Loading...
HomeMy WebLinkAbout10213-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT — Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. .Z1031' Date . . . .December 19 80 . . . . . . . . . . . . . . . . . . . . .. 19 . . . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . .1010 Hiawatha PlIth, Southold, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section . . 7$. . . . . . .Block . . . . .3. . . . . . . . .Lot . . . .5O.2. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated May 4, 79 10213 Z Nov.. 28. . . . . . . . . . . . . 19 . 79Pursuant to which Building Permit No.1Q507. Z . . . . . . . . . . . . . r May 14 79 . _—.. dated . December. 4. . . . . . . . . . . . . . . 19 . . 79wvas issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . Addition to Dwelling — Wood Boning Stove . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . Joseph H. K011en Joseph . . (owner,JewsoCXXxO of the aforesaid building. Suffolk County Department of Health Approval .NCR . . . . . . . . . . . . . . . • . . . . . • . . . . . . • . . . . . . . . UNDERWRITERS CERTIFICATE NO. . .NIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev 4ns FORM NO. 8 TOWN OF SOUTHOLD 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° 10213 Z gate .............................. ............. ) fc... Permission is hereby granted to: /f.........../I.:........�(�L L F ./ ..............A ................................................................................ ................................................................................ .........AAA....kkcEO......R .................................................................................. . ............. ..... .. ...........6......Dc !t nre, :. at premises located at t? f�/A IN. ?.f.L..fi. �.A. ..T..t.... ...................................................................................5'f'U .H n c.:?...........n!..; ...................... ........................................................................................................................................................... pursuant to application dated ..............................(:!!y.y......��...... ��..... and approved by the Building Inspector. Fee $.....ter................. Qr- .....,..Zon ......................... Building Inspector I FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH-OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 10507 Z ......I.L/............. 19.7...y Permission is hereby granted to: ........, �.:<<��rl....�i�.. c�.�/ ............ ................... to ... ....... ....../i .(d./.Z/Sl/.M. .....w .<Q.L.G......./.,t.1............... ff�2e/...` 1.4rY........ini.Cac ... f /L/ �r _(.� Gr. .1/.11la�j................................. at premises located at/ ...f -l. . ....... j(f%1YpL�, ................................................................................ ................................................................................ / ................................................................................................?......f.......................................................... pursuant to application dated/�/�ll , � ••• . ••, 197 ., and approved by the Building Inspector. Fee $.t.. ............... .................... ......�. ... ............................................ B ilding Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 Inspec- tor 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 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 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 site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all 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 informa- tion 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 $1.00 Date . . . . .IIQ7/8@ . . . . . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . X . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property1010 . .biAW4thR;lo. . Ratba a .$S?MbQlA . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners of Property Joseph .. K. . . . . . . . . . . . Jose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . . . 050-2 078 . . . . . . . . . Block . .® . . . . . 5 . . . . Lot . . . . . . --- Laughing Watery -- --- Subdivision . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . .Lot No. 1b507 12=4'=79' . . . . . . . . . . . . . Permit No. .10213 5-14-79 Joseph h Kollen . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . 5. . