HomeMy WebLinkAbout4483-zFORM NO. 4,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.Z 1+03~. .. Date NOV..i~ .... , 19 ?0
THIS CERTIFIES that the building located at ~ez'e~ DI~' Street
Map No.Deep Hole, Cli}l~k~No. Lot No. 1~ ,Mattituek
conforms substantially to the Application for Building Permit heretofore filed in this office
dated Oct 2 , 19 69 pursuant to which Building Permit No.
dated 0¢i1 2 , 19 69 , 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~t~ate ~e. f~ily .dwelling .................
The certificate is issued to Arth~ & Nanc~ .Foster ... ~ers..
(owner, lessee or ten~t)
of the ~ores~d building.
S~olk County Dep~tment of Health Approval NoV · ~.~ 1970. · by R, Villa
aouse ~ 800 ... '~.'.f.. ~.':-: '~]'"'
~ [~eeto~
J~OP~ NO. ~-
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING FERMIT
Ci'HIS PERMIT MUST BE KEPT ON THE PRFJ~ISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
.............. ....... ,,=-
................... .,,/,,./. ...... .~.~..~.~..~,,~.~ ...... ,.,~.
.................................. ~=~ .~.~ .ktv~---~.~ ~.e- A/.¥.
to .... ~u~./~ ......... ~'/v~...~-~.tz-?~ ...... ~r~r~= ........ /..Z.Z.~...~. .................................
at premises Jocated at ........................................ ; ...................................................................................
............................................................... · .~..~/. ~./e.~S-~ ....... ~-~,,~ ....................... ~...-: ..........
........ ~.~....l.y..:. ..... ~.~..~......~.z.-. ........ ~.re-e~.~'.---e~-~-~-.~e .......... .,~/.~.~,~,
,pursuc~nt to applicationJ d~ed ..................................... "'~""t~' 19...;.~and approved by the'~..
Building Inspector.
S-9
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Bldg. Permit No.
TO WHOM IT MAY CONCERN:
at
have been inspected by this department and found to be satisfactory.
The sewage disposal facilities for a structure located
~ (Give deed location)
District Engineer
· SUFFOLK COUNTY DEPARTMENT OF HEALTH
H.D.Reference
EASTERN DISTRICT, RIVER/TEAD, N. Y.
APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS
Approval to construct said systems is requested,pertinent data herewith:
Address Pb~,~7~ ~'~ , ~f~ ;o~d,~ /{~ ~ 7-Section
~-Detailed prope~y locat{on~/~'
~mlet ~1~
3-~blic ~ter supply name Distance to nearest ~in
4-Lot Size: Width.//~ ft. Length/~? ft. (also enter on center plot plan below:)
5-~elling: Single Family
lO-Pro~s~ system: Septic tank
il-Septic ta~ inside dimensions: Vol~e ~s.Length ft. Width ft. Liquid. depth . .ft.
12-Preca~e~tions: ~N~ber/~Sq~re Ft. Cesspools: Block sizeL incs.D ins. H ins.
Total blocks belo~inlet:
~city Gals.
G.P.M.
I e
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 Sewag~Disposal Systems".
Date~/~2~/~O Signed /l~~ P ~~ O~rf'e~ or ' Builder
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
can be installed on this Plot.
Date ~'~ '-~ Signe~~
(~0/65 Revis.) EXCAVATION IHSPECTION REQUIR[D
s-~
,/ \' .l~' l~m NO. I ~ % r_ ~ J
BUILDING DEPAI~TMENT,.
TOWN CLERK~ OFFICE ~/>~
Exomin~ ............... ~...~ ........ , 19.~ .... ~li~tion No......,...~ ~,.........~ ~. .......
........................................................................ ~ ...........................................
......... ~~4 ...... ~~ ....................
(Building Insp~tor)
I NSTRU~IONS
a. This application must be completely fill~ in by ~ewriter or in ink and submitted Jn ~plicate to the Building
In~tor.
b. Plot plan showing I~ation of lot a~ of buildings on premises, relationship to adjoining pmmis~ or public struts or
areas, and giving a d~ailed ~ripti~ of I~out of pm~ must be drawn on the diagram which is ~ of this application.
c. ~e work cover~ by this application m~ not be commenced before issuance of Building Pe~it.
d. Upon ~proval of this application, the Building Ins~ctor will issue a Building Permit to the applicant. Such ~rmit
shall ~ k~t on the promises available for i~pection throughout the p~r~ of the work.
e. No building s~ll ~ occupi~ or used in whole or in pall for any pu~ose whatever until a Ce~ificate of ~cupancy
sholl have been granted by the Building In~tor.
APPLI~TION IS H.EREBY ~DE to the Building De~ment for the i~uance of o Building Permit pumuant to the
Building Zone Ordinance of the Town of S~thold, Suffolk Count, N~ York, and other apphcable La~, O~i~nces or
R~ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe.
The applicant ~rees to comply with all applicable laws, ordi~,.buildin~ do,
...............................
