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Home My WebLink About7399-zNO. 4 TOWN OF SOUTHOLD BUn.BING DEPARTMENT Town Clerk', Office Southold, N. Y. Certificete Of Occupancy No..~'..~1.7.~. Date ................ ?..~....~..C7/.7'., lgZ..~ ~IS CERT~IES mat me b~g l~at~ at ~ ~ ~.. ~ff~.~.~ ~.Y.. ~.~. ~ Map No ....~ 0 ~ ~. Blo& No ..... ~ ..... ~t No .....~ ........................... co~o~s subst~ti~y to ~e App~ca~on for B~d~ P~B heretofore ffl~ ~ ~ o~ce dat~ ............ ~ .L .~.U[X, 197.~. p=su~t ~ wM~ B~-g Pe~t No. 7.~.~.~ dated ............[ .%..~](., 197~., was ~sued, ~d co~o~s ~ ~ of ~e ~ ments of ~e app~cable pro~io~ of ~e law. The occup~cy for wMch ~ ce~ica~ ~ issu~ ~ .... ~...o ~. ~... ~.r.~. ~ ~,~... ~.~. 2 ~ ~ ~ ff .~. ......................... The certificate ~ ~u~ ~ ~[. ~E.~.g.T.~J.q .~...~ .~.f~( ~.. ~.~.?.~.~ .~. (o~, less~ or ~n~t ) of ~e ~ores~d b~g. S~o~ Co~ty Dep~ent of He~ Approv~ ~.~/~/~ Yj.. ~ ~ ~ ~. /~ U~ER~ITERS CERTIFICA~ No ........ ~.~ .~. ~. ~ ~.~. ............... '~. ..... HOUSE ~ER ...... ~.~. ~.. SMut .... ~T.~..~ .~( .... ~.~.~ .......... ............................................. .~l ~.~ .~.~ ~ .............. .. ~~ ......... B~g In~p~r FORM' NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7399 Z Permission is hereby granted to: ~ A; ~L~fA ~EFF at premises located at '~?'~ /~ L ~ )' ~'~ A ~ ....................................................................... ~.4.~...:...~.....f K. ............................. pursuant to opplicafion d~ted ........................................................ , 19 ........ , ond opproved by the Building Inspector. Fee $....,.~,..(....~... Building Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant ~S~" ¢0~1-~2~¢~,o-J Phone 2~o~-~'~ 5. Subdiv. ~ Address ~1. ~n~,~c~ 6. Section ~ 2. Property Location ~/~ ~~ ~; ~'~'~ 7. Lot Number L~ ~: ~~ ' 8. Private Well Village ~v~ Township ~o~o~0 9. Public Water 3. Public Water Company Name ~A~ ~o ~ ~o~ Distance to ~in 4. Lot size: Width /o~feet Length ~ ~ feet 10. Sewage Disposal System: A. O~allon septic tank: Precast ~quivalent Block B. Leaching pools: Nunbe~ pool s ~Precas.~B1 ock Special ll.?!f prt~te well, fill in the fol long blanks: ~'~ A. Tac~ capacity~gallons , B~ ~np G.P.M. 1 : C ~tal well depth D. Depth to ground water E. Amount of water in well (For Health Dept. Use) The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. 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 and Water Supply can be installed on this pl,ot. APPROVAL DATE ~'~'7/7~' SIGNED S-15 Rev. 4/1/73 TOWN OF SOUTHOLD ~/ ' U ILDING DE~ RTMEN~/ TOWN CLERKS OFFICE . / / / Exa~n~ ............................ ~..~..(.., 19 ........ ~/ i /~ ~pr~ ....................... ~..., 19~. Pem t No .............................. ......................... ,..'., ........... ................ ~ /~/~ ~a~- ~¢ - / ......... (Building -- ~ ~PPUC~T~OH FOR INSTRUCTIONS a. This application must ~ completely filled in by typewriter or n ink and submitted in triplicate to the Building Inspector, with~ 3 sets of plens, accurate plot plan to scale. Fee according to schedule. b.,~PIot pien showing location of lot and of buildings on premises, relationship to adjoinirlg premises or public streets or areas, and~ givir~:e detailed description of layout of property must be drawn on diagram which is part of this application. e~'The work covered by ~his application may not be commenced.j~fore issuance of Building Permit. d. Upon approval of this application, the Building Inspector-wqll issue a Building Permit to the applicant. Such permit,shall.be