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Home My WebLink About4648-zFORll~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.~3935 .... Date THIS CERTIFIES that the building located at Map No. ~r~ Block No. :~ Lot No. ~,u~ ? , ~9 70 Far~ng Road Street New S~fo~k conforms substantially to the Application for Building Permit heretofore filed in this office dated Max, ch ]~, 19 ~O pursuant to which Building Permit No. t~SZ dated Ma~h ~18 , 19 ~/0, 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 Private one family dwelling The certificate is issued to F.l~k_ ~a~.t~o .... of the aforesaid building. (owner, lessee or tenant) Suffolk County Department of Health Approval ~n~erwriters Cert House July 30, 19~0 b~ R. Vill~ Building Inspector ~O~,~ ~O. 2 TO~N OF $OUTHOLD BUILDING DI:PART~I:HT TO~N ~LERIC$ OFFIQ£ SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FOLL COMPLETION OF THE WORK AUTHORIZED) I~T? 4648 'Z D~te ................... ~B~ ....... ~J~ ............ , 19...~.0 Permission is hereby granted to: -.~-~..~[~;e=~...~....~,v~....a~mk ~, ea~,~o ........ · le~t~,,~..~-~¥. .................................. ............. · ,~t~..~,~r., .............. a.~',, ............. to ........... :~':~,~ 6,' · 'Z~' ' 'O~ll · ' '~L~'" ~'~'.~ ~L:;J~II~' ........................ '~ .............................................. at premises located at ,.J~[....~/.~L..~',~l;,~..~&~ ........................................ ~. ............................. ... ..... :-~ ........... ~e~..~,'t.~'~'.o.;[k-..: ..... .;~.~.~ ................................................... pursucu~¢ to application dated ........................... ]~'.~ ....... ~ ........ , 19....~J and approved by the Building Inspector. ~ee $-.tO.~:) .......... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. TO WHOM IT MAY CONCERN: at The sewage d~posal fac$1ities for a structure located Io W have been inspected by this department and found to be satisfactory. District Engineer District Engineer APPLICATION FOR APPRC~AL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference No %0 EASTERN DISTRICT,, RIVERHEAD,N.Y. Date ~/ ~'~/7~ Phone~. · -. )6-Sub div , q¥ , ,.7-Section 8-Lot No. ,, , , 9-Private well?. Distance to nearest main 1-Applicant ~' 2-Detailed property location 3-Public water supply name 4-Lot Size: Width if, ft. LengthD,/~ ft. (also enter on center p%ot plan below:) 5-Dwelling: Single Family iD-Proposed system: Septic tank ~ fPrecast ~ /Cesspools/ /Shallow pools / /Other / / 11-Septic tank inside dimensions: Volu~.e Gals.Length ft. Width .ft. Liquid depth f; 12-Precast sections: /2/Number~_/Square Total blocks below inlet: PLOT PLAN \/ \/ \/ Street ~ ? ~) : No~th Data ~eet 0 2 6 8 10 12 ~4 ~6 18 The Undersigned CERTIFIEB: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage~$j~posal Systems". Ow~'~r .-~n~--Builder 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 can be installed on this Plot. Date (10/65 Revis.) s- 5 Signed TITLE NO, S-21087B 00' GSE'. / tRI~coRD) GRA TH WOH L FISHER RoAD NOTE: · rMONUMENTFOUND. SURVEY FOR FRANK S. E~ JOSEPHINE F. NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SCALE , I''= 40' DEC. 21, 1967 ~JULY 28,1970 CARUSO GUARANTEED TO' INTER'COUNTY TITLE GUARANTY ~ MORTGAGE CO, FRANK S.& JOSEPHINE F, CARUSO LAND SURVEYOR N.Y.S. LIC. N0.,~872~ RIVERHEADI N.Y. ~/~ ~" APPLi~TioH FOR BUiLDiNG ,E~i, ~. Thi~ ~pplicafi~ mint b* complexly fill~d b. ~1~ plan ~owi~ I~fion o{ lot ~nd areas, and giving a ~ail~ ~Kri~i~ of I~t at pm~ must be drown on the diagram which is ~ of thg applicati~. c. ~e work c~er~ by this applicati~ m~ n~ be comme~ed before i~uance of Building Permit. d. U~ ~pr~al of this ~plicati~, t~ Building Ins~ctor will issue a Building Pe~it to the applicant. Such ~rmit ~all ~ kept on the premiss ~ailable for ie~ection throughout the e. No building s~ll ~ occupi~ or u~d in whole or in pa~ for any pu~e what,er until a Ce~ificate of ~c~ncy shall have been granted by the Building In~r. APPLI~T~N IS ~REBY ~DE to the Building De~ment for the i~uance of a Building Pe~it ~muant to Building Zone Ordinance of the Town of S~hold, Suffolk Count, Regulations, for the construction of buildings, a~itions or alterations; or for rem~al or demolition, as heroin de~ribed. The applicant ~r~s to comply with all applicable I~, ordinance, building c~e, housing c~e~ ~d regulations. (Si~n~tur~ o{ opplicont, or name, i~ ~ co.ration) State whether applicant,is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ....................................................... Nome of owner of premises .....~..~..~...~...~......~'.....~...: ........ ..~.....~......~...~...~'...{~.. .............................................................................. If ~1~ ~ co~~outho~ officer. ...... ....... (Nome ond title of co.orate officer) 1. ~otion of Iond on ~ic~ p~ed work will ~ done. ~op No.: ........................................ Lot No.: ...................... . Str~/ond Number ~.....~....~.~...~ ........ ~:...~....~ ~ ~ --. & ~ ~ ~ / -- Munici~li~ ........... 2. State exi~ing use and ~cu~ncy of premiss and intended u~ and ~cu~ncy of p~ con,motif: 0. ~i.ing u~ end ~cuponcy :~.( ~. ~ ~. ~ ~ b. l~d~ u~ and ~cupancy ....... ~.~.~. .......... ~.~ ..... ~ ................................... ~3. N~ture of work (check which applicable): New Building ......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............................................................ 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 of entire new construction: Front .......... ..'~,~',. ............. ..../Rear ....... ../~..~.. ............. Depth ...~,.,..~.. ............ Height .....~.....~..~ ....... Number of Stories . '~ ................................................................................................ 9. Size of lot: Front ..'.../~.~[;~ ........ ',... Rear ......... 1.~...L- ................. Depth ....... ~..~/...~... ............ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ! 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed 'construction violate any ~oning law, ordinance or regulation? ...... L~..~. .............................................. 13. No me of Owner of premises E.~//."~.~,..C/..~/~4~......Add res~.~....-~/.-~ ./~,~ ./~.~-- ~--~-. ~.~Phone N o ..................... Name of Architect ........... ~Z ............ ~ .......................... Address ............................................ Phone No ..................... Name of Contractor ~:..,x~.'.....,.-., ....... ~.~., ..... ....../'~/'~/~'~..../..~..~/...~'.~..~'..,~'..... Phone N o~. ~'..,~ ~..-~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set43ack 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, COUNTY OF .............................. ',,)' '" ,~',. c I,l. be n ............... ~.~.~.....~.. ............................... ~ ........................... g duly sworn, deposes and soys that he is the applicant (Name of individual signing application) 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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work Will be performed in the manner set forth in the application f, jJP,4Ltherewith. Noto ...... /':I' of ...... .............. :'"' Coun ' '/'' '" ............................. ELIZABETH AN~ NEWLLE HOTARy PUSL C, State of New ~ No. 52-8~25850, Su' ..... ]'erin Expires Mar~;h ,30, 1~