~pplicont, or n~m~ ~ o co.ration)
$tot~ wh*th~r ~pplic~nt i~ own*r, I~, aO~nt, ~rchlt~ct, ~n~in~r~ ~n~r*l controctor, el~trici~n,
................................ ~.~..~..~.~ .........................................................................................................................
~om~ o{ ~n~r o{ p ..................................... : ............................................... ~ ..................... ...~ ...............................
I{ ~plic~n~ i~ ~ co.mt*, ~iono~ur~ o{ duly ~uthori~d offlc~r.
(Name and title of corporate officer)
M ' ~;~p ~+0z~ ~z:.t~ ...../..~. ............ :
1. Location of land on which proposed work will I::m done. ap No.: ............ ~,././~.,~,~.... lot No.:
Str~ and Nu~r Z/.../...-. ...... ~..O...O.........72..~E..~E.S...A... ........ ~.!...r..C.../&;;i~...%~.~ .~A..?....~
2.State existing use and occupancy of premises and intended use and occupancy of preposed construction:
a. Existing use and occupancy ...................... ..~...~......C......~.....//...'?. ....................................................................
3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ..................
Repair .................. Removal .................. Demolition .................. Other,~Vork (Describe) ........................................
4. Est mated Cost D ........................... Fee ............. ./..~.. ............................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ...... ..~....~'...L.'.-..,.,....Number of dwelling units on each floor ............................
If garage, number of c~rs ................... .~.....,C-~...~.....'~.....~.. ...............................................................................................
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 ................... ..~....O.. ......... Rear ......... ..~......~. ........... Depth .......~.....~.. ..........
Height .................... Number of Stories ......................................................................................................................
S ze of at Front /. Rear
9 .................................... Depth .......... /.. ...................
10. Date of Purchase ................. .~'....~....~'... .......... ./...~...~...~...Name of Former Owner ....,~.../~....N../..~..........~.....~.A..A'.~./....
. 11. Zone or use district in which premises are situated .............................. ..~'..~::~?..~...../...?.....A.~...X~.....7../..~./~ .......................
12. Does proposed construct on v o ate any zoning law, ordinance or regulation;
13. Name of Owner of prem ses Z~ ~ ~ ..~...~.~..'~....~. Address ,C.A./~;9'~,~ g~.'~";~'~'~l'"'~'~
Name of Architect ...................................................... Address ............................................ Phone No ...................
'~/'~'~-/_/._ Address
Name of Contractor ..................................................... ~ .................................. .'~...... Phone No .....................
PLOT DIAGRAM
Locote clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-b~ck dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicote
whether interior or corner lot.
STATE OF NEW YORK~ ~S,S
COI~TY/~ .. ,*., OF ........ ~ .. ,,:..,:. ~......_~ "'""
...... J'"~ (l'~he~N~ ;;.;;.'~..:?.;~' ................................. being duly sworn, deposes and soys tho, he is the applicant
. _(Nqd~( f ~d'v'dual signing application)
above nome& He is the ............................................... .~.~..~..~.~.. ............. ~ .......................................................... ~ ....
(~ntmctor, agent, co~orote 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 Jn 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
................. .... : ........ .........
Nota~ Publi~ r~~.....~,..J~~C~n~ ~(Sig~tur. of applica;;~ .............................
MARION k. REGENT ~
~TARY PUBLIC, State 0f New YoTk'
N0. 52-3233t20 Suffolk County
Term Expires ~rch ~, 19~
THIS LUXURIOUS TRADITIONAL HOME was designed for com-
fortable big family living. It has five bedrooms and three com-
plete baths! From the large center-hall foyer you enter an
impressive 23-ft. living room with a wide bay window looking
out on the front lawn. Wood paneling and a log-burning fire-
place enhance the unusual charm of this room.
The formal dining room and adjoining kitchen overlook the
rear of the property. So does the big 184t. family room where
sliding glass doors open to the rear lawn.
In the big kitchen there are plenty of Iovely wood cabinets,
stainless steel sink and stainless range hood. Appliances by
General Electric include countertop range, automatic wall oven,
built-in dishwasher, two-door refrigerator-freezer; plus auto-
matic washer and matching dryer in the separate laundry where
there's a "mud room" entrance from the back yard.
In a separate wing on the first floor are two bedrooms and
two complete baths. One bath with built-in vanity and wall-wide
illuminated mirror is accessible from the hall and doubles as a
guest powder room.
Upstairs there are three more bedrooms and another com-
plete bath with double sink. All baths have ceramic tile floors
and bath areas. Storage space is exceptional. In addition to ten
really large closets, there is a big storage area in the attached
two-car garage, plus extra storage space over the garage, ac-
cessible with disappearing stairs. And there's more storage
space in the attic, accessible from the second floor hall!
Professional landscaping, with a variety of shrubs and trees,
is also included in the price. There are no closing costs, Central
air conditioning, or a side-entry garage on a corner lot, available
if desired at additional cost.
FIRST FLOOR .
--CLO
SECOND FLOOR
Stony Brook, New York · Phone (516) 751-2200