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicabl codes and regulations. Applicant . . . . . . . . . . . . . . ./. . . . . . . . . . . . . . . . . Q1 Rw.10-10-78 ! n I I��JIs (ol' 1 f �� FIEL: IN,:PE,-TION + DATE COr�T?TS FOUNDATION (1st) z O N I FOUNDATION (2nd) _ g 2. I id ROUGH FRAME & o c PLUMBING a 3. `r• e ( N INSULATION PER N.Y. `+ STATE ENERGY CODE 4. m FINAL — CD ADDITIONAL COMMENTS: 1 c F+ I C cF � ' x w N Ij fi TEL. 765-1502 o�OSVFFdC/(�OG,- TOWN OF SOUTHOLD ti r' OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 October 10, 1980 Joseph H. Kollen Hiawatha' s Path Southold, New York Dear Sir: This is to notify you that Building Permit No . 10213Z issued May 4, 1979 to same will expire on November 4, 1900 If more time is required to complete the ,job and obtain a Certificate of Occupancy, you may apply, by letter, for a six (6) month extension. If the work is not completed and the Certificate of Occupancy not issued after the six (6) month extension period, you are than required to apply for a new building permit. Very truly ^y/ours, � j✓��� G It%ORGE H. FISHER �" Sr. Building Inspector GHF/mw FORM NO. 1 / > TOWN OF SOUTHOLD BUILDING DEPARTMENT VJ SOUTHOILD NAY L119N HL 71 TEL.: 765-1802 Examined . . . . . . . . . . . i. . . ., 19 . . . Application o. . . . . . . . . . . . . . . . . . Approved . . . . . . . . . . . . . . ... 19 . 'PermitNo. . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-- . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . .y.`. .7. .�., 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector,with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ^ c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Sign u e of ap licant, or name, if a corporation) r L .I4.IAwA7H.A. .'.A . PATH. . . . ..5purhl.o (-.Q . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. D. "W. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . Q S .e el, . . . .I � . . . . .�a.� � 2. n/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . k (Name and title of corporate officer) I+ Builder's License No. . . . .0 . . . . . . . . . . . . . . . l�c Plumber's License No. . . . . . . . /. . . . . . . . . . . . . . . . Electrician's License No. . . . . . /y�r. . . . . . . . . . . . Other Trade's License No. . . . . . . .`.'. ! . . . . . . . . . . CV 1. Location o land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C lAT h 9..'5. . . 1'KTV-). . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . .. 7.. P . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . 7?. . . . `. . . . . . . . Block . 3 . . . . . . . . . . . . . . . Lot . . . .�. Subdivision . . . . N.4 . .lNA7 i%<Z 1. . . . . . . Filed Map No. Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . .t ./%S r./?!`!L 71.9.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . /. 001 /. lPry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . ,alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . .Other Work —7 _ (Description) 4. Estimated Cost . . . . . . . . . . . ./ .5 .o .. . . . . . . . . . . . . . . . . . . . Fee (to be paid on filing this application.) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor If garage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front . . .5. !. . . . . . . . . Rear . . . . ?. !'. . . Depth Height . . . .' . . . . . . . . . . Number of Stories . . . . ./ . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . 5. !. . . . . . . . Rear . . . Depth . . . . . . . . .`IJ, . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories 8. Dimensions of entire new construction: Front . . . a 4. . . . . . . . . Rear . . .Z .` . . . . . . . . . Depth Height . . . . . .7. . . . . . . . Number of Stories . . . . . . . ./. . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . ./y� .. . . . . . . . . . . . . . Rear . . !.5 �. . . . . . . . . . . . . . . Depth . 10. Date of Purchase . . Aa/`7- . . . . . . . . . . . . . . . . . . . . ame f Fong r owner . T"9 -- .. . . : A 1. Zone or use district in which premises are situated . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . /V,.. . 13. Will lot be regraded . . . . . . IV. 0. . . . . . . . . . . . . . . . . . Will excess till be removed from premises: Yes No. 14. Name of Owner of premises . ? 45C)' . .!f. . �5 (� Y4ddress ✓�J.R? .?.r//u �`:J/-./Rhone No. .7�.�: ;..y. .7.� Name of Architect . . . . . . . . . . . !: . . . . . : . . . . . . . . Address . . . .7 !}4. ,. . . . . Phone No. . . . : . . Name of Contractor . . . . . . . . . 