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Home My WebLink About7634-zINI~M NO. 4 TOWN OF $OUTHOLD BU~.nlNG DEPARTMENT Town Clerk's O~ice Southol~ N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . :.~/eet .Dr;~ve ............. Street Map No. xxx ........ Block No..xxx ..... Lot No. xxx .... Sottthold...E,Z, ........ conforms substantially to the Appli~tton for Building Permit heretofore ~ed in thi~ office dated ..............)iOV,..1c) 19. ?.~. purmumt to which Building Permit No. dated NOV, 1c) 19.~, was ismied, and conforms to all of the require. merits of the applicable provisions of the law. The occuPancy for which thJ! (~rtll~J.P..~t,e issued is Private one famillf .dwe!~ilag ............. The certificate is ~sued to .James. P...~ea ....... U. wner ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County DepaH~,ent of Health Approval .. June. 22..19~.~.. by. .Ii o..V. tll~... m~rDERWmTERs CERTIFZCA~E no..S~-7.!/3~ ..... ~ :a~:: ,i975 ............... HOUSE NUMBER ...2.1.0. ....... Street ...~lesZ. P.r$~a .... ~cu~l~ld ............. Bull&lng In~:t, or ~ FI)BM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING P,ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7634 Z Permission is hereby granted to: ~.~..~.L~.,..~ ................................................... , ........ 2~,~ ......... .a~l~..at ............................... ~ · ............... ~r~o~lF~ ........................................... to l~.~l,~..a,~..eJ,.. J~a~Zl~...~l~.e ~.~.~ ...................................................................................... at premises located at ....~Le,.t,..Z).I::LItL....(~I/.~L~.o~d~ ................................................................. ............................................... .$.~tJ~.~ ......... .~...L. ........................................................................... pursuant to application dated ........................~r~'. ......... .'l.c~ .......... , 19~.~...., and approved by the Building Inspector. Fee $-~'~. ........... Budding Inspect1 d. ~ ,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. Nobuilding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ~ shall have been'grOnfed by the Building Inspector. 'Li~c~i~I~o~TI%IiSn~HJeREo~Y.~__A~_D.E to_?,.e B.,ull.d!ng..De.p?.,rt~ent. for..the .issu, anc. of a Building Permit purtaaanf to the ~,__ ;,.~. _ .. u [ne Jown aT 3oumola, ~Ul'tOfK ~-ounty, e4ewvorK, andother applicable LowI, Oldiaences or described. "~ '-PP,.~,- ~--ur.a ,u cumu,yw~.na.o ,,cot)lc ,admit authorized Ine~,-t~s~Y..remi~- ~ ,- ~-..,:~a~-v-ws'-°rz-a[na~n~--eJ~/~buil.dj~g c..ode, houmng code, end regulotioflso and to Idf ~0 UII~J IrPL~d~ld~l*~ mr necessary IRS~:)ocTIOFIS. ............................. ........ State whether apphcent, m~ owner, lessee, agent, architecf,'e.ngin,eer, general contractor, electrici~, plumber or builder. ............... . (Name and title of corporate officer) ~her Tmde's Licen~ No ............................................... Stm~t ~nd ~um~r .......................................... ~ ................... ~ ........ .X .............. q 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (~_~ '~ /I g' ~ ~llr' ~',~/:,,~.~ (Description) (to be paid on filing thi.s application) 5. If dwelling, number of dwelling units ......... ~....Number of dwelling units on each floor ...-~ ...... If garage, number of c. ors ..... ; ....................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures,, if an~,: Front ............................ Rear ................................Depth .................... Height '' Number of Stories Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ 8. [:)imensions/~of end, ire new construction: F, ront ...... .~.....~,....=...- .......Rear .....~..~...~...:.... Depth .~....~...~.......' Height ...~...~...... N[Jmber' of stOries .............. ~ ...................................................................................... ' 9 Size of lot: Freest..~...~..~.,~.~,~ ~.:.~-:T.... ..... Rear .....~....~.....~..,....~....~....?~.... Depth ..~...~....7....~... