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HomeMy WebLinkAbout488-zFOI~M NO. 4' TOWN OF SOUTHOLD BUILDING DBPARTMEFIT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 757 Date June 7 19...6.~.. THIS CERTIFIES that the building located at .~}?.,~...~?.~.~.~.~.....~.~!'~..,~.o,..r..k.' ......... Street ~,_ Thc Paz~ ..... *** . *** Mop ,~u ......................... utocR i~o .........................Lot No ................................................................... conforms substantially to the Application for BuiIding Permit heretofore flied in this office doted Octob(}r 14 19 5~ , pursuant to which BuiIding Permit No. of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ................ PREVA~E ......... O~ F~ZLY DWELLZNG This certificate is issued to .Ci%a~.iD.~..~.Q~,.**,OW~e~ ................................................................... (owner, lessee or tenant) of the aforesaid buiIdlng. Building Inspector FO]~ NO, ~ TOWN OF SOUTHOLD 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) Dote Permission is hereby granted to: FiSh. rs Is~ an~ at premises located at ' ~he Pa~k pursuant to ~pplication doted ..................... .......................................... , and approved by the Building Inspector Qo Fee $ ~, ........... Building Inspect~ ...................... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... 9.g2.gk~.r....1.4. .............. 19...5.8.. Approved ........................................ 19 ........ Permit No ....... ..~...4..8..8. ............... ................ ~ .......... ~. ~,,-r. .................................... Disapproved a/c ...... Z- .... .......... "C ....... (Building Inspector) Application No. ,,4..8..8......d. ............... 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 k, ept 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 issuanoe of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinonces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances and regulations. (Signature of applicant, or nome, if o corporation) A,JOHN G^DA .P.Q.s.I...0. F. F..L.0..E...D.R./~.~B..~LB.::.,....F.I.$Jd£B.$...I.$.LA~.,.. ~ELY. OJ?~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................... .g..e..n..e. r;M. ¢.gn.~ r.~.~gr. ................................................................................................. · Oharles Upson Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ........... .T..h..e....P.~.r.]<. ................. Lot No: .................... Street and Number ................ .E'..i,.s.b.e.r..$...J.$.l~d.~..~e.~.oY. ar.k ...................................................................................... Municipality 2. State existing use and occupancy of pr, emlses and intended use and occupancy of proposed construction: a. Existing use and occupancy ...................... ~.~.~.~.¢.¢.~1~ ............................................................................................ b. Intended use and occupancy ................... .R..e..s.i..d..e..n.c.,e. ............................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration X Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ............... ~. .5. , . .0. .0. .0. :. .0. .0. ............................ Fee ..... ,5.:..0..0. ............................................................................. (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 ......... .G..O~'..}- ........... Rear ...... .~..g..F'..~. ............. Depth ..... .2...~..F..~ ............... Height .....2..0..F.~ ................ Number of Stories l~- Dimensions of same structure with alterations or additions: Front ......... ~ftB.~ ............... Rear ....... .~..m.e. ................. Same Depth Same Height .............................. Number of Stories 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front .... .2..0..0. .................. Rear 200 Depth 200 s 1951 a rmer ~iddlebrook 10. Date of Purcha e ........................................................ N me of Fo ,,Owner ........................................................ 11. Zone or use district in which premises are situated ............. ..z_.~...'......~. .......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises......0..h.~..r.]...e..s...U...P..S.9..n ......... Address ..~!.~..h.e.r..s...!..s..~.~.n..d. .............. Phone NO ..................... ire t Hart L nn Name of Arch c ............................. ~......,v ................... Address ~/oodbr idge- 0onn. ,~- .................. ~..~ ..................... rnone NO ..................... Name of Contractor ................. .A..:.d..o..h...n..~.d..8.. ............ Address ..E.i.9..h.~r..s...J..s.]-.~.n..d. .............. 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 NEWc~Y~RK,/f, ) S S COUNTY OF ..'.~...'~.~..(~]....~ ................... ~~.