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Home My WebLink About8826-zNO. 4 TOWN OF SOUTHOLD BU~.DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy · Z 73 ~ ~gCT 2~ No ............. Date ......................... , 19 .... ~I-IIS Clq. R~IFIlq, S that the building located at .......................... Street Map ~o ............. Block ~o .......... Lot ATo ................................ conforms substantially to the Application for Building Permit heretofore fried in tl~is office dated ................ , 19.7.~ pursuant to which B~lding Pemit No ......... ~u~ ~ f da~ed ................ , ~g ...., was ~sued, ments of the applicable provisions of the law( The occupancy for which this certificate is A ~V,~VA-~- ONE issued is ...................................................................... The eertificate is issued to .............................. ~ .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .............. I ..................... UNDERWBITERS HOUSE NUMBER ........... Street .... ~(' ~'[~ .....~'0 '~b' L'(~,. .............. ................................................. .... . ......... Building Inspector ~'0~1~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT' TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .............................. A~i[ ....... '~J ....... , 19.~.. 8826 Z / Permission is hereby granted to: dated ~ ~t~t ~ , 19]~ , and approved by the FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s apphcahon must be filled in typewriter OR ink, and submitted ~n DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. F~nal survey of property w~th accurate Iocahon of all buddings, property hnes, streets, and unusual natural or topographic features. 2 Final approval of Health Dept of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical mstallahon from Board of Fire Underwriters 4. Commercml buddings, Industrial buildings, Multiple Residences and mmilar buildings and installahons, a cerhficate of Code compliance from the Architect or Engineer responmble for the building. 5 Submit Planning Board approval of completed rote plan requirements where applicable B For existing buildings (prior to April 1957), Nomconform~ng uses, or buildings and "pre-exmhng" land uses: 1. Accurate survey of property showing all property hnes, streets, buddings and unusual natural or topographic features. 2 Sworn statement of owner or previous owner as to use, occupancy and condition of buildings 3 Date of any housing code or safety inspection of buddings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees' 1 Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ..~ ..... Qc, L,.. 2.6.,...1.9.7.f. .............. New Building ...... ~ ........ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..127.5..Fanntng..Roa.d~...~.e~...S. vae-.f.o. Lk ....................... i .............................................. Owner Or Owners Of Property ...... .A..n_t..o..n..f;..o....a..n. fl...~.f:?...cl..a...~.t..m.e.n..e..~. .............................................................. Subdivision ......[}flRf~ .................................................. Lot No ............. Block No ............. House No ............ Permit No .... 8826 ........ Date Of Permit .... BJ. 3.1.d2.6..Apphcant Health Dept. Approval .... .6. ?. .0.~ 3. .8. ............................ Labor Dept Approval ............................................... Underwriters Approval .... .3.0~.15.5 ............................. Planning Board Approval ........................................ Request For Temporary Certificate ...................................... Final Certificate ............ ~ ........................... Fee Submitted $ ......5.:..0.9. ....................... Construction an above described building and permit ~1. I app~cabl7 codes and regulations ' ~ Applicant .................... ~.c...-,...