HomeMy WebLinkAbout133-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ~/.~..(~.e,~cer,,t.....Ave .......................... Street
Map No ........... X~.]g~. · .............. Block No ......... .~..X. .................. ,
conforms substantially to the Application for Building Permit heretofore filed in this office dated
........................... OO~bO~'....~ ....... 19..~:'~.., pursuant to which Building Permit No ....... ~...~3,.~ ......... ,
dated ............... OaLto.bel~. ...... ..~ ............... 19.~.~..., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ............
....................................... Pg.I.~ATF,..i)~.~LLI.~IG .................................................................................
This certificate is issued to ~'ll%a..~J....S:J;~tJ'l. le~.....(...Gw~e.~..) ...... : .................................................
(owner, lessee or tenant)
of the aforesaid building.
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CL~[RK'$ O~:FICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES ~l~j[l~J~
,j~,~Lq~¢~,/dE~,~$~4~.,,xSf~26.,~i6t~9~j~ UNTIL FULL cOMPLETION
OF THE WORK AUTHORIZED)
Permission is hereby granted to:
Fishers lsZand ~.~.m..~.......J~.Q...~,~..~..~.e~.eY.. ........................
............ E~she~.s...Island ..................................
................... ....................................................
to ....Bmild..ne~..dwellin~ ............................................................................................................
ut pre~se~ ~ocated ct .S/S...C=escen~.a=e,.....&.~/~..O=e.scent..A~e, ................................
...................................................... ~ishems...Isl~d .........................................................................
................................................................... N,...X, ..................................................................................
pursuomt to opp~icct[o~ doted ..................... O~o~e~.....~9 ................. ]9.~.., cud cpproved ~y t~e
BuHdiu~ ~uspector.
Fee $ .1...0. ?...0..0......~. ~ .X.d
FOR~I NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
,, ,,
Approved ........................................ 19 ........ Permit No .................................
Disapproved a/c
..4...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
D. O~%ober 2 .~ 57
are ................................. /v ............
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 show!ng location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description 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
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 i:::ounty, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or 6Iterations, or for removq] or demolition, as herein described.
The app!icant agrees to comply with all applicable laws, ordinances and regulations~
FIS~EF~ ~[$L~ID FA~S,
Vice Pres..
(Signature of a~plicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eJectrican, plumber or builder.
~eneral Contractor
Name of owner of premises .................................... .~..t..n..~...~."·...S...tA.~..~. ..................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer) ~. Lee Fer~on, ,.Tr.' ~:l.~e Prestden¢
1. Location of land on which proposed work will be done. Map No ........ ..'. ........................ Block Fareet #~50
Street and Number Cres~en% Aventte
2. State existing use and occupancy of premieses and intended use and occupancy of prop%sad c6nstruction:
a. Existing use and occupancy .......... .~.~.q~...n..t,. ............................................................................ i ...............................
b. Intended use and occunancv Pl~tv~'l:e Dwe~]i~ .
3. Nature of work (check which epplicable): New Building ..... .Z. ............. Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition. ................... Other Work (Describe) ....................
4. Estimated Cost . .0. , .0. .0. .0. ., .0. .0. ....................................... Fee ~10,00
(to be paid on filing this application)
FEES:
5. If dwelling, number of dwelling units ...... .1. .................... Number of dwelling units on each floor.....? ......................
If garage, number of cars ........................................................................................................................................
6. If business, commerlcal or mixed occupancy, specify nature end extent of each type of use ....... ..'..: ....................
7. Dimensions of existing structures, if any: Front ............-. ............... Rear ......... .'. ................. Depth ......... -. ..................
Height ......... .-.. ................ Number of Stories ............ '. .................................................................................................
Dimensions of same structure with alterations or additions: Front ........... .'. ................... Rear .....-. ..........................
Depth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front ........ .8..1.~ .2..". Rear
...................................... Depth 2~
Height ....1.?. .................... Number of Stories 1
9. Size of lot: Front *~/.'01 ...... Rear 28'~'60t Depth 2c)c)°72~ ~
10. Zone or use district in which premises are s tuarea ................................................................................................
11. Does proposed construction violate any zoning law, ordinance or regulation? ....................................................
of ^ · remises Wins He Stanley AH~re F~Lehere Island N.Y ...... 251
12. Name ,.~wner or p ............................................ ss ......................... ................... rnor~¢ r~u .....................
...... t~oger 8mall -.. 1692 l~fas,, A~e. '/.ex.~ne$,c~.ma.e.s..
Name aT ,~rcmrecr ...................................................... /~aaress ........... .............................. .-..~nc~e INu. ,..~ ................
Name of C~ntract~r~h~e~r~`~`~a~F~n~.Address~h"e~r~~t.~?~Ph~ne HO. ,F.~...2.~.1. ........
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, bnd indicate all set-back dimensions from
property lines. Give street and block numbers --I~(~ deed, and show. street names and indicate
whether interior or corner lot.
L
, '-.,
STATE OF NEW YORK, ) .....................
COUNTY OF ..... ~f.o.;~. ......... ) S S..
...................... .~..:......~......~...e~..i~...e..o..~.~....~.?.... .......................... ; ...... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
obove named. He is the....?`~.~..e~...~.?..~s~`~d~?~n~.~....F.~.~h..e.~r.`s~.`a`~.~~ .................................................................
(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 epplication are true to the best of his knowledge and belief;
and that the work will be performed in the manner set forth in the application filed therewith.
..... ~.~ ......... day of ~ ....................... 19...~.~...~ ....
