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Home My WebLink About1376-zF~ORSI N~O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'I'OWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY TI-US CERTIFIES that the building located at l~ell..Hill..Ave .......................... Street Map No...X,~'XX ........... Block No..../OL]~ ..........Lot No....~.......~....s...h..~.~$....~$..1.~.l!...d. ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... A~.rJ,],.....~,~ ....... 19.~.~,... pursuant to which Building Permit No ....... ..Z..1..~.~.~.. dated .................. J%~.:~1.. ....... .~. ...... 19..6...1.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...~T;~..V..~.t...O......!g~..~..F...t..~..~.~...&...g~..~'..a.g~.~ .............................................................................. This certificate is issued to ..F-~t,....O~'...~,l],~,.~...0~,~]~.~ ................. .(~.O..~. .............. (owner, lessee or tenant) of the aforesaid building. Building Inspector~ FOI~M ~O. 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) 1376 Z Permission is hereby granted to: ,~J. she~ .~... Z~:L~md ..F~aa...~ ..~.C.. ~t, ate...of...I/a. ~et.t..liltt...Ave ................................................ .... l~h~s....~l~nd ............................................ to ..... lJ~&d.. ~u..a~d£t~n...on..an.. e~t~t~tr~.. ~ar&~e.. ap~. ~ent...but ldf~r~ ........... at premises located at .j~.]:.], .H.~.I.} A~I~, ................................................ ................................................ Fisher~.. ~s~r~l ~..... ~ o ~. .............................................................. pursuant to application dated ............................... &.p~'~l..~, ....... .Ii] ......... t9.~]..., and approved by the Building Inspector Fee $.~.~. ............. ~uilding ~nspector ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEI~.K'$ OFFICE SOUTHOLD, N. Y. Disapproyed a/c ............................................................................................ Applieatien No..../...~, .................. 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. Pbt plan showing location of ~ot and of buildings on premises, relationship to adj.oining premises or public streets or areas, and giving a detailed c~escription 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 st~all have been granted by the Building Inspector. .~ , APPLICATION IS HEREBY MADE to the Building Department for th~ ~ssuc~nce of o 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 cons~'?uction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicar¢,: agrees to comply ~Vith all applicable laws, ordinances and regulations. ........... F.i,her. e. ff. slsn&.F~x~e,..[zze ................................... (Signature of a~plicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent; architeet, engineer, general contractor, electrican, plumber or builder. Oener~ C~ntr~c%or Name of owner of premises ....... ~.~..'~...o.?..~.'~.~.~....T).,...~..~..~..]...~...~. ..................................... ~ ...... :~ ...... iJ ............................. If applicant is a corporate, signature of duly authorized officer. ~o Lee Fer~as~ Jr. President (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number ...B~.I..!...~:[],~ .A.V.C,~t3.¢., ~'.'i.~..ff~...Z.C],~fLd.~ .~.~.,. ........................................................................ 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing us'e and occuoancy ~,,~r~ ~ ...C~...e,1 ]r~f~ ('~,, '~'~,]h ftD~ OYEZ') b. Intended use end occupancy .........................~ .................... .". ............................................... : ............................. 3. Nature of work (check which applicable): New Building .................... Addition ...... .x. ............ Alteration; ................... Repair .................... Removal ..: ................. Demolition . ................... Other Work (Describe) .................... 4. Estimated Cost .!?;..0..0..?.:.?..0. .......................................... Fee $5.00 Addition consists of e×tending present 6 ft. wide porch(to be pa~d filing on this application) in re,~r to th~ S~9' covuer of bldg. and making sn 8 ft. wi~e balcor~y along part of smith side o¢ thn act. FEES: 5. If dwelling, number of dwelling units ........ .1.. ................. Number of dwelling units on each floor......-. ..................... If garage, number of ~' COtS ........................................................... 6. If business, commerical or mixed occupancy, specify mature and extent of each type of use......~..e.~:~.q~.J:~ ..... ..... '-" '-6" 30 7. D,mens,ons of ex,st,rig structures, ,f any: Front...~...~,0.....0 ............ Rear .$.Q ....................... Depth ............................ 20 ' . 1~ Height ............................ Number of Storms .............................................................................................................. 26' thc] .tp. orch 26 inc. porch Dimensions36,of same structure with 20'alterations or additions: Front ................ .~ .......... Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... 8. . . ?. .¢. ., ............ Rear ...... .6..f.~.,. .............. Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10, Zone or use district in which premises ore s tuated ....... l!.A.'.'...,R.,e.s.~8.~.~.~.t..i...a%.. ........................................................... 11. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... Est. W. D. O~.l~ara a/o 12. Nome of Owner of premises.Ww..D,..Ga&l:'.ard..Jr.,...Address ..~..~...T.3.F..°..a.~...S.~.:....N...Y..C}. .......... Phone NO ..................... Name of rch,tect ...................................................... Address ............................................ Phone NO .... Name of ContractorF'I'l''arms Ina .... }?Lshers Islanrl~ lx~y ~, '~'j_ ........... .................................................... ,~aaress ............................................ ~none NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ali 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, ~Y~ COUNTY OF ~ffolk ~¢~ S (Name of individual signing application) above named. He is the..~.t,C~t .................................................................................................................................. (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 o~his knowledge and the work will be performed in the manner set forth in the applicahon filed therA<vith, belief; and that Sworn to before me this , .... ........ ....................... ...... '" (Singature of a~plicant) Notary Public,..k~.;.:~.~.~.-,i:., ~~tx' * /'~,~,~ ~ .............. County