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Home My WebLink About5411-zFOF. M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z.~.g03 ....... Date ............. .F.e.b...2.~. ...... , 19. ?.~. THIS CERTIFIES that the building located at . ~/.8..E.,../~l~.gO.l~. ~. ...... Street Map No..~ ......... Block No...=X ...... Lot No... XX... ~at.tXtuek..l~,I., ...... conforms substantially to the Application for Building Permit heretofore fried in this office dated .......... .J.t~y...19.., 19 .~.l. pursuant to which Building Pemit No..~.~ ]~.. dated ............ J..tt~y.....1~., 19.?.1., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ate..o e, fa t L7..dve:ij Zug, w~th. addit~o]l .&. alt, .............. The certificate is issued to Herbert N, Botlghton (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. p.e..n.d.Z~..g ................................... HOUSE NUMBER....~.~. ~ ....... Street ....E.,..I~$;l. gc~r~. &,~ ....................... Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT 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? 5 11 Z at premises located at .....~./-~....:~..~,....~.~f~.~..~.....~,.¥.e. .......................................................................... ~tt!taek pursuan¢ to application dated ............................. .~.~.~. ....... .'J.~.........., 19....~.~., and approved by the Building Inspector, Approved ..... .~.....~...? ...................... , 19 ........ Permit No..J"/'/ll L_ Disapproved a/c .............................................................................................. souTHOLD OF BUILDING DEPARTMENT ?//,&/~ /~' .,~o ~' ~ ~ TOWN CLERK'S OFFICE '~ ~ · ~ ~~ ~ ~pp,,~t,on .o. ~./~ ............ .................. ....... {Building Insp~r~ ~ ' ~7 19 19 71 ~ ~te ............................................................ , ............ INSTRUCTIONS ~ a. T~ls application must be completely filled in by typewriter or in ink und submifted tn 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 deeailed description of layout of p~Operty must be drawn on the diagram Which Is part of thio application. c. The work covered by this application may not be commenced before issuance of Bulldlag 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 t~.roughout the progress of the work. e. No building shall be occup ed or used n who · or in part for any purpose whatever until a Clrtiflcote of Occupancy shall have b~n granted by the Bu Id*ng Inspector. ^PPLICATIQN IS HEREBY MADE to the Building Department for the issuance of a Bud ng Perm t pureuant to the ~u,d? Zon~.O~. ~nanc,.o~ th, Tom of Southo~d, Suf~k Count, N,w ¥or~, and oth,r ~: cob, '~, O~:,~nc,, o, egu aTions, tar the construction of buildings, additions or alterations, or for removal or demolition, al herein clescrlbed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. (Signature cf applicant, or name, Jfo coq)oration) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................... .c...e.~.~c.~.~. ..................................................................................................................... Name of owner of premises H.N.Beughten If applicant is a corporate, signature of duly authorized officer. ;~ (Name and title'of corporate officer) -~/~ ~ ~ ~. Location of land on ~ .................. .'...~... whlchpmposed ~rk will be done. Map No.: .................. Lot No.: .............. Strata and Number ..N/&....~....~e~..~e .............. ~g. .................;....' ..................................... ~1~ ~ Mun c ~ ~ 2. State existing u~ and ~cu~ncy of pmmisfl and intended use and ~cupancy of pmp~ comtmctl~: a. ~isting use and ~cuponcy.. ~w~] t~ . b. Intended use and ~cupan? . .......... G~e..~.~...~d&~.~eG ........................................................................... 3. Nature of wo~k (check which applicable): New Building.................. Addition ...........,....~ Alteration ............. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ..................................... 4. Estimated Cost ....~,e.Cl0~....-+- .................................... Fee .~.e.~..(}. ........................................................................... (to be paid on fi!ing this application) $. If dwe[llng, number of dwelling units ..... .?~..? ................ Number of dwelling units on'each floor ....................... If garage, number of cars ....................................................................... ~ ..................................................................... 6. If business, commercial or mixed occulDancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, Jf any: Frant ............................ 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 ..... .1...~...../...9. .............. Rear ....1.1i.....~....C~ ........ Depth ...1~...../...8 ..... Height .................... Number of Stories ........ .e.~.e. ....................................................................................................... 9. Size of lot: Front ....... ................ Rear ..... .~-0 .......................... Depth ...... ~-.~....+. .............. 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... 11. Zone or use district in which premises are situated ......... .~...~.!!....~...~..S.~. ........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~ ........................................... 13. Name of Owner of premises .~[~][~...~e~,[~eZ~ ....... Address .....-Na.¢t,5,tl~.~c ................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No .................... Name of Contractor ..~.....~......]~....t..t...e...z~....e..~..l;~ .............. Address ........ ..~_...~.l~.~.lP, g~ .............. Phone No .................... PLOT DIAGRAM Locate clearly and distinctly oll buildings, whether existing or proposed, and indicate ail set-back dimensions from praperth/ lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer Jot. 'ATE Of NEW~, ;tS.s COUNTY Of ~.~...~....~.?....J:~.. ............. ,{ ' ................................. ~.~.~.~ ........................... being duly sworn~ d~oses and says t~t he is the applicant (Name of individual signing application) a~ve named. He is the Centracter . (Contractor, agent, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to ~ke and file this application; that oil statements contained in this application are tree to the best of his knowledge and belief; and thor the work will be performed in the manner set fo~h in the applicati~ filed ther~ith. Swam to ~fora me this .................. ].~ of ..... :....~*~ ...... 7~.x., 19..7.1.. ~ ~IA ~ I ~_. ~ L_ ~11~_ .~~-q ..................... Notor/Public~~~.. Cou~ ~ (Signa~re of applicant) ~TARY pUBLIC, St~te ~ T~[m ~pires ~cb ~, t~