HomeMy WebLinkAbout8315-zTOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
No. 7.709.9. ...... Date ........... ~Tune ....2.~ ...., 19. -76
THIS CERTIFIES that the building located at . lg/~. Deep. Hol. e. D.~tve .... Street
Map No. x.x ......... Block No. :zx ...... Lot No, x:z..I!a.ttfl~uak.. I~.~, ..........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ..... lq.o?..21+., 19.7.~. pursuant to which Building Permit No. ~3l ~Z..
dated . .. l~01r..2~ .... , 19.?~., was issued, and confo~-,~s to all of the req,,ire-
merits of the applicable provisions of the law. The occupancy for which this certificate is
issued is..Pr~,v~te one..f.~.mfl~, dwelling . .(.with lent. lng) ..................
The certificate is issued to .Mr & Mrs ttarr.y .Z®~.$s . . owners ...................
(owner, lessee or tenant)
o£ the aforesaid building.
Suffolk County Department of Health Approval June 17 1976 By .R, .Villa ....
UNDERWRITERS CERTIFICATE No. ~2781.~.2... Apr...1.2. J.976 ...............
HOUSE NUMBER ... i ~,O... Street .. , Daep. HoXe. DrXve .... ¥~at.tltuc~. ......
~E.~ NO. 2
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN GLERK'S OFFIGE
SOUTHOLD, N. Y.
BUILDING F,ERMIT
CI~HIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 83i5 Z
Permission i~s hereby granted to: ~,
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Health Services
Reference Number
APPLICATION FOR APPROVAL TO CONSTRUCT
A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY
1. Appl icant~/P~£,s ~/~2~/~/$-~ Phone ~ 5. Subdiv. ,~
Address P/~+ ?7~T~c ~ ' ~ ~. Section
2. Property Location ~/~ ~P ~ b~, /~/~ S~m~Lu~ Number
.,.~?~TH~c~ ~ ~ ~ _ 8. Private Well
w))age ~0~7~o~/t/~YF~nship ~~ 9. Public Water
3. Public Water Company Name Distance to main ~/~
4. Lot size: Width~feet Length, feet
10.
11.
Sewag~4~s pos al System:
A. 90~allon~eptic tank:
Precast ~_/~I~qui val ent Block
B. Leaching pools:
Number of pools ~
Precast ~O-~ock Special__
If private well, fill in the fol-
lowing blanks: ~ ' /~-- ~--
A. Tank,~%apacity
B. Pump G.P.M.
C. Total.well depth
gallons
40'
Depth~ to ground water
Amount of water in well
(For Health Services Dept. Use)
The undersign6d CERTIFIES: "Construction of authorized installations will be in accordanc..-
with the Suffolk County Department of Health Services' 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~~~~PermiJ;~q-s~ in effect. ~ ~ ~
Date //-- ~ - ~ ~ 'S~~/'/~/~''~-~'' ,
.... .... ~:~:~::::- :: ,~~ -' ~-- :: :::::~o~-~ :~"~ ~ ~ :::¢~:¢: ~=7 ~ . ~ ~
FOR THE DEPARTMENT OF HEALTH SERVICES USE ONLY. Based on t~e ~nq~o~Bc~on presented here-
with, it is the opinion of the Department of Health Services that an adequate and satis-
factory Sewage Disposal System and Water Supply can be installed on this plot.
S-15
Rev. 4/1/73
New York State Department of Environmental Conservation
Environmental Ar, alysis Unrt
SUNY Campus
SLony Brook, New York 11794
Ogden ReM,
ColTiml SSI OllOr
Andrew Muller Contracting Corp.
Route 25A
Miller Place, NY 117B4
Re: Petition No. TW 15275-0085
Fo~:
November 13, 1975
Harry & Viola M. Zeiss
32 Croft Lane
Smithtown, NY 11787
Gentlemen:
Your petition for a Tidal Wetlands Moratorzum Permit has been
reviewed by this office. As a result, we have determined that
construction of a one-family dwelling on lot off Deep Hole Drive,
Southold, NY
will have no adve~D~effec~ uDor% adiacent tidal wetlaodo. There is to be
no construction, rzzi, or dist~rrbanee et vegetatzon mznzmum of 30' east of monuments
on north and south of property. Said monuments are located 20' east of Deep Hole
Creek.
Therefore, pursuant to Section 25-0202 of the EnVironmental
Conservation Law and 6 NYCRR, Part 660.3 (c), you are hereby notified
that no permit will be necessary.
A copy of this determznation must be available at the job szte
at all times during construction activity.
Very truly yours
I,,...',ll 'l'id,II W,.'I I,Imh; I'mmli
I) II,:
cc: Col'I),'; t){' l'hl)'.lHt't'l'l,, Nt'w York l)~:ll riel
gol. li L; ~'i. COI1CI',I
DEEP
· HOLE
?IE LINE'
CfPEEt<
I
· he stage dtsposa~ and vate~ supplF
facilities ~or th!~ location ~ve been
ln3pec~ed b~ tht~ d~r~ent ~d
~ e~l ~'neerln~
'4>
DEEP ' HOLE CREEH
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