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Home My WebLink About4223-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z 35..~1 .... Date ......... Jul~ .... 11, ...... , 19 69. THIS CERTIFIES that the building located at .. Beckw~.th .Avenue ....... Street Map No ............. Block No ........... Lot No .... $out/~o~.cl, .New -York ....... conforms substantially to the Application for Building ]Permit heretofore filed in this office dated ...... Ap~&i ..... 3,.. -, 19.. 69 pursuant to which Building Permit No. 4223. ~ · dated ...... Ap~.l ..... 3, .... , 1969. , 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 ....... accessor, y. ~u-il ~lin9 ........................................... The certificate is issued to .... I~:ving..Johnson ................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... House % 155 Beckwith Avenue ~O~M NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 223 Z Permission is hereby grunted to: ..... T z~v~n~..,~o~*,aon ........................................ ...................... ~eek~$t~..~v~ ............................ ................. .~vt~o~ ....... ~.3~.. .......................... to .......... ~u.l. ld...a.u ..add.t t;:L<~n ..on .. an...e x.l.a t;~n~..ILecas~or~.., hu:L].d.l.n~ .................... at premises Iocclted at '.~...~...~....~......ll~/~....~k~..~!~..j,,-~. ............................................................. ................................................................ 8ou.t. ho~4 ....... ~..~.. ........................................................... pursuant to application dated .................................... &13~i......3 ....... , 19...(=~, ~nd approved by the Building Inspector. Fee ........... Building Inspector .t I 3,/?~? ,FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. Approved .................... ,19 .... Permit No ........ Application No. t~c~3 Disapproved a/c .................................................... APPLICATIO,N FOR BUILDING PERMIT Date ............... Ap~IJ....3 ........ 19.69 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot .plan shoxving location of lot and 'of buildings o n premises, relationship to adjoining premises or public streets .or areas, and giving a 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 n,ot be commenced before issuance of Building Permit. d. Upon approval of this applicati, on, 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. N.o building shall be occupied or used in whole 0~ in part for any purpose whatever until a Certificate o/ Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the BuildingiDepartment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sc~athold, Suffolk Oounty, New York, and other applicable Laws, Ordinances or Regulations, for the construction ~ff builclings, additions or alterations, or for removal or demo- lition, as he. rein described. The applicant agrees to eon~ ply with ail applicable laws, ,ordinances, building code, h.~using code, ar}d regulations. ",. I wing Johnso (Signature of applicanf, or name if a corporation) .... 8.ov.tholt ..................................... i (Address of applicant) State whether applicant is owner, lessee, agent, archite~t, engineer, general contractor, electrician, plumber or builder ~ ~lLt.lde1, Name of owner of premises ..... l.~'~il~. ~lOhll80~ .... .................................................. If applicant is a e~rporate, signature of duly auth~rized~fficer. (Name and title of corporate officer) Location .of land .on which pr~osed w,ork will b/e do~e. Map No ..... ~ ......... Lot No...IX ........ 1. Street and Number ... t.~.,~ ...... W~...B~k~th[. 'A~ ....... 8Oll~ld~.... :.. ..................... 2. State existing use and occupancy ,of premises an~d i~tended use and occupancy of proposed construction. a. Existing use and occupancy ...... Dw.r~lltngi ~ !~l~celaor~. hulltlin[ ......................... b. Intended use and occupancy ... 8~1~ .lt~.~;l~ ma~8~.. &CC~.$8~Z~y. bll:[l_~'l~ ............... 3, Nature of ~vork (check which applicable): New Building ........ Addi'don ...~l~l~- Alteration ........ Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... 4. Estimated C.~st ..... ~.1(~(~ .~. ................ Fee . .~ ................................. ~ ............ (to be paid ~n filing this applica ion) 5. If ,dwelling, number of dwelling units ...ll~l~t. · 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. Dimensi,ons 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 SDo~ies ..................... 8. Dimensions .of entire nexv construction: Front ... ~ ........... Rear .... ~ ....... Depth ...~1~ ....... Height ............ Number .~f S~ories . .tl~ ...................................................... 9. Size of l:ot: Front .. '83' ~ ....... Rear ............... Depth .... ~.~ ..... 10. Date of Purch.ase ............................... Name cf Former Owner ....................... ~ .... 11. Zone or use district in which, premises are situated ...... 1.~.~..(~l,l~; ................................... 12. Does proposed construction violate any z~ning law, .ordinance or regulatiem? ..... I~ ................... 13. Name of Owner.of premises '/~'~',~l~g. 2~l~l~...~ddress . 8~].~ .......... Phone No ............ Name of Architect ............................. kddress ...................... Pl~me No ............ Name .of Contracter .. ~ .................... Address ...................... Phone No ............ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensi,ons from property lines. Give street and block number ~r de script~on acoording to deed, and show street names and indicate whether interior .or corner lot. STATE OF N~W YORK, )S.S. COUNTY OF ~lffo~ ..... ) ................. ~1"~.!_:~. ,~MISO~I ........ ( ....... being duly sworn, ,deposes and ~ys that he is the app]i- (Name ~of individu~ s~gning application~ cant above n~ed. ~e is the ........ ~ ~. ~l~ ................................................. (Oontra~or, agent, o~orate officer, ete.) of said owner .or ,owners, and is duly authorized ~o pe~orm or have pe~o~ ~e said w~k ~d ~ make and file th~s application; that all statements oontain~ in ih is applicai}on ~e t~e to the best of his knowl~ge and belief; and that the ~k will be pe~ in the mann er: set for~~ in the application filed therewith. Sworn te before me th~s : ~ ~blic, .... ~ ..... County ' I : I ~[ ~TARYI PUBLIC. State of New York Term Expires March 30, 19~