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............... ~..~. ............................... 13 Wil lot be regrad~:~ ....... >~. ........ Will exce~ fill be removed from premis~q~: ( ) Yes .{~ No,~/~. Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRA/Vt Locate clearly end distinctly ell buildings, whether existing or proposed, and indicate oll set-bock dimensions from property lines. Give street and block number or descriptio~ according to deed, and show street names and indicate whether interior or corner lot. STATE OF COUNTY ~N~e~~~ividual sign'[ o.o.e ~,,--,~,, ~- ~ ~ ................. .;.~.;~;;~.~. ................ beimg duly sworn, d~es and says t~t he is the applicam above nam~ (Contractor, ag&fi't, co~loratet ol~ficer, etc.) of said owner or owners, and is duly authorized to .perform or hav& performed the said work and to make and file this opplicatiqn;~'that all Statements contained iri this 'application,are t~ue to the best of his knowledge ~nd belief; and that the work will be performed in the manner set forth in the application filed therewith. Swom to before .me this ~, ~ /)' /""1 ~ ................ o, ........... , Notory Public, . ............... (~ t/'~,J(. ....... County.4 ........... ..~/..,.~-~../..~....~ ............ ~...~...~ ............. ~~ /~, .. _ ~'~] (Signature of applicant) J~ ~Y PU3L,C. SfaJJ el THE NEW YORK BOARD OF FIRE UNDERWRITERS ~--- al( 85 JOHN STREET, NEW YORK. NEW YORk 10038 .ay 28, Z975 784775 N 227535 HIS CERTIFIES THAT James: Meo, w/side West Drive, 300' n/o Lake Drive, Kenny's Beach, Southold ~.I. i. theJ'.llo,.i,,~ l,,,:.tion; L~ l*..~,.~.t ~ ~.t H. [,7 2.a t"t. O ut Slde .s,.,~t; .... Ilh,,.k Lot May 22, 1975 ~IXTURE I ICOOKING DECKS J OV, ENS ~I)ISH _W,~ ~SHERS~[~EXHAUST FANE OUTLETS ~RECEPTACLES SWITCHES J FIXTURES RANGES 11 I 27 13 11 ' , ~ DRYERS j FURNACE MOTORS r FUTURE APPLIANCE FERDERS JSPECIALREC'PT~ TIMECLOCK~ ~ BELL [UNITHEATERS , NO. OF . _ : i ~/0 J -~-'1 ~g--[ ~ iRc, up ~.~2',.' ~.~w:a~'~wa.~.w: ~oo~ccco~. ........... J J ..... J OTHER APPARATUS: *Furnace~ 01! 1-1/8hp, 1-1/12hp Motor/s: 1-1/3hp W.B. Ruland, Mattltuck, L.I. ..... This certificate must not be altered ~n any manner; return to the office of the Board if ~ncorrect. Inspectors may be ~dentdled by their credentials. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPLICATION FO~ APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 2/2-~5' 1. Applicant~Phone~_~__5. Subdiv. Address ~' . ~ Section 2. Property location~4/~ ~/~ 7. Lot No. ~/~'~ ~'~"O~/ '.,Z~,~/~ 8. Private well ~ Village.~-/~ Township.~,~Z~ 9. Public water ~ 3. Public Water Company name /v;~ Distance to main 4. Lot size: Width~.~feet Length/~D.~? feet (Enter on center plot 10. Sewage Disposz~f~System: A.//9_~ gallon septic tank: Precast /Equivalent Block__ B.~_~I,~aching pools: Number~_Precast ~d Block Special below) If private well fill in blanks below: Tank capacity4~ Gals. Pump G.P.M. ~' Date Total well depth__ Depth t o~G ?W ·~/~ ~ Amount of water in well Test Hole Data Feet 0 2 4 6 8 10 12 14 16 18 The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current stand- ards thereto." d ~ ~~ Signe// ' Owner or Builder // on t~j~ information presented herewith, FOR HEALTH DEPARTMENT USE ONLY. Based is the opinion of the ~Health Department, that an Disposal System ca~ be installed on this plot. Date ~//~////~//'~ y Signed ~ it adequate and satisfactory Sewage S-15 Revised 4/1/72 ~0 L ,¢./4,/",¢ LEET N DRIVE N/dr ERNEST H. scHROEDER '-'0 "0 ~ m ~ O--I 0 04, raised wood deck 42 4' 45.$' tel~phon~ . pole m 0.6E 0 6',w o$'E N/O/ DOROTHY DANIEL BABSON H. GERKEN 5 SURVEY FOR DANIEL L. SCHWARTZ I~repared Jn accordance wi~h the minimum Ilandards for title *ur~ey$ as mtablbhed by ,~ T LI.A. LS. and approved and adopted TOWN such uce by The New York State Land 3'itle A~ociation. PECONIC SURVEYO (516) 765 - 5020 54655 MAIN ROAD SOUTHOLD , N.Y. 1197~ SOUTHOLD OF SOUTHOLD SUFFOLK COUNTY, N.Y. lO00 - 59 - 5 29.2 SCALE I" = 50' JULY 15, 1985 ~'2~'~- NY.S. LIC. NO. 49618 ENGINEERS, P. C. CERTIFIED TO: LONG ISLAND SAVINGS BANK PECONIC ABSTRACT INC. 60551323 DANIEL L. SCHWARTZ. £5 -P-5 2 API~t!O¥~D A3