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HomeMy WebLinkAbout7952-zNO. 4 TOWN OF SOUTHOLD Bl~,nING DEPARTMENT Town Clerk's O~iee Southold, N. Y. Certificate Of Occupency No. ~...~..0..~..?~ Date ~ ~ /~ 19.? THIS CERTIFIES that ~e b~g l~at~ at ~..~. ~ ~ ~.. ~ ~ ~ . S~ MapNo. ~ B]~kNo. ~ .~,No..~ ~.~'~~[.~ ~ conio~ substanfi~ly W ~e Application for B~g P~t h~fo~ ~ ~ o~ ~at~ ..... ~.~. ~ ..... , lg. ~.~su~t ~ w~ B~g P~t NZ~ .~. -~t~ ........ ? ..... ~ ~ .... , ~.~wa~... ~u~, ~e ~o~o~ ~ ~ oZ ~ ~ men~ of ~e appUcable pro~io~ of ~e law. ~e oc~p~ ~or~w~ ~ ~i~ (o~, 1~ or ~t) of ~e ~o~s~d b~]ding. S~o~ Co~ty Dep~tment of He~ Approv~ ~ ~ ~ ' Bui].ding Inspector I~ORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7952 Z Permission is hereby granted to: ~e amae...Oaaa~... ~e2~r&c ~,.. ~....~/~..~a~d Averette ....... · 14~...~,~eh...i~t~ra ............ ~-thtcnm ~ 1787 ~o ..2Of ?~ ,.z~ew...p~rat~e..aw~la~tz~..l~Ol...~tk.~ez~e~a~..&..euaca~o~.e .............. at premises ~ocated at -.Jg/-~..~GI~$...A¥4B ....................................................................................... ....................................................... .s.,.o.~..~,..o...x.~. ...... ~.:.~.:. ..................................................................... pursuant to application dated .......................... ~J~,~'. ...... 22 ......... , 19~.~[..., and approved by the Building Inspector. ]~eed. -_~dex'~iters Certitie&te fir ¢/0 Fee $.~*.~.00 ........... BRACE EVERY 8 FEET · ~8/~ COPING .ogo THICK I/4/~ CEMENT .BOAR___~D J_~_I'/~X4. ~/~ UPRIGHTS_.07O_'._~ ~XTRUDED 6063-T6 ALUM. FRAHE-~/ 1:_/2~1[-V2 BRACES_.I30 ' ACRYLIC COATED~:>x5 ' BASE . .08~~ 16 18 20 _ S~ 322rr 3.6~ ~0 ,. . SIR CORNER DE TAIL ~ · ' ..... 8 RAC~ DETAILS B~ACE ANCHOR DETAILS .... I 4'1~'7~1 2 310 ," ~. ', " BUILDING DEPARTMENT ~../~/~_~ '2x.~ ~ TOWN CLERK'S OFFICE /// / __ / . .. SOUTHOLD, N.Y. ~'~ ~~ - ~ · ........... ,,2.t ...... ............................................... ........................ INSTRUCTIONS a This application must be completely fdled in by typewriter o¢ in ink and submitted in triplicate to the Buildl, Inspector, with 3 sets af plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing location of lot and of buildings an premises, relationship to adio,nmg premises or public streets areas, and giving a detailed description of layout ofpropert7 must be drawn on the diagram which is part of this applicotio c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such pern shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in par~ for any purpose whatever until a Certificate of Occupan, 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 tl Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances. Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein describe The applicant agrees to comply with all applicable laws, ordinances, buildinghcode, housing code, and regulations, and admJt authorized inspectors on premises and in buildings for necessary i ,r~pdctions. - m / (Signature of applicant,;or nome, if a corporation) 505 Northern Blvd., Great Neck, New ¥ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ...................................... ,¢.Qn.~.I:~c~.i;;.9. r. ............................................................................................................................. Name of owner of premises Dave Avarette If apphcant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Budder's License No ....... .................. P,umber's Ucen No...!.°.....b..e.....s...e. Electrician's License No .... Other Trade's License No ............................................... 1 Location of land on which proposed work will be done. Map No ...................................... Lot No ....................... ~925 ~ ¥oung$ Ave~ae Street and Number ........................................................... ,...~o~t,]~l~s....~W...~O~.~ ................................. Municipality 2 Sta~e existing use and occupancy of premises and in~.ended use and occupancy of proposed construction: a Ex,siting use and occupancy ....... .]:.....i..8...~...~..!.