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Home My WebLink About7985-zFORM NO. 4 TOP~ OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFI{~ATE OF OCCUPANCY No Z-24945 ])ate MARCH 20, 1997 THIS CERTIFIES that the building. DWELLING Location of Property 1625 LEEW~%RD DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 7 Lot 18 Subdivision FLled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1975 pursuant to which Building Permit No. 7985--Z dated JUNE 6, 1975 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTAC~ GARAGE &WOOD DECK, * The certificate is issued to FAROUK M. & MONA H. HAMDY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL DEC. 4~ 1975 -- BY R. VILLA UNDERWRITERS CERTIFICATE NO. N-256370 - NOVEMBER 4~ 1975 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-6800 DATED DECEMBER 9, 1975. // ~uilding Inspector Rev. 1/81 F~R~ NO. ~ TOWN ~F $O~TNOL~ BUILDING DEPARTMENT TOWN C',LERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT CN THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) 7985 Z Permissior~ is hereby granted to: ................. .R~.'ge ~'.he.~ ~ ........................................ to ..b..V,~.O,..~e,~....~....~m~....clw.e.~Li~ r~g .................................................................................... at premises located at ..~.O.t,..,~9 ..... ]~,e~'~z'~L..~c~s!s ....................................................................... .......................................................... ~.¢.~ .~.~ ~.~I. ~.r:bze ......... L..~th~l~....L.,.2 ................................. pursuant to application dated ........................... .[:~.~Y. ..... ~ ............... , 19.~.,~,..., and approved by the Building Inspector. Fee $.2"[ .,! :2.~ ........... FORM NO. 4 TOWN 'OF SOUTHOLD BUr~.DING DEPARTME~NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .L~..e~..a..~., .D.r.i.v.~ ............ Street Map No. ~eward. Aa 13lock No ........... Lot No..39 .... So~t~l~... N~Y, ........ conforms substantially to the Application ~or Building Permit heretofore filed in this office dated ......... l~y . .~... , 197~.. pursuant to which Building Permit No. dated ......... J~me..6 ...... , 19..7~5, 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 . Private. om .f~ly. dwel~Llng ................................... The certificate is issued to . L~eward Act. es. L, xe ....... Q~ey.s .................... (owner, lessee or tenant) of the aforesaid builaiug. Suffolk County Department of Health Approval ~o~w~s o~c~ ~o....~. ~.,.?.°. ...... . .~..r(..%. !.~. ?.~ ....... HOUSE ~ER ....1.6.2.~ ...... Street ....I~..e.w.a.r..d..D.r..lyp. ....................... Lot ~7~ ~reo .= dl~711 sq ft N. 5&°.29 'ZO'~. I0000' N. 52 '29 30 L EEW,~/~D D/~I P'E FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Sout,~old, N.Y. 11971 ?65- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be fdled m typewriter~R ink, and submitted m ~ to the Building Inspec- tor with the following; for new buiidmgs or new use' 1. Final survey of property with accurate location of a{I buildings, property lines, 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 installatmn from Board of Fire Underwmters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed rote plan reqmrements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all properW 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 informa- t[on required to prepare a cert~hcate. Fee~: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of-occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 //~ /~ 5.Updated C.O. $ 50.00 Date .......... .~ ............. ....... :7..?.. .... .?. ........ .... ....... ~,~,,,o~..~.~...~ .......... ~,,~ ~ ,o. ~./..,, ~o.. ~. ~ ...... z~.~,~ ~,,o,~,~,, ~/~...~,,~, .¢./.~ ............... Perm,t No. .~ .~ Health Dept. Approval ..................... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate .................... Final Certificate ..~. .................... Fee Submitted $. / ~).,. D.O. ............... Construcuon on above described building and permit mee~s all applicab!e codes and regulations. 