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Home My WebLink About1196-zF(~lV~ NO. 4 TOWN OF SOUTHOLD BUILDING DgPAR'I~//ENT TOWN CLgRK'S OFFICI~ SOUTHOLD, N~ Y, C~-RTIF~CAT~ OF OCCUPANCY THIS CERTIFIES that the building located al .e/S.. ~'otlllcjs...Averl.~le~..O~;[et~lt..... Street _Map No .......... ,.**..... Block No ....... .,~......Lot No ....... e*~, ................................................................ conforms s~bstsntially to the Application for Building Permit heretofore filed in this office dated ......... , ......... .~.~.~g~b.~;~...~. 19...[;.0 pursuant to which Building Permit No ..... ~..~1.96 .... 4ated ...~ ........ Sep~em~e~c..1 ...... 19....6.0 was issued, and conforms to alt of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ~.VA~ O~ FAMIL'f..I~LL:~ ................................................................. This certificate is issued to ............. JOSel~..&..~.l.a~¥s...~awe~re~i~...~ners ............ : ......... (owne~, lessee or tenan%) of the aforesaid building. Building Inspector FORM NO. 2 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) N? 1196, Z Date .................. Se.p~,e~b~....]~ ............. 19.60.. Permission is hereby granted to: ,To~ep~....,Ta.~o~.ect~:~ ................................................. .......... ~e~.~ s..-Av~ .............................................. .................... O~ 1.en~c ~., ....N.;.)f.; .............................. to .. ~Bull fL.. an.. ~l ~[.tion...oz~..a~,.. ~xi~f~,ug.. d~e3,~t~g. ......................................................... at premises located at ""~/~--..*'~'O~l~.S..:~V,~. .................................................................................... ........................................... Oz"~,~tT.....t¢'~*~*~: ...................................................................................... pursuant to application doted .......................... ~;. ...... ..~ ................... 19.~-0.., and approved by the Building Inspector Fee $...~'.~.0~ ........... '~ Bu'ld'ng nspector j 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT " TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ ] 9 ........ Permit No ............................... Disapproved a/c .................................................................. ............................................................................ ............ ........................ ................................. Application No. /, t ~ (¢ APPLICATION FOR BUILDING PERMIT Date September ~ 60 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su~)mitted in duplicate to the Building Inspector. b. Plot plan showing location of I~)t 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 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 oil applicable laws, ordinances and regulations. ........................... (Signal~Jre of'~pplicant, or name, if a corporation) Youngs Avenue, Orient New York (Address of applicant) State whether a~)plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises..J....~.s..e.~..h.~..&...~..G...~..a..d.y..s.~.J..~a....w.g..~.e...~...$ ........................................................................................ If applicant is o 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: *w* Lot No: ~'** e/s Youn s Avenue, Orient,. New York Street and Number ............... ~ ................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: use on ~--u~onc· One Family. Dwelling a. Existing d u,.,. F y .................................................................................................................................. " " " W/ addition b. Intended use and occupancy ................................................................................................................................ property lines. Give street and block numbers or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................... Addition ....~ ........ Alteration "t""t ............ Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 000 - O0 4. Estimated .................................................................. ~ee .......................................................................................... (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.....,l~.~...f~:~...~,~.t~.q~f~1. ............................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. : 7. Dimensions of existing structures, if any: Front ...... 50 .................. Rear .......... 50 .............. Depth ......... 2~ .............. Height ............................ Number of Stories 1 Dimensions of same structure with alterations or additions: F. ront ......... .5...0. .................. Rear ....5...0. ........................ Depth 4..4.../..2..8. ................... Height .............................. Number of Stories ............... .Z. ............... 8. Dimensions of entire new construction: Front .......... .]:..4. .............. Rear ......... .1...4. .............. Depth ........~..6. ................. Height ............................ Number of Stories 1 9. Size of lot: Front 105 Rear 75 Depth175/181 10. Date of Purchase ....B..e.~..~..:.....Z.?.~..7. ............................. Name of Former Owner ..... .~..,...~.iB..~..t~ ............................. 11. Zone or use district in which premises are situated ....... :'..A.'.'....R.e.~..?:~.e..n.~..J~....z....&....A-g.z~.:i:.e...~.~..t..~.~'..a.~ ................. 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premiseE.°.~.e.l~l!...~...0.~.~.O~.~...~.~a~,$ ............... Oz'.$e~ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... o eph aworeck:L ............ ................. Phone NO. Name of Contractor .................................................... Address .................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set~back dimensions from and show street names and indicate '75' STATE OF NEW_YDRI<.. ) COUNTY OF ...~..U..~..o...z~... ......... ) S S. ..................... ?..~.~...cl:.~.?...~..a..~...o..r.?....c~....J: ..................................... being ,duly sworn, deposes and says that he is the applicant (Name of individual signing application) the owner ................................................................................ above named.BHe is ................................... (Contractor, agent, corlborate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed ~erewlth. , Sworn to before me this ~%J~.~ 1st day of ~..e.p..~..e....n~...e..~ .... lg..~o~..,,lt~l)l'n~ 'r ~]o~, (Sigrll=tf~/e of applicant) ......................... .:9 /., ,:,,, Notary Public, ~.--~,.~-',.~~'~'C'~[c/~r;~xg~a, Suffolk eournOtr~ / ~// j ~re$ Match 31}