kept on~l the ,~,emises available for insl~ti~,llll~J~t the work, ' I~J e.. No building shall be~lllli~l~] or use~' in whole or in part for any purpose whatever until a Certificate of Occupancy shell have beer~ · grent.d by the Building I~l~ctor. APPLICATION IS HEREEW MADE tp the Building Department f~r the issuance of a Building Permit pursuant to,the Building Zone Ordinance of the Town of S~uthold. Suff~t~ County, New York, and other applicable Laws; Ordinances or Regulations, for the conltruction of b~ldings, additi6hs Or alteratiogs/or far 'rerfloval .or demolition, as herein described. The applicant agrees to comply with all,applicable lawl~ ordinances, building code, J~ousi~g code, and regulations, and to admit authorized inspectors on I~emises and in b,uildings for n~cesear~ inspections. (Signature of applicant, o~' name, if a'c0~poration) (Ad,rqss of ap~lican~ ), ~State whether applicant IS owner, le~. a~nt, architect, engin~r, ~neral contractor, electrician, plum~r or builder.~ ............................... ~.....~~ ..................................................................................................................... ,~,~ Name of owner of premi,s ......... :...~......~~*~..~..~...~..~...~.~e.~.~..~_~.~ ~lf applicant is a corporate, signa~re of d~ly authorized officer. -. ............. ....... . ~ a~ ,,tl~ c~Pora, offlcer~ Builder'S Liceh~o ........................................................... Plumber s L~n~ No .............. ~ ....... , ........ ~ ........ , ............... ~1,~/~ E ectr can's L cen~ No ..... ~ ..~.~.....~ .... ~ / ~ Ot~ Trade's Licen~ N~ ...... · ............................ , ................ ~ ~ I 1. L~ation of land on ~ich propo~ work will ~ done. ~p NO .......... ~...~ ......... Lot No: .......... St~t and Numar ..... ' .......... ~e.~...~:~1 ............. ~~ ........................ ::....:..:....::: ........... . ., Mun~cipauw ~, 2. S~ exi~ing u~ and ~upancy of premiss and intended u~ and ~cupancy of propo~ con.ruction: a. ~xi~ing u~ and ~upancy .......................... ~~ ...................................................... b. u,.n v ............ .................................................. : ....................... ~..~ 3. Nature of work (check which applicable): New Building ....................... Addition ..................... AIteratior~..,.,...~.., Repair Removal . L . . Demolition ........................ OtherWork .................................... ......................... ~- (Description) Z.o, .................................... 4. Estimated Cost ............................................... Fee ................................................ Nu--berm (to be~pai~en filing this application) 5. If dwelling, numoer' of dwelling units- ................. ~ of dwelling units on each floor ................... ~ .................... If garage, number of cars. t. ....... ~ .~....~......~... ........... ' .. · ' ...................................... . '". ..... . ................... i "l'i ........... 6.. If business, commercial or mixed occuoanc¥, specify nature~.,,,....an~.extent ot each type oT use ................... z ................ Di ~n3ensions of existing structures, if ~: Front ..... ...t~....°....~...'.,..,Rear ........................... Del)th .................. Dimensions of ~me structu~,~ith alterations or additions. Front ...................... ..~.. ~ear ............................. ~. .......... e' ht ............... Number of Stories ...................................... Depth ................... ~ ............. H g _~ _.. ,.