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Home My WebLink About6732-zFORM NO. 4 TOWN OF $OUTHOLD BUrr,DING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy No. Z ,.57~/ Date /-g' x//~/ .~./~. THIS CERTIFIES that the b~l~g located at V~L ~ ~t' z ~ ~: S~eet ~p ~o. ~.~ ~ ..... ~o~ ~o. - .... ~ot ~o. ..(~ .................. confoms subst~tially to the Application for B~]dMg Permit heretofore filed ~ ~s office a~eU ............. ~..?f(, ~.~.~ p~u.~ to ~ s~a~ ~e~i~ So. ~7.~.~.z dated IV duly 19~ was issued, ~d confoms to ~1 of ~e req~e- ments of the appUcable pro~sio~ of the law. The occup~cy for wMch th~ certificate ~ ~ued ~s .. ~...f~?. ..... (~ ff.'.~)f .... ~ ~..~.~.~ ........................ '.. ~e certificate is ~su~ to C~ R ~ ~ ~ L: ~ U ~ D (owner, lessee or ten.t) of ~e afores&d b~d~g. S~olk Co~ty Dep~ment of He~th Approv~ l-tO. 7~ ~ ~ ~ ~ C - ~ ~ ~ UNDERWRITERS CERTIFICATE No. ~ / ~ ~ ~ D I HOUSE NU~ER ] ~ ~ ~ Strut ~ILL~SE ..... ~r/~ .~ ........ B~d~ I~p~tor FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST B£ lO:PT C)N THE PRKMISES UNTIl FUll COMPLETION OF THE WORK AUTHORIZED) No. 6732 Z Permission is hereby granted to: ............. S,j~;en.....lt,~y ~ ..11~1~.. · .., .................. to~...ne~., erie ...~ ~, ~, ..d~e-D ~, ~1~ g ............................................................................... : ....... at premises located at *~ · .i,e~..~..~le.....~,.~....~o~ .................................................................. ............. ~ ............................. ~.l~l~l~ee..~ne ............ t!J~e~et";'i ................................................. pursuant to application dated .......................... ~T~:I.~ ......... ~) ....... , 19~..., and approved by the Building Impector. F~ $~6"I',3'~ ........... FORM NO. 6 TOWN OF SOUTHOLD Building Delm~tmnnt Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application 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 oil buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposol--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate 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 buildings and "pre-existing" land uses: 1. 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 buildings 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 Jan. 7, 1974 New Building XX Old or Pre-existing Building Vacant Land Location Of Property S/side Village Lane, Mattituck, N.Y. 11952 Owner Or Owners Of Property ..... ,.C~,..r...m.~R.e.....H..~..~?. .................................................................................... Subdivision ................................................................ LOt No ............. Block No ............. House No .... .................... 7/17/73 · Carmine Muro Permit No. 6732 Z Date Of Permit .................... Apphcant .................................................................. 1/10/74 Health Dapt. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ..11~.~.9/.~'.3 ........................ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ..... .5..:..0...O. ..................... Construction on above described building and permit meets all applicable codes and regulations. Inland Homes, Inc. Kenneth W.~ Thurber Applicant ......................... .~y~.....~ -.~.~.~ ........... Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) ,, THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY ~ 85 JOHN BTREET, NEW YORK, NEW YORK 10038 THI~ CEEIFIE~ TNAT only the el~t~ ~uipment ~ ~sc~ be~ ~ int~ by t~ ap~t ~m~ on the a~e application numar in the prembes of Canine Muro, ~/slde Village !