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Home My WebLink About846-zF01~'~ NO. 4 TOWN OF SOUTHOLD I~UILDING DEPARTMENT TOWN CLERK'S OFF~CE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~ 540 Date ............................. ~ .......................... ........................ April 20 , m...6...o.. THIS CERTIFIES that the building located at ..~..~..~.~....~...~.~.~..t.....~.~.~.~...e..~....X..~,.~.~..~..~.....i. Street Map No ....................... Block No ......................... Lot No ................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated Septerabe'v: 1"~ 19...5..~., pursua'nt to which Building Permit No. Z dated September 17 59 ...................................................... 19 ........ , Woe issued, and conforms to a~l of the requirements of the applicoble provisions of the Jaw. The occup~.ncy for which this certificate is issued Js ................ ........................................................ ~5~.V. ~..O_ ..~%. ~ ..a~_.~..R ..w~,.%~_ .q ........................................ This certificate is issued to ...~.s..~....A..1,gx..a.~.d,.e...r....R...O..b..~.n..s..9,n..,...9.W~..e.~'. ........................................ (owney, lessee or tenant) of the aforesaid, building. Building Inspector ~' HOWARD ~. T~R~Y FOEM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 846 z Permission is hereby granted to: A.Jolm c,~o~...A/~....~x.~,..Al~'~n~r...P.,.~.b.~..~..~.. ............ .......... ~...~...1:~.~, ....... ..I...~... ........................ pursuant to application dated ......................... 8~p.~o. mI'~.~....l~ ............. 19.~..., and approved by the~; Building Inspector ' Fee $,~.~,.(~.....~!~..,I.,.8....- Ck FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... ~../...~....... 19.w~.. Approved......~/..~.........19..~..~..Permit No ...... ..~.....~....~.... ........... Disapproved a/c ................ ~.:~.~. .................................................... (Build,ng Inspect~rF .... ~'~ APPLICATION FOR BUILDING PERMIT 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, 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 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. (Signature of applicant, or name, if a corporation) Fishers Island~ New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricon, plumber or builder. GeneraZ Con+. factor Name of owner of nr~m;~.~ Mrs. Alexander Robinson If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number ......................... .P.~.r.~...A..r...e~.. ........................................................................................................... State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... I~sir~r~ce ......................................................................................................... b. Intended use and occupancy ....... ~.e..s..J..d..e..n..c..e. ..................... . ................................................................................. '3. ' N~ature of work (check which applicable): New Building .L ....... J~C.......Addition ..... ~ ........... Alteration .................... Repair .................... Removal .................... Demolition .................... OtheF Work (Describe) .................... ~QO Fee 4. Estimated Cost ...JJ~.,(~ .......................................... ~.~J~ ............................................................................. (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, commerical or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front....~.0.!..0.~.~ ............... Rear ...?..0..~..0. t.~. ................ Depth ....3~...~.~ ................ Height ...... ~....~ ............. Number of Stories ..i..~. ........................................................................................................ Dimensions of same structure with alterations or additions: Front ....?..0.!..~..~. .................. Rear 7..0..e...~.! ...................... '" ..................... Depth 3010' Height ...,~....,0. ................ ./.(~umber of Stories / ~ 8. Dimensions of entire new constrUction: Front...~~. ............ ~. Rear i.~ ............. Depth ...~ .............. Hmght .......... .~...O. ......... Number of Stories ....2 ...................... 9. Size of lot: Front 3401 ' Rear ........ ~ ................ Depth ......~.~..* ................. 10. Zone or use district in which premises are situated ...... .P~f[~JIJD.f,.J. fl~ .................................................................... 11. Does proposed construction violate any zoning law, ordinance or regulation?.......~..O. ............................ ; ............. 12. Name of Owner o~ premises...A..J....m~......n~....r....~..°..b..J..n...e?..n... Address ....F..J.~.h..~.?..~....!.~..J..~....n~..t..~...Phone NO. 38/ Name of Architect ...................................................... Address ............................................ Phone NO. ' .................... Name of Contractor.......~..*...~..~..J~.. ...................... Address ~...B.~...F..J.~,...h~..r..~..J.~.",.Phone NO...~; ........... PLOT DIAGRAM Locate clearly end 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, and show street names and indicate whether interior or corner lot. STATE OF ND6LYO,,P,~,. ,~ ~ ) .................................................. ,~..t.~..r..~..-~...: ..................... g y , p a s y ma e is ne appucam (Name of individual s[g~g ~plication) a~ve named. He is the .............................. ~..~..~ ................................................................................... (Contractor, agent, cor~rate 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; a~d t~at the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................. /._:rday of ........... ( ingature of applicant) Notary Public,. ............................................................. County