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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 / / 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.