HomeMy WebLinkAbout5418-zFORM NO. ~
To~rN OF SOUTHOLD
BUH,DING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupancy
No. ~..~.lt.? ...... Date .............&l~ ....21~ .... , 19.?.~.
THIS CERTIFIES that the building located at . B~le~,..Remi ............. Street
Map No. ~. ~.e.t...Fq~l~l~k No ..... ~l[ .... Lot No.. ~. .....14att~.tuck .... I~,;K, ....
confoms substantially to the Application for Building Permit heretofore filed in this office
dated ...........Ju~ly .... l~, 19. '71 pursuant to which Building Permit No..~$8~. ·
dated .........Jut.~... 2.$..., 19.~1., was issued, and conforms to ail of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . l~:[vate, str. ta~u$, l~OOl. · ~Accessol~r) ..............................
The certificate is issued to .. ,T-ohn. Apttg.~-~,®se .......... O~e~ .....................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approva~.R. ..................................
House ~ 2~a+O
,!
..... .... ...........
~ ~ ~ Building Inspectorl
FORM NO. 2
TOWN OF $OUTHOLD~
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 5~18 Z
Permission is hereby granted to:
· ,~.7.....~.~..=..t.~....s.t!.. ..................... . .................
.... ~~ .......... ~.:.~..:. ................................
pursuan¢ to application dated .................. .~3,'~. .....J.~... i . , lg~.J...., and approved by the
Building Inspector.
BUILDING DEPARTMENT ~~ ~
T~N CLERK'S OFFICE
APPLI~TIOH FOR BUILDIHG PE~I~
IN$TRU~IONS
b. ~lot plan ~ho~in~ I~ion o{ lot ~ o{ buildino~ on pr~m[~, rel~tion~ip to od~oinin~ pmmi~ or publi~ ~tr~t~
nrta, ond ~ivin~ ~ d~il~ ~ription o{ I~ o{ pm~ mu~t ~ dm~n an th~ diatom which i~ __
· h~ll ~ k,pt on th~ pr~mi~~ ~d~bl~ {or i~ion throughout th~ p~r~* o{ ~h~ work.
~. ~o buildino ~1! ~ ~upi~d or u*~d in wh~l~ ~r~ in. p.~ {or any pu~o~ whot~v~r until o Ce~ifi~*
~holl h~ b~an ~mnt~ by th~ 8uildlnO Ink,tot.
8uil~in0 Zon~ O~in~n~ of th~ lown o{ Southold, Suffolk Count, ~w York, ~nd othor ~pplicObl~
R*~ul~Hon~, {or th* construction o{ build n~, ~dd t on~ or ~lter~t ons,~r fo~ reffi~ol or~moliHon, ~ h~m n d~rib*d.
The applicant ag~ee~ to comply with all applicable laws, ordinance, ~,,ding ~, h~ c~e, and ~gulations.
(~ignature 'cf ~plicant;. or'name, if a co~mtion)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contralto!', electrician, plumber or builder.
........................... ~._~ .............................................. ~ ..........................................................
Name of owner of orem s~
If applicant is a co~rate, signa~re of duly authorized'officer.
(Name and title 'of corporate officer)
1. L~atian of land on Which propos~ work will ~ done. Map No.:~g.~.~.~.~..~.. ' Lot No.: ..~ .............
~. ~"
Strem and Number ..... .~~......~.~.~. ............................................. ~X.~.~ ..................
~ - ' ' Munici~li~
2. State existing u~ and ~¢u~ncy of promises and intended use and occupancy of prop~ construction:
a. ~isti~ u~ a~ ~cupancy
b. Intend~ use and ~cupanc~,
property lines. Give street and block number or' description according to deed,
whether interior or comer lot.
3. Nature of work (check which applicable): New Building ,...~..o...o...~.... Addition .................. Alteration ..................
Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................
4. Estimated Cost .........~.~.....~...o...a.. ................................ Fee ..........................................................................................
