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Home My WebLink About2949-zTOWN OF SOUTNOLD BUILDING D,EPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y, OEETIFIOATE OF OCOUPANOY No..3' 26;~9" · Date ........... .~.eeembe~..23, ...... 1966. THIS CERTIFIES that the building located at (~1~s~erit..Ave ............... Street Map No.. XX ........ Block No... XX ....... Lot No.. XX .... Ft'8he~?S' 'I'sl~Tld'~' 'N','Yi' conf. orms substantially to the Application for Building Permit hereiof.~re filed in this office dated ......... Dee's'" '~'~ ...... 19~. pu.rsuant to which Building Permit No. ~l+~ .Z. dated ......... D~'C .... ~ ........ 19.6~' 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 .. '~rivate' U~' 'f~t~lly 'd~ll'i~'~ ........................................ The certificate is issued t,o A~'~Ohlq' 'fla~la' 4]*1'~ ..... "~, '1~ '~; 't~nant')':~'' ...... of the aforesaid building. .Suffolk County Department of Health Approval 'b~r' '~' ~{e:]..%.. 0e~' '1~6'6 .............. FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMI~ (THIS PE~[MI'T MUST BE~ K~PT ON THE PREMISES UNTII~ )E0:~LL : COMPLETION OF THE WORK AUTHORIZED). ~,29~9 ,Z Pei'mission is hereby granted to:, at premis~e? located at )S/,~ · gz'ese, en~ AYe &' ~/8- ~Ave "~" ' 19.~[;, and approved by the pursuant to application dated ...... ~:: ........... '....:....i.~.~..,~..~-,~.,~.~.'......~;. Bu ding Inspecfor F.e ......... [ FOEM 1~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y, Examined .......,.. ,~... ,~Z..cZ... =..?.. ........... , 19..(...~.'~ Approved ........................................ , 19 ........ Permit No ................................. Application No .................... ..7. ...... Disapproved a/c ........... ~ ....... ~ .............................................. APPLICATION FOR BUILDING PERMIT Deoember 1~ ]-965 Date ............................................................ , 19 ............ 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 adioining premises or public streets or areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this application. 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 Occuponcy~ _ 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, ord!~uildi~g code and regulations· A. n Gaoa GeneraA ~on~:rac'~xn~ xnc ..... ............................................................................ (Signature of applicant, or name, if a corporation) . Drawer ]~ ........... .. .w... ................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Con,tact:or A. John Gada~ Jr. Name of owner of premises ..................................................................................................................................................... If applicont r~s a//corporate, signature of d. uly authorized officer. ..~.'"'"/r~'J~ ~ .~ . .~t, __ ~ Pres. ~ceas. ......... ................... 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................................................................................................ . ........................... b. Intended use and occupancy ................ .R...e..s.~.c].e.P.~.e. ........................ L.% ~' -.. ' ..... I.ocat~ clearly and distinctly all property Ii/~es. Give street and block whether in}erior or corner lot. 3. Nature of work (check which applicable): New Building ....... .~. ......... Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) 4. Estimated Cost 30,000.00 - 10.00 (to be paid on filing this application) 5. If dlwelling, 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 .......................... Rear .......................... Depth Height ............................ Number of Stories Dirqensions of same structure with alterations or additions: Front ................................ R~ar Depih .............................. Haight .............................. Number of Stories ........................................ Height ...... ~g.'. ................ Number of Stories ........ .J. .................. 10. Date of Purchase Octobe~ 13_ 1965 ,. nerA. John & l~larga~et Gad& ........................ ~ ............................... r~ame of Former Ow ............................. 11. Zone or use district in which premises are situated ....... R.e..s..t:.d..e...n..l',:Ia1 12. Doe~s proposed construction violate any zoning law, ordinance or regulation? No Nar~e of Architect tgill:l, am G. Ch~rgot:l.s Ad~l,~ S ~c'in i~::[eld~ N.J. ............................................................... ~.i ...... ~. .............................. Phone No. Con't~'~c t~.ng, 1mc PLOT DIAGRAM buildings, whether existing or proposed, and indicate all set-back dimensions fi numbers or description according to deed, and show street names and indic STATE OP.. NEW_YORK . COUNTY :OF ...~..~..z..~..o.~ ............. ~ S.S. ................ j......A..t...~.o..h..n..,..G...a~...a.. ................................................ being duly sworn, deposes and says that he is the appii¢ (.Name of individual signing application) above named. He is the ....... ..C..°..r.P..9.[~,l;,q,,.g.~,q,~..~ ....... (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 this application that all statements contained in this application ore true to the best of his knowledge and be and that the work will be performed Jn the manner set forth in the appl cat on filed therewith. N°ta rY P 'H~' '~"' ""~f'~"~'"'"(~" ~'~'' ~- Y' ....... 'g '' ~P' ' ................. 1 ..... F h W~ILL,iA/V~ G. CHIRGOTIS "AI~CHIT:E CT ~7 MOUNTAIN F ? -% J //'- 4" -q _J 4" ~oNd, UN~Xd.~W~TEt? :! DA6EME'NT ,OL41V " 7:0" K?TdN£ N ] ~! LAUtVJ'J%