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Home My WebLink About3248-z ~FOF,~ NO. ~ TOWN~ OF $OUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL *COMPLETION OF THE wORK AUTHORIZED) 3248 Dote ' 6eibobe~. 3 88 at premises located at -.JJJ. it..~aee~.~.Av.e .............................................................................. ......... : .................... ~.~.~.,. I,=..~, ~i.~, pursuant to apj~lication~ datpd ................ J~.~.~.~Jt~. .........~ ......., 19....~...., and approved by the Building Inspe, ctor. Building I nsp~,~'(~' ......... '*( ...... . P~rmission is hereby granted to: ........... :.~'-'-~J~ .:X~!-,,.~I ................................ FORM NO. 4 TOWN OF SOUTHOLD~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .......... ~ ~.~.. Dote .................... ~l~Ug. Ullt.~...~. ............. , 19.~..7... THIS CERTIFIES that the building located at .C,I~C~I~.A~e .............................. Street Map No ..... ~ ....... Block No .;~;:JJ:;~/g~ ...... Lot No .. ~ .~..~W~.~.~...~..~..~..~...~..~...~.L..Ii:.Y:... conforms substantially to the Apphcat~on for Building Permit heretofore filed in th~s office dated ............. jJtJj~lJlll!]~ii~...30 ................ , 19...~6 pursuant to which Building Permit No .~.4~... dated ....... .O~,,tOJ31tJ"..~ ................., 19..~6, was issued, and conforms to all of the requirements of the applicable prows~ons of the taw The occupancy for which th~s certificate is ~ssued ~s ........ ............. lc.cJel~t~/~..~XcJ~ng,...~:~,.v.t~ g~lvT..~ge. &...~.td~..~g.e. ..................................... The certificate ~s zssued to .............. ~lt:J~l~'...JLJt~l~ll¢JJJ~Jl JJ~l),el~'. ..................................................... (owner, lessee or tenant) of the aforesaid building Budding ~s~ector TOWN OF SOfT,OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined O~'/~ ''~ , 19...f.f~ " Approved ........................................ , ]9 ........ Permit No ................................ ................................. ............................ ~,,% '.., .--- Application No ............................ APPLICATION FOR BUILDING PERMIT Date Sept~nb~r 34, , 19 66 INSTRUCTIONS a. This application must be completely filled in by typewnter or in ink and submitted in duplicate to the Building Inspector. b Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public streets or areas, and giwng a detailed description of layout of propertymust be drawn an 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 Budding 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 m 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 far 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 w~th all applicable laws, ordinances, building code and regulations. · (Signature of apphcant, or name, if a corporation) Drawer B Fishers Island, Ne~ York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor I~ster Parsons Name of owner of premises .................................................................................................................................................... If applicant ~s a corporate, signature of duly authorized officer. A. John Gada - Pr~ident (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No' . ........................................... Lot No: .................... Street and Number Cresel~t Avenue 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 ................................................................................................................................ 3 Nature of work (check which apphcable): New Building ........ ~ ....... Addition .................. Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... $3500.00 $10.00 4. Estimated Cost ............................................................ Fee ......................................................................................... (to be paid on filing this application) 5 If dwelhng, number of dwelling units ............................ Number of dwelling umts on each floor ........................... If garage, number of cars .................~. ........................................................................................................................ 6 If business, commercial or m~xed occupancy, specif~/nature and extent of each type of use ............................... 7 D~mens~ons of ex~st~ng structures, ~f any: Front .........................Rear .......................... Depth ........................... Height ............................ Number of Stories .............................................................................................................. D~mens[ons of same structure with alterations or additions. Front ................................ Rear ............................... Depth .............................. Height ............................. Number of Stones ....................................... 8. Dimensions of ent,re new construction: Front ...... .~...0..~..0.~. .......... Rear ....~...0..~..0...~. ............. Depth 22'0" Height .....3,{3...0 ............ Number of Stones ...O~1~ ................. 9. S~ze of lot Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... 11 Zone or use district m which premises are situated ................................................................................................ 12. Does proposed construction wolate any Tatung law, ordinance or regulahon;' ..................................................... 13. NaFne of Owner of premises ..~.~...~..e.~..~.a'..~....~..~....Address .C..~..?..~..e...~..~.....~..~...~..'. ................ Phone No ..~.3...8. ......... Name of Architect ...................................................... Address ............................................ Phone No .................. Name of Contractor ~.~....~...O.'~t3...~..a...~.e.....C..o..~..?~ddress ..~...~.~..~..~...~...a~......~..~...e..? ......... Phone No....~..3...~. ......... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~stmg or proposed, and indicate all set-back d~mens~ons fror property hnes. Give street and block numbers or description according to deed, and show street names and in&cat whether inter~or or corner lot. STATE OF NEW YO~K,~..//Z~ ~ ¢ S COUNTY OF ..... ............. (N~of individual s~gmng ap~cation~ / above named He ,s the ....................... ~~~ ............................................................................................... (Contractor, agent, corporate officer, etc.) of sa,d owner or owners, and ~s duly authorized to perform or have performed the said work and to make and fil th~s apphcot[on, that all statements contained ~n th~s application ore true to the best of h~s knowledge and belie and that the work w~ll be performed in the manner set forth in the apphcat~on filed therewith Sworn to b~ me this ,~~ ~ ....................~ dayof~~~~~~ ........................ ,19 ~ ...~~ ~~t ~~ ~..~ ........ ...... .................. ........ NOI~ ~ubllc, ~~County ~ (St~n~turo of ~pplic~nt)