10.78 TOWN OF SOUT[IOLD 7GS-Lg02 APPLICATION FOR CERTIFICATE OF OCCUPANCY inupuc~or wi~h ~hu follow,nE: for n~w buzldzng or new F~nal survey of property wi~h accurate location of all buildings, propur~y l~nes, ~graecs, and unusual nacucal or ~o~ograp~c 2. F=~al Approval from Health Dept. of wa=ar ~upply and =cweragu-dl~posal(S-9 form). Approval of electrical inbcallac~or, from Board of Fzru luna chon 2/10 of 1% iaaa. 5. Coam~urcial building, indu~urial building, mulclpl~ ru~idenca~ an~ s~milar buildings and lns~alla~ions, a curczficac~ of Code Compliance from arahi~ee~ or engineer reaponaihl= for ghe bu~ldzng. 6. 5ubml= Planning Board Approval of aompluccd size plan requirements. ' "pre-existing" land u~eu: I. Accurate survey of property show~n~ all proper~y lines, s~re~s, building and 2. A properly completed appllca~lo~ and a consen~ ~o inspac~ signed by ~h~ applicant, reasons ~herefor in wr~ins ~o LhU applicant. C. Fees 1. Cer~ifzcare of Occupancy - New dwelling $25.00, Additions ~o dwelling $25.00, Al~eraaian,: go dwelling $25.00. Sw~mg~.ng paul $25.~O. Accessory buildzng $25.00, Addxcion~ ~o accessory buzldxng %25.OO, Businu~u~ $5~.QO. 2. Ccr~xfica~e of Occupancy o~ Pr~-exi.s~ing Building - $100.00 Updagud Curuifi~age of Occupancy - $50.00 5. Temporary Cufglficag~ of Occupancy .- Residential $15.00, Co~m~ercial $15.00 ..... . ........... ':~w Con~cruc~ion ........ Old Or Pre-cxi:'Ef, n- Bulldin~...~ tlou~u No. Scruec I[~mlu g ,o.. ................ ............................ Approval .......................... UnderwrxCers Approval ........................ '~ SUFFOLK COUNTY DEPARTMENT OF HEALTH ~ H.O.Reference No~ EASTERN DISTRICT, RIVERHEAD,N.Y. APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date Approval tn construct said systems is requesbed,pertinent data herewith: 1-Applicant ~_ee~d_~-k ~-~\'~_K~'~ t Phone 3~-~f6-Sub div ~'C~ 2-Detailed proper6y locaiion A~/. ~ ~M~ 37_~.~]*J D~.' 8-Lot No. ~ ~% Hamlet ~t% ~; O ~ ~ ~2 / Towh ~o,~.U A ~ ;./ 9-Private well? , 3-Public water ~upply name - Distance to nearest main 4-Lot Size: Width~2t~_ft. Length~_~. ft. (also enter on center plot plan ~below:) 5-Dwelling: Sing~l.e ~a~]ily ~ Two Family~ / /Cellar? ~.Slab? ; ;Crawl o~ce? lO-Proposed system. Septic tank ~/Preca~t ~Cesspools ~ /Shallow pools 7 7Other il-Septic ta~ inside Jimensions} yol~e~.~Oals. Length ~t. Width~ ft. Liquid 12-Precast sections: /~/Number~Sq~re Ft. Cesspools: Block sizeL~ incs.~ins. H~ins Total blocks below inlet: -~% ~T PLAN ~Oo ou-~ ~ o.~ o ~ ! Capacity~.~ Gals o. P. M. Grade W.L. Street No~th The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Se~mge Disposal, Syste.ms.~ . FOR HEALTH DEPARTMENT USE ONLY. Based on therrr--informatio~ pre~s.ented herewith, 'it 'is the opinion of the Health Department, that an adequate and s~tisF~a~c~ Sewage Disposal System can be installed on this Plot. ' ~'' "' ~' ~&~' Date ~,/~,,~/, Signed ~ ,, ~ ~. (10/65 Revis. ) s-~5 CONSENT TO Ib~SPECTION Owner(s) Nar~e(s) do(cs) hereby state: Thai the undersigned (is) (are) the owner(s) of tile premises in the Town ~ kO~ , which is shox~ and designated on the Suffolk County lax map as Districl 1000, Section V~__, Block q , LO~ ~% Thai the undersigned (has) (ha,m) ~iled, or caused ~o be filed, an applica- tion in the Southold Tox~ Building Inspector's Office for the following: .... That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southotd to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem nece. ssary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such ~spections, do(es) so t~th the knowledge and understanding that any h~formation obtained in the conduct of such inspectfons may be used as evidence in subsequent prosecutions for vio- lations o[ the laws, ordinances, rules or re~lations o~t~~ Dated: ~ I~ ~ [s (print name) (signature) (print name) %? ,? APPROVED AS NOTED . NOTIFY BUILDING DEPARTMENT ~ ED iNSpECTIONS: 1. BEFORE BACKFILLING FOUNDA.- TION OR STAR~'rFRAMI~G ' 3. EIN~L WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CON- // CO. ,z