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Home My WebLink About5335-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CORRECTED Certificate Of Occupancy No. Z5472 Date September 20, 1973 THIS CERTIFIES that the building Add i t i on . Location of Pronertv 665 Broadwaters Road Cutchogue '- --' h~d~'~'~i ....................... 'S'd~4i ............................ Hamlet County Tax Map No. 1000 Section .I.0.4. ........ Block 12 ..... Lot 4 S ..... Nassau Point uomvimon ............................... Filed Map No ......... Lot No. 188 confoms substantially to the Application for Building Permit heretofore filed in this office dated June 7, 197 1 pursuant to which Building Permit No. 5335Z. dated June 7, 1971 ............................. 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 ..... i... ~.di. tion to one family dwelling. The certificate is issued toCHARLES RAUSCH ..................... io¥.'o~,'~x~l,l~xxx .................. of the aforesaid building. Suffolk County Department of Health Approv~ N.R. UNDERWRITERS CERTIFICATE NO ..... Pending. PLUMBERS CERTIFICATION DATED: N/A 3/~8/88 correction of original which/,~as not sig~. . Building Inspector Rev. 1/81 FORUM NO. 2 TOWN OF SOUTHOLD ~ 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) Ne 5335 Z Permission is hereby granted to: ·.~b:~;,..~t;~....~/~.....~,:~l.e~.ae,~ae~ at premises located at .......... ,I~t, i~' ~S~]: .pr~ll~..,.~ .................... ......................................... .~.~.~...~..i~:~a~.~r~..l~d .......................................................... pursuan,t to oppli¢otion doted ......................... ~':~l,~'al~ ......... (2 ....... }.,..., l~.~....~ end epproYed by the Building Inspector, Fee $~.. ~.;~(~ ............... ............... ; Buil~ling' inspector NO. & TOWN OF $OUTHOLD BUrr.DING DEPART~.NT Town Clerk's O~ice $outhold, N. Y. Certificate Of Occupency September 20 lg...77 No. Z5~-72 Da~e '6~"]~'8~.'c~.~'z:.~' THIS C~T~S ~at ~e b~g locat~ at .~. ~ta ........... S~t Map No. 789 Block No ...........Lot No. ~o~ subst~fi~y to ~e AppUcafion for B~ng P~t h~etofo~ ~ ~ ~ o~ee dat~ ...~.~... ~ ......... , 19. ~ p~su~t to w~ B~g P~t No..~. ~t~ ...~.~... ~ .......... , 19~., was hsued, ~d ~nfo~ men~ of ~e app~cable pro~o~ of ~e law. ~e occup~ for ~ ~ ~y~.~ ~. ~y ~l~g with Addition . ~e ~Jcate ~ ~u~ ~ ..... ~ t. ~....~$W~Q~ ................................. (o~, ~o~ Co~ DeT~e~t o~ ~e~ ~ov~ .......... ~/~ ...................... ~~z~ c~zc~ ~o ................... ~/~ ...................... 55 ~eweta 665 HOUSE ~ .............. S~t ....... o a ad ~2cho~e, Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z~+72 ....... Date ...... $.ep.~..~ b.e.~..2.0~ ....... , 19.73. THIS CERTIFIES that the building located at . B~,i~w&~;®X*I. B~. ......... Street Map No. 1[1~11~. l~t, Block No.. XX ...... Lot No. 3,~ .... ~t~ohogue .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... ,Tv~® 'Tt ....... , 19.1i~,. pursuant to which Building Permit No.. ~33~~-. dated ....... ,TI~I~®. ?! ........ , 19.7].., was issued, and conforms to all of the require- ~me~ts of the applicable provisions of the law. The occupancy £or which this certificate is ~'"'~ iSSUed is ... Pl~iva.t,e .O~e .l'~lll&lr. ~ ..................................... The certificate is issued to ... ~l®a. It~ml~h .................................... (owner, lessee or tenant) of the aforesaid building. Suffolk Count5, Department of Health Approval ....N.,.R.,. ............................ UNDERWRITERS CERTIFICATE No.. ~ ........................................ HOUSE NUMBER....~ ...... Street .... ]~['~.&~...~...~.~.r.8...1~.1.1.1.1.1.1.1~.. .......................... Building Inspector SOUTHOLD, N. Y. Examined '" '~"'T'":'T'T'"~'i'"'-~"'~J t ......... , 19--'O! ,, Approved ........................................ , ]9 ........ Pemit No ................................... ~ FORM NO. I ~_~ TOWN OF souTHOLD ~'//~'/~'-~ ~/'/~'~' ~"~'~/~:~-~ ~ BUILDING DEPARTMENT ~.~ ~// ~ /~/. ~ T~N CLERK'S OFFICE ~ Application No ...... ~.~.~ ........... Disapproved a/c ............................................................. ........................ ......................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the BuildingS1 Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giwng a detailed description of layout ofproperty must be drawn on the diagram wJ~ c'h is part of t'his opp laotian.~ 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 Jn 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 a 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, ordi nances, building code, housing cede, and regulations. P, obt Byatt (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................... or. .................................................................................................................. Name of owner of premises ...(]]~s..~&lls~,h, ................................................................................................................. If applicant is a corporate, signature of duly authorized officer. .................. ......... - 1. Location of land on which proposed work will be done. Map No.: ....... ~.8:.~..~-.~-..~...?..~......~. ..?P Lot No................[ 0c''~'~......... Street and Number ....... ]~t.:~nt~ez'.s..~d..~c..~L~z~e~e.'r,,A..~l. .......... ~J&S&.,..P.t~ ....................................... ~,~-~l~ .~'~ Municipality ' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .....~'RJ~.].~.~:I:~ .......................................................................................................... b. Intended use and occupancy ................... ~...~...e....~.~.t~..JLO,..IJ.~1,~J,~,I~:L¢~3, ........................................... 3. Nature of work (check which applicable): New Building .................. Addition ....ZZ ......... Alteration ...~:Z. .......... Repair .................. Removal .................. Demolitio~ .................. Other Work (Describe) ........................................ 4. Estimated Cost ...... 2,0,00{~.....+. ................................ Fee ..... ~,,.Q0 ............................................................................ (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 ...........;....~....¢,&r.,~...l~e:Z ................................. 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 alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... 2-2 ...................... Rear ............ ~:~ ........... Depth ....... ~6. ............. Height .................... Number of Stories .............~W.*R .................................................................................................. 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ...................................... : ................. Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated .~An d_~ ~. 1~2. Does proposed construction violate any zoning law, ordinance or regulation.;> ....... ~. ........... 13. Name of Owner of premisesCJ:la~.].~.S..~a,.~.g~ ....... Address ........ ~.a:..s...S........P..~,. ................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ....~,p...~.~..~.t Address Se~.zthelcl ............................................................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bc~k dimensions from property lines. Give street and block number or description according to deed, and show street names and,~ndicate whether interior or corner lot. ......................................... ~el~:~.t...T~a,t.t; ........................... being duly s~orn, d~oses and says t~t he s the applicant (Name of individual signing application) above n~med. He is the ............................. ~.~.~ ................. (Contractor, a~'~' c~ rate- ~[~ ............... of sa~d owner or owners, and ~s duly authorized to perform or h~e perfo~ed the sai~work and to ~ke end file this application; that all statements contained Jn this applic~ion am tree to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the applic~i~, filed therewith. Sworn to before me this ................. .......... ................... ..... .... ........................... ~ ~ilZAB~H ANN ~iLLE/ N~k~'-P~BLIC State o~u~rk No, ~2.8~25850, SuffmK u Term Expires March ~, , I