The URL can be used to link to this page

Home My WebLink About3249-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No Z, 2?80 Date A~I~UlIIt~ 8 1~.?.... THIS CERTIFIES that the budding located at . .~e~l'l..~..~..~...~..~....~.. .................................. Street Map No ....... ~ ...... Block No .~ ........... Lot No ~ ,, lP:LBhe3~ll ]:B~Lftrlc], li.Y. conforms substantially to the Application for Building Permit heretofore filed in th~s office dated .............. ..~.~.~.t,..e...l~..~.~....~..0.. ............... , 19..~...~.. pursuant to which Bu,lding Permit No 32492~ dated O~t.~O]~ 3 19..~.? was issued, and conforms to oil of the requirements of the applicable prows~ons of the law The occupancy for which this certificate is issued is ........ ............ ................................................................... The certificate is issued to ...................... ~..~?..~.. ¢..~. ~ .OO~..~.....O~e~' (owner, lessee or tenant) of the aforesaid bulld~ng Budd~r~ I~tor TOWN OF SOUTHOLD~ BUILDING'"DEPARTMENT TOWN CLERK~u OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL 'COMPLETIO,N,OF THE WORK AUTHORIZED) ~N.° 32~19 Z Permission is hereby granted to: .... ..... ..... ,..: ......... ~a~...~,~ ........................... ~ ......................................... ~.~.~.~t.:.~.a~ ~ .. I~.~..,. ............ : ..................................................... . .... pursuant to application dated ......................... ~ilp.~l]~l~t.....~..., 19.J~J, and approved by the Building Inspector. TOWN OF SOUTHOLD BUILDING DEPARTJ~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Yo Examined .......~.....~... ....... ,19...~.i..~· Approved ........................................ , 19 ........ Permit No ......: .......................... Disapproved a/c~~ APPLICATION FOR BUILDING PERMIT Date ~eptember :30 19...6...6. .... INSTRUCTIONS o. This opplicohon must be completely filled in by typewriter or in ink and submitted in duplicate to the BuHdin, Inspector. b. Plot plan showing location of lot and of bu~ldmgs on premises, relationship to adjoming premises or public streets o 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 Buildmg Permit. d. Upon approval of this application, the Building Inspector w~ll issue a Building Permit to the applicant. Suc! permit shall be kept on the premises available for mspection throughout the progress of the work. e. No building shall be occupied or used m whole or m port for any purpose whatever until o Certificate of Occuponc' shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the BuHdmg Department for the issuance of a Building Permit pursuant to th: Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply w~th all apphcable laws, ordnances, building code and regulations. .~%. John Gada General Contracting, Inc. (Signature of applicant, or name, if a corporation) Drawer B Fishers Zslend, New 'fork (Address of applicant) State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builder Contractor Als-n C. Cook Name of owner of premises .................................................................................................................................................... Jf applicant ~s o corporate, signature of duly authorized officer. ~'k. John Gada - President (Name and t,tle of corporate officer) 1 Location of land on which proposed work will be done. Map No' . ...........................................Lot No: ................... Street and Number Penninsul~r Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Residence a. Existing use and occupancy .................................................................................................................................. b Intended use and occupancy ................................................................................................................................ 3 Nature of work (check which applicable). New l~uildlng .................. Add~t,on ....~. ........... Alteration ....... ~[~ Repmr ................... Removal .................... Demolition .................... Other Work (Descr,be) ..................................... 4. Estimated Cost ~1600.00 - 5.00 (to be paid on filing this application) 5 If dwelhng, 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. D~mens~ons of ex~sting structures, if any: Front ..... .1...8..~...I.'.'. ........ Rear 1.8' ')" Depth 2a,,~,, 12'0" ....... One Height ...... ~ ............. Number of Stories .............................................................................................................. Dimensions of same structure w~th alterations or aodlt ohs. Front .... !..8..L'~'. ................. Rear ..... ~.a..~.;.).'! ............... Depth 28 ~ 3' Height 12 t ~-,~, kh --~.~. of Stories One ............................ 2q, 0~* 8 Dimensions of entire new construction. Front 18' 9' Rear ...... .]:.. .8. .~. :~. '.'. .......... Depth .......'. ................... 9. S~ze of lot: Front~..e..e.....&..lf-...e..~..9..h. ..... Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... 11 Zone or use d~strict in which premises are situated ................................................................................................ 12. Does proposed construction wolate any zomng law, or&nonce or regulation~ ..................................................... Name of Architect .,o~e ...................................................... Address ............................................ Phone No ................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fron property lines Give street and block numbers or description according to deed, and show street names and in&cat whether interior or corner lot. STATE OF NEVv' ~OR~'~ ,6~/* ~ ~ ~- .......... ~~~.~ ................................... being duly sworn, deposes and says that he s the app ca ....... (hi~f ,fid,wdual s~gning~llcatio~ ~ above named. He is the ..................... ~~~C.~ .......................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and fi th~s apphcat~on, that all statements contained m th~s application are true to the best of his knowledge and behe and that the work wdl be performed in the manner set forth in the apphcation f~led therewith. Sworn to b~ me this /~ ~ ........ ~ ......... day of~~~~ ,1~~ ........ ~~ ~ ~