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Home My WebLink About2326-ZFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. t-..,1.J~3 .............. Date ............................ ~1.....3.0. ........ , 19...6~..... THIS CERTIFIES that the building located at .W~&t, eJ'...&..~,~..~:).OJ}..]~. ............... Street Map I~o~??..a..~_..P...O..i..~...t'Block No ............ ~ ..... Lot No ...... .J~..~,6.ge.....C.IX$.~JX~.~I,el...~.,.~., ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................. .JJ~.CJ:I, ....... ~[ ........ , 19..(~k. pursuant to which Building Permit No ..... ~,.,~,~.~ dated ............................ ,Jd, l~.~h....~,~......, 19...~., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ......... Pz,$v~t e..one...f, a~!.llr · ~lwel~ir~ ....................................................................................... The certificate is issued to .~,1,..]~1.~1~0 ................. 0~1~1~. ............................................................ (owner, lessee or ter~nt) of the aforesaid building. H.D.Approval ,Tune 30, 196~ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2326 Z Date .................... ]~a~Ia ...... ~[ ............... , 196~... Permission is hereby granted to: A....l~e;tll~..&..llon...l;ne..A/C....~f~r.l..$tmaro ............. · ~l&tt£t~,~_ ............................................ to ...Build.. ~1~/.. one.. £ar~t l.y~ · d.we.l,l$.rlg .................................................................................... at premises located at ..... LO/~..~69..&..~.t~..2.~) .................................................................................. ......................................... ~I~ue&te~ $.& .Ne~$~e s.t,...le~p ......................................................... ............................................................. Gut, ehe§ue ............................................................................... pursuant to applicction doted .................................. ~h.....~.~ ..... 19~)+.., end cpproved by the Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTmeNT OF HEALTH Date June 30~ 1964 Building Permit No. 2326Z TO IJ'~CM IT MAY CONCERN: The sewage disposal facilities for a structure located at s/w/c Haywaters & Broadwaters, Nassau Point (Give deed location) have been inspected by this Department and found to be satisfactory. District Engineer FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 7 SOUT.OLD, N. ,. Examined ........................................ , 19 ........ Approved ........................................ , 19 ........ Permit No ................................. Disapproved o/c. ..................................................... ................................................. ................. ..................... ......................... ................................. Application No ............................. APPLICATION FOR BUILDING PERMIT Dote .......................... ~¥,a~.OII,....,9,.~ ........... , 19.~. ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of propertymust be drawn on the 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 approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever/until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) ............... ~t ~:Lt~.J~ .............................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................. Contr. a~tu~. ........................................................................................................................................ Name of owner of premises ..... ~,~3~l..~l~it~O ........................................................................ . ............................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: .lilll~&~..j~..¢Z~.,t~,.o~ Lot No: .-.Pt-..~9... Street and Number ......... ~n.~l~tsel'll-....&..Nol.~h... !~.~-t..-ZZ~4~?. pF....(~tt%ehoL~l~ ........................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~l'~c~t.....]-&~id .................................................................................................. b. Intended use and occupancy ....... Oz~8...£nml'l~...ci~e,~.:Ll~ ............................................................................ property lines. Give street and block numbe! whether interior or corner lot. I 3. Nature of work (check which applicable): New Building ~ ........ Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ........................... ~ ............................. Fee ..... Av~(t~bepaid~nfi~ingthsapp~icati~n)~.~..~...~....~....~..~....~.........i..~"".~"..~....~ ................... 13, oo 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ........................................................................................................................................... 6. If business, commercial or mixe~n~ccupancy, 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 Height ............................ Number of Stories ........................... ........... '~ ............ . Rear ...... ~ ................. Depth ......~,1~. ................. t 9. Size of lot: Front ............................ Rear ............................ Dep h ........... ~L'(~ .......... 15o P 136 10. Dote of Purchase ........................................................ Nome of Former O~ner ...... V~l~:~r~l~, ........................... ] 1. Zone or use district in which premises are situated ................................................................................................. ]2. Does proposed construction violate any zoning {aw, ordinance or regulation? ...................... 1~'" ........................ 13. Name of Owner of premises ..i ..................................... Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone ~o ..................... Name of Contractor ............................................... Address .................................. ! ....... Phone ~or ..................... A. Reilly & Son .... ~attituek r: PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indica~'e all set-back dimensions from or description according to deed, and s~w street na~Fnes t]nd indicate STATE OF NEW YORK, }* S.S. COUNTY OF ................................ ~ Suffolk ................................................................................................. being du~y sworn, deposes and sa~s that he isthe applicant (Name above nomed. He is the ......................................................................................................................................................... Contractor (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the said work ahd t,9~ make and file this application; that all statements contained in this application are true to the best of his kno~ddge and belief; and that the work w'll be performed in the manner set forth in the application filed tlle~ewith. . Sworn to before me this ,~ /')' nO -..~---~ , .i .......................... da of .......................................... , 19 ...... (J~ / Notary Public, ...~t~. f applic ~0 ~2 Jj;~.I,;963, S~[fo[k County gOiT~l~ion Expires Marcl'~ 30. ~(~7 ~ ,,~'-, ~? -z ~_ TOWN OF SOUTHOLD PROPERTY RECORD CARD p~r~oT~, OWNER STREET VILLAGE DIST. SUB. FORMER OWNER ~, ~ N / Eo/A~o j S W ~PE OF BUILDING RES.~ s~S. IVL. IF*RM COMM. CB. MISC. Mkt. Volu~]//~/::.4/~ ~ND IMP. TOTAL DATE REMARKS AGE B~ILDING CONDI~IO~ N~ NORMAL ~ BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 I Tillable 3 I Woodland Swampland FRONTAGE ON WATER House Plot DEPTH /~ , /. [ '" IBULKH~D Total ~OCK i I COLOR TRIM M. Bldg. Extension 77/ [~ation 3osement Both iFIoors Extension Ext. Walls nterior Finish Extension =ire Place ,?J~' Heat ¢? ¢~ -ype Roof ',ecreotion Room )ormer )riveway Porch I Porch Breezeway Gercge Patio · IRooms 1st Floor ~ooms 2nd Floor / ID nette I DR. FIN. B.