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HomeMy WebLinkAbout5801-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Date J~tit?s~?.....3.... , 1973. . THIS CERTIFIES that the building located at . SI.& . P~X1Q .peck .Road Street Map No..~......... Block No...~X.....Lot No. 7QC ..$qut,2}old, . ,p,Y.., , , , . conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........April • • 7Q, 19.2. pursuant to which Building Permit No. 5$01Z. . dated ...........April 10, 19.'j2., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Private, ong, fanilr d~nlling . . . . . . . . The certificate is issued to 1Cas....Pylka .......OYller . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...J9Ae ..3...1~973:..by_ R.. Vill¢. • UNDERWRITERS CERTIFICATE No..1f...5~10~F3 OC.t ..25..1972 . HOUSE NUMBER.. ~ 7.8Q......Street.... P~AQ . Nec$ . $OaQ• . . ~ . c.. Building Inspector Foam xo. x 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~ Jr 8 ~ 1 Z Date 19.~.. Permission is hereby granted to: d. ~Nlaald. A/~C Yas P~?]]n? ...............:~nal?tbs~].d............................................. . ro .8ulld..n11M..oAe..tWO13~..dYa],1~ at premises located at .....~~/8..~~..,)~gp~..~~ ~.~~:~O.~d....~w~e.................................................................. pursuant to application dated 19..~.., and approved by the Building Inspector. Fee $••~4............ ~ .r~.L... ~ Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date JAN 3 S9'? Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage di/~lposal facillities for a structure located at ,G~u~k<~ 2~ c~,~ ~ uJ,cn~e~ l~-c~L.. ~ c~x~- ~~~.~o (G ve deed location) ~ have been inspected by this department and found to be satisfactory. ~o~rx'i/1 l.G• V~~ ~ ChieP oP General En,~ineerir~"ervices SUFFOLK COUNTY DEPARTMENT OF HEALTH _ H.D. Reference Nod l i ~E~' APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DI~- SFti1SA~TEMS Date Approval to construct said syst ms is requested, pertinent data herewith: 1-Applicant ~ Phone~~'~~at/' 6-Sub div'~n.,ie«.i¢r1+~rznJS Address ~ ?-Section 2-Detailed rope cations _ 8-Lot No. Hamlet own 9-Private well? v 3-Public water supply name stance to nearest main 4-Lot Size: Width/o ft. Length/S 4 ft. also enter on center plot plan below: 5-Dwelling: Single Family f ?1 Two Family? U Cellar? L?f Slab? V Crawl Spacel V 10-Proposed system: Septic tank (_/Precast L~Cesspools ~ (Shallow pools L/Other L/ 11-Septic tank inside dimensions: Volume Gals.Length_ft. Width ft. Liquid depth_ft. 12-Precast sections: ~Number~Square Ft. Cesspools: Block sizeL incs.D ins.H ins. Total blocks below inlet: #1_~#2~~43_ PLOT PLAN ~ Tank Capacity~~.Qals. vi .v P G.P. M. S o +~i c s. d ? ~ Grade LA~R~N1~R~ cus c c w m 1~yL KO G W.L. ~ w ~ 1 x S q ~ ~ m U N M ey N w~i Y m N » S. h0 " ~ k! Data et ~`i.cb P1Ne lV~c14 t?oAD ~ 0 o d ..a 2 m 3 vY c v ~ 8 w °c~° 10 ,~'i ~ a 12 v°'ti 14 x o a w Indi ate id No th The IIndersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems". Date Signed ~ or 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 ~~/)~1(r Signed ~ (10/65 Revis.) S-15 _ _ ~f,. J i d tom' ~/o„ ~6f-~ TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE v SOUTNOLD, N. Y. U/ Examined 19.7.. Application No... ~ Sao I Z Approved 19........ Pemit No..................................... Disapproved a/c (Bwldmg I pectod APPLICATION FOR BUILDING PERMIT O Date .....................:~.P.rll.....~ 19.7~......~ Z T, INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. - ri b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and fl giving a detailed description of layout of property must be drawn on diagram which is part of this application. 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 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 p` granted by the Building Inspector. ~ d 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. Julius ZebrosY.i (Signature of applicant, or name, if a corporation) i? t'~llt ~ 1.6 ~L~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................?&.~.S+t............................................................................................................................ Name of owner of premises ......Iias.,...1?.y.3.kp If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.:....... Lot No X~........................ Street and Number .............a~~...Fine Neck P.oad Southold Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........V.2~.arat b. Intended use and occupancy ....................one...:.ami1 ...dkrel.7.ix>. 6 ~ c~ r r 3. Nature of work (check which applicable): New Building ....yxx............ Addition Alteration............... Repair Removal Demolition Other Work (Description) 4. Estimated Cost ...............22. Fee `s~' ,2 t7 ~0©.....*........... Ito be paid on filing this application) 5. If dwelling, number of dwelling units ..nne........ Number of dwelling units on each floor If garage, number of cars .......2 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 .....~?~?r..7.......... Rear ....4~2-7 Depth .......24.../...6......... Height Number of Stories ......o11e............................................................................ 9. Size of lot: Front ...........7.pp Rear Depth Height Number of Stories S d ilev 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ......!!~I,II...d...is:b 12. Does proposed construction violate any zoning law, ordinance or regulation :.............nn........................................... 13. Will lot be regraded .~>r.s... Will excess fill be removed from premises: [ ]Yes [ ~ No 14. Name of Owner of premises ..YaarS...