The URL can be used to link to this page

Home My WebLink About5121-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.K~303 ,, Date THIS CERTIFIES that the building located at Map No. X~X Block No. . x;¢ Lot No. .... August .~ . , 19 7.1 }tiawathas Fath Street .xxx~ Sou~hold N.Y · conforms substantially to the Application for Building Permit heretofore filed in this office dated Jan $9 , 19 7~ pursuant to which Building Permit No. ~121z dated .. Jan , 20 , 197.1 , 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 . P~iva.be. ene· fa~.~ity, dwe lting .......................... The certificate is issued to Thomas Tagga. rt .... Owner ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval gul.y , 2.7... 19'75. · by R.. Villa · aous. * 102F ...... '/"'' 'dii&ing' Inspector / i~'OIR~H NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5121 Z Permission is hereby granted to: ........ . .~..y~.~.~.~.~...t~r. .................................. ~ ~...~...~..~z..~.~.~ .................................... ot premises t~oted ~ ~ ~b~ ~ pursu~ to appllca~i?n d~ ~ ~9 19 ~ and appmv~ by the Builaing., msp~or. ~o, ........................ ..... - -' ' Building lnsp~to $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. ~121Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at E/Hiawatha's Path approx. 4~' E/Nokomis Rd., LsuMhin~ Water, Southold (Give deed location) (TaKRar~) have been inspected by this department and found to be satisfactory. JUL 1971 THE NEW YoRK"BOARD ,OFi. FIRE UNDERWRITERS ' ~/,E~UREAU- OF E I.E ~TR~:;11~' N892~ RXTU~/~ OUT[ETS SWITCHES 12 __ t 18 DRYI~RS FURNACE MOTORS SERVICE DISCONNECT C~ D~CKS DISH WA,~HER5 6.7!1 ~ FUTURE APPLIANCE FEEDERS TIME CLOCKS iUNIT HEATERS MULTI-OUTLET DIMMERS NO OF FEET S E R V I C E I OTHER APPARATUS- Motors: 1-3%4hp., Bernie ~lmltnghaus ,-,- , ,,p:~? . R2370 Artist Dr. ,-~'.',,,- ,- *. Middle Island, N.Y. 11953~ ,_, -~' SUFFOLK COD/~TY DEPARTMENT OF HEALTH H.P. Reference No EASTERN DISTRICT, R!VERHEAD,N.Y. AFFLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval'"tn cons{'r~ct said sys'~ems is requested,pertinent data herewith: Date ._.. -- i-Applicant ~//~/~5 ~'~~ . . Phone~&5'g4~/ 6-Sub div Address/~ ~' ~3D~ Z~ . .~ ~//~AD, . a/'.F. . . 7-Section ~,~ , ;~; ~4 Y~ 2-Detailed Prope. t.y location ~/3 /~-~'r~? ~ :~ r~ ,34.~£/~8-Lot No.' 3-~bltc ~ter supply name ~ .Distance to nearest main 4-not Size: Width <5~ft. Len~h~.'ft. (al~ enter on center plot plan below:) 5-~elling: Single Family ~ T~ Family? ; /Cellar? ~/~lab? ~Crawl S~ce? [O-Pro~s~ system: Septic tank F /Precast ~ /Cesspools /~/Shallow pools / /Other / / ii-Septic ta~ inside dimenslons:~Vol~e Gals. Length ft. Width ft. Liquid depth ft . [2-Precast sectlons: /~ /Number~SQ~re Ft. Cesspools: ~ock size~ incs.D Total blocks below inlet: ~1;~2;~3__ ~T PLAN ~ Ca~.p.M.Pacity 4Zg Gals: _~rade Data Fee~ 0 2 8 10 12 14 ~ Street W ~ ~J A T H ~ q~m 7~ IndJ No The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Se~wage Disposal Systems". FOR HEALTH DEPARTMENT USE ONLY. ~ased On th~ {nformation presented herewith, it is the opinion of the Health Department, that an adequat~ and satisfactory Sewage Disposal System can be installed on this Plot. (~o/65 ~evis.) s-15 ~te th · TOWN OF 'SouTHoLD BUILDING DEPARTM~T~ ~/7/ T~N CLERK'S ~ ~THOLD, N. ~ , Ex, mined~ ~ ~ 19~/ .t_.7 ............ ;~. ................ :;.. ~';. ~pp~oved ........................................ ]~ ........ pe ~ ~. ~.~ ........................ Disappmved a/c ............... ........................................................................ . .......................... ( uildlng Inspector) ~ ,APPUC~TION FOR BUILDING PERMIT 1/~ 17 ,"ll Date ....... .~,..~.............. .............................. 19 ............ INSTRUCTIONS ~// a. Thi~ 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 layout 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 applicont~ 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 Lows, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as het~ein described. The applicant agrees to comply with all applicable lows, ordinances and regulations. Stote whetl~r applicant is owner, lessee, agent, architect, ~n~meer, general contrac~or--electrmmn, plumber or builder. 'r. ,If..a~..:lican .....................(Name and: ........................ title of corporate o'~iced ............. 1. Location of land on which proposed work will be done Map No' ~..~....~ .. Lot No' . ............ . . Street and Number ......................... ~~~-....~..5..w~.~.~.....~.~ .......... ~..¥ ....................... (/ ~3~Aumcipality 2. State existing use and occupancy of prem~,ises and intended use and occupancy of proposed construction: a. =x sTmg use ana occupancy ....... , ............................................................................................... 3. Nature of work (check which applicable): New Building ...... .~............Addition ......... ; .......... Alteration Repair ......... ~......r..Removal .~ .................. Bemo|ition .................... Other Work (Der~ribe) .................... ~ 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 .............................. 3. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front......~......'. .............. Rear ..... ~..i. ............. Depth ~..'..~...~.~...~ ........... Height .....~.../..'. ............ Number of Stories ...... ./...../~....i ..... 9. Size of lot: Front ..... .~'...~.....~..[. ......... Rear ....~.0.....~.. ............ Depth ..~...~. ............. ~.. 10. Date of Purchase ........................................................ Name of Former Owner . ' 11. Zone or use d,stnct ,n which remises are situated ~ ~ . 12. Does proposed construction violqte any zonipg law, ordinance or regulation? ...~. .......................................... 13. Name Of Owner of premise~....~.....~.~...Address Z.~..~......~....~...~....~one NO..~..~.~.T..~.~.../... Name of Architect.~,,,~~ ....... Address ./....-~..~...../~/.....~...~....~.....~..~...~.....Phone NO.~.~..~..~..~..o. Name of Contracto~~i..~......~......Address .~..~...~..~.~.~hone NO..-~..~...~.p..~...o.. 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~.-YORKi ~ j ) S S COUNTY OF .,,-~,,,,~.) ' (Nome of individual-s'~g application) above named. He is the ...................... ~ ................................................................................................................... (Contr~tor, agent, c~pOrate officer; e~.) of said owner or ownem, and is duly authorized to ~rform or have pe~ormed the said work and to make and file this opplic~ion; ~ot oil ~otements contained in-this ep~icotion ore tr~.to the ~. of his ~ledge and belief; and that the work will be p~orm~ in the ~nner set fo~h in the ~ filed therewith. ~orn. to ~f~e me this . / , NOTARY PUB'~C, S~r'~ ct New Yor~ .... .......... .... ,,',,,:: .,,,...,, ..... ~.er~;., -q 3fi, 1972 --,