HomeMy WebLinkAbout7745-zFOI~M ~0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at S]~I. ~o~th. l~a~w: R~... Street
Map No./~ee~ard. Ae Block No ........... Lot No..I.~. ...... $ollt, hollJ,..~I~.~ .......
conforms substantially to the Application for Building permit heretofore filed in this office
dated ........... 1~...8 .... , 19.7~. pursuant to which Building Permit NO.
dated ............. M&~..~0., 197~., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is l~i.~ate, o~e. fa~i]~..dwellJJag ........................................
The certificate is issued to .l~'arlc~Ls. ~ .l~al~'. 1~111~o ...... 01~i~$ .................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ~.. 25..~975...bY..I~..V.i.i.~.~ .....
UNDERWRITERS CERTIFICATE No..1~8~9 ...... Jlll~',..~$ .... 197~. ..........
HOUSE NUMBER .... ~.~0 ..... Street l~oRtl~. ~8~y~'~,~t. ltO&~ ....................
-- Building Inspect~
TOWN OF $OUTHOL~)
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? 7745 Z
Date March I0 ! 9.~..~...
Permission is hereby granted to:
Ca~anza~.~..C. us, tom..'~ild~a A]C F~a~eis Fusco& Wife
.... .~. ~.....S~c~o~ ..Itm~e ,. Ed ............ East..Islip 11930
~o ..~..~,,..~,~.~,,..~n,.~.~,~,.~,.~:~.~s...~ ............. :....~ ................................
at premises located at .'1 o.t,...1.~......L~.~I~'~rl ..~.~ ............. ,...,~... .......... ; ......................................
................................................. ~q, ...BaI~&e~..~oa~.,:.....,..~:......~ .......... .....%. ......................................
............ ?utJ~z.a.. ' ~
pursuant to application dated ..... ; .......... :.~.~2 .......... ~.;.,.....[..il,., 1.9~.~..:., arid approved by the
Building Inspector. I
F01~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, N. Yo
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 7745 z
M~rch 10 19..~.?,.
Permission is hereby gr(3nted to:
..... 3.~......~..~ hQ.g.~,..
to ...~[~l~L..az~..ad
Builde
Frae
...~.~,~.~...I.~.l~
is Fusao & ~,~/ife
11730
at premises located at
%
pursuant to )Jicotion
Building
Fee $. .1. ~ .'. .0. .q ...........
out
8
19,~,~.,,, and approved by the
//
THE~ NEw YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
[~ ak 85 JOHN STREET. NEW YORK. NEW yORK tOOS8
THI~ CERTIFIES THAT .... o/
~ank ~. F~seo, s/side 306~ ~o. B~vle~ ~d., Sou~ho~d~ ~.~.
~,~.fo~to=~o,; ~ ~t ~ ~,~m. ~ 2~d rr outside Se~t~o~ mo~ ~
w~e~atninedo~ ff~y 2~ ~ andfoundtob~ineompliancewlth~herequ~re,nentsofth~Board'
RXTURE FIXTURES ~ RANGES IC~KING D~KS ~ OVE~S ~DISH WASHERS ~ EXHA~S~A~
~ 23 I 14. 5.0 1 1 1 ~
1 2/0 1 2/0
' *Furnaces :..Oil 2-1/8hp, 2-1/12bp
Motor/s: 1-1hp
Jo . Bun ,
22 Second Avenue,
East Islip, L.I. 11730
T~is certificate must not be aJtered in any manner;, return to the office of the ~oar~ if incorre~. Inspectors may be idenhhed by their credential
LAND SURVEYING & PI~AJ~NING
150 BAYVIEW AVENUe-
~ J
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services
Reference Number ~'F--$m-/~
APPLICATION FOR APPROVAL TO CONSTRUCT
A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY
l. ppl lcant ~-~
3. Public Water Company Name
4~ Lot size: Width~fee~ Length.
10.
11,
5. Subdiv./~~
6. Section
7. Lot Number
8. Private Well
~. Public Water
Sewa,~)Disposal System:
A.~9~O-gallon septic tank:
PrecastL//Equivalent Block
B. Leaching pools:
Number of pools
Precast~(~ Block
~pecial__
If private well, fill in the fol-
lowing blanks:
A. Tank capacity__ .gallons
B. Pump G.P.M. ~
C. Total well depth.
D. Depth to ground water
E, Amount of water in well
Distance to main
feet ~,
(For Health Services Dept. Use)
The undersigned CERTIFIES: "Construction of authorized installations will be in accordance
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
beDaterenewed if _~'~/~;>~a current local Building Departmentsigne~Permit]~~~is in,effect.,~_~, (~
FOR THE DEPARTMENT OF HEALTH SERVICES~ USE ONLY. Based on the information presented here-
with, it is the opinion of the Department of Health Services that an adequate and satis-
factory S6wage Disposal' System and Water Supply can be installed on this plot.
S~15
Rev. 4/1/73
II
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