~ne, Hattituck, b.I. Job ~lgl LOt in the followlng locution; ~ Base--hr ~ lst FI. ~ 2nd FI. outside s~tlo. wasexaminedon Uovember 2~, 1973 and found to be in compliance wlth the requirements of this Board. OUTLETS ECEPTACLE! SWITCHES INCANDESCENT 17 2 21 17 RANGES TIME CLOCKS BELL UNIT HEATERS DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIALREC'FI AMT K.W. OIi. H. P, GAS H.P. AMT. NO. A.W.G. AN.T, AMp. SERVICE DISCONNECT I NO. OF j S R 1 100 CB METE_R X 1 AMT A~p. ~fPE EQUIP 1~'2w 1~'3w 3~'3w 3,f/4w NO'OF~CRC~,COND' OF CC. CO~qo.A'W'G 2 OTHER APPARATUS: NO. OF HI-LEG A- W. G. OF HI-LEG MULTI-OUTLET SYSTEMS NO. OF FEET EXHAUST FANS DIMMERS NO, OF NEUTRALS A.W.G. OF NEUTRA[ ~Fmrnaces: Oil 1--1/~hPE 1-1/12hp Oeow~e ZimlinF~haus, 4 Park Place, Patchogue, L.I. 11772 {~ MANA~R ll Per_ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. SUFFOLK COUNTY DEPARTmeNT OF HEALTH WESTERN DISTRICT, HAUPPAUGE, NEW YORK H.D. Reference No~- ~ APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: Date.~____ 1-Applicant ~__~ ~ ~.~.~ :.~$ Phone 6-Sub div?~,,l_.~T ~....~ Address 7-Section .... 2-Detailed property location ...... 8-Lot No. Hamlet ~'~ wml~ ~ 9-Private w4~? 3-Public ~~y name $~A~Distance to nearest main ~ 4-Lot Size: Width ~OO ft. LengthX~ ft. (also enter on center plot plan below:) 5-Dwelling:. Singl.e Family ~ ~ Two Family? ~ Cellar? ~ ~Slab? ~ ~ Crawl Space? ~ ~ lO-Propose~ system. Septic tank .~ ~Precast ~ yCesspools ~_~Shallow pools ~ yOther / / il-Septic tank inside dimensions. Volum~l~l_Gals.Length f~. Width f.t. Liquid depth ft. 12-Precast sections: ~ ~Number~_~Square Ft. Cesspools.~Block sizeL mncs.D ins. H ' ins. Total blocks below inlet: ~1 ~2 ~3.. Street Capacity~Gals. G.P.M. ~ Ind~ :ate Nc 'th "Construction of authorized installations will be in The Undersigned CERTIFIES: accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Se~ge Disposal Systems". Date 6/~§/73 Signed~t~-1~) ~ ~C:./ I1~ W' ~ , ~er or Builder FOR ~ALTH DEPART~NT USE ONLY. Based on the info~ation p~esented here~th, it is the opinion of the Health De~ment, that an adequate and satisfacto~ Se~ge Dis~sal System can be installed on this Plot. Date >~ ' ~'~ Sign~ ~~ Data Feet 0 2 6 8 10 12 ~6 18 Disapproved a/c .................. :....:...,., APPLIC~iING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streetS or areas, an~ giving a detailed deecription of layout of property must be drawn on diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d, Upon ippe'ovll of' this application, the Building Inspector will issue a Building Permit to the applicant. Such permit,shell be kept o;~' the premiles mmillfele for inspection throughout the work. e. No tmllding shill he occupied or used in whole or in part for any purpose whatever until a Ce.rtificate of Occupancy shell have ~ by the ~llding Inspector. APPLICATION I$ HEFIEBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone O~dinanae ~-~fll Tow~ of Southotd. Suffo~ County. New York, and other applicable Laws, Ordinances or Flegulations. for the construction of buildings, eddtflom or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for neCeSSary inlpections. ......... : .................... :........ _ ,;;;;=:.. .o name.. a rpor (Address of alNdicant) State whether applicant is owner, le. ee, agent, architect, engineer, general contractor, electrician, plumber or builder. Neme of owner o~ premises ............ ~O.~,°. ....................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Buildqr's License No ................ .......................................... · 517-P Plumber's L~cense No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done· Map No...**~i3.1a~le**MIm~g ........... Lot No .....~.'~ ............... Street and Number Vtl:ll~e La~e Mlttitagk MunicipaliW 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... b. Intended use and occupancy ......... .1...Fl114.1~..~1~]:~.,~1~ ................................................................. t< ............. ~ ~.' Nature of work (check which applicable): New Building ....................... Addition ..................... Alteratio~..~..~.'