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Home My WebLink About172-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...~.. 81~ .......... Date ......... ~...C~ ...... .~..~.. ........... 19..~..... THIS CERTIFIES that the building located at .... HI~I~rO~...A¥~,~ ......................... Street Map No ..~J~L~ ............. Block No conforms substantially to the Application for Building Permit heretofore filed in th~s office dated ................... ][O.~.~.1~' ~ ......... 19..~J.., pursuant to which Bu,ld,ng Permit No .... ..~.....~.~/..~. ........... , dated ............. JJ~[J~i~t~..1.~ ...... 19.~.~.., was ~ssued, and conforms to all of the requirements of the apphcable prowslons of the law The occupancy for whmch this certificate is issued is ........... ...................................... P~t~JL~E...]7~.,LT~.~ ......................................................................... Zh,s cert,ficate is ~ssued to .... ~[ft~.../~.,...~.er~'. ....... (~1.,J]a. ez') .................................. (owner, lessee or tenant) of the aforesa,d bu,ld,ng Building Inspector FO~i~ NO, ~ TOWN OF SOUTHOL,D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES.~T~[j~O~ ,~P~IIi~~,~i~.~-~IT~JNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No - .~, t~'~ ...... Date ....... NovemBez, · .11{· ........ 19~-?1/... PermJss~on Js hereby granted to A. ,~'Ohn (}~a A/~...Rem'T'. ~rz~ ............................ ........ P :.shers .Istan .............................. to ....... B-}'ld" an'-addi'l;~on '+.,o 'exi~rt;t~ 'dwe"[ t~.nE ............................................. at premises Iocoted ot ~t~-~ID~ AV'~ - i[I~IB~ I~l~ , ~i~e ' ..................... pursuant to apphcohon dated ....... NOV.~=~)el*.. "IL2 ................... 19~-'~..., and approved by the Buddmg Inspector Fee $.~i(~) ............ 9LUN~BING PAINTING REFRIGERATION TELEPHONE F. I. 231 ELECTRICAL WORK ELECTRICAL AND GAS APPLIANCES ROADS AND GROUNDS a. JOHN GADA Member Connecticut Sociel7 of Civil Engineers Genera! Contracting P. O. Box 330 Fishers Island, N. Y. Agent for Bottle Gas, Pelro Oil B~r#ers end P~tlstuargb Paints November 12, 1957 ~ir. Howard Terry, Bldg. Supv. Town of Southold Town Clerk's Office Southold, New York Dear Howard~ I am enclosing herewith an application and check in the amount of $5.00 for a building permit. There is also enclosed a sketch of the new addition to be made to ~. Henry A. Gerry's home. The size of the s~ructure will not change materiallyl the onlf change is in the height. We are adding one room and a bath to an existing ell. Will Wu kindly send me a supply of application blanks. Ihanking you in advance, Sincerely, A~.' JOHN GADA AJG/ec £nc1¢ ~3) . ,- IIIIIIIll I[11 Illllllnnmn i FOR~VI NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. Application No ........ ./....?_ ,, ., Approved ........................................ 19 ........ Permit No ................................. 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 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 part of this location. 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 shall be occupied or used in whole or in port for 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, ordinances and regulptions. A. JOHN GADA (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Contractor · Henry A. Gerry Name of owner of premises ...................................... ; .............................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number Halcvon Avenue~ Fishers Island, New York 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ,$.u,...m~..~,r. res. i. dence b. Intended use and occupancy ...................................................................................................................... .................... Alterahon ................... 3. Nature of work (check which applicable): NeW Building .................... Addition xxx - · · Repair ....................Removal .................... Demolition. ................... Other Work (Describe) .................... 4. Estimated Cost ....... $~.0.Q ......................................... Fee .......$~.,J3D ......................................................................... (to be paid on fiting this application) FEES: 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ..................................................................................................................... : .................. 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ............. ..4.Q .......... Rear .........4..0. ................ Depth ...... .3..0....f..e..e..t. ........ Height ................ .3. .0.. . ?. .e..e. fqumber of Stories ........ .3. .................................................................................................... Dimensions of same structure with alterations or additions: Front ...... .4Q..£aaf~ ............Rear .....4D..£~e.t .............. Depth ............. ..3..0....f..e..e.!:... Height .......... ~.0...£~.1; ...... Number of Stories ..... .3. ......................... 8. Dimensions of entire new construction: Front ...... .2..0....f..e..e..t. ........ Rear ..... .2..0...?..e..e..t. ......... Depth .... .]:.4...?..e..e..l;. .......... Height ...............~..J~f:fl.t;. Number of Stories .............. Z ............ 9. Size of lot: Front ....].~..a.¢z.e .......... Rear ............................Depth ............................ 10. Zone or use district in which premises are situated ................................................................................................ 11. Does proposed construction violate any zoning law, ordinance or regulation?....?. ............................................ 12. Name of Owner of premises ...... H~nz.y..~....Gezz.y ...... Address ..F.LsJzez.s....~.s.l.~ct,...N,-Y.-...Phone NO...,423 ............ Name of Architect ...................................................... Address ............................................ Phone NO ..................... Name of Contractor...A..:...2..o..h..n....G.a..d..a. .......................... Address .F...~.~.b..e.T..s....Z..s.~.?..n..d.,....N.:..Y.:....Phone NO.2.~, ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate alt 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, ) SS.' COUNTY OF ..~.U...F)F.Q[~..K. ............ ) ................ .~^..JQ[-~..(~6 ....................................................... being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) above named. He is the ....... Qo.~Jzzacf. az ....................................................................................................... ii~ ..................... (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 be.~ore me this ..... ............ day of ..... ..................... (Singature of applicant) ELOIS£ #~t~ Public State of Hew ~esid ng in ~u~folk County No. 52-03~7830 My Commission Ezpires ~arc~ 30/[9 /