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Home My WebLink About7927-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26675 Date: 09/10/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 8555 MAIN BAYVIEW ROAD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 48 Subdivision Filed Map No. __Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1975 pursuant to which Building Permit No. 7927-Z dated MAY 14, 1975 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to PAUL & JEANNE HUNTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7927 Z Permission is hereby granted to: ...~.e;',~..llY~m,,t;e~ .................................................. to .~...~..~,~..m~...~,.~.~.e.~.~.~Y...~'~.~.¢~.g ...................................................................................... at premises located at ..... J~.~..~t~'ilJ~..~GJ~l. ................................................................................ .......................................................... 8o~t,~ .................................................................................. pursuant to application doted ........................... ]~,~r ..... ~.~ ........... , 19....~.~, and approved by the Buil'ding Inspector. Fee $-.1.0~ .......... TOWN OF SOUTHOLD BUILDING TOWN CLERK'S OFFICE ~proved ~ti ~ 1~.~ .... Permit No. ~..r .~..Z...~..~. Disapproved a/c ...~ ~/ '(Building Inspector) / APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show ng ocat on of lot and of buildings on premises, relationship to ad oining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicotion, fC~ 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 work. e. No building shall be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupancy shall have 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 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, and to admit authorized inspectors on premises and in buildings for necessary inspections. ' -(Signature of applicant, or name, if a cor~'~i~i (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. · . . .~-t.~= 7.. r~ t 1. Locahon of land on whmh proposed work wjl be done~M~p N2 .......... ~....~ ....................... Lot No ......................... ' ~.~ ~ _~ - ~ Street and Number ..~..~.r..u.t.~....~.,.~...-..-..~..,..-.a .ti. ................................................................... Municipali~ 2. State existing use and occupancy of premises and inCended use and occupancy of proposed construction: ........................ b. Intended use ond occupancy ..~ ........................ 3. at re of work (check which applicable): New Building......~ ..... Addition .................. Alter ' .7. ............ Repair .................. Removal .................. Demolition .................... Other Work ................................................ . t~/ ~'~ ~' ~t ~,' (Description) 4. Estimated 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 ..........qJ~lL~....~...~. .... Rear ......... ~....~....~.. .... Depth ...J~..~. Height........................~"&' Number of Stories ............ J- ................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ............ i1.~...,- .............. Rear ........ .......... Depth ..... ~....: ............ Height ...... J-I ........... Number of Stories ............................ 9. Size of lot: Front ........ ...... ~ ........................... Rear ...... ........................Depth ......~....~...../, ............... 10. Date of Purchase ..... .~...t~.., .......... ..~...~.. ....................,~ ,-- /' ~'- '/ / -//Nam{ of Former Owner~..~.~. 11. Zone or use district in which premises are situated ./'~..C.~..~.ll..~,.~f.......--...~.J~...'~..'t~'lk~.. .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .....I~....~.. ............................................. 13. Will lot be regraded ....j~l~. ............... Will excess f. ill be removed from premises: ( ) Yes (~"~o 14. Name of Owner of premises .~,.&.[...~'...~...~.~..JJ~.l~..~...l'Address~.~..[~.... .......... Phone No. ~.~...'~..'T./..~..~..I~/ Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... 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. ETATE OF NEW YORK, ~ ¢ ¢ COUNTY OF ................................ ~'~'~ ................................................................................................. being duly sworn, deposes and soys that he is the applicom (Name of individual signing contract9 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 make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and ti,ar the work will be performed in the manner set forth in the ap I~]$ation filed therewith. Sworn to before me this /' ~ ~ ........................ ............................................ .,' ........ D Notary Public,. ................................................... County "~'"{'"(~" '('"'""~';~;~~--~')'C~~l~can .............................