...~.O..-Z'.~.O...~. ........... Address ...~..~..~.o...h.p~.~.e..,...~....~..~. ...... Phone NC~.~.~.~..6.~ .... PLOT DIAGRAM Locate cleorly ond distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. ............ 8oo- ...... 5 . ,,,,, .., / STATE OF NEW YORK, ) S S. COUNTY OF ..~.'~;('.Q~..k ......... ) / ................................................................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........ ~.6~.~.~ ................................................................................................................................... (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 all students contained in this application are true to the ~st of his knowledge and belief; and that the work will be;~e¢fCrmed ie,the~ann~t forth in the a¢cation filed therewith. Sworn to,afore me thi~ "]O[~-/G~~' ~ ...... ~'O~. & ~O. , . .... C, Ca . ........................ ' '~;'9'f71'i;'""7'~;~7~ "¢ "-.: ,"r. Noto~ Public,. ............... %.~..*..'...%.~..~ ................ SUFFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York Application for ~Approval to Construct Private Sewage Disposal S~stem TYPE OR PRINT LEGIBLY IN i~K To the Suffolk County Department of Health Date June 5, 1961 Application for Approval to construct private sewage disposal system is here- by requested concerning which the following information is submitted: P.O. Box #159 1. Name of applicant I.M. Young & Co. AddressRiVe~be~d; 2. (a) Deed location of property Depot Lane; Cutchogu% N.Y.. (b) Hamlet or Village Cutchogue (c) Town Southold 3. Cellar ~--q; 4. l"tater Supply Slab :'-x~,; Crawl Space! :. (a) Public System: l~ame Distance to nearest main Private Well xx Proposed System 5. Cesspools i' X---'3~-I 6. (a) Number of pools ~ (a) (b) Blecks below inlet (1)~_ ,%'~ (c) (3 ?. (c) Block size-L 16 in., l~;. 8 in. ~ ~(a) (d) Precast pool (e)No. of sections Septic tank I Inside-width Liquid depth Seepage field l Trench - W ft; (b)Length ft. in.; (b)L~t · (c) Number of trenches (f) Sq. feet per section (d) Depth from bottom of seepage pipe to ground water I hereby certify that I am familiar with the requirements of the latest bulletin of the "Standards for Private Sewage Disposal System" and will construct this system in conformance with these standards, or revisions thereof, prevailing at the time of construction. Applicant's Signature ~°~ Partner FOH USE OF HEALTH DEPARTMENT ONLY Based on information presented hereon it is the opinion of this Department that an adeqt~te and satisfactory sewage disposal system can be constructed on this plot. ~~~ Sigrmture Date ~ '~,.~ ~, SCHD S-15 (Revis.) 4/61 Well ,,Grgu.2nd ~ater Da, ta Capacity ~ Gals. Capacity ~.-,G.P.M. Te~t Hq~e Data Ft. -- O --. 6 8 16 m 18 __20 Indicate Nor th ' I t'-5 PLOT PLAN ~_ , ' ....... ,_L L .... . ......... - .' r R o M T ~ ~ O r r ~ c ~ o F PLAN ~O. GIlA RL~S A. WOOD, R.A. ~w~*~ ~ . P A R K ~ R R O A D P H O N E ' W A 9 - 4 3 ! 0 %~.~ SHALL NOT BE DUPLICATED WITHqUT'HIS PERMISSION ~L P R O M T H E O P F I 'C E O F 'CHARLES A. WOOD, R,A. P A R K E R R O A D WADING RIVER, NEW YORK PHONE WA 9-43 ! 0 PLAN No. THIS PLAN SHALL NOT SCALE DATE IS THE PROPERTY OF THE ARCHITECT A~D BE DUPLICATED WITHOUT HIS PERMISSION SHEETNo. . ~ , *,.. . ~ , ;., , / ~ , , ~ , , } ~' ~ ' PLAN NO. ~[ SCALE ~" = I: 0" SHE~ NO. BRAWN =V BATE THIB P~N IS THE P~OPERT~ Of TH~ ARCHITECT AND ~HALL NOt BE DUPLICATED WITHOUT Hi~ J ~ ~ ~L~, :. ' , ,.>j, , ~OF SANITATION DEPARTMENT OF HEALTH, SUFFOLK GCU qTY ~v~&e~d, N, Y. ............ ¸4'