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Home My WebLink About2552-zFOl~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE: OF OCCUPANCY No ..~..~1,.4,~ ........... Date ......................... ..~J~.~.~.....2...2. ........... , 1<).....6..5. THIS CERTIFIES that the bu,Jding Iocoted at ..~.e~.~.o..~.....~..?..~...~..~..~.~...~..t..t...~...t..~...~.~ ........... Street Mop No~ ................ Block No ...... ~ .......... Lot No .......... ~ .................................................. conforms substantially to the Apphcahon for Bu;Id~ng Permit heretofore filed ~n this office dated ......................................... ~:l~..~J., 19...~..4.. pursuant to which Building Permit No..2..5...5..~..2[.. .... dated ............................... QC~.O~:~e:~...13., 19...6.4, was issued, and conforms to oil of the requ,rements of the applicable provisions of the law. The occupancy for which th~s certificate ~s ~ssued is ........ ....................................... ............................................................................. The certificate is issued to .~...i~Tit. e~...J{[o & He[eli D. O'iB~*ILeI', (owner, lessee or tenant) of the aforesaid building FOEM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No, 2552 Z Date ................... ~e~..... 3,3 .............. , 19.6~.. Permission is hereby granted to: ..~R,~e~t~..&.J~, ..... ~..-Y-'.'~.&.~ea O'~ie~ to . .~ld...an..ad d:~t~om. ~n.. an.. ~x;~ t~r~...d~e l 1 ~,r~ ........................................................ at premises located at -.-~J~.-.--~-.~-&~..A~J~ ......................................................................... .............................................. ~£t ~__.~ ............................................................................................... pursuant to application dated .......................... tJ~{[~ ............ ~,~ ......... 19..(~.., end approved by the Building Inspector Fee ~. ~ .~. .............. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 January 23, 1984 TEL. 765-1802 Re: Property owned by James O'Brien & his Wxfe Suff. Cty. Tax Map # 1000-143-04-011 To Whom It May Concern: Please be advised that this office has only one existing permit for this property. Building Permit #2552Z was xssued on 10/13/64 "to build an addition on an existing dweiling." A Certificate of Occupancy, # Z2142, was ~ssued on 4/22/65 for this addition. Sincerely, Victor Lessard Executive Administrator VL:ec FORiYJ[ NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. y.r Examined ......... .f~........I...~ .... , 19..~...~.. ,, ,, 55- L 7 Approved .... r. ........................ , 19 .....Permit No .......................... D,sapproved a/c ......... ~:.~ (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date ........... INSTRUCTIONS o ~ This opphcohon must be completely filled in by typewriter or m ~nk ond submitted ~n duphcote to the Buddin, Inspector. b Plot plon showing Iocohon of lot and of buildings on premises, relohonsh~p to odlommg premmes or pubhc streets o oreos, ond giwng a detoiled descnptmn of loyout of property must be drown on the diagram which ~s part of th~s opplicohon c The work covered by th~s opphcot~on racy not be commenced before ~ssuonce of Budding Permit d Upon opprovol of th~s opphcat~on, the Buildm§ Inspector wdl issue o Budding Permit to the opplicant. Sud permit shall be kept on the premises ovadoble for inspection throughout the progress of the work e No budding sholl be occupmd or used ~n whole or in po rt for ony purpose whotever unt~t o Cert~ficote of Occupono sholl .hove been gronted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the ~ssuonce of o Budding Permit pursuont to th, Budding Zone Ordinonce of the Town of Southold, Suffolk County, New York, ond other opphcable Lows, Ordinances o Regulohons, for the construction of buildings, odd~tions or o Iterot~ons, or for removol or demolition, os herren described The opphcont agrees to comply w~th oll opphcable lows, ordmonces ond regulations (S~gnoture of apphcont, or name, ~f o corporatmn) (Address of apphcant) State whether opphcont is owner, lessee, agent, architect, engineer, general contractor, electrmclan, plumber or budder General contractor James M. Nome of owner of premises ................................ & Helen D. O'Brien If opphcont is o corporate, s~gnature of duly authorized officer Harold ~. Reeve, Jr., Vice President (Name and t,tle of corporate officer) Van Tuyl map dated 1 Location of land on which proposed work will be done Map No .J. un..e.. 18, ..... 196/4'. ............... Lot No ........ Street and Number ....~.:..~...E..~. ~.t .Le.g.l. on....A..v.e:: . M.a.t. tLtv. g..k.., N.Y. Mumcipahty 2 State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction' o Existing use and occupancy Residential b Intended use and occupancy Residential 3 Nature of work (check which apphcable) New Building .................. Addition ...~. ...... Alteration ............. Repair .................... Removal .................. Demohtion ................ Other Work (Describe) ....................... 4 Estimated Cost .... ~ .9. . ~ .0. .0. :. . .0 .0 .................................. Fee .... ,. qq ......................................................... (to be pa~d on f~hng th~s apphcat~on) 5 If dwelhng, number of dwelling units ..... .]: ...... Number of dwelhng un,ts on each floor ........................ If garage, number of cars ......................................................................................................... 6 If business, commercial or mixed occupancy, spec~ fy nature and extent of each type of use .............................. 7. Dimensions of ex,sting structures, ,f any Front ..... ~'. ..... Rear LI'.~.t. ...........Depth .....~.]'. ~ ................ Height .......1.~.'. .............. Number of Star,es 2 (split level) D,mens~ons of some structure w~th alterot,ons or add,t,ons Front 43' 43' ................ Rear ................ Depth 68 ' Height 20 ' ... Number of Stories 2 8. D, mensions of ent, re new construct,on' Front ....].7.'. ........ Rear 17' Depth 27' Height 20 ' Number of Stones._ 2 9 Size of lot Front 60' Rear 60' 191' .......................................... Depth ................................ ~ LOUIS Klrohgessner 10. Dote of Purchase ................................................. Nome of Farmer ~wner- .............................................. 11 Zone or use d,str,ct m which premises are situated. .A Res.l..d.en..t..i...~..1. ........................................................ 12 Does proposed construction wolate any zoning law, ordinance or regulat~on~ ......... .N..o. ..................................... .......................... E. Legion Ave.,Matt~,tuak,. 13 Name of Owner of premisesJas. M. O'Brien Address .................................. Name of Arch,tect ..............~.o..zl:..e. ........................ Address ...................................... Phone No ................... Name of Contractor~.$.~.°...]:.~ .~..:..D:..e..e.~.e &.....S..o.~..s?~}a~ss ....~..8:.3.~ .t..~..?..~.~.....~..:..~... .... Phone No MA. 9-82~ PLOT DIAGRAM Locate clearly and d~st~nctly all buildings, whether ex~sting or proposed, and ~nd~cate all set-back d~menmons fror property lines Give street and block numbers or description according to deed, and show street names and red,cat whether interior or corner lot. ~c',~t¢/.~.¢~,~,~,~,, STATE OF NEW~YORK,~ ) COUNTY OF S S ,..~/~.,~J~.8~.~.~,~....~-~ .~..'4[~.-'.~.....~."...~.....J,~ .... be,ng duty sworn, deposes clnd~says that he (N.ame of individual sigmng apj~hcat~on) above named He ,s the ................ '~.,...~,~,~1~.~'~-~,,~"4~-~ ......................................................... (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and fi th~s application, that all stater~ents contained in th~s application are true to the best of h~s knowledge and bah, and that the work w~ll be ;l~.rt~orm.e,d, jn the manner set forth ~n the apphcat~on filed therewith ................. " . ..... "' >;7' .f g pp.