. ..... Repair ......................... Removal ......................... Demoh ~on ........................ Other Work .............................. ~..~.. (Description) 4. Estimated Cost "~O0~O~ ....................... Fee ................................................................................................. (to be paid on filing 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 occuoancy, 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 ...... ~1~ .............. Rear ....... ~ ................ Depth ..~J~ ........................ Height ..... ,t,~.~. .................................... Number of Stories ............... [ ....................................................................... 9. Size of lot: Front ..I~II~..J~IIL~ ............. Rear .......................................... Depth .................................................. 10. Date of Purchase ..................................... Name of Former Owner ..... ~..... ................................................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed cbnstrubti0n violate any zoning law, ordinance or regulation: ......... ~ ............................................. 13. Will lot be regraded .... _~ ....................... Will excess fill be removed from premises: [ ] Yes iX] No 14. Name of Owner of premises ~..~ ......... ~"~l~.~;~'"~,~"~~;~'~'~l'~i ................ Name of Architect "3~1,~'~ .................. ~ .............................. ~ ...................................... t~ ~1 (Address) (Phone No.) Name of Contractor ................................................................................................................................. (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW YORK, '," ,z /, ) SS ' COUNTY OF .................... .~.,~/..~.~.:,..,,~.f~, ........ ) ........................... ;,..,. ............. g.~.,:..5. .............................................. being duly sworn, deposes and says that he is the applicant above named. (Name of individud si~ ~bntract) : , : : He is the ........................... ~l...; ........ (:~ ................................ '} ........................................................................................................................... (Contractor, agenL corporate officer, etc./ of said owner or owners, and is duly authorized to ~rform 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 ~rformed in the manner set forth in the application filed therewith. ................ · .I ........... ~.....oav of ........ :'"3 ......... ~o4~.~uma-.~.m n~.m~. ~ ~ ~ ~ ~/~ ~ ~ ~ ~ N0 52-61o323~ ~ -~t x I~ ~/ J/ ~ b. ,, .............. .............. ' ..... ...... ................... Lot ?0~ Lot 18 LOt 19 ~\ / NorE: ~ · -= MONUMENT I~ ~ SUBDIVISION MAP FILED IN THE OFFICE ~WS,ONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ," CARMINE MURO & YOLANDA LOT 14 "VILLAGE MANOR" SOUTHOLD SUFFOLK CO., N.Y. SCAL~: I" = 40' DATE:JuNE N.70°4 14 Lot ~ ?0NO Lot 19 Lot sUFFOLK COUNTY H~LTH DEPARTMENT The sewage disposal and water supplF facilities for this location have been Chief of General Engineering Services NOTE.. ~ · -' MONUMENT SU~/¥/S/ON MaP FILEO /~ T~E OFFICE OF THE CLERK OF SUFFOLK C~N~ ON OCr. E4, 196~ AS FILE NO. 3669. REVISIONS UNAUTHORIZED ALTERATfON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF TH~ NEW YO~K STATE £OUCATION LAW SEPT. 10, 197~ OCT. 29, 1973' DEC. 12, 1973, JAN. 7, 1974 YOUNG & YOUNG 400'OSTRANDER*AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG SURVEY FOR: CARMINE MURO 8~ YOLANDA MURO LOT 14 "VILLAGE MANOR" AT MATTITUCK TOWN OF SOUTHOLD GUARANTEED TO: RIVERHEAD SAVINGS BANK THE TITLE GUARANTEE CO. SUFFOLK CO., N.Y. SCALE: I" = 40' DATE:dUNE 22,1973 _J APPRI~. ED,qA$ NOTED r r ' · APPR~,vE~ AS NOTED NOTIFy BUILDING DEPARTMENT Al' 1. BEFORE BACKFILLING FOUNDA. ',1