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Home My WebLink About4466-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. UPDATED c~TIFICATE OF OCCUPANC~ No Z-17995 Date MAY 3r 1989 THIS CERTIFIES that the building Location of Property 100 BEACHWOOD LANE House No. County Tax Map No. 1000 Section 70 Block 10 Subdivision M/O SOUTHWOOD Filed Map No. 2141 ONE F~/~ILY DWR~.LING SOUTHOLDr NEW YORK Street Hamlet Lot 63.1 Lot No. 13 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 19r 1969 pursuant to which Building Permit No. 4466-Z dated SEPT. 19~ 1969 was issued, and conforms to all of the requir-m-nts of the applicable provisions of the law. The occupanc~ for which this certificate is issued is ONE FAMILY DWRF.T.TNG WITH Al-£~k,~ 2 CAR GARAGE & DECKS The certificate is issued to ( owner ) of the aforesaid building. SU~'~3LK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~U THIS UPDATES CO Z-3828 DAT~U JUNE 8, 1970. DOR(~I~Y M. FJU~PF JUNE 8~ 1970-BY R. VILLA Rev. 1/81 (Building Inspector) ! IN,FRUiTIONS 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 an p~emises, ~lationship tO adjoining premises or public streets or crees, and giving a detoiled description of layout of property must be drawn on the diagram which is port of thle application. . , c.~ The WOrk covered by this application may not be commenced before issuOnce of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suc,h' permit shall be kept an the premises available fOr inspection throughout the progress of the WOrk. e. No building sholl be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy sholl hove 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 applic.a, ble Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or .demolit;on, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing ~code, and regulations. (Signature of applicant, or (Address aj/applicant) State whether applicant is owner, lessee, agent, architect, engineer, general ~ontractor, electrician, plumber or builder. Name of owner of premises ............................................................................................... If applicant is a corporate, signature of dul~'authorized officer. , , (Name and title of corporate officer) Street and Municipality 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... '" b. Intonded use and occupancy ...... : 2. ....................................................... · ....... 3. Nature of work (check which applicable): New Building ...... ~ ........ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. [qtlmated Co~t ........ .~...~...~..~. .................................. Fee .......................................................................................... (to be paid on fillng this application) 5. If dwelling, number of dwelling units ...... I. ........ ~ ......... 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 structure with alterations or additions: Front .................................... Rear ............................ ' Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front Rear .....(?..~..,. ............. Depth ...~......~':.. Height ....~...~'.. ......... Number of' Stories ...................................................................................................................... 9. S~ze of ~at: Front ....~..~:.~...O. ......... Rear ...1.~..,~...~..3 .......... Depth ....~./..~. .................. 10. Date of Purchase ....... ~'~ ---~...,....~..~.. ....................... Name of Former OWner~.~~' "' ............................. 11. Zone or use district in which premises are situated ..................................................................................................... ~' 12. Does proposed 'construction violate any zoning law, ordinance or regulation? ...... ~ ............................................. 13. Name of Owner of Premises ..'~l~.~w.~ ................................................................. .... Address Phone No. Name of Architect . .~ ....... Address Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and block number or description according to 'deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, t,, ~'/'/. ............................. · ?.?..~~. ...................................... being duly sworn, deposes and says that he is the applicanl (Name of indiviclual sJ~Jng applicatio~ ,.~._ a_ above named. He is the ......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and' to ma~e and file this application; 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 applicot_L~o filed therewith. Swam to before me this ,,~ . , ~ ~,~ . ......... of ....... , \ ......... ::: .......... F:~IZA~ETH AN;I ;,'E,'::~' ~'..ARY ,PUBLIC, State al New y~rk He. ~2~812585o, Sufldk ~ POB~ NO. :t TOWN OF SOUTHOLD BUILDING DEFARTMENT 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? 4466 Z Permission is hereby granted to: Za.laz~ .. ikme s.....t,/¢ ..~3~.,lam/t' ........... to ................ ~t~d' "GW' '~'"~r3~:]:T' '~'a'e '~ ']:~'~ .................................................................... at premises located at ............. ]~o%...%,~.....~t~hw~o~.~.~...&~:~.:F~:n~..~.~e"t'..~..~N,.~) ....................................... 0~ ....t~eamln~o~nl...Zan~ ............ B~taml~l ....... ~T{ ........................... pursuar~t to application dated ........................... ~e~r,c ............ ~) ...... , 19...~) and approved by the Building Inspector. TO~N' OF SOUTnOLD ~_~ BUZLDXNG DEPARTHENT TO~N HALL SOUTHOLD, NEW YORK 11971 76S - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY HOUSE NO. STREET HANLET of Property ........ Health Dept. Approval .................. Underwriters Approval .............. Plannin§ Board Approval ................ Request £or Temporary Cert£ficate ....... Final Certificate ............. Fee So~.itted: ,..~..0, Od) TOWN OF SOUTHOLH BUILDING DEPAHTHENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION Location Owner or County Tax Hap No. ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ O~ Property ...... HOUSE NO. ST~-~-~°'~ ......................... HAHLET ,o0o se~ion'-..~. Blo~ ..'/Q.. Lo~ ~.~.,./... Subdivision ....................... Filed Map ........ Loc .......... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Reques~ for Temporary CertiflcaCe ....... Fee SubmlCted: $. iQ'....~. ........... Final CerCi£~caCe APPLICANT~.~~.~.:,,. ........ BEA CHI4/0OD 1. A N~ L= ~L~' , ~0'~ I~1' = . ~:._ GOOSE CRE~K GuoronM~d Io: ~A T ~ SECCAFICO PROFESSIONAL LAND ~U~VEYO~ ~CT~O~: zO I~ SOUTH MAIN STREET LOT: FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZJ82~ ..... Date ........... Jun? .... THIS CERTIFIES that the building located at .... Deac'hwood' .Lane ....... Street Ma l~?uthwood p ............. Block No. XX ....... Lot No.. t3' ...... Seu%-hold .............. conforms substantially to the Application for Building Permit heretofore filed in this office 69 dated ......... 5'ept .... 19'" 19 ~. pursuant to which Building Permit No. b~66Z.. dated ......... ;~'ept ....19"' 19'L9" was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. P'~'iVaYe' ' one' TamTly ' d~,,e~ ] ina- ..................................... The certificate is issued to .... tmrry..~(am9$ ...... (~'ner .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ·. June. · 8 ·. l $.70 h): .~t...V. illa.. ~Louse ~.~ 100 S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~ f~) Bldg. Permit No. TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located (Give~eed location) have been inspected by this department and found to be satisfactory. ]UN- 8 1970 Engineer District Engineer SCALE: GOUTHOLD 'Town oF ~otIT:~oL~, N.y. RENSSELAER O. TERRY,- Jr. ATTORNEY - AT- lAW ? t ,L.-- 4-: .L__+