~Y.1.k.G1 ...............................~?AUthR~.d............................................................. (Address) (Phone No.) Name of Architect (Address) (Phone No.) NarneofContractor........J,.. Lebroski & Qwr,.er,,,,,,,,,,,,,,,,,,,~outhold (Address) (Phone No.) 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 numb r or description according to deed, and show street nam and indicate wheth- erinterior or corner lot. G~-7 =16i (G*- A~ STATE OF NEW YORK, ) ~ Ec~C Ito^~ COUNTY OF .............Sik~ffllk......................) Julius ~ebroski being duly sworn, deposes and says that he is the applicant above named. (Name of individual signingcontractJ He is the .............................................~.Q.~.~.a:~.x...~..H~.~Xlt.......................................................................................................................... (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 °~1~h~~Yr1oMM~Q~P~v~4€i belief; and that the work will be performed in the manner set forth in the application filed therewith. NpTARY PUBLIC. State of New York No. 52-8125850, Suffolk Cou a of it Term p~ March 39, 19 1 d/~ ,v.,,,~g,,~( ~ ~r•~Q•e~ f~ Notary Public,~~~~4A~fC!!~e ~]~R.fY~C.i....... Count 1 ~ /1 L.~L~U'~.... (Signature applicant) / ~ I". `l 5CV'~.Gi LE €t _ ~ _ I I:)ftL D~,.:.-1'e ®77TE tAYI ~ ':CJ A_~i'lp cynic _ c,.,i N3 GJi SIDE, I .F ~n 1 ~-~~FLU54i IL"f 13/ x I x k,r0 3T' 1 LIYE EX1, 13/s r, 92 x CJv{ FDLD i r ~ - ~ f- ~~21" FLUSd-ICtY. 1,3/B x 2k x b'0 32,'~FLUSli EJC7. 13/4 u 32 x 80 ~ x WID1 I.SIOE ~ ~y\ TOTAL ARSa M,ODEyL~ LfV EAfiLE 30" FLUSN It9T. 13/8 n 30x80 ~ 36" FLUSN 'EXT. 13/4 x 36x60 'T`OTAL - ,Id"~~ ~ ~ - ' f~ I'! ~ --r - - - ~ H F` L 01 f ~ ~ ' •~104Z ~r~''r . o. ~ ~ STORAGE. / ~ o -C'~k ' t/ - ~ - ~ ~ EY,7EN5 11 LAB lE / d ~ OUTSIOF _ _ - - ~ t1VIN( y ~ ~ ~ • ~ ~ _ ~INSIPF- ~,UPPLE P!1 I' ~ Y ~ ~ NOTEi, 70TAL - ~ 2 . A f~. ~ ~ ~ ~ ~ LOCATION OF ExiEN51011 IN 1111 ~ II~_ ~ ~ _ GARAGE END ® - ~ ~ O%Z" 6-0" 8'-. 9•_4" 5! 47/2. ~ . ` 7 b 509 k.~.~.,. _ -a~+-~--~^^•- ~ 1~ _ ~ - tom. I~-rte ' Q' s-4~ nO~ ~ ~ 1 A ~ ~ - 0 - ~ -Ni -li ~ ..YY,n- ~ ~ .a, i ~ 32 I-LT. DOOR O ~ l-,.-5 - i OPTIONAL ~ ~ ~ , r. ~ ~ r BEDROOM-I'/ ~I!I ~_IVING-DINif'JG ROOM 9 r. f zo ~ r T ~ f ' ~ ~ ___y~' ~ m~' ~'IJ 3~ III' {IF/~~-~1'"yIIT~~ T-2~d ~-t" _ _ Gr lr~^4'-~1 _.X `~~pr' ~?~I I~ ~I I I _ r - ' I<_ ~ L. ~ v ~ O~ I r I t' 3 Z ;~8', , S I ~ i t ~ } U: 2' • ' I V ,L ~("'1 _ `}I1 I ~ ~Si' ~ 5 ~ I - a . ~ 0 fl 1`.I sc`Z Clo6 ~ 4.r 51 U'Pf~ I I'~ s~~l a. o- t{ .o .a (~~5 1 Y CCCCC OOW N ~ ~ I J ,\I 'W-~-'-.~ - C ~ ~ i /m SC UTiit' i N ~ ~ y ~ 0 I I `9Co, (1 ~ I ~ C ' _ t ~ BEDROOM-?~ ~ ~ I~ --t 0 , ~ ~N'~-~,I BEDROOM-3 ~ KITCHEN 1.99 ~ti sF (n 4 1 ~ I ~ 91 sF i : 1310 sF " 4, i 4 - _ ~r~ to'-o' F1. ,,.I IgLI -to'-5'?FS - 'I .2-B~ ~-~:'4'~/S" ~-~Srb"~z.