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Home My WebLink About6206-zFO~ NO. 4 TOWN OF SOUTHOLD BUrl .DING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No~{~.0~ ....... Date ............. &~t...19..., 19.~.. THIS CERTIFIES that the building located at . B/~I .l,ee~&rd. ~.l*~ ....... Street Map No.Laevar.4. &cr~ock No ........... Lot No.. 1/2.1~.t..~[~..&.. ~! .... ~..~..t.h.o..1.~. conforms substantially to the Application for Building Permit heretofore filed in this office dated .......Oat. · .2? ....... , 19 .~. pursuant to which Building Permit No, dated .........0~t. · · .~0 .... , 19 .?2., 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 . .Pr:i.~ate..OEie. ~.~.~l~y...d.u.e.l.~. ~$1~.1~ ...................................... The certificate is issued to . .Leeward. ~tcrea .Ine ....... 0~t~ ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .&~ ~. ~ . .~9~. · .bY..~: .V~.I..15 .... UNDERWRITERS CERTIFICATE No ..... ]~$~t ...... J~... '~...~ ........ HOUSE NUMBER ...... .~.7~. · · Street .. Leewal~d .Dx*I~ ........................ 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? 6206 Z at premises located atL...~......~..J........~....~........~....~...O.-...~....~...~ ......... ~..'c~.'.L.~' ......................... ~~.~....:~ ................ ~.~. ...... .~;..'.f..,. .............. pursuant to application dated ......................~....~...'~. .......... , 19..~...~, and approved by the Building Inspector. Bui Idi~g I nspector~ SUF] COUNTY DEPARTMENT OF H.D.Reference No~ -//~ APPLICATION FOR APPROFAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: Date i-Applicant ' mone_ -Sub ee .Address - [~ ?.-Section~ 2 Detail~_~?~ocation .__ --8~ ~t No. .~et ~ To~ 9-Private~ 3 ~blic ~%er ~pply ~me Dis~nce to nearest ~in ~-~t Size~ Width~ft. Length~ft. (also enter on center plot plan below:) ~elli~: Si~l~ Family 10-~s~ ~st~. Septic Il-Septic ~ }~ide dimensions: Vol~e~Gals.Length ft. Width~ ft. Liqu~ deptk~ ft. 12-~e~st sectmons: ~N~r~Sq~ Ft. Cess~ols: Block size~incs.~s.H~. To~I blocks below i~et: ~T P~N rCapacity~Gals. Indi No Signed vis.) S-15 The Undersigned CERTIFIES: "Construction of authorized installatiom will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems".. % ' O~er- ' ~ ~iYder FOR HEALTH DEPART~NT USE ONLY. Based on the information ~'resented herewith, it is the opinion of the Health Department~ that an adequate and satisfactory Sewage Disposal System can be installed on this Plot. APPLICATION FOR APP~0VAL TO 'CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS INSTRUCTIONS.. Applications must be submitted in triplicate 1-Means Owner or Builder. Address to ~kich mail should be directed. · Z-Means detailed description of property location, together with street name and distance to nearest intersection of main thorofare, also Hamlet/V~]lage & Township -3-Enter name of Public Water Supply District, together with the distance to their main. 4-Enter Length and Width of Lot under appropriate heading, also enter these dimensions on center plot plan shown on the face of this application. 5-Dwellings= Check-mark "V" items applicable to the proposed new dwelling. 6-Name of sub-division ?-Section 8-Lot ~mber 9-Private well: Enter "No" if Public water supply is available. Enter "Yes" otherwise. PROPOSED SYSTEMB.' Answers to Items number lO, ii, & i2 please consult the Suffolk County Health Department's Standards, Bulletins and Amendments for Sewage & Waste Disposal Facilities. i.e., Part II-Residential Sub-surface Disposal Syst~,s covering Cesspools Part III " " " " " " Septic Tanks Part IV " " " " " " Unusual soil conditions Part V " " " " " " Shallow Leaching Pools PLOT PLAN.. The following information is required concerning the Applicant's Lot.' Lot size-Length and Width in feet to be indicated at the Lot lines of the heavy lined square in the center of Plot Plan sho~n on face of this application. Surface waters-Streams, Lakes, & Bays, etc., located within a distance of 50 feet of Applicant's Lot lines, must be shown on the plot plan also. Wells and Cesspools now on adjacent lots must be shown on the Plot Plan together with the distance to the