(to be paid on firing 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 olterations 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 ......... ./. .. .~. ../.'. ..?. Z ......
10. Date of Purchase ........................................................ Nome of Former Owner ........................................................
) 1. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~...~...?. ...........................................
13. Name of Owner of premises ..'-~.....H~........~...~/.....~....?..~.Address ~..~9~ ~-Y ~' ~ · .. Phone No.
.................. ~w~, ~>.c~_C ....................
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor ...~....~....~........~.....o...o..~...?. ................... Address ..~.~...~...../~..~.~... Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and all set-back dimensions from
street names and JndJcote
STATE OF NEW YORK, lee
COUNt' ...... \
............. · ~...~..~.~.~.~,,...-.~'/~.~.§.~A..~....~. ........................................ being duly sworn, deposes and says t~ he Js the applicant
(Name of.individual signing a~ cation) .
obove named. He is the ....................~ ................................................... ~ ..................................................
(Contractor~o~orate officer, ~c.)
of said owner or owne~, and is duly authorized to perform or h~e peHo~d t~id work and to ~e ~d file
th~s applicotion; that all statements contained in this application ~t~ to ~e b~f his ~l~ge and belief; and
tha~ the work will be peHorm~ ~n the manner set fo~h in the appfi~atJ~ fil~ th~it~
Sworn to ~fore me this ~ /
........... ~..~. ..... dayof .....~ ....................... ,19~
Noto Pubh Z_ w~u~ z. ~ ..................................................
'c,. ......... ........... ................... ......................
~ ~. 30']]4Z0~5 Nal9~.'~'~[~r~
TOWN OF SOtrr~IOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
File No .................................................................. Date ............................... ~.lA~-~r..... ~.~. ............ 19...~.~.
To Me~.Bt~tliinK..P. ex~£t...s~i~e A/C lehn Apttgliese
......... 2~?- ..~)~a~iea.-~t; .................................
........... .ROl~kelLkeua ...... L,I,,......1.il ,%~.~). ...........
PLEASE TAKE NOTICE that your application dated ................... ~ltlll~.., ..~9 .......... 19~.1...
!or permit to construct a~ial~lj~...1D~o3 ...... at the premises located at .S~lltfJo$..D&'..& ....
..... ~,taat®y..Reiki .................................... Street Mattituok, N,Y,
Map ..~miat..Knell~ ........ Block ...... L~ ............................. Lot .....~... ........................................ is
returnea herewith and disapproved on the followin,~ grounds .......
· ~a~L.-.(.l~er ,tm..wes-t..-cerner..ei~...t*t-)...,....,Appt.ieatierA... shewa...poel..~o&tly...ta
' ~er th'"side'-~arel'~ ........ A~.t...IIX.. ~ee...~00.. aub,..~.... &.. sea.. ~09 ....................................
· ,..Nt)TR1..,.-.~/~,.aT~...he.ld .ilxg...£~e ·
i
/
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PLAN
~O'x40'
~ot
40
~.ot
SUt~VEY FOR
JOHN d. APUG£1ESE & ROSE APUGLIESE
LOT 54 ' SUNSET KNOLLS, SECTIOAI TWO"
IWA TTI TUCK
TOWN OF SOUTHOLD
SUFF. CO, N. Y. ~U4R~IVT££O TO..
SCALE: I "-' 40 '
SEPT. I, 19ZO
SEPT. 22, 19 70
RI~'~RH£AO. IV. Y.
I.ot
54
L.O!
SCALE: I "-' 40'
SEPT. I, 1970
SEPT. 22, 19 YO
SUR~/EY FOR
JOHN J. APUGL/ESE ~ ROSE A PUGL/ESE
LOT 54 ' SUNSET KNOLLS, SECTION TWO"
MA TTI TUCK
TOWN OF SOUTHOLD
SUFF. CO, N. )(. ~UARANr££o tO:
s~cumrY r~v~ a ~u~r~ co.
RI~'Et~HEAO. IV, Y.