~; ' _ / 1 ~ ~ ! ~ ~--'^'--..'~-,I ~ ~,,.I, ...I Co'-c7' X T'- O ~.iOL'Lcc.E '701 L' __1~ I; ~ • ~ ~ ~e J''1 O~r4" LOMINAL F ~ ~ ~EOR 6~i h9004d G DOOR LOCNTO(?t:i ~ ~ ~ ~ ri - ',4Y 'rRON7 SSE ELEVATV OCJS ~ r . ,I, 1 " tl ":F~~U.~JD ~ ~ ~II ~ ~ 2-GAr. 1 iI4 ~SUPPL- / ~ - -r-i-vC 'ti~lr. ~ ~ ~ NAT - ~ it - ~ ~ i C FU6 6f. i'1d.o I , ~ - - ~ ~ - . I ~ , 'nos !roll ron Wnoa rrc':n ccti I _ i Z_, ' ' ~ 'n' ST AUCTION DU FDUtIUnT IUN WAfI ~ ~ ~ - - ~ ~ ~1, ~ - ONFDaTING. .-A ~ - ~ - - ~ ~PLU~~ ~ J y, pORCN F LAIID IND 5EA05 TD DE i ' _ b~ 1/2" OELO.W NOUSE FIl11 SNCD ~ ~ . Ftaon. r Olf ' , 1 r~ ~ ~ ~ moo'-~„ r r I gip, L-~--.~ 0 p I • I \I 1 m ~ rl r M ~ 4 li rl ~°G; ~ r„}T IN y ~ I r GARA E I 'e 1. f i ~ ~ I FLOOrc - a l ~ I c I l i4 9 X3-4' I I F e„I . ~ .r ~I ~ - , ~ ~ 8,, _ o -tom,. ' --yy~~~/oj"~ PIpL,~GOt-UMN ~N T ~ t, W I +1 - ~ - t'~ ~rla" x rLn^•x 12" FOOTINGS --T, _ s: ~,1.` 11 4 _ I ~ N ~?~l 6 !0 13} {oE~ ~~PC~¢TIT o+~ Ir ~ 1 )Y\FiY P~J~~CJ'LZ I J O n _ I II 1 I ~ - _ Furnace-Locrvtian ~:a7 YAtY ~ ~ 1 ~ I . ~I ~Ir ~ ~ _ For Exaat Locatidi ~~er To Hast(ng Plan I ~lo~b.~ I e I' J i N~ I 1 o - a ~ ' J•' ' ~ ~ ~ 9 d ~ - . I I~- 103/8 ~ I - s I ~ I y ~ r rL5 _T B"'1 I •~I I I t ' ~ ~~N 'I I _ >It..L000~ ~ ICd~-Q' M.O.' ~ ~ T. - - r _ ~ Ex : _ _ - u' L-A_ - T--~'_' i ~8°x8"PIE ' S~B~I'~-fIE_ROD~ ~q O"~~ ~ ' i - rat ~ _~T, VENT i~li;°_ - - (a ~ b.J 3 14 L i I R 6 7 3 u u Jl 1~ I I / _ t~ " ( ~:-~Jft 75 3.64 YPJ 3G.0 156 ~ 6u 10.0 i J I r 6_~_ - o 1-f~-.- - - _ ' i ~TN, 90 4.39 ZV 24.0 6.0 uC.~14.1 7.O ~ VL „~.yli - kph- a'bJ~T 130 626 ZG 46-0 9.0' U~3 '172 '6 S V\d '.4754 ` 2^ I ~ A 12 Jd S.2~7 P!l 4~ 64 5.?5 VI.- ~ - I . n\'! II CS 5.40 ~ ~ f C1'.N 2210 1030 EL ?1.6 IO C~ ~ ~ ~ , r RIIVx 16 l0 790 u\'J 2.517 ~ BSG - Q 1 ~ NATIONAL -~f~C ' II xN 3z 0 156 otv 25 17 9.50 ~ I i 1 ~ ~I III I h kCi ~ I ~ t . ~ ~ _ ~ 10'.~ p, I, - - ~ ~ ~I ~ i I I I ~I yl _ ff ~ i I ~ I I I I, I- I~L~ ~ - I' ~ ~ i I~ ~ _1~ .,1 I ~ - r~IE I,Iil~llll;l ~ I -"1~ ~ - ~ ~ II -CI'--_-- I I ~I ~I-~1 ~ ~I III I I,~ I~ i~l' JI ~_i'~NI t-_'Ir~ C ~I I'~~ C I II ~ i{ I ~ - - - i4 WJ -~f~~/L~~ III ICI I -~~~I II ICI-~L= ~I I„~~-~I I~ I I II I 1 ~ ~ ~ - - _ I ~ r- I~ ql I - - ~ i~ ~ ~ . 'rI X9.5 ~7 _ ~ m FLOOR LINE -III I~ ~ III ~ I~, III _lii I.'~ If Y t - _ I . S BTM OF YI. .vi ~ - - ~ ~ - JOISTS r I ~ , „ ~ . ~ ~ - BftIGK AS SHOWN FIN. GRADE [ I' ~ ~ C - OR~~4 ~ve.ea~t E, ~ ~ ~ , ~ ~ '1553 As spEc . r ~ ~I N. ~ I ~ ~ ~ { ~ ~ ~ - F140N7 EI I A/)Y~I~IC~f'I ~ _ f S ~ ~ BASEMENT ~ ~I ~ J 61 " ~ FLDOR LINE{ I ~.~SCAL E'• ~ I I 1 _ _ i - i F? ~ y ; - I ~ ~ ~ I I d I j I i I _ I iV v 1'~7-I2 ` 0 ~ \ 3X51+ ~ iI I - ' ~ ~ ~ ~UU,~ UU POST I ~I~ ~ II li I I.I n~~i~ ~I ~ ra i r. C ~$IDIU A55 CI 16D ~ ~~~~~uwJ~U~.. I I~ I 7 ,Ci `rte L G~~411.GE. II i E JI Y, ~ r. j LEFT' SIDE ELEV,' ` ~ 'i. ~ ~ ~ - - I , ~I ~ ~ r .