~../ .................................................. being duly sworn, deposes .and says that he is the applicant (No ern,~j~F individual signing application) , . 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 that the work will be performed in the manner set forth in the application filed therewith. to before me this .S..w..~i.n./...~.. ......... day .of ...~-~.'-~ .......... 19.~,.~.. ~na~ure o~a~pplicant) , ..--~ Notary P a~l~SZ-~.;_~ Coun ~ · TOWN OF SOUTHOLD BUILDING DEPAR. TMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. Examined ................................. (...... 19...~"~. Approved ........................................ 19 ....... Permit No ............................... Disopproved a/c .................. ;.~ ................. :"7 ................ ~.F¢ ................ 72 .......... ............ ...................... (Building Inspector) Application No ...... ~ ..~,. '.~...~ .... APPLICATION FOR BUILDING PERMIT D- 0ctoL-~ er 9 ,~ 58 ore ............................................................ ~ ............ INSTRUCTIONS e. 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 oppllcotlon 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 ir~ part 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) A~JOHN GADA POST OFFIOE DRAWER nB~ FISHERS ISLAND~ NE~ YORK (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Oon~ractor · Charles Upson Nome 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: ......... .T..h..e...p..a,.r. lf ................... Lot No: .................... Street and Number .......... F..~.~ber. s...l~.lagcJ.~..N.~w...Y~r.k ............................................................................................ Municipality State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...................... .R..e..s..j.d..9..n..c..e. ................................................................................. '. .......... Residence b. Intended use and occupancy ................................................................................................................................ Nature of work (check which applicable): New Build in , Addition A tarot on X Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated r'r,~. $5,000.00 Fee ........ .~.,.0..0 .................................................... (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 ....... .~I~..E~ ........... Rear ...... .G..0...~r:.. .............. Depth ..... .2..5. .. ,F. ~ .. ........... Height 20 Ft. Number of Stories ............... ?,, ............................................................................................ Dimensions of same structure with alterations or additions: Front ..... ,S.9.,m-e. ................... Rear ....S.~.m..e. ..................... .............................. Number of Stories ................................ Depth ....... S.~.m..e. ............... Height Same 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front .......~..0..0. .............. Rear ..... .2..0..0. ................. Depth .......2..0..0. ................ 10. Date of Purchase ......... .1.~.~ ........................................ Name of Former Owner ..... ~!.d.d..1..e..b..r..o..o..k. ............................. 1 I. Zone or use district in which premises are situated .................. ~.: ................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... · Charles U son e Fishers Is].and Phone NO. 13. Name of Owner of premises ......................... P. ............. Addr ss ................................................................ Name of Architect ....................... .H.9..r..r.Y....L.y..n..n. ............. Address ....W..o.g.d..b..r..i.d.&.%..0..°..n.n..: ....... Phone NO ..................... Name of Contractor ................... .A.:..d.9.,h.n..~.~.cl.~ ........... Address ....F..!.s..h..e..r..s....[.s..]:~n.d. ............. Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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 ....~....~.~..I..~., V,' /~ ....... ) ' C~'~ '~~f'~'Z ~.c~../~-'c~ being duly sworn, deposes and says that he is the applicant ................ ......... above named. He is the .................................. ~./..~..~..~.'X.',...~ ....................................................................................... (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 thi~ application; that all statements contained in this application are true to the best of his knowledge and belief; '~at the work will be performed in the manner set forth in the applic~t~. o before me this ....... ~¥~ ~. '~ ...... ~_=~,~..,.½~,.] ...... ~,, ./,~ ........ ,~ ~ (S~'gnature of appiicant) P~oob4 -A-, V~WI i~I C' I,~.,'¢ up ''-~A$ T WALL -~-L~_VATI©h~ T.H AL'L_ I I El Vl~C. ~0 0 IM I '1 ~ ~ O 0~ ~ i__AI N = p- -N~w s,t~F ~Z:.C T t,.0 H t