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Home My WebLink About1278-zFOR~ N~O. 4 TOWN OF SOUI'HOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY of the aforesaid building. THIS CERTIFIES that the building located at ..~/.~....l~t~lr, n&~;awk~$ .~,~d ..... Street conforms ~ubstantmlly to the Application for Building Permit heretofore filed in this office dated .................... Deeamb~r.......~., 19~pursuant to which Building Permit No..Z~.~.~. ..... dated December ~ 19.~.0.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is This certificate is issued to ..... ~.O~.ph..L., ..lqa~,~,OZl~ ...................... 0'~1~ .......................... (owner, lessee or tenant) Building Inspector [ FOR~[ NO. 2 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? 1278 z Dote ................ .D ~ e~t~,l~e Lm....t~. .............. 19....(~0 Permission is hereby granted to: ..... · ~; ff ;'¢~ua~":~/C"~t'~z~L~a~'""Pa~m~o~a ..... .................. ~l'~z"~'" T~ I'a:n~ ~"""~';'~'; ............ to ..... 'Bu'~d..' a~t.. ~d ~'t~'~o~t" o~..~n...ex.~ s~i~g...dwe'l.littg .................................................... at preraises located at ....... '}~,2t'~'qa't;a~z~'.'l;'"~d ............................................................................... ..................................................... -Fi ~he.~ s...~ ~.l-a. nd.,~......}~ .~ff.~ ......................................................... pursuant to application dated ............................. ~C~J~l~l'""~ ........ ]9'"'~0(~ and approved by the Building Inspector Fee $'"'~;0(~ .......... FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. . ? d Approved ........................................ 19 ....... !Permtt No ................................. Disapproved o/c ......... ~ ....... /'~" ~ Inspector) APPLICATION FOR BUILDING PERMIT Date December 5 1~ 60 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 applicOtion may not be commenced before issuance of Bu ding 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 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signl~ture of apglicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. General Cent race. or Name of owner of premises ........... ..M..r.~,...~R~l.d....M..r..s.~...W..J.,J.,J..J.p~gx.P.a.r..%9.n..~.. ' ...... E If applicant is a corporate, signature of duly authorized officer. ~j (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number Munnaf. awke~c Road 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ................. .~..e.~.J..d..e..n..o..e. .............................................................................................. b. Intended use and occupancy ............... .~i~JgO~# .............................................................................................. ~c 3. Nature of work (c k which applicable): New Building .................... Addrnon ..~ ................. Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .......... . .~. . ,. .0. .0. .0. :..0. .0. ................................ Fee (to be paid on filing this appli~ati~'r~) " 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 ................................ ' " 28' - 0" 1. Dimensions of existing structures, if any: Front...2..8.....T....0. ........... Rear Depth ........... .-. ............... Height .~!....':..0'.'. ........... Number of Stories ..... 1~ .................................................................. ~i Dimensions of same structure with alterations or additions: Front ...3...6.!....-...0.'.' .............. Rear ...~.8..'....-....0.~ ............. . :!;:.-Depth .......... ..-....0. ............. He,ght ....2..0......-...0. ............. Number of Stones ....... ],½. ..................... ~!:~. Dimensions of entire new construction' Front ~6' - Q" Rear 5.~.~ - ~" Depth ~8 ~-L'~:~' Hmght ....]...0.~ ....... .0.t.'. ........ Number of Stones ......... .1. ................. 9. Size of lot: Front 250~ Rear 3.50' Depth 600' 10. Zone or use district in which premises are ~;~,,~*~,~ Residence 11. Does proposed constructio~ violate any zoning law, ordinance or regular on? ..N..0. ...................................... ' Mr. & Mrs. · . ]2. Name of Owner of * William Parso Fishers Is.~ N.Y. Phone NO. F.I. 238 premises ....................................... .r~l~dd ress .~ ............................................................. Name of Architect ...................................................... Address ............................................ Phone NO ..................... Name of rontra,'t,~, A. John Gada ........................................................ Address ..D..r..a...w~....r...B..:.,...F..j..s..h..e..r..s...!.s. Phone NO...F.....I..,....2..3..t.... PLOT DIAGRAM Locate cleorly 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, ~'~- /~-~'7' A C~'~ ~ D ~) ~A L~J ' ~/ ~ , STATE OF NEW , ) .. COUNTY OF .....S..u.~.o..]:.k. .......... )SS.' . [ _ A. JOHN GADA h~'.~ duly sworn, d~ s and soys that he is the applicant (Name' of individual signing application) above named. He is tk~ CONTRACTOR (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 ore true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applicotlon filed therewith, Sworn t.~fore me this ,~- ~ .