The URL can be used to link to this page

Home My WebLink About4296-ZFORM NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..2~. 35.48 .... Date .... July .... l!, ........... , 19 &9. THIS CERTIFIES that the building located at .Broad~a~:~re. Ro~d ....... Street Map No. Nassau. 1~, Block No ........... Lot No.4~..181 ...... Cutch~ueo. 1~. ¥,... Club Prop. Inc. Amended Map "A# conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... 14~y.... 1.6, .... , 19.69. pursuant to which Building Permit No.. 42~6 Z dated ....... ~4~kz.... Lg, ....., 19.69, 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 ........ pr.~,vat~ .one..f~mtl y. d~l,1 ],ng. ............................... The certificate is issued to ..... A, .Anthony. l~.lsacano ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... HOUSe % 181Broadwaters Road 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) N? 4296 Z Permission is hereby granted to: ......... i~m~'..~ ...... .!i~.....'t$9~1t .......... to ................ aerial...e~..~$t~teD. ~.-ma..e~$tt&~J'. 4~eJ.'~ ...................................... at premises located at .......... ~l~*..IL:JJ~J.....JJ~,Ba3~l~.~.O~l~t,..C-~e-..P'~'O~e .................................. ...................... J& ...J~,eeJ~t,e~,e ..ll, e~4 ....... g~....t~vl-# .............................................. pursuan* to application dated ......................... J~lJ~ ......... ~J.....~,6...., 19..i[1~.., and approved by the Building Insl:~:tor. Fee $..~eOJJ ............ Building Inspector J ,FORM ,NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CI.~RK°S OFFICE SOUTIi'OLD, N. Y. Approvefl ..................... 19 .. ?. Permit N.o .................... Application ..... Disapproved a/c ..................... ~ APPLICATION FOR BUILDING PERMIT Date May 16, 196..9. INSTRUCTIONS a. This applicati.on must be completely filled in by typewriter or in ink and .submitted in duplicate to the Building Inspec~yr. b. Plot plan showing location of lot and :~f buildings o n premises, relationship to adjoining premises or public streets ~r areas, and giving a detailed deseripti~n of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may rm~ b e commenced before issuance of Building Permit. d. Upem aplyroval of this applicati,~n, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept ~ the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in~'whole o~ in pa~t f~r any purpose whatever until a Certificate ~f Occupancy shall laave been granted by the Building Inspector. APPLICATION IS I-IEI~Y MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the To~vn of S~athold, Suffolk C~unty, New ~rk, and o~her applicable Laws, Ordinances ,or Regulations, for the construction ~f build ings, additions or alterations, or f~r removal or demo- ]ition, as herein described. The applicant agrees to corn ply with all applicable laws, ~rdinances, building code, h,mlsing code, and regulations. (Signature of .applicant, or name ff a corporation) ~ 0-~ l~s~ ~~ (Address of applicant) State whether applicant is owner, architect, ~,gineer, general contractor, electrician, plumber or builder 0~ner ........................................................... Name .of ,owner of premises A. Anthony Pisacano ............................. If applicant is a c~rporate, signature of duly authorize d .~fficer. (Name and title of corporate officer) Nassau Point Amended Club Prop- Location ,of land on which proq~osed work will b e done. Map No. Map 'A' . I~ot No ertie$, Inc. ................ .... Street and Number ...... ~.~;1..B.~$4..~.t.e.~...R~ ............ .N.as.s..a.u..Pp.i.n.t. ...... Municipality State existing use and occupancy ,of premises and intended use and ,occupancy of proposed construction. Private dwelling a. Existing use and occupancy .................................................................... b. Intended use and ~cupancy ................................................................... 3. i~ature of ~vork (check which applicable): New Building ........ Addition ........ Alteration . .X.X. .... Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... 4. Estimated Cost ...$.5.0.0.:,0.0. ..................... Fee ................................................. (to be paid <m filing this application) 5. If dwelling, number ,of dwelling units .......... Number ,of dwelling units on each floor .............. If garage, number ef cars .......................................................................... 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 ........................................................ Dimension's ,of same structure with .alterations ,or additions: Front .............. Rear ............... Depth ................ Height ................ Number of S~ories ..................... 8. Dimensions of entire new construction: Front ................. Rear .............. Depth ............ Height ............ Number of S~ories ............................................................. 9. Size of tot: Front .1.2.8. ! ........... Rear . .7.~.o.S.S. '.~ ...... Depth ....5.1.5.' ........ 10. Date of Purch.ase June 19, 1968 ... Name ~f Fo~'ner Owner Weaver 11. Zone .or use district in which premises are situated Residential No 12. I3oes proposed constructioq v~olate itpy z~ning law, ordinan,c~_ or regulation? ............ A.anthony rlsacano ~ 2/~2TRO~ POint" ': Y-, ' .... ']'4'~;-2822' 13. Name of Owner,of premises ..................... ~ddress ...... ~. .... ! ........ f. 'Phone No..7AA,2541. Name of Architect ............................. A'ddr~s_dVll.1.6.on .RaVShb.~iifi,S.P~hone, · ~. No ............ Name 9f Contractor .N.!.cl).°!..~...C.!II~lli0.a. ...... Address ...................... Phone No..7.4.4..-.5.1.9..5. 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 sh~w street names and indicate whether interior ,or corner lot. STATE OF NE-%V YORK, )S.S. COUNTY OF .............. ) ' A. Anthony Pisacmlo .................................................... being duly sworn, ~lep0ses and says that he is the appli- (Name of individual signing application) cant above named. He is the ............................................................................ (Oontractor, agent, om'porate officer, etc.) of said owner ~or owners, and is duly authorized bo perform or have per~orrned the said work and to make and file this application; that all statements contained in th is application are true to the best of his knowledge and belief; and that the work will be performed in the mann er set forth' in the application filed therewith. Sworn t.o before me this 16th ,May 69 I. RALPH OLIVA NOTARY PUBLIC, State of New York Ilo. 52-2954965, Suffolk l[erm Fxpir."s March $0, (Signtur~ of applicant)