~.....?,.e. $ide~'e b Intended use and occupancy ~a~i].~. swimming. ~oo]. £ESAME CCNS-F?C I ~;q ~../tk-ES iNC. 3. Nature of work (check which applicable). New Building .............. Addmon .............:...'Alteration ......... Repmr .................. Removal .................. Demoht,ar. ........... Other Work .... ..~..W.~.?..~._.?.0..?.l.. ......... ; .. 4~ 000 15.00 ' (Desorlpt~n) ' , 4 Estimated Cost ......................................................... Fee ........................................................................... .% ......... (to be pad on filing this apphcabon) -~ 5 If dwelling, number of dwelhng units ........................... Number of dwelhng umts on each floor ........................ If garage, number of cars ...................................................................................................................................... 6. If business, commercial or m,xed occupancy,~,~$'~c~fY nature and exten~f.~v each type of use ..... .~ .............. 7. D~mensions of existmg structures, if any: Front .... ~ ................... Rear ................................ Depth .................. Height ........................ Number of Stories ...................................................................................................... D~mens~ons of same structure with alterations or addmons Front .................................... Rear ......................... Depth ............................ Height ......................... Number of Stones ............................. 8 D~mensions of entire new construction. Front 20 Rear 20 Depth 40 Height .................N~)_e/t~pf~___ Stories .................................. '(~i] .......................................... ~'i'~ ................ 9. S~ze of lot. Front ...................................................... Rear ....................................... Depth ............................. 10 Date of Purchase ..................................................... Name of Former Owner ...................................................... 11. Zone or use dmtnct in wbch premmes are s~tuated .................................................. ~ .................................... 12 Does proposed constru~n violate any zoning law, ordmance or regulation' . ..................................................... 13. Will lot be regraded ............. ~ .......... ... Wdl excess fill be removed frompremises ( ) Yes ( ) No ~ave ~vare~te 1925 Youn~s Av~ 14. Name of Owner of prem,ses .................................................... Address ................................ Phone No. .................... Name of Architect ................................................ Address ................................ Phone No ..................... Lazy Day Pools 505 Northern Blvd. No487-4gg2 Ncrne of Contractor ............................................ Add r es.~.~t...Nl~e~:i:..i~f PI56ne ..................... PLOT DIAGRAM Locate clearly and dmtmctly all buildings, whether ex~sting or proposed, and ad,cate all set-back d~mens~ons frei property lines G~ve street and block number or descnpt~on accordmg to deed, and show street names and ind~ca whether ,nterior or corner lot STATE OF NEW YORK, ~ S S COUNTY OF .......................................................................................... bemg duly sworn, deposes and says that he ~s the apphc[ (Name of individual sigmgg contracf) above named. He ,s th~ .:..: ........................................ :..'. ................................................................................................................. (Cogtractor, agent, corporate officer, etc ) of sa~d owner.or owners, and ~s,;~gly ~gth~&~zed to perform or have performed the smd work and to make and f this apphcat~on, tHat'all statements g~t~ed in this apphcahon are true to ~ best of his knowledge and behef, a that the work will be performd~ iH'the ~a~her set fo~h in the apphcation file~ffhbrewith. ......... ...... ,, .% ............... ....................... No 52-221~9!5 Qu~4h*d m Sulto~ Coun~ ,~ Common Exp=es M~ch aD, 19...~/