~ ....... Riverside t{om~, Inc. R, zchar~=d Wandoloski, Vice-Pres Sworn to before me this (stamp or seal) PHILIP ~=, SWOTKE~ICZ NOTARY PUBLIC, Sfafe o~ *New York No, 4~069S0 Ouali~ied Cn ~uffolk CeunN 516 7/)4-5100 SepCs.~ber 21, 197F. Antonio and ~/lda Ji~inez e/o riverside ~b~ea, I~c. ~/vethead, Ne~ York 11901 l~remtsea: Nee Su££olk Road sug Fanning Road ~.o and gird. Jhtinez Dear Si~:s: have been reta~tued to represent Hr. and Hrs. John Bogovic, ~d t~tely ~Jo~tns pre.saS o~ Au~fo a~ ~I~ ~ which a r~C~I ~11[~ ~ ~ bel~ c~struc~ed & V~yoJ~al exmel~tion off ~he area su~mmd~ng Cbs p~reel owned by ~. a~ ~. J~z ~11 cl~zly re~I~t c~c the b~I o~ ~~ R~ ~cb ~rdera c~ pro~r~y ~ t~ south b ~o~ ~d ~,b~a ~e pr~rCy o~ ~e east. ~ ~1~ ~ ~the~ c~~ by v~r~e o~ the ~act ~ ~~ls ~I1~ ~o se~ce the pz~s~ ~11 n~essiCate ~11!~ ~ ~pr~" ~ questt~ ~ a ~vel ~r t~n th ~~, ~Jo~g r~ ~es. e~t~ ~C off ~ c~enC8, ~. a~ ~s. 3o~ ~ovtc, a~ all h the light of the £oreso~.uS, we could see no reasonable bes~Ls ~%r penaiCttn8 the Inseilation o5 cesspools in a umnner which would cause the 8~rade o£ the Jittuez presd, ses Co be 21,, 1976 Ifa v~ t.he ent:Lt~ problem a,s two-fold: s~~J~o a~ ~r da~ ~or ~ ~Cer ~t ~1~ ~ron ~~y, ~ ~11 ~1~ ~~ d~ec~ly ~spo~tbZe for block~8 t~ ~1 ~i~ o~ ~r ~r~ ~ clL~' ~.rcel by virtue o~ chat all pair, es d~mectly ~volved ~ tb~ ~tt~ n~ ~a ~ ll~v-~ the ~o~o~ c~lt~s ~e ~ r~e tO ~ ~oresoi~ ~t~ ~e~t five ~v~e ~ elien~ to seek all te~l a~ ~l~ble oJ HeeU:h ~ ~ of J~ouChold :Butl~!.~g l)ept. and Hrs. John Sogovic .J (q ,,=il (~ '?') 7g 59 07" 05' ID" IAI, VS. oo 0 U ..J NEw .. UF'FOLK fi(ID OAD /boo LO']' ftRF-..A IO.&"~? O'F 1,OOO Ft' L jrT ~pc. >VED THE WATER SUPPLY & SEWAGE DISPOSAL FOR THiS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOL~ COUNTY DEPARTMENT OF HEALTH SERVICES k~C_ ' F Tt~ANCHON JR NY, S, LIC, NO. 048992 PENN, LtC.NO, 21115~ JOB NO. TELE PH',ONE SURVEYED FOR ANTONIO ~ HILDA -TIIV'iINEZ. SITUAI ED AT+ NEW SUFFOLK ToV,,tN. OF SOL,q-HE, UP - SUFFOLK COUNTI' NY SCALE )"'- ~' DATE' ~-UL¥ FILED MAP NO' DATE' BOOK NO,' 61 PAGE' iP_ J ' HAROLD F 'TRANCHON JR PC LAND SUR VEYOP SUCCESSOR TO WtLLIAM NORTH COUHTRY ROAD- WADING RIVER NY 920-4695 ~5161 473-3626 ALT, CALL J _ N o-~o4-6'ao'~. °°5 '79 59 'T' o '-60t == ~v~ AL.t_O~Y (.SiDflPgov ED ] SUFFOLK COUNTY DEPARTMENT OF HEALTH ~;ERVlCES FOR APPROVAL OFCONSTRUCTION J I ONLY ~/~O.' THE WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUF'FOLK COUNTY DEPARTMENT OF NAME' RIVERSIDE HOMES, INC. ^D REfI 9 W, st Mai. Sh' ,t Riverhend~ Ne~ York ll~OJ TELEPHONE A VALID TRUE COPY, HAROLD E TRANCHON JR NY, S. LIC, NQ 048992 PENN, LIC.NO, 21115-E ,dOb NO, 7~-z.'.'.'.'.'.'.'.'.'~D~ , FILE NO. ~..I(::,f SURVEYED FOR ANTONIO SITUATED AT: N, F__ Yx/ SUFFOLK TOWN OF' SOUTHOLD - .SUFFOLK C0UN'I-'i' NY SCALE: I''= 2~0' bATE' 3"U'L¥ 1'7, 1</7~o FILED MAP NO: DATE: BOOK NO.' E>I PAGE~ I~. HAROLD F TRANCHON JR. PC. LAND SURVEYOR SUCCESSOR TO WILLIAM g METER NORTH COUHTRY ROAD- WADING RIVER N,Y 929-4695 (516] 473-3f:>26 ALT, CALL ~T NEw LOCATION OF' UFFOLK O-~PRov ED ~ OAD 0 DATUI'q LOT/~RIg, 10,H? t"'~ t N iN OF hOOD TEST BOR~.t4G CREEK W^T~R SUFFOLK COUNTY DEPARTMENT OF HEALTH ~ERVICES FOR APPROVAL OFCONSTRbCTION ONLY DATE HS REF NO APPROVED THE WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES THE OFFSETS (OR DIMENSIODIS) SHOWN HEREON F R 0 M T H E STRUCTI"RES TO THE PROFERTY GUARANTEES INDICATED HEREON SHALL PUN ONLY TO [tie PERSON GUARANTEED ONLY TO THE -]]TLF_ GL/A~ANTE. F__. COI'qPAN¥~IZ?3??5 ,/~NTONIO ,4 ~ILDA ~"IV'II HAROLD F TRANCHON JR NY.S. LIC. NO, 0489g2 PENN, LIC NO, 21115-E JqA F,4 ~ A DDRES S TELEPHONE JOB NO: '7G-...%0~ FIL~ NO ~.IGF SURVEYED FORi ANT'ONtO q HILDA-TIf'~INEZ. SITUATED AT NF_'V',¢ 5UFFOL'K, TOV,4N OF .....,:~U'THOLD - SUFFOLK COUNT"( NY SCALE J":..~O' DATE~ ]"UL¥ 17, )~7~ FILED MAP NO.' DATE: BOOK NO: ~J PAGE' HAROLD F TRANCHON JR P,C LAND SURVEYOR SUCCESSOR TO WILLIAM G MEIER NORTH COUHTRY ROAD- WADING RIVER NY 929-4695 (516] 473-3626 ALT, CALL ..A. PPRO~ED AS : OTED DATE.~ 3,/ /~ ?.4. ~ NOTIFY BL% r..c ~ ~ ,IT .~T 4.-- 1' " ' - f--qT