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Home My WebLink About9547-zFORM NO. 4, TOWN OF $0UTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy No. Z9083 Date June 23 lg..'~' .8 THIS CERTIFIES that the building located at .... 40 Beachwood. ........... Lane.. .... ...... Street Map No .... ~.~.~ ..... Block No ........... Lot No, . conforms substantially to the Application for Building Permit heretofore filed in this office dated .... N?~b~.. ~ ~ .... , 19. ~.~ pursuant to which Building Permit No.........95~7Z dated .... N9~b?~.. ~ ..... , 19 ~., was issued, and conforms to ~1 of the requff~ ments of the applicable provisions of the law. The occupancy for which this ce~ificate is issued is PRIVATE ONE FAMILY The certificate is issued to Dr. & Mrs. ~fred Schwartz (owner, of the aforesaid building. Suffolk County Department of Health Approval ....... ~9r.~.6~ ................... UNDERWRITERS CERTIFICATE No ........... ~%~ .......................... HOUSE NUMBER ..... 49 .......Street ......... ~.~.~. ~ ................ Southold, New York Building Inspector N~ Y. BUII~DING ~P.ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL F~ULL cOMPLETION OF THE WORK AUTHORIZED) N? 9547 Z Permission is hereby granted to: C ~ ~.o.~qn...~.o.~.s .....A/.CD~... Al.f.~e~l.. Sc ~-ar t z ....... 6~,2. ....... P~;~;~.,ho{.ue...i~ ............ Por.t,..Jeffers0n at premises located at ..I,(>t,...t.~o..&...ad¢,l-~.l.3:....'t:~ .......... S(>'¢l~..hwoeel.;-~t~b ................................. ......................... Bea~l~oc~ ,hr~.~e -,.-qout, bo t~ pursuant to application dated .....................-I~0-~ .......... .~.~ ............. , 19...7~., and approved by the Building Inspector. Fee $'1'$~¥3'% ......... FOBM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office $outhold, N. Y. 11971 '% APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, o certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $I.00 Date June 9, 1978 New Building X Old or Pre-existing Building Vacant Land S/W corner Parkway & Beachwood Lane, Southold Locatian Of Property ..................................................................................................................................... Dr. & Mrs. Alfred Schwartz Owner Or Owners Of Property ....................................................................................................................... Subdivision ..... ~..o..u..~.~?...o..o...d. ..................................... Lot No....,]:.,~. ..... Block No ............. House No ............. 11/14/77 Clarendon Homes, Inc. Permit No. 9547 Z Date Of Permit .................... Applicant Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ...S..'..0. g ......................... Construction on above described building and permit mee~,~.,,~j Sworn to before me this day of ............. Notary Public ...,.~.~.~;!~'"" .~ ........ County Notar~ ~.a,~ suffolk Count~ NO. 5~- ~o~ires March30, 197~ applicable ~odeskapd regulations. (stamp or seal) THE NEW YORK BOARD OF FIRE UNDERWRITERS plTl BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Sou~hold, ~1 200 CB ' ~otor/sll-F 1-O,F,I. 1-Smoke Deteeto~ S I,~'2W I~'; 3~3W 3~4W RANGES 1 3O ~/0 V I C ~/0 Stony Brook Elec. Inc. ~/ /(? , 191 Juniper Ave. oom~M ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CRTIFICATI M~ NOT BE ALTII~D ~ ANY ~ANN~, Examined .................... ../. ................. , FOI~I~ I90, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No....?..'.~.'L~.//..Z ........ Disapproved a/c ...~ ............ ~..~. ................... (Building I nspec~i/r) APPLICATION FOR BUILDING PERMIT .............. .//. ........................ 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 propertymust be drawn on the diagram which is part 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 perm. it shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part t~or any purpose whatever until a 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, ordinan~ilding code (]n~.regulations. .......... ,:,...j:... .......... · (AddresS'of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem.ses ....... ................................................... ....