Applicants proposed Sewage Disposal Systems and Well. ~ere no Buildings exist on adjacent lots, state "Vacant" on the plot plan. Streets adjoining applicant's lot to the right, left or rear, enter street name. WELL LOCATION.. To locate the well & sewage disposal systems on Applicant's lot, the follQwing Standards must be observed.' Well-lO0 feet minimum distance from the nearest cesspools --Well-25 feet minimum distance from rear, and rear sides of property lines Well-lO feet minimum distance from front, and front sides of property lines Well-50 feet minimum below grade for well point Well-40 feet minimum into ground water for well point Well-$ feet 6 ins. minimum below grade to well head and lateral water pipe CESSPOQLS LOCATIONs Upon determination of the Sewage & Waste disposal "type of. systems" required, the following Standards ~ust be observed for the location of same.. Cesspool-lO feet minimum distance from lot lines to center of cesspool Cesspools exterior must be 100 feet minimum distance from nearest well Septic tank exterior must be 75 feet from nearest well Cesspool "Center" must Be 12 feet minimum distance from nearest water line Cesspool "Center" must Be 15 feet from house foundation Cesspool exterior must Be 50 feet minimum distance from surface Waters, Stream~, Lakes & Bays, etc. Cesspools must be 20 feet minimum distance from large trees Cesspool center to Cesspool center must he at least 16 feet Cesspool cover top to grade must be held to minimum of 1 food to maxi~am of 2 feet Bottom of Cesspool to ground water must be held to minimum of 1 foot TOWN CLERK'S OFFICE, ~UTHOLD, N. Y. Approved ~ "~O 19..~....~:'. Pemit No. ~...~....O.....b....~ ......... Disapproved a/c .. ~.~...~........~..;...~..:....~.~......C~....c=.~ ...... --~'~,~- ~,/~.u~/ ~ ................. ...... ................ I ~ ~ ~¥ ~ APPLICATION FOR BUILDING PERMIT~ ~ ~, ............ , ~ ,~'~ ~ INSTRUCTIONS - ~'_ ~ ~ ~ ~- a. This'appli~tion must ~ completely~.2 ~ ty~writer or in ink :~~tripmto t~~~or, wit~' 3 ~ts of plans, a~urate plot plan to scale. Fee a~ording to schedule. b. Plot,pl~ ~howing location of lot and of buildings on premises, relationship to adjoining premises or public st~ or areas, giving a ~lld ~escription of layout of pro~rty must be drawn on diagram which is ~R of this appli~tion. c. The work covered by this application may not ~ commenced before issuan~ of Building Permit. d. U~n approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such ~rmit ~all ~ kept the premises available for ins~ction throughout the work. e. No building shall ~ occupied or used in whole or in pa~ for any purpo~ whatever until a ~rfificate of O~u~n~ shall gran~ by the Building Ins~ctor. APPLICATION IS HEREBY MADE to the Building Department for the issuan~ of a Building Permit pursuant to t~ Building Zo~ Ordinance Of the Town of ~uthold, Suffolk County, New York, and other applicable Laws, Ordinan~s or Regulations, ~r t~ ~nstru~ion buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to ~mplv wi~ all applicable la~ ordinaries, building code, housing code, and regulations, and to admit authorized inspectors on ~emi~s and in ~ildin~ for ~s~ ins~ions~ (Signature of applicant, or name, i/a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................................... fl ~.[L~..~. ................................................................................................................ Name of owner of premises ....L~.~.~<ar...d....A..~.r..~.n...I..n..~.: ................................................................................................... if applicant is a corporate, signature of duly authorized officer. ~ ~ ,,~.r--~ (Name and title of corporate officer) Intended use and occupancy ......... b,,£.l.d..~e~..h~e~ ...................................................................................... ~ of- 1. Location of land on which proposed work will be done. Map No.: ......... g....e. .............................. g... Lot No..$.0..~.. 5~ Street and Number ............... ~/.s...af...L~.~wn~.d...l~r..i.~ ...................................................... ~ .................