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Home My WebLink About6532-zNO. 4 // TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y, Certificate Of Occupancy No. ~.6.67 ...... I Date .............. I~.oV... ,27 ...., 19.73 THIS CERTIFIES' that the building located at .. P, osewn, od. Df. ire ......... Street ~.,,-~sp No. ltose~.ood..E~o'ck No ........... Lot No.. 16. .... ltatti.tuek.. }l.][, ....... -conforms substantially to the Application for Building Permit heretofore ~ed in this office dated .......... May....1 .... , 19 ~.3 · pursuant to which Building Permit No. 6.~32Z. · dated .......... MAN....1 ..... , 19.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P~:$.v~e..o~e. family..dwelling ...................................... The certificate is issued to . J. oseph .Dilalla. A .wi.fa..owri~s .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Depart~nent of Health Approval ...Oct..$2...t973. · .by. go¥illa .... UNDERWRITERS CERTIFICATE No. 1~.. ~ 230.~7. ..... 0el;..~6...t97~ ............... HOUSE NUMBER ... 9~0 ....... Street ... Rose,cod .Dr. ......................... Building InspeCtor[ FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ,$OUTHOLD, N,. Y. BUILDING PERMIT (THIS PERMIT MUST IBE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 6532 Z Permission is hereby granted to: ........ %/~_ ..... ~.,....¢...~:.,. ..... ¥~.~..~ ...... ..z,..,,.~/..~ ~ ............... ~...q...-E... ........ !....6_ .......... ~...¢,..c.-...~.o.g~ ...... ~.-¢..z~.~.~.~ .................................................... ! pursuant to application dated ............................. 2(.. .......... ]~...~.., 19~....~....., and opproved by the Building Inspector. Building Inspector ~FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thru apphcation must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, aha 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 Underwr,ters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code comphance from the Architect or Engineer respons,ble 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-ex~sting" land uses: 1. Accurate survey of property showing all property hnes, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and cond,tion of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate cL. es: Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3, Copy of certificate of occupancy $1.00 Da,e ......... .......... New Building ................ Add, ition ................ Old or Pre-existing Building ................ Vacant Land ........ .; .... Location Of Property .~.....~..~.'~..'~../...~..o...C....J~.....~'"--- .............. ...~....~...~~/...~-~... ...... .../~...~ ..... Owner Or Owners Of Property ....~...~.....~.....~..~ ...... .~....~..~..~....'~.....'~.........~.../...~.....'~.~ ................................... Subdivision /~,~,~ .~..~..... ~..? ...... Lot No../~. .... Block No ............. House No.(.~.~..~''''~'' Permit No ~"~'-~-~....~ate Of Permit ..................... ~,....~..7.-~'-... . ...... pp ......................................................... Health Dept. Approval ............................................ Labor Dept. Approval ............................................... Underwriters Approval / ...Planning Board Approval Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .....~..:...~ ................. Construction on above described building and permit meets all applicable codes end regulations. Sworn to before me this .~ ~'~]~0~ FOH~ NO. 6 TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ~nk, and submitted in DUPLICATE to the Building inspector with the following; for new buildings or new use: 1. Final survey of property with accurate locahon 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 buddings, Multiple Residences and s~milar buddings and installations, a cerhficate 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 bwldings and "pre-ex~stmg" land uses: I Accurate survey of property 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 buddings or premises, or other pertinent in- formation 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 ....... ..... '7'3 ............ New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Property ~..~..~.... Z~.~.. ~-ff. ~ ~,.~.O. ,~..... Z~. ~..t :..~ ............... /-~J. Z'-~..~. Z,'~/~.. ...... ~...~ ...... Location Of / Owner Or Owners Of Property ,~.1..~...~.,~..