-...,) .......................................................................... If al~i~n~ is a~orporate, signature of duly authorized officer. ............ .~.~ ..... . ......... : ................... ~.~.~;.;: ........................ ~1.-/Eocation of land on which proposed work will be done. Map No: ...~ ................................... Lot No: ....J~ ........ Street and Number .../~.~.~.~ ...................... ................... ~ ................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended useandoccupancy...~.~. ........ .~.....~...t..:t .......... (~./..'...~...~....~..~.~' .............................................. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Remoyal .................... Demolition .................... Other Work (Describe) ...................................... 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 .......................... 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. Size of lot: Front ....... .~....'~.. ............ Rear .../~..:.~.7.. ......... Depth ...../,,.~-,,:,,,~,,?,. ........ 10. Date of Purchase ...~..~'.¥.$...'~.. ...... ~..~..~. ................. Na~e~of Fo~e~(~wner .~.....~..~ ...... ~..~....W....~. ................ 1 1. Zone or use district in which premises are situated ...... .r..% ........ ~_<.~ ................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation.;> .......... ..~..i.".~ .................................. 13. Nome of Owner of premise~.....~./t~.~ ~..~...'~t~, Addres~.'..~., .~.~.,~ ~.Z .~....~......~r..~.....~hone No~?¢l~..'..~.~..~.... Name of Architect~.~*.~,~........~.~../..f4,~. ................... Address,~'~J.¢~..../.~:....~/..,~l'..,~, ... Phone Name of Contractor ..~..~[~,~..~..~..',~..,.~.,..~.~...,.Address ...~..~.~~.~,..~.~h~n.~,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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S. COUNTY OF ....~...~.;~.Q;D~3U] ........... JOHN J. MoNULTY .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .......... ~.~.~sict. e,n~. ........................................................................................................................ (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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this l~.~ ......... day of ~o.v.e~er. ................... , 19....?..7. ~/~'~ ~- ..................... .......; ....... . ............................ ....... Suffolk NOT/~:Y PU~.L!C St~t~ p;' ~u'n~ -rr~,~4,~ ,6-(Siaetet~m~',of¢ appficant) // / //? ,) //// ~ SuffoIk County TOWN CLERK'S OFFICE ~,~.~--~* ,/ -- ~ ,ou~.o~, ~. ~. ~/~ ~ ~ ~ ~~ ~ ~,~ed ..... ~ ....... ~ ........... .,,~/ ,~,,~,,o~,o...~..,...., ....... ,.......~ Disapproved a~~~ ~/ ~ .....~' .......... ~,,~,n~ ,~e~ ........... ~ APPLICATION FOR BUILDING PERMIT Date ............ .............. ........................ ,19....,,.....~ INSTRUCTIONS 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 o detailed description of layout of propertymust be drawn on the diagram which is part 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. No building shall be occupied or used in whole or in port for any purpose whatever until a CertifiCate of Occupancy% e. shall 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 Southotd, 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, ordinonl~, Jildi, ng code anal.regulations. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ,~..,./~ ....................... Name of owner of premises ............................................................... ~) ......?~)'~' ~'"~0- I E: ~;]~':J"~,'~ ............... If o~ is a ~.orporate, signature of duly authorized officer. ' ,"'->k-,,~.,.~ ~: ..... ~-- ~~/~/-~ "- ........................ ....?_..7../ ...... r-......:: ................... ~'l~r~r;g'~l'¥Jtle of corporate officer) d.- 'Locatto(n'o//f land on which proposed work wiJJ be done. M~a~p~o/: ...~.,~.?~...~..,...4~...o..,~.,a~. .......... Lot No: ....~...~.....?. Street and Number ...~.L.'..~....~....~. .................