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................. ~ ...................................................... 3. Nature of work (check which applicable): New Building ........... Addition ..................... Alteration ............... Repair ......................... Removal ......................... D~mohtion ........................ Other or .................................... ' 9 ~ (, fe~ IDescripti°n) 4. Estimated Cost ............................................... Fee .....1..°....;..~...?... ........................................................................... (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 ....l~,~...~...l~ll..~[{)lgaear ....~$ ......... :..: ................. Depth .....~,t~r .............................. 10. Date of Purchase ............... ,.., .................. Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ........................................................................... ~ ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...: ........................................................ 13. Will lot be regraded .................................... Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ..... II~ll~lllllll~l. JJ~l~l~..~l~..~:~.~;.....~l~lpJlellB~,,,,~., ....... i.-.m,[~~ ......... Name of Architect ·' '"'""'"'""'"'"'" '"'"'"' '"'"'"'"'"'"'"'"'" '""' '(Address) ''''''''''''''''''''''''''''''''''''''''''''''' '(Phon~ ·' e.... ·..No.). '~ ·' ·' ·' ·'' ·'' e.. ·. · Name of Contractor ........................ ~ ...................................................................................... ....~;.; ................... (Address) (Phone No.) PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or deSCription according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW Y,..~R .K,j//. ~ COUNTY OF ............................... ............................. ~......~ ............... being duly sworn, deposes and says that he is the applicant above named. ~/'~ (Contractor, agent, corporate of J~cer, 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 cohtained in this aPPri~ati~n 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. deyof "; ii' ";i ii i'iiiiii ............ iiiiiiiii.i.iiiiiiiiiiiiiiiiiiiiii..iii ...... ............... ,/ O? IH~ ¢; ~jrI# C)F'~FFOL~ COI. WTY O# REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERH£AD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ~' FRANK Bo~ 'i ~ LOT NOS. 50 8, 51 ~/r '~,"~o w~%, '%_~ "LEEWARD ACRES ATBAYVIEW" f~ /[~'~.,.~:' "'~X~' ~ AT BAYVIEW G, A. ,~TE~ '"' Ii' SCALE' I O0 I DATE: ~. · = J JUNE221972 J 72-475 THE NEW YORK BOARD OF FIRE UNDERWRITERS SUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK, NEW YORK 10038 THiS CE~JFIES THAT Hap of Leewood Acres, B&yviewR Southold, L.I. i. thefollo~in$1oe.t~on; [] B~eme.t [] Z,tFI. [] 2.d FI. OutSide ~tio. mo~ exemin~ on July 22 s 19 ? q o.a fo..a to b~ it) compliance with the req.irement# of this Board. fiXTURE A RXTURES 3~ 3~I 25 30 DRYERS FURNACE MOTORS FUTURE AP~JANCE FEEDERS . SERVICE DISCONNECT 1 100 CB OTHER APPARATUS: 'Furnaces: Oil 1-1/8hp, 2-1/12hp Motor/E: 1-3/~hp EANGES ,x. w SFGCIAL REC'F E R COOKING DECKS OVENS DISH WASHERS AMT. K.W. I AMT. K.W, , MT. K.W. 1?,111 6.1 t 1.5 TIMECLC)CKS BELL~UNITHEATRES MULTI'OUTLET SYSTRMS V I ¢ AW.G, OF CC. COND. 2 EXHAUST FANS DIMMERS E Sapanaro & Mineo Inc., 102 Oak Avenue, Shirley, L.I. 11967 m ~ANA~ Per , COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. £0,80' SUFFOLK COUNTY HEALTH D DATE ~0~ 05 '~ H. ~. REF.~~~ The sewage disposal and water s~ply faeiliLies for this location ha~% bee~ toinspectedbe ~ ~ ~-- ~.b7 th, s.. departmont ~ trod. T~E [OC;~TION OF %VES[S AND CEssPO0£S ANDIO~ FgOf.~ DATA C~ ~jN~D F,,ot. NOTE: · = MONUIFENT SUBDIVISION MAP FILED IN 0," FNE CLF..~K OF..CI. IFFOLK (:I2~NTY ON J~IN~ 4,~9FI AS F/Lf NO. RI=V,S,ONS YOUNG & YOUNG JUI~ :~5,1974 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK JULY 9, 1974 ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ."%' '~ PARTOF LOTS 508,51 "LEEWARD ACRES AT BAYVlE W" AT B AYVI EW ~u kR~ NTEE ' SUFFOLK C0,, N.Y. BY~~ SCALE: I' : 50" DATE: AUG 8,1972~"R ~;;:'~-~501 ~ / .[ 'I