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Home My WebLink About5174-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. gh-278.. Date -g,,}y 2 , 19.71 THIS CERTIFIES that the building located at Stamley Pdt & 5~set D~ Street Map No. S~$~t ~o~k No. !I Lot No. ~ ~ttlt~ck~ ~,~, conforms substantially to the Application for Building Permit heretofore filed in this office dated ~ 1 ~ , 1~ ~1 pursuant to which Building Permit No. ~l~bZ dated ~ 1S , 19 ~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is .~ivate. ~e f~ily dwell~g ..................... The certificate is issued to ~ & R~. A~a~li~ ·. ~r~ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Un~erwriters Cert, ~ 11882171 Iune 29 1971 by R.. Villa Heuse $ 2~:~:0 Building Inspector FORM NO. 2 TO~'N OF SOUTHOLD BUILDING DEPARTMEHT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL' FULL COMPLETION OF THE WORK AUTHORIZED) N? 5174 Z Permission is h&reby granted to: T~, ._ ~,. .~3 . ..-., 03f J~ t ~ ~-~ -- .. ,~ .- - '. ............ /...o..~A.~- uo,J~ l.../].~ v~/~rk'o~ Aru~j"tl~- ............ ~~...X:..l ....................... ,o ..... ........ ............................. ~, premises Io~ted at ...~..~.......~.....~. ......... ~...~..J~ ....... ~' ,"~...Z~ ............. ..................................... ~ .......... ~,~.~:~;:~..:~.?.~;:;.;~?~:;, ............................................... ............................................................ ..~.......~....~.~..~:..:.......~... ................................................... pursuan¢ to ~pplication dated ...................... ~....~......~...~.. ......., 19.?]..., and approved by the Buildin~ Inspector. . ~ ~ ~/.0.. .................. S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH D.t e~-- 5 -- Bldg. Permit No. TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. Chief of General Engineering Services ~UIV 29 1971 NOTE; m = MONUMENT SUBDIVISION M~d~ F/LED/N THE OFFICE OF TNE CLERK OF SUFFOLK COUN~ ON APRIL 9, I~XO AS ~P ~ ~44~. SURVEY FOR dOHN d. APUGLIESE ~ ROSE APUGLIESE LOT 54 . SUNSET KNOLLS, SECTION TWO" MA TTI TUCK TOWN n~ qt"~llTI4r~lhSUA~4NTEEO TO: ........... SUFFOLK COUNTYFE'OER,~IL SUFF. CO., N. Y. s~vi/vesa Loa/v associarlo/v JUN. 25. 1971 SCALE: I "= 40 SEPT. I, 1970 SEPT. 22, 19 70 MARCH 9, 1971 MAY 7, 1971 SECURITY TITLE a SUARAIVTY CO. SUFFO~X 0061~¥ ~EPARTME~ ~ HEALTH ~0-~ ~ ~ ~P~TION FOR ~P~AL ~ CO~R~T P~A~ ~A~ ~P~ $~ ~te ~- ~. ~Y App~val ~ conet~ct s~d syst~ ia r~uest~,~ent ~ta her~th: 3-Pubic ~ter sup~ n~e 6~, /~,,',~/ ~s~ce to newest ~ ~-~t size: ~h /~ ~. Width /~. (A~o ~t~ on c~ter p~t p~ ~i) ~P~posed s~:Septio ~~ec~t/ /Ceas~o~Sb*!~,~/ /other/ / ~-Septic ~ ~site ~ensi~:Vol~e ~.~h~t.Widt~.~q~d de~h f~. ~-Precast section:/ /N~ber./ /Sq~re ~.Cess~o~:B~ck si~e~.D ~s.H ~. PLOT PLAN ,ate ~h Test Hole lO 12 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~fe Disposal ~ysteas". ~ - -- or _~,t !~er F~ ~ALTH ~EPARTIIENT US~. O~LY. ' Ba~e~ 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. Examined ........¢.,~.,'. ........................ ,5'! ....................... ............. , P,rmlt No. Disapprch'KI a/c ...................................................... · (Building In~/~tor) APPLICATION FOR BUILDING PIRMrT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und Submitted In duplicate to the Buildin~ Inspector. b. Plat plan showing location of lot and of buildings on premises, relationship to adjoining premlees or p_ubll¢ streets or areas, and giving a detailed description of layout of property must be drown on the diagram which Is part of thIs al:~)llcation. 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 peF~lt '~1 shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be OCcupied or used in whole or in part for any purpoee whatever until a Ce_~,a~of Occupancy shall have, been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a~ulldlflg Permit punmQnt to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, Grid o~h'er applicable I.awl, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for rem.c~, or demolition, as heroin described. . ne applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .....~.~.~Z~....,.~.:.....~.....~..~..~..~.....~,;....~.~ ,~..~..L':.~..~.~ ............................................ ; ......... ,~ ,I on Ma ~ ~ ~ 1. L~ation of land on ~lch p~ed wo~ w' I ~ d e. p No.; ........................................ Lat No.: ..................... .~ Stre~ a d Number .... ~. .............. ; ............. ., ...................... ~....~; ...... ...................... 2.State existing u~ apd ~cu~n~ of premiss and intended use ~d ~cu~n~ of p~ cometic: a. ~isting u~ and ~cupan~ ................................................................................................................................... ,.t.nde ..... / ....................................................... 3. Nature of walk {check which applicable): New Building ~......~... ....... Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... ............. .. Fa, 4. Estimated Cost ............................................................................................................................ (to be paid on fiting this application) / 5. If dwelling, number of dwelling units ........................... ~Number of dwelling units on each floor ............................ If garage, number of cars .............. e~,. .............................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ 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 ................................ ! ............................ Depth ...~....~'..~....~..~...i... 8. Dimensions of entire new construction: Front'. .......... .~.-,~ ................... Rear ~f~' / Height ...J~..../.~.. Number of Stories .......... ./. ........................................................................................................../ 9. Size of lot: Front ...... /,.~"~. ............. Rear ............ /....~'.../. ............... Depth ....../..~'~r.../...~ .............. 10. Date of Purchase ..../~.~.~., ........................................ Nome of Former Owner 5~z/-~,~.A'~.~..././..~...~.¢.~':.....~...,e,~.. 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate_ ,n ~any zoning law, ordinancee----,~., //~_°r regulation? ............................................................ 13. Name of Owner of premises ..~.~d~d....~.~...~.~L~.Address ~.~.?.~....~..M..¢..~......~.......~...e.~Phone No...~T..~./.=~./.4T.~ Name of Architect. ~.,~/./.~ ..~'...e..~..~.~ Address ..~.q~.d.~../~..~....~....~...~.e..:.. Phone No ................... Name of Contractor ~8.~.~.....~&~../~,~l~:a~.....Address ~",~4'-~ ,~e,~//~/~x,u ..:~..~.._~a.~.R ........................... ~.//~.~;~ Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coroer lot. STATE OF NEW' YORK, lee COUNTY,~/...~ ~ ,,,,OF ................................ ......... · ~.~....Y~....~-.~.....~.~:.':.~...~-~../. ....................................... being duly sworn, deposes and says that he is the applicant (Name of individual §i~ning application) above namedSHe is the ...... ~e~.~...~..~'.~.~.J~t~. ......................................................... '~ ....................................................... (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. Swam to before me this Notary Public,. ...... ,'O'~Y~i~ .............. County ....... No. 52-2371105, Suffolk Cou~b' Term Expires March 30, 19'//~1'/I 4 .... "7 .......... % wc~p II IZ 5' PLATE, L~FT 8532 TOP ' '"'Z"..~ ¢--' Dg.D l/L_ de. I~