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Home My WebLink About7806-z~NO. 4 TOWN OF $OUTHOLD BU~.r~IG DEPART~k~IT Town Clerk's Oltice $outhold, N. Y. Certificate Of Occupancy No. Z6730 Date 0o~ 3 ., lg.?..~ THIS CERTIFIES that the btlflrllng located at . .k//lil .De~ll .I/o~1,~ .DI' ....... Street Ck l~s~ Map No.D.e.e.t~. ~i.o~,q.. Block No ........... Lot No..~6 ..... .Hs.t.t}l.tst.o.l~.. ~.o.~ t ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. AprlJ..3197~.. pursuant to which Building Permit No. , 7~.(16Z. dated ..........april.. ~...., 199.5., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which iht= certificate is ~eued is. ?.r.l..v.a..~., .o.n.e...r~.l.z.~..~e..~.z..tn~ ...................................... The certificate is issued to.. I~.en. lteadozza ...... C,~rnax,. ........................... (owner, lessee or tenant) of the aforesaid building. 8u~olk County Depa,-t~,ant of Health Approval . .0~..t}. ~...li)?~...i?y..~:. ¥;t,lle ...... O'Z~ERWmTEaS CF. aT~ZC*T~ Zgo. ~a37.9oa ...... ~.~r...ag...~.~?~. ............ z~ousr, zm~m~.a ....... ~... Street ....... ~e..ep. ~o..~.e..~.r..i.v.e. ................ FOI~M NO. 2 TOWN OF $OUTHOLD 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? 7806 Permission iff hereby granted to: ...... ............ to ~!!..d.....n..e..v....o..!!.e.... ,f. ~..alllY....l!e. 11 In.g .............................................. ........................................ at premises located at ... ~Q.~.. ~.0. I~.~ ,]}i~.9~..~,e,..~.l',,~.'tl~...j ............................................... .................................................... lia.tt £tl~Ck.....If, .Y, .............. ~....., ............................ , .................. pursuant ~to application dated ............... . .......... -A~I~.I. ....... ~.,...., 19.~/,.~.., and approved by the Building Inspector. Fee $.~0..8~. ........... FORD[ NO. a TOWN OF SOUTHOLD , Building Department Town Clerks Office $outhold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 farm or equal). 3. Approval of electrical installation from Board of Fire Underwriters, 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, o certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex'st'ng' ~ond uses: I. Accurate survey.of property showing oll property lines, streets, buildings 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 buildings 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 dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Bqlldmg ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~..Z~.~)~.~.P.~.~.Q~..j~..~...~.Q~.*]~.'.~.~/.Q...~...~..~.~...~T~CK Owner Or Owners Of Property ..~.~,~D-~.~..,~Q.~,~...~0~S~...I~C~....(.I~..~E~./L~...P~-~j~S~.) ...... Subdivision DEEP HOLE CREEK ESTATt~,S Lot No 56 . Block No. House No ............. Permit No. 7806 Z Date Of Permit ~../..8./.?...~..._.Applicant BEN ~ND0~.~A Health Dept. Approval ............................................ Labor Dept. Approval ...............~.....!.~ ...................... Underwriters Approval .............................................. Planning BOard Approval ....... ../~....[.,k~:.;: ................... Request For Temporary Certificate ...................................FinoJ, Certificate Fee Submitted $ .................................... Construction on above described building or Applican~,~= Sworn to before me this ~.~ ......... of ; it meets/9~/~ppli,c, gble ~cles and regulations. ....................... E t cs4: t s HO S, Z C. (stamp or seal) H.D. Reference No. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM Street Q~..~ HOLE oRIVF JEAN ~Ei~OZZA, C/0 1. Applicant ~A~C~S RO~ HO~]S,II~C. Phon~44-14331. Subdiv. P~P HOLE CR~EK ESTATe{ Address ]~Oto',VAY. BOX 1OMM.ROC~?£ PT...N.~. 6. Section 2. Property location' ~/S .p~P~HOLE ~IVE,/~ ~/.~'7. Lot No. 56 S/0 ~ SUFFOLK ~, 8. Private well . Village. ~TTI~CK Township SOUTHOLD 9. Public water 3. Public Water Company name Distance to mai~ 4. Lot size: Width~eet Length 18~.]g feet (Enter on center plot below) 10. Sewage Dispo~System: ~87e~0 A. ~90~ gallon septic tank: Precast X Equivalent Block B. ~aching pools: Number]. Precast X Block S~'ecial If private well fill ~fn blanks bolow: Tank capacity 42~als. Pump G.P.M. 5 Total well depth 60' ~Depth to G.W. 20' Amount of water in Test Hole Data ~eet 0 2 4 6 8 10 12 14 16 18 The undersigned CERTIPIES. Construction ~f ~uthorized installations will be in accordance with the Suffolk County Department of HeAlth's cqrrent stand- , ~ er or B il~er 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~n~nstalled ~ t~,~s,,l,~l~. '~ Date ~/~ff~--'~-'~/y%,- Signed ~ ~ __ ~ S-15 Revised 4/]/72 DATE~ The sewage disposal ~d w~te~ supply fa~iltties for this loca%~o~hav~ been ~ Chief of O~ne~al ~gtngerl~ Services Lo,* 55 , N. 87 °19 '20 "~/ 187, 842' / o/ 57 MAY 1e, 1975 MAY-.30~I975 ~UL~ 22,1975 NOTE: · --MONUMENT SUBDIVISION MAP FILE IN THE OFFICE OF THE CLERK OFSUFFOLK COUNTYON ,./AN. 2Ej 1965 AS MAP NO. '4256. YdUNe ~'~ YOUNe 400 0STR~NDEI AVENUE,~EIVERHEAD, NEW YORK ALDEN W, YOUNG , HOWARD W. YOUNG SURVEY FOE: BEN UENP0ZZA LOT 56 "D~EP HOLE{CR[~K ESTATES" EED TO: TEED TITLE DIVIS 10N OF AN TITLE INSURANCE CO~ i}SOOTHOLD SAVINOS SANK 73'7 AT MA~T TdC'K Tow. o~ SOUTHOL~D SUFFOLK CO;, ~,'~. 5~CALE: I" : ~¢01 t l.o! N. 87°19 '20 "~ 55 VENUE £ot 57 NOTE; · -'MONUA4ENT SUBDIF/$10N MAP FIlE IN THE OFF/CE OF THE CLERK OF SUFFO/.K COUNT YON dAN, 28, 1965 AS MAP NO. 4256. GUARANTEE~ INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPAREO~ AND ON H~S ~£HALF TO THE TfTLE COMPANy, GOVERNMENTAL AGENCY ANO LENDING INSTITUTION LISTED HEREON~ AN~ TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIO~ OR SUBSEQUENT OWNERS. YOUNG & YOUNG 400 OSTRANDEE AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG Survey FOR: BEN MENDOZZA LOT 56 "DEEP HOLE :,CREEK [sT~ ^t MATT I TUCK TOWN O~SOUTHOLD SUFFOLK CO,, N.¥ I"= 40' HOWARD W. YOUNG APPROVED AS NOTIFY BUILDING t;EPA~[TMJNT AT 765-2660 9AM TO 4¢M pOR P, EQUIF,- ED INSPECTIONS: I BEFORE BACKFILLING PCUNDA- TION OB START FRA, lNG ,I