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Home My WebLink About4655-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~*~8~. ............... Date ......................... ~T~I,~ ......... ~ ...... , 19....~0 THIS CERTIFIES that the building located at '~IB~I31'I~'(~OC['"P~I~.' .................................. Street Map No...~e. ............... Block No. '.,~13~ .............. Lot No..~ ....... ~tl~lO'g'd~ ......... 'N~'~ .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................... ~J~TC~ ....... :'~.~ ........ , 19..~). pursuant to which Building Permit No. dated ............................. ~TE~*'~ ....... ~3'"' 19'"~0' was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ...................... Pz'~'a~c~e..~ne.. ~'a~e~..~y ..d~.t~n~ .......................................................................... The certificate is issued to '"'~'~J~Oll~"~ol'g&Zl .......... ;'_ ~0~1~_~'~' ....................................................... [owner, lessee or ferret) of the aforesaid building. House Building Inspector / PO~I~ bO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PEP. Mn' FI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUll COMPLETION OF THE WORK AUTHORIZED) N? -4655 Z Dote garch 23 19...~'..0. Permission is hereby granted to: Raymond Horgan & Wife at premises located at ............... ~.V..~.....~..O..~..~..e..(..~..q~.O.h~'.~.~.....~Q.~...~.....Z~.p...2~.~ ...................... Cutchogue N.Y i pursuant to application dated ........................... ~trP.~ ...... 2~ ......... , 19..~.0.., and approved by the Building Inspector. Buil&ng Inspector Approved .............. ~...~: .......... L..~...., 19-[ ..... Permit No. ..~ Disapproved a/c .............................................................................................. t" (Building Inspector) / Appli~atian No...,~_~ ................ APPLICATION FOR BUILDING PERMIT Date .~ ....... ~-....~.. ....................... , 19...?....~.... 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 showing location of lot and of buildings on 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 port 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 sh~ll be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ~;.shall have been granted by the Build~g Inspector. APPLICAT~[ON IS HEREBY MADE .to, the Building Department for t~ssuance of a Bui~liing Permit pursuant to the Building Zone Ordinance of the Tbwh bf Southold, Suffolk County/New Work, and other q/p~licable Laws, Ordinances or Regulations, for the construction of buildings, additions or altera/'fons, or ~or removal or c~et~olition, a~;~erein described. The applicant agrees to comply with oil applicable laws, ordina~, buTing c/o, housi~/~:ode, and ~'egulations. ~ ............ : ....... ~.~.y~-... ..... :.,..,...-.~. ....... ~ ............................. (S~§nature of. applicant, or name, if a.corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer; general contractor, electrician, plumber or builder. 0~er c~n~r nf n~mle~e Haymond & Helen T. Hor...&~... . Name of ......... ,.. ............................................................................................................................... , ...... ,I..~, ................. If applicant is o corporate, signature of duly authorized officer. {Name and title of corporate officer) ~ ~ ,~.. ~ 1. location of land on which prapo~ed work will be done· Mop No.: ..... .T.~.~ .................... --Lot No.: ........................ Stre~ and Number ~.~.:.R~.~¥.~.O.~..~II~.~-~>~O~. .................. ..~..~.o..h..o.~..~.~ ........................... i ................................ Municipality 2. State existing use ~nd occul:~ncy of premises and intended use and occupancy of proposed consfruotlon: o. fixi~ing use and occupancy .....1~.~....~..?J..1.~...~..o..~.~ ................................................................................................ b. Intended use and occupancy ......... 0ae.._~..~!l~..Em~e .......................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition .~ ..... Alteration .................. Repair .................. Removal .................. Demolition .................. C)the~ Work (Describe) ........................................ 4. Estimated Cost ~,Z~g ................................................ Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .o~..e. ................. 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 ...~..£.~.t, ...........Rear ....22..~nnJ; .............. Depth .22..£n~.:t, ..... Height .1..4...~.e..e.~ .......... Number of Stories ..... .o..n..e. ...................................................................................................... Dimensions of same structure with alterations or additions: Front .2~..£eet~ .................... Rear .2.~..~'ee:rr, ............. Depth 22 :~ee% Height ~ feet, ............................................................ Number of Stories ...~.o. ....................... 8. Dimensions of entire new construction: Front ...2~..~'~t, ................... Rear ....2~..~.t, .......... Depth ...22..~'~ ....... Height ~..~.~lf4 ........ Number of Stories ....... gll~ .......................... 9. Size of lot: Front ....~..~....~..e..e..t,. .......... Rear ........... ~.1.~.....~.. ......... Depth 10. Date of Purchase ...~P.~.$..~. ...... .1.~.~7. ...................... Name of Former Owner ..... ~.:..~..o..b.~?..o.~ ............................. 1 I. Zone or use district in which premises are situated ......... ~e,~.~t,~.~.~. ..................................................................... 12. Does proposed construction violate any zoning law, ordinan~/e or regulation? ............... .~..o. ......................... :.. ............. 13. Name of Owner of premises ...~:...~....~...cl:....~..o.~..n~.. ........... Address ..~.e.~.~..h.~..°..°..d:....D.~.fL..~..e. ............ Phone No. 7..~.~...~.1. ..... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...~...e..s.~.e.~....0.~.o.~.s..k.~ ................... Address ~.e..~..~...s.~...A..v.~...~...f,..o.?:..o.~...e... Phone No. '/~.~..~O~ ..... ~ PLOT DIAGRAM Locate cleaqy and distinctly all buildings, whether existing or proposed, and ind cate all set-back dimensions from property lines. Give street and block numbe~' or description according to deed, and show.street names and indicate whether interior or corner lot. STATE OF NEW. ~i).RI~,.~/.~ t.. ~ OF ...... ................................ ~.z ....................... ~.~..~..~...be~g duly sworn, d~es and says that he is the applicant (Name of individual signing applic~ion) above named. He is the .................................... ~ ........................................................ (Contractor, agent, co~or~t;"~'~;;j'~;~ ............... of said owner or owners, and is duly authorized to perform or have~rformed the sa ~ork~ and to ~ke and file this application; that all statements contained Jn this applicatio~t~.to the best of/~Js knowledge and belief; and that the work will be performed in the manner set fo~h in the ~plicatio~filed therewith// Swam to before me this ~ ( / ~ // ................ ........... .......... . ..... Nota~ Pubhc, WLL?OUn~ phca~t) ' NOTARY PUBLIC, State of New York Ho. 52-8125850, SuffOlk O0un~ Term ~pk~ M~rch 30, ~