__ ~ · - · -¢~ , ..~... .... De th ~.~1~.:.~ .... 8. Dimensions of entire new construction: Front ........ ~.,~ .......... Rear ~.....~. ........ p ......... ~,,~;,, Height ................... .'~..~·.~ .~.'.?~.. ~--~' ........... Number of Stories ........ j....LL)~ ...................................... ~ .......................... 9. Size of lot: Front ........ .~.[.~ ...................... Rear .............. ..................... Depth ........... ~.~.~r .............................. - . t ~..~ ~ ...... Name of Former Owner ....................................................................... ~... 10. Date of Furcnase ............................. 11. Zone or use district in which premises are situated .............. ~....i~.1~.~....; ............................................... 12. Does l)roposed construction~violate any zoning law, ordinance or regulation: ............ .~....~. ....................... 13. Will lot be regraded ........ ..~..~..~ ............... Will excess fill be removed from premise_sL~es ~ 14. NameofOwnerofpremises~ ......... .~...,..~ ~w~ ~,,~ ~l~ '~ I,,t ,1~ ~,~1~ ~,~ ~ ~ .,, (Address) JPhone NO.) · %t-l't . .. Name of Architect .................................................... (AJ~d ~;;s~ 7 ' ~~ PLOT DIAGRAM Locate clearly and d stinctl¥ all buildings,~whether existing,or proposed and indicate pi[ set-back dimensions from property lines· Give street and block number or d[~cription ecc6rding to deed, and show street~h~m~s and inaicate wheth- er interior or corner lot. ~ ,-, STATE OF NEW YORK, ) .~%, , . COUNTY OF ................................. ~ .................... ) -- ...~...~, .~.. ~ '~'~.~t.~ being duly sworn, deposed/and says that he is the applicant above named· (Name of individual signing contract} 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 that the work will be performed in the manner set forth~in ~.he application filed therewith. ...................................... day of .................................................. 19 .............~~ ~.~ Notary Public ...................................................................... County .......... ~~. ......... (Signature of applicant} now or formerly F~obertson __ .__7~-- s.~zo//'z uo. oo' -.,, J lot G Area =20020 sq. ft STANI EY I1000' ROAD G2E O0 ' NOTE: · -- MONUMENT SUeDIVISION MAP F/LEO IN TNE OFF/CE OF TNE CLERK OF SUFFOLK COUNTY ON UAI~ 5t 19G~ AS M~P NO. REWS~ONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: PETE DEMETRIOU & NISSlM ALHADEFF LOT 6 "SUNSET KNOLLS'' TOWN OF SOUTHOLD GUARANTEES INOICATED HEREON SHALL RUN ONLy TO THE PERSON FOR WHOM THE SURVEY I$ ~REPARED, AND ON HIS BEHALF TO TH~ TITLE COMPANY~ GOVERNMENTAL AGENCY ANO I~ENDING IN$¥1TUTION LISTE[~ HEREON~ AND TO THE ASSl6NEES OF THE LENDING INSTITUTION GUARANT~E$ ARE NOT TI~ANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUB$£OUENT OWN£R~, now or formerly t~bertson .... ~ S'~II'~' I10.00' ~ l I Lot G . Area =20020 sq. ft $2~. 00' .,4 NO ;W : · -' MONUMENT SUeDI~'I$10N MAP FI&ED IN THE OFFICE OF THE CLERM OF SUFFOLK COUNT;' ON VA~ 5, 196~ AS MAP NO. 50~3. ,.. ~ TH£ [OC.~ON OF W£U.$ AND SHOWN HEREIN A~E F~O~ FIELD OBSERVA~ONS AND/OR FROM DATA OBTAINED FROM OTHERS .EV,S,ONS YOUNG & YOUNG AUG.19,1974 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK OCT. 18, i974 ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: PETE DEMETRIOU S NISSIM ALHAD~L. LOT 6 "SUNSET KNOLLS" TowNAT oF MATTITUCKsouTHOLD TO BE A VALID TRUE COP~ C~JARANTEES iNOICAT/D HEREON SHALL RUN ONLy TO THE PERSON FOR WHOM THE SURVEY ~S PREPARED, AND ON HIS BEHALF