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Home My WebLink About3797-zI~O~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z..3568 ..... Date .... .A. ugg~.t;.. ~..9.,. .......... ,19. THIS CERTIFIES that the building located atS/G .. Beechw~od. Lane ..... Street Map No. ~.c~u~:h.~.c~Od. Block No... ~.X ..... Lot No. ].8...Sou~hoZcl,..I~,Y. ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ~4a~¢h..ll, ...... , 19 6.~l. pursuant to which Building Permit No.. 3.7.97. Z. dated ..... .~.~;c.h..15, ......., 19.6.8., 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 . i~.~..t~'.~.~.~..o.r~..~.~mlly..c~el;l,~,ng ...................................... The certificate is issued to ....RODe~.t. Chili;on..(rwne~. ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval dluly.. ~,1,. 1.969,. l~ol~e~.~ .Via. la.. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREM SES UNTIL'FULL COMPLETION OF THE WORK AUTHORIZED) Ne 3797 Z Permission is hereby granted to: ....... ...:,~ .~..~l~,.t~:.~ ............. i ................ ................... ~.~.~..:..~.~? :~ : i :~..~:~,. ..,: i.~~..~ ......... . ................ ..................................... pursu~r~t to application dated ~ .......... i ........ i....:.~.~.;...,'~[:i;~....:....'., 19'.~.;.,, and approved by the Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEMPORARY Certificate Of Occupancy No. ~..3~.~.~. ..... Date .......... :. ~V~-~....3.0. .... , 19 THIS CERTIFIES that the building located at . 8~S.. B~ech~tood. Lane... Street 8outhwood Map No ............. Block No...Xx ..... Lot No, ~.8 ...... $o.rithold..N.,.Y, ....... conforms substantially to.the Application for Building Permit heretofore filed in this office dated .......... .~.r.c~....].].., 19.~.8. pursuant to which Building Permit No.. dated ......... .~.a~c.h....]3., 196~ ,, 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 . p~.~¥.a.~ .0~..f.a~.]~..d.~.~g ...................................... The certificate is issued to . .'.RO~b.~.t..~.h~,~.to~ ....... 0~T~ ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .3!,~.~.y... JJ....~.~.~.9...~.Y...R.,..~.~.~.~.~... Building Inspector $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date '~/'~ 0" Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. District Engineer JUL tl 1959 TOWN OF SOUTHOLD BmLD, NG ,)EPARTMENT TO~ CLERK'S OFFICE SOUTHOLD, N. Y. ExQmin~ ...................................... , ........ A~Ii~io~ No ............................. A~roved ....... ~..: ............ , ]9..:~.... Permit No~..~ZT~ ................... Di~pprov~ o/c ............ ~ .................... ~ ............. ................. jCj;; .... ~. Thi~ ~plic~tion must b~ completely fill.d in by t~ewriter or in ink ~nd submitted in ~pli~ot. to t~ Building b. Plot plan showing Ioc~tion of lot ~nd of buildings on prami~.~, relation,hip to adjoining premi~ or publi~ ~tr~t~ or ~ra~s, ~nd giving ~ det~ilod description of I~yout of prope~ must be drawn on the diagram ~hich i~ ~ of thi~ application. c. The work covered by this ~pplic~tion m~y not be comm~n~ed before issuance of Building Permit. d. Upon opprawl of thi~ ~pplication, th~ Building Inspector ~ill i,u~ ~ Building Permit to th~ applic, nt. $uch ~rmit ~h~ll b~ kept on the premiges ~v~il~bl~ for inspection throughout the profess of the work. e. No building ~11 be occupied or u~d in whole or in p~ for ~ny pu~ose whatever until ~ C,~ifi~t. o[ ~n~ ~h~ll h~ve been granted by the Building Insp~tor. APPLICATION IS HEREBY MADE to the Building Deportment 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, ordinances, building code, housing code, and regulations. (Signature of applicant, or name, if o corporation) ................ '"'"" "'"' '""/ ......... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .................................................................................................................. d.z... Name of owner of premises ....... .~..~. ................ /. ...................................................................... If applicant is o 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.: ....... ..~..../......~'./ ................ Lot No.: ..... ./....~... .......... Street and Number .... ~....~..~...C.:..~......~...¢...~..~. ....... ..,~...~....~..~ ....................... .~.~.~..~..~..~ ~1 -- ~ 0 Munici~li~ 7-'- 2. State existing use and ~cupancy of premises and intended use and occu~ncy of propos~ construction: o. ~istin~ u~ ond ~cup~ncy .......................................................................................................................... Intended use and ~cupancy ........ ~.~.r ........~.~..(..l.F .......... ~.~.~.~ZZ'~.~ ............................. b. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair ............. ..~ Removal ..................Demolition .................. Other Work (Describe) ........................................ 4. Eshmoted Cost ...... ..~.....;~ ............................................ Fee .......................................................................................... (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 ............................................................................................................................................. 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 stj:uc, ture with alterations or additions: Front .......... .~...h(....:....: ........ Rear ..... w...; ........ : ........ Depth ......... ~t. Height ...... ~ ......... Numb/er of S~ries ....~; ....... Height .....-~.....~..f. .... Number of Stories .......... ./...: ...................................................................................................... 1 1. Zone or use district in which premises are situated ..................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation:> Name of Architect .......... ~../'-q.....~....~.. .............. /~ ............ Address ............................................ Phone No ..................... ~Ghone 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 show street names and indicate whether interior or corner lot. -- .~ J / . STATE OF NE"6L YORK. , t c ~ COJ~/NTY OF ...-'-/~. ......... ,f'~"~' ..... : ..... ' duly sworn, deposes ond soys thor he is the opplicont ................................ being (Name of individual signing appli,fation) , ,~ . above named. He is the..~...~'~..~..~' ~ _ ,, ,_ _ -- ~ ~C~~ (Contractor, agent, corporate officer, etc.) ~ ::!d :'.;'ncr ? ......~,~ and is duly authorized to perform or have performed the said work and to make and file this application; that ali 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. Swornj.~to before me this~ 19~.~.....~.....~'/~ / / / /"~'~ Notar,z Public, . ............................ ~ ...................... OO~e~h~q~ktSC~L (Signature of applicant) A~ . '-~ '-~/~ ~'~.'. O NQ?/d~y PUBLIC, State of New York ~~ ~J~~ NO, S2-9457280 /9~ # Qualified in Suffolk County (/ ~ Term ExpJre~ March ~00 .t l.'//x/ ~ / ?7? AS- · i%,