~ ..... J~.ff-e. TT/~Z~.. ..... ~.Z,~.,~J~. ) ......................................... Subdivision/~:~,~./,~.(.~.....~::~'~.~'-~. ............ Lot No./~, ....... Block No ............. House Permit No~...~.~.~...~.... Dote Of Permit~.~.~/7.~.....Applicant Health Dept. Approval ............................................ Labor Dopt. Approvol ............................................... Underwriters Approval .............. ~ ....................... Planning Board Approvol ........................................ Request For Temporary Certificate ........................................ Final Certificate ......~ ................... Fee Submitted $ .~..'...~ .................... Construction on above described building and permit meets al L applicable codes and regulations. Sworn to before me this /~/'./~/2'.~---'~ ///~,Z-/._~.-'~. day of ...~¥.'.~../..~.~..~...~ .... ~'~~ _Cstam~or seal) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.i* BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Jo:~eph I)~Lalla~ :i/side Rosewoo4 Drive, Cox Neck Lane, N, attituck, L.I. was examined on ~ C ~ b ~ r ~ ~ ~ 1 ~ 7 ]~ and found to be in Compliance with the requirements of this Board. FIXTURE OUTLETS RANGES i il. SPECIAL REC'Ei COOKING DECKS OVENS DISH WASHERS TIMECLOCKS BELL FUNITHEATERSUNITHEATERS MULTI-OUTLET OF CC, COND. 1-2.Skw, 1-2.0kw, ~..~kw, C NO. OF HI-LEG OF HI-LEG 2-1.25kw, i-. 5kw EXHAUST FANS 1 F NO. OF NEUTRALS OF NEUTRAL 1 3/0 RI~ ~1, BO× 107, i[II~ Rd., uoek5 Point, L.I. 1177~ ,,~ut#A~qt ].1 ~f i~' Per ' SUFFOLK COUNTY DEPARTMENT OF HEALTH ~)C'~_~ H.D. Reference No. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM Address~ A ~~~ ~ ~ 6. Section ~ 2. Proper~y l~t~~ ~ 7. Lot No. 8. Private well ~'~ Village ~ t~C~ Township ~T~O~ 9. Public water 3. Public Wa~er Complex. name ~ Distance to main ~ ~- 4 LoC size. id=n feet Length ~O fee~ (Enter on cen~er plo~ below) 10. Sewage Dispos~stem: A. ~00/sallon septic tank: Precast ~Equivalent Block B. ~chin8 pools: Number~ Precast~lock Special If private well fill in blanks below: Tank capacity~2. Gals. Pump G.P.M. ~-- Total well depth ~C) Depth to G.W. ~) Amount of water in well ~ Test Hole Data _~ Feet The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Depar tealth' ent stand- ards thereto."/ Date Signe . ~O,~wner o~IBu~lder FOR HEALTH DEPARTMENT USE ONLY.' Based oB the information presented herewith, it is the op'inioU of the 'Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot. EXC V T;i Tt [;; ECTIO i REQUIREB S-15 Revised 4/]/72 (:3, \ \ .J EPARTF~,.NT OF ltEALTH EtVFPi!EAO, It.y, OCT II PM o $ ~A~E OCT 1 ~ 1973 'O. The sewage dzspo~ol ~nd Chief of Ceneral Engineering ~ Services ROSEWOOD oR/V£ 7,, Unaulhorlzed ahemhon or addilion to th,s survey is a wolation of sechon 7209 of the New Yc~k State Educahon Law Copras oF th~s survey map not beanng the land surveyor's inked seal or embossed seal shall not be cons*tiered to be a vahd copy , rr c,:mhcat,ons ~nd,cated hereon shall run only Io the F" ~ ~ , ,I ~sm the survey ,s prepared, and on hm behalf to the t*t · ,m--~y, governmental agency and lending ~nshtuhon hsted h-,~% and to the assignees of the bn&ng ~nshtuhon Guarantees or crd,[ cehons are hal transferable to ad&honal mshtuhons or All distances to wells and cesspoors by Iocahon from house owners and riel. observahons, since most wells and cess pools are not v,~,ble Ihese &monsoon cc'~o~ be c'~rh&ed SURVEY FOR ,JOSEPH M. ~ GAll_ AT tWATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SCAI'E : 1": 30' APR 3, 1975 JUNE 7, 1973 AUG. 31,1973 SEPT. 7, 1973 DI CALLA REFERENCE * ROSEWOOD ESTATES FILED gAN. 24, 1969 FILE NO, S240 gUARANTEED TO: SECURITY TITLE ~ GUARANTY COMPANY JOSEPH M ~ GAlL DI CALLA SOUTHOLD SAVINGS BANK LAND SURVEYOR N.Y.$. LIC. NO. ~87~5 RIVERNEAD, N.Y. (Slgflatur~ of eppli~ant, o~ n~me, if · corporation) (Address of i *Stkte whether ~pllcent Es owner, lessee, agent, architect, engineer, general contractor, electricien, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name alld title of corporate officer) Builder's License No ........... .,~ ........................................... Electrician's License Other Trade's License No ...............-e... 1. Location of lend on which propOsed wor~'~i;;'g'~:'~'g'~io.~;~.Lot NO ...... I~ .............. Str.t end ,ur r ................... ...... ...... .................... Municipality 2. State existing use and occupancy of premMs and intended use and occupency of proposed cor,~,[iuction: a. Existing use and occupancy ............... .