HomeMy WebLinkAbout9138-zFOB,~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.. Z~.81~ ..... Date ............... .~Ug.. · :$9" ', lg.. ?'7
THIS CERTIFIES that the building located at .lt,0.,'~/,. ]~.S. l~&~r. Home. Roa~treet
Map No...XX ........ Block No... ~x ..... Lot No.x,~X .... ~o~lletd. · .I~,.~.,
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............. .l~ar...30, 19..~.~. pursuant to which Building Permit No..
dated .......... 1~?.?...3.0 ..... , 19.7.~.., 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 . P.~.iYa~e. olde..fairly, c~ell~g..~i~h .a~:ached .garage .& .porch .........
The certificate is issued to .Bd~al'd. l~t~.e.~ ...... 0~eX* ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Aug...~9" '~gW' .t~y. · .l~,¥1.~:]:a, .....
UNDERWRITERS CERTIFICATE No. ~[...~..~..~.t.,~ .~...~....~.[.~... !.~...~.[ .....
HOUSE NUMBER .... '1 OF3 ..... Street....Ba~r. l-lome. ~loa~l ...... I~'athol:d .......
Building Inspector
TOWN OF $O~THOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, N*. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 9138 Z
Permission is hereby granted to:
...................... ~:a.~:~.o.r.t ....................................
to .~Lu.,$.Ld.....n~.~....q~..;~.$ ~ Y....~e.~ ~.~g .....................................................................................
at premises located at ...~.~'.~..~[....~/.~..~.~Oll~...~ ......... .(.~l~..~.t~). ....................
....................................................... ~.~l~a~r~ .....................................................................................
pursuant to application dated ............................. ~.....~..' ......., 19...~.~., and approved by the
Building Inspector.
SHALLOW LEACHING SYSTEM
Use one (1) 900 gallon reinforced precast concrete Septic Tank.
Use five (5) 8 ft. diameter, 2 ft. high precast concrete
leaching rings.
Use 4 inch diameter, class 2400 pipe throughout.
The wasteline from the Septic Tank should enter the middle ring
as high as possible,
Use four cross-over pipes between the middle ring and the four
outside rings, 8 inches ~bove the bottom,
Backfill material shall be course sand and gravel.
Slabs shall be a minimum of 6 inches thick, 8 ft. in diameter.
Solid concrete cover to be minimum 1 foot below grade.
Bottom of pool to be minimum of 2 feet above ground water.
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HOLE ..... $UF~, ¢O D~, OF H~LTH S~VIO~ S~ATEME,NT OF INTBN~
.~qij.,: o.~ FOR A~PROVAL OF CONSTRUCTION O~LY
/o*.., .: ........ .
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---.~.,~,.--'~t~ , 4,~ D~N~ WILL
/ ~ / ~TA~ OF SUFFO~ CO. DEPT,
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ONE FAMILY
HERMAN H. YORK ARCHITECT
C)o- ( ~4 IGI ST,~'AMAICA
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APPROVED AS N~T~D
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HERMAN H. YORK-ARCHITECT
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ONF FAMILY RE5 1 DE. N CE.
HERMAN H. YORK ARCHITECT
90-0.~, IGI ST. ,;3'.~MAICA )t4-'~2) NEW YORK,,
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REVulSIONS:
ONE. FAMILY RESIDENCE
HERMAN H.YORK, ARCHITECT
90-~04 II~l ~T. VIAICA 1t4-:32) NEW. YORk
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DATE:
ONE FAMILY RESID£NC;E
HERMAN H. YORK, ARCHITECT
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REVI SION5:
ONE FAMILY RE$1DENr'E
FtERMAblH. YORK ARCHITECT
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FAMILY RE.51DENCE
h. YORK ARCHITECT
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DATE:
ONE FAMILY RESIDENCE
HERMAN H. YORK ARCHITECT
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