1( . . . . . ..". . . . . '.I. . . Address . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. a , CO(�iV l=i� �� � • �' no T 2 3 r,7p v 72 I 0 3 1--- � aS Lo STATE OF NEW YORK, S.S I y COUNTY OJ�6. . 1.1. . ./�/J. . • . • • • • • .h'' /•�+t,2... . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant individual signing contract) above name Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set _forth in the application filed therewith. Sworn to before me this . . . . . .da 'o . . . . ., 19 /1 Notary Public'U Wi( . . Lj County r )/ RAMELA 1 SCXINEL. k . . . . . l . ���( + . - . NOTARY PUBLIC,Stew el New Ymk + . I 111 No.4664300 Suffolk (Signature of applicant) Queilhee le Suflol4 CoumyF,�/�� Gmmiss,ae f.en-�M.:mF 30 //b(/ rA I�I FORM NO. 1 TOWN OF SOUTHOLD IJ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 �C Examina . .g. . . . . .. 197.C, Application No. .�G G.7 . . . . . Approve�L . . 7 . . . . .. 1077 Permit No.� 7 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . (Buildin nspector) APPLICATION FOR BUILDING PERMIT Date . . . . �1/�k . . . . .. 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Pff�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . .,w Q . . . . / c. C_� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . .d 2 ya��. . . . . . . . t 1. Location of land on which proposed work will be done. . . /rc 7�14. . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 4A).57141144el/.�QF . fl. . . [t![1 Go.CIU.�/vi . . S Qe/.£... . . . . . . b. Intended use and occupancy . . IV - 17�./. t��>/.!<�j ®�!C . l�J.� '�& . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition.. . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . e-a (Description) 4. Estimated Cost . . . . . . �/O. � .. . . Fee . �5.. . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . If garage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . 7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Np of Former Owner . . . . . . . . . 11. Zone or use district in which premises are situated . . . . 7. .:Y. . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . !UQ. . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. -ro Vz l' , STATE OF NEW YORK, S.S COUNTY OF . SUpFOLK . . . . . . . . , , . . . . . . . . .AN T,A.K0141XN. . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . 28th. . . . . . . . . .day of. . . .November . . . . . . .. 1979 . Not4iy Public, . . . . . . . . . . . . . . . . County xGLsL �f t' .4:L(.c�1 . . . . . . . . . (74 4&��r . . . . . . . . .�f���/�/r6i�.-^ . .��4eXra'r�!�. . 77// (Signature of applicant) 0 0 TEST HOLE sand a gravel 3.5 coarse sand 9.1 \� water 1 (vacant) m _ s. el'/Z7 e1=176 H/AWATHAS K84°2/p0"E 7 e45 /12.03 e1-19.7.84021 2 well Q 'p QD F ° m v o v Ln o I N m a :e.e• n tit tank. n seP a ,,�• a^ itlb ^1 43 T - QJ N a h m � ' Q ` /V J Is aai-' cessp ::0c el i SB1013, W nl � O y 4 0 (vacant) test hole �Ohn V Myers ♦el=14.4 S`�`E OF NEW !- S�PRD W, Y Dy* O O 'ram _ eta N - �¢f ° 45893 ©- 4J1G l4Ne SU1041"l! con 0- PIPE - NEAREST WATER MAIN- 3000'3 I THE TITLE GUARANTEE CO. 1 JOSEPH H. KOLLEN & RIV EPH H.KOLLEN 8 BANK ANITA ANITA KOLLEN JOSKOLLEN SUF70LK COUNTY HEALTH DEPART15NT - L , SOUTHOLD l S �%V H. D. RFF. .'t SD�F �'r'u;. li �•� DATE- SOUTHOLD The se nMc, • ac..r - .oen Y. "J Y--` - f: - --- -- ---- 1 ,'cun3 � n� L/'A,^.l7 SURV�E fJ!'C I to be U� �I tiTRANDER AVENUE Chief of C211eral EaEineering �i i 'r E RHEAD, NEW YORK { Services SEPT,15,1976 1 = 50' 76-800 i oat3 5 � I _ -�� _J -•�-a5.1>I -_ i, IN II \ q z7•fi P.ZoPw�o Pac%_ i m N I, S NOTED[ Nk BV: NO'fIEV BUILDING DEPARTMENT ,AT 765.2660 9AM 10 4PM FOR REQ111R. ED INSPECITONS: -4— 1. BEFORE BACKFILUNG FOUNDI �-- C TION OR START FRAMING 2, FRAMING INSPECTION 3. BEFORE COVERING PIPES OF IANY KIND i r b. -t f .r✓'J 1\ ✓7l= V -4. FINAL WHEN JOB COMPLEFE n t%•- '^P' NOT RESPONSIBLE POR DESI td OR CONSTRUCTION ERRORS' 5. ALL CONSTRUCTION MUST MEET I REQUIREMENTS OF N.Y. STATE CODE I AND TOWN HOUSING CODE fY. ZONING — i - -- --- -- �— � s� --- -- -�� Y� �x�sn,..r � �_�Tc 0 u /%Zo�o1CJ ��GSRcfi— -- '- C� L � F, -p h V 2 a� v, C e V___ °v cy��. t=-Y3=uch—_—. .--__..___ _______ __._ I --�dhGif�-JZ ;j Loll Fd p.v/J�Y70/✓ �. I � ---./iG �� 3k�c:v _G'�:✓wry �C..:a-e�7"/`l3Cf C'G�'r✓�r/mG, i 11A�/,J� rU✓.Y'7,s:.]:Y F�-�l�'. � � �'':'C! LviTh CU��t ' I ` Bpi' =-�.c �-�`-ri..a,✓—_----- I � I CfjvC Cr ./'L ai't ..�� - �on.aG eac o ""� c:,rr :vTn✓�-- (.-ri:cxS � �'- r,r ¢ A,3ovc i3EG.�rI � C/MrnKniLPtywa aroi/�rM^is"c ,1