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Home My WebLink About4059-zFOP,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.. Z .353.9... Date ....... Ju. ly ....... A~., ..... , 19.6.9 THIS CERTIFIES that the building located at Beach~ood. l~oad. ......... Street Map No. Eeach~ood.. Block No ........... Lot No ..... Mat~lguc. k.,.. Ne~ .York ..... Estates # 727 conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Septeraber .... ~i,., 19..68 pursuant to which Building Permit No. 40~9. Z.. dated .... Septeraber...24,.., 19.68., 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 ..... A¢¢es~o~cy. building ............................................. The certificate is issued to .. Raymond...T, .Horqan ................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... FORM NO. ~ TOWN OF SOUTHOLI BUILDING DEPARTMEI~T TOWN CLERK'S OFFI(~E SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 4059 Z Permission is hereby granted (a~p3mve~ b~r ~ et' A~) ................................ ~..~.~.e..t ........ .*.~... ............................ : ................. , ........................................... pursuom:- to opplication dated ................. ..~.,,,~,. ...................... ]9.~ ~ ., and approved by the Building Inspector, FOI~M NO, 1 'I'OWN OF $OUTHOLD i BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ........................................ , 19 ........ Approved ........................................ , 19 ........ Permit No ............................. Application No ............................. Disapproved a/c .............................................................................................. (Building Inspector) APPLICATION FOR BUILDINGi PERMIT Date ......... ,.,~ ................................. , ........... INSTRUCTIONS a. This application must be completely filled in by typewriter or ir~ ink and Submitted in duplicate to the Building Inspector. : b. Plot plan showing location of lot and of buildings on premises, relotionship tO adjoining premises or public streets or areas, and giving o detailed description of layout of property must 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 anylpurpase whatever until o Certificate of Occupancy shall hove been granted by the Duilding Inspector. APPLICATION IS HEREBY MADE to the Building Department for th~ issuance of a Building Permit pursuan~ to the Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~ York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, (~r for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinanc/~;ing co, de, ~:)-/~'~ng/cede, and regulations. ( 'gr,/~:JT~e o oppl~a t, or amc, if a corporation) (Add,ss of applicant)/ State whether applicant isxe~ner, lessee, agent, architect, engi.neer, ger~eral contractor, electrician, plumber or builder. Name of owner of premises ........................................................................................ If applicant is a corporate, signoture~f duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will b~ done. Map No.! '"'~'/'"'~'"'~'/~x ....... , ......... Lot No.: ........................ Street and Number .~"~,£J-.~-~,~x.~.......p~3~.. ' ~.~..~)..../.i..~...('~.... ~. Municipality 2. State existing use and occupancy of(~remises and jntend~J) us~ and occupancy of proposed construction: j~, a, Existing use and occupancy ..... -.~4~..~,~.-m.....~:I~., .,.,.,~ ..................... ~ ............................................ b ntended use and occu anc ~.~,~m(bF..,c"~.'"' ~" ~ ~ Nature of work (check applicable): New Building .~/..'%,.....~l~l!"Addition .................. Alteration .................. Repair .................. P,~moval .................. Demolition .................. Other Work (Describe) ........................................ 4. ~t~mated Cost .......... ./...~..~.~ ............................. ~'~e ......... .............................................................. (to be paid on filing this application) .5. if dwelling, number of dwelJing units ................(. .......... Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify notate and extent of each type of use ............................ 7~ Dimensions of existing structures, if any: Front ...........~ ............ Rear .............. "'--q. ................. Depth Height .................... ---..., Number of Stories Dimensions oF same structure with alterations or additions: Front ....................................Rent ............................ Depth ................................ Height ............................ Numb,,r of Stories ................................ IF'_ ......... [...~. ............ Depth 8. Dimensions of entire new construction: Front ......... I.'"-~' ................... Rear ............ Height ....]....,,,~...¢. ..... Number of Stories ........... ~ ......................................... ~. ............................................... 9. Size of lot: Front .....s~.~..~,,~,~....¢. ........ Rear ...... (,.~..~:-~...~ ......... ....... Depth ...... ~...~....'~-..~,~,~ 10. Date of Purchase .........../....~...~,~.....~. ...................... Name of Former Owner / 11. Zone or use district in which premises are situated ...... /~..~....(...~...~r'.,,¢~,... ................................................................ ]2. Does proposed construction violate any zoning law, ordinance or regulation? ~..,..~,,..~/~..- ......................................... 13. Nameof Owner of premises~..'..'..~.~...l,~,~=....AOdress ....~~~..~P'hone No ..................... Name of Architect .................................................... Address ..-:..' ..................................... Phone No ..................... Name of Contractor ~.(,,~."~,n.,~:,~, ~ ~ z~ ,--~ ~ ........Address .. J~c-~.~..~.,7~hone"'q "~~ ' ' 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 a_ccord~nc to deed, and show street names and indicate whether i.nterior or corner lot. -- - STATE OF NEW YORK, ' [5 $ ~-'"'--- f' ~ ' ' ' ...... ~, ....... .~.....~. ,,,~.¢¢(cv.,,,.¢ ....................... being duly/~wxorn, deposes and says that he is the opplicon~ ~"(Nomeofindividuolsigningapp]icotion)..l~.~ /r) (.c) ~ above named. He is the ........................................ .,~.,¢..~.~..~¢r,,...,.~!,,..~. ............................................................ (Contrc~stor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have per/formed the said work and to make and file this appl]cotlon; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to/:~fore me this ,9 z ~ ~ /~ ~/~ ...... z"Y~-'"-"m~~ ,< /~_ _~ ,__,d°y of.~ ...... , ~.~ ( ~0 ~,'~.-~. f ( if/ .~....., --NOTARY ~P~ILOIoN, ~atReE%NNTew yor(~/ learn ~x~ires ~lircl~ 30,