~ · . . .... ty
FORi~ NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Exam ned .......... ~....~. :....~... ...... ~Z...19.?.?
Approved ........................................ 19.../....Permit r~o .................................
Disapproved alc
.................... .....
(Building Inspector)
APPLICATION FOl~ BUILD~NG PERMIT
D . October 2 ,~ 57
are ................. . ................ Iw ....
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 adjoining premises or public streets
or areas, arid giving a detailed description 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 comrhenced before issuance of Building Permit.
d. Up,on 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
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, ordinances and regulations.
,,
~ISHER~' ISI~IND FAILMS~ INC.
................... .......
(Signature of applicant,bt name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder.
General Contractor
If applicant is a/~,c,~Tr/orate, sThature of-~yduly authorized officer. .
(Name and title of cdJporate o~fficer) H, Lee Fer~m~son, ,,Tr. ~:/.ce Preeident
1. Location of land on which proposed work will be done. Map No ......... .-. ........................ Block .~.a..~,9..e..1..~.~.5..0. ..........
Street and Number .................. .O.~.e..~.C.~D.~...~..V.~,.i?,,'kZ~ ......................................................................................................
2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction:
a. Existing use and occupancy .......... .~..a.O.~. ............. , .............
b. Intended use and occupancy......P.r../.?.~.C.~.....D~..e.,'l.-q..~qg ...........................................................................................
3. Nature of work (check which applicable): New Building ...... .X. ............ Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition . ................... Other Work (Describe) ....................
, 4. Estimated Cost ...... ~SP.~.O..0. P.,.0..0 .................................. Fee ...~..1.9.:..0..0. ............................................................................
(to be paid on filing this application)
FEES:
5. If dwelling, number of dwelling units ....... ? .................... Number of dwelling units on each floor.....?. .....................
If garage, number of cars ........................................................................................................................................
6. If business, commericol or mixed occupancy, specify nature and extent of each type of use ......... .-. .....................
7. Dimensions of existing structures, if any: Front .............'l .............. Rear .......... .q' ................ Depth ........ 7. ..................
Height .......... .'7.. ............... Number of Stories ............~ ................................................................................................
Dimensions of some structure with alterations or additions: Front ............ .-. .................. Rear ....5. .........................
Depth ........ .-. .................... Height .............. .-. .............. Number of Stories .....-. ..........................
8. Dimensions of entire new construction: Front ......... .8..'1.'.....2.'~. ....... Rear .....?..1,.'.....2.'.~. .......... Depth ..../+..7.1..7.'.'. ...............
Height ....!~..~. ................... Number of Stories .........1. ..................
9. Size of lot: Front ...... ,~.~.0.! .............. Rear ....2..85.*..6..0.! ............ Depth ....2.9.9.,.?.~.I....+..-. .....
10. Zone or use district in which premises are situated.....~.e.9..f..d.9..n..%..f...~l.. .....................................................................
11. Does proposed construction violate any zoning law, ordinance or regulation? ........ ?...o. .......................................
12. Name of Owner of premises.....N...J=.n.~..~.-....S..t.~.n..1..e.~ ...... Address .....F.j.s..h...e~....I.s..~.~...n..d...~.....Y..:..Phone NO....~,6.l ............
Ro er Small
Name of Arch.tect ..........~ .......................................... Address J..6..9..2.....I~...s.~....~.e.;....Ii.e.x..i..nJK.~eI~?,~....-. ................
Name of C~ntract~r...~..f..s..~..e..z?~...~.~..]..a.~.d....F..Q~.~.~.~..n..g.'AddressF~e~...~.~.~...~'.~*......Ph~ne NO. F.,1.,25.1 ........
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block numbers or description according to deed, ~nd show, street names and indicate
whether interior or corner lot. ~',/~ ~ 6~.~ ~'~ \ ~.~ c~j ~ 'D .,,'"~ ........... .....
J
STATE OF NEW YORK, ) ~
COUNTY OF ..... ~fgQlk .........) S S.'
...................... }~.~..~.Q~..~.~%~Z~.O~,...$m ................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the.. ~S~ ~S~.,...~.$.?~.gX.?...~.?.~{..F~$.,...~, ................................................
(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 of his knowledge and belief;
and that t~e work will be performed Jn the manner set forth in the application filed therewith.
2nd ~ ~f 0etobe~ 19 ~2.
......... : .............. aay .................................................. (Singature of applicant)
Notary Pubhc,. ............ ~ ...............tl[[~' It ........ County
GENERAL CONTRACTING
CARPENTRY
pAINTING & DECORATING
PLUMBING & HEATING
FISHERS ISLAND FARMS, INC.
ESTABLISHED
October 2, 1957
REAL ESTATE
FISHERS ISLAND, N.Y.
Building Inspector
Town of Southold
Building Department
Town Clerk's Office
Southold, New York
Gentlemen:
Re: Stanley - Application for Permit - Fishers Island,N.Y.
Enclosed herewith in duplicate application for building permit
executed by this Corporation as genera] contractors for ~s. Talcott
Stanley (Nina H. Stanley).
As you wi/] see, the house is located on a lot at the corner between
Crescent Avenue and Avenue "B". We believe you will find the application
to be in order. It is accompanied by our check payable to the Town Clerk
and in the amount of $10o00 to cover the required fee.
Since we are ready to commence construction on this hcuse we would
apprectote your prompt attention to this application and will look forward
to receiving the permit from you at the earliest moment.
Very truly yours,
HLF, Jr: la
enclosure