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ................................................................................................................................... Intended use and occupancy ...,~..~..~. ........ · .'~.....~..(.../.y .......... ~../.....~'.,.~...~...C..~ ...... ; ....................................... % 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... ..... · · · 4. ~srlmoteo ~os~ ,,,?~, ............ ~, ...... ~' ............................ (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 .......................... Rear .......................... Depth ............................ Height ............................ Number of Stories ............................................................................................................... Dimensions of same structure with alterations or aad't'ons Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ $. Dimensions of entire new construction: Front ...... .~ ............... Rear .....~....~.. ................ Depth ......~..~.. ................. Height ......~. .............. Number of Stories .......... ./. ................ 9. Size of lot: Front ....... .~....~... ............ Rear .../.~..:..~...7.. ......... Depth ....../..~..:...~...~.. ......... 10. Date of Purchase ,..~/.~..a.~...~.. ...... ~..~.2 ................. Na,~e~of For~er~vner .~..~..../~... ......~..~......~.. ................ 11. Zone or use district in which premises are situated ...... ~ ........ ~ ................................................................. 12. > Does proposed construction violate any zoning law, ordinance or regulation .......... , ..,~.. ....................................... 13. Name of Owner of premise~......~/.~.~...~....~.....~iAddres~..'~..,~.N'..~..~....~......~. '~..'''~hone NoT~.;..~' .,~)~.... Name of Architect-~.~.'*.e~...-..~.~../-.-/./.~.''J~ .e --.,. ................... Address 4~e"~'~:~....~.~..:....~/..~.~... Phone NoT~..L~.~r~.~'~ ~'~.~,~ Name of Contractor ..~.~,~1~.~..~..'.~....~..../~9.~.....Address ...~./,~..~~...~...: ..... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ) S.S. COUNTY OF .... ~.g..~. ~.QT~ ........... ~ JOHN J. McNULTY · . . be ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .......... ~.r~$ide. a~- ........................................................................................................................ (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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Z'~ ~/.~~.~,,~ .. ~h ......... day of ~o~e~ ........ , 19....7.2 ~- g. [lt[~ I~I[L[R .......... ~ ............ ~J~'~] ................................................ ........kl~*~ P, Kilt ~g,~,f[Q~ N~ P~LIC, ~t~ gl ~ JO~ ~(~i~. ~ applicant) ,/ -- ~r ........ , ........ ' .............. N~T'~f:~)~13 ..... ~ PINE NECK ROAD APPLICANT' ADDRESS TEL ,6' BEACHWOOD LANE NO TES. LOTNUMEt~S REFER TO MAP OF "SOUTHY/OOD" FILED IN THE OFF~CE OF THE CLERK OF SUFFO'L~ COUNTYONflOK 24~ 19~ ASFILE NO 2141 THERE ARE NO DWELLINGS ~YlTHIN I00' OF THIS PROPERTY OTHER THAN THOSE~SHOW/N HEREON.' ~'A?ER SUPPLY - PRIYATE WELL S TEST HOLE dAl~/8,1978 JUNE ~ 1978 SURVEY FOR. ALFRED SCHWARTZ ^~ SOUTHOL D ', RIVERHEAD SAVINGS BANK ": ............................. i USLIFE TITLE INSURANCE COOFNK ,: S~OUTHOLD PINE NECK ROAD ~'HE LOC,~TION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OF HEALTH SER~ ,~pPuar(r. ~.,~ ,A~,.,~ /,~. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY APPROVED GO05, . BEACHWOOD LANE lot I~ HOusE NOTES. LOTNUMERS REFER TO MAP OF "$OUTHWOOD " - FILEDIN THE OFFICEOF THE CLERK OF SUFFOLK COUNTY ON NO~ ~4~ 1~5~ AS FILE NO. ~141 THERE ARE NO D~/EI LINGS V/ITHIN I00 'OF THIS PROPERTY OTHER THAN THO~_SE SHOW/N HEREON/ WATER SUPPLY - pRlYA TE ~V~"t L S TEST HOLE 0 TOP SOI~ £L:L9 SURVEY FOR: ~'~ ~,~*?~ ALFRED SCHWARTZ AT SOUTHOLD TOWN O. 9~OUTHOLD SUFFOLK CO,, N.Y. i,,= 40~ j DATE' GUARANTEED 'TO: ~'~ 77- 823 i II 41 .... [.~ _il__ Lh T .......................... t .~ , .. CF A~y KINO OR CONS FaUCTioN ~'P:~c,,~ ::, REQUIREMEN; _ ,~ ' 7;I,/i STATE ~ODE ' TIlE ,II _j_' L L._ - _L L, ..... L - =t