-.. .................................................................................................................. b. Intended ,se a,d occupancy .......... ./...~...~,,,~. ....... ~11~..~ ........................................ .~ ............. ,~, Date ...... ~.."~...~ .............. .". ............. , 19~..."~... - a. This a~ti~ ~ ~ ~mple~ly fill~ in by. ~riter or in~ sgbmi~ ~q~ri~~Bui~i~_ Ins~or, wi~ 3 ~ of ~, ~ ~t ~an to l~Je. Fee ~rd~ to ~ule. [ ~ ~/~ . ~ ~. ~ot ~ ~ .l~tion of lot and of ~ildir~ on ~remi~, ~o~p to ~ng pre~~c ~ or am~, a~ ~w~ a ~ ~ of layout of ~o~ mu~ ~ ~n on di~~~~. c. ~ ~ ~ ~ ~is a~li~tion ~y not ~ ~m~n~ ~m i~ of Building Permit. d. U~ ~ ~ this ~li~tion, t~ Buildi~ Insmmor ~i~[~e a BuiMing ~rmit to t~ a~li~t. ~ ~ ~1 ~ k~t ~ ~e ~m~ ~ ~r i~ion throu~out t~ wo~. ' e. ~ ~ ~11 ~ ~p~ or umd in whole or in ~ for a~ ~r~ ~r until a ~ifi~ ~ ~ ~11 ~ ~ A~LI~TION IS HEREBY MADE to t~ Building ~nt for t~ i~ of a Building Permi~ ~t m ~ Buildi~ Z~ Ordinanm of t~ To~ of ~uthold, ~ffo~ ~unW, N~ Yo~, and o~r ~li~le ~, ~in~ or ~lat~, ~ ~lv~i~ ~ building, ~lti~s or airfoils, or for re,vel or ~lition, as ~rein ~i~. ~ a~i~t ~ to ~y ~ ~1 ~i~le I~ o~inanms, ~ilding ~, h~si~ ~, ~d ~ati~l, and to ~mit authorized ins~o~ on ~mi~ and in ~i~i~ f~ ~ in~iom. 3. Natu~p~,,,,~ork (check which applicable): New Building ....................... Addition ..................... Alteration ............... Repmr ~ ........................ Removal ......................... Demolition ........................ Other Work ................................... (Oescription) 4. F. ............... ...... 5. If dwalung, number of dwelling units ....~ .......... Number of dwelling units on each floor ................... : ............ :. ....... If garage, number of cars ~ ~,*~ ,,- ~'~ ,)~'~- 6. If busine~, comnmrciel or mixed occuoancv, specifi/nature end extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front ........... ~ ...... Rear '" Height ~ Number of Stories ........ ~ ................................................................ Dimensions of same structure with alterations or additions: Front ......~ .............. Rear ........ ~ ............................ Depth '"' Height Number of Stories 8. Dimensions of entitre new construction: Front ...'~..~.;f.~.; ...... Rear 2......~..~.~ ............. Depth ................................. Height ........ ...~...~. ................. . ............. Number of Stories /~'~ ,~....~ .............. .................... ............................. 9. Size of lot: Front ..... ~.~...~. ....................... Rear ............ ../../...~...'. .................. Depth .................................................. 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or usa district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... .t~...~....' ........................................... 13. Will lot be re~raded ~F....~.:.77~... ............... Will e]¢case fill be ~mmovedfrom premises: [ ] Yes ~'1~1o 14. Name of Owner of premises ..~.~..~...~l.~..~......~..~...~ ......... ~.~~.,....~I1~....~...! (Addre.) (Pho~6 No.) Name of Architect ...................................................................... iA~re~ (l~non~ __~i ............................................. ~ ............... N me ..... (Address) (Phone No.) PLOT DIAGRAM Locate c.l.early and distinctly all buildlng~, whether existing.or propomcl, and indicate all set~oack di~-~rom property line~. Gwe ~ and blOek numbar or de~ripflon according to deed, and show street name~ and indle~e ~j~- er interior or corner lot. STATE OF NEW?ORK_~ ) COUNTY OF ....~9~LII~I~ ......................... ) ~ ............. ~' '~'-"-'~..~ .~l~l~*.-~.elr"~-.. ............ being duly sworn, deposes and says that he is the applicant above named. {Name o/ individual signing contrect) He s the ~ ~'~.tl~l~.,/?~, · , ~ 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 stat~rnents 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. ? F DO, e/q~CORNI££ D£TA/I ~-L t ~.l K. 1/~ T/ON ED 1, BEFOB'~ BACKFILLING TI~N OB START FRAMING 2. BEFORE COVERING PIPELINE vm OTHER .... T/OH ,! L £Y-I' P.£A P- F~.AD1/N~ >-,~ ONT I &t-T J I4~ ~-Z£1XA TIOI~ £~8IN~T 3V~LI g. 17'£14[.M ~4~IN[:..'T .? ROOI~ , B4T/{ R 001~ Jr J££O~ID FL OOR L/F/zY~ £oot4 FI~JT FL80~ PLAN T % L4£ D ,% k "! ',1 L I