HomeMy WebLinkAbout870-zNO. 4
TOWN OF SOU'I'HOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the. building located at .~.,...[~.~,~...~.~D..~..~..~....Z.~..~..~...~.f.~...~D..~JI~,~e~
F~shers Zsland, New York
Map No.~..~}!..e..~...~.....~.~.~J~J~]~ ~o~.~..:......7 .............. Lot No ....... ~. .......................................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..................... .O.C..~.9.'.b..~..~...~. ............. r 19....~.~, pursu.a'nt to which Building Permit No...~....~.~..0. ............
O~;%ol~er 9 59
dated ....................... ~. .............................. ]g ........, wa~ issued, and conforms to a[[ of the requirements
of the app~icoble provisions of the [aw. The occupancy for which this certificate is issued is ................
P~IVATE, Ob~l~ FAMILY DWBLLING
This certificate is issued to Rowland Robbins# owner
(owner, lessee or tenant)
of the aforesaid, building.
F. OWARD ~. ~BRRY
FORM NO. 2
TOWN OF SOUTHOLD
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? 87O Z
Dote ......................... 0~t, Oi~lZ"'" ~¥ ........... 19~C) ....
Permission is hereby granted to:
F~sher~ l~LancL F~r~-m .. ~/C....Row~land ..B~bb:tn~ ............
· F.~ ~he~s.. lsl~nd....~l.~. ......................................
to ....~.t..z.~..~..~ ~ ~ ~.t..~.. ~.. ~m.e. ~.t..~...~ ..d...-.*..Z.~.t.~g ....................................................................
at premises located at ...... ~¥.~..t~.~l.l.....l~t,~:2.$r¥..b~ool~...'/¥..FiBh~..3:~z~l..~t~,t,~.. .............
.................................................. ~.~,~h~.x~...:[ nl~u¢l ,.. ~..~.~ ......................................................................
pursuant to application doted ........................ ~t~l~r...$ ................... 1~9....., and approved by the
Building Inspector
Fee
Building Inspector
FO~M NO, 1 ~
TOWN OF ~OUTHOLD
BUILDING DEPARTMENT
TOWN cLERK's OFFICE
SOUTHOLD, N. Y.
Exomned ..... ..........
Approved .......
, '";'"", .................. ;i ................................
Application No.......~..~.Z..,0. ..........
APPLICATIO~ FOR BUILDING PERMIT
.~ . October 8 59
~ uare .............. h .................. 1 9 ............
INSTRUCTIONS
o. This application ~nust 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 o 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 o Certificate of Occupancy
shall have been g~'arffed 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 oll applicable lows, ordinances and regulations.
Fishers Island Farn,s, 2nc.
(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.
Contractor
Name of owner of Rowland A. Roi)bins
premises .....................................................................................................................................................
If applicant j~s _a corporate, signature of duly authorized officer.
.................. ; . '. ........ ..H.. Lee Ferguson, Jr. President (Name and title ofjcorporate officer)
Location of land on which proposed work will be done. Mop No...~:.].:.~.~..~...t..e,~...~,.~.?... Block ...?..L:..]:',°...t'....2..~. ............
Street and Number ........ 2~.:L~&te...~,cm,¢l. .....................................................................................................................
State existing use and occupancy of premieses and intended use and occupancy of proposed construction:
o. Existing use and occupancy ................................. .R..e?...~.ci.'..e~.~..1 ............................................................................
b. Intended use and occupancy ............................. ~9.9.~,.d.~.CJ,~,3, .............................................................................
3. Nature of work (check which applicable): NeW Building .................... Addition .................... Alterahon ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost $8500.00 +- Fee . .~,5...00
(to be paid on filing this application)
FEES:
5. If dwelling, number of dwelling units ...............1. ............ Number of dwelling units on each floor.....] ......................
2
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 ...............~..O.Q? ....... Rear ............ i..~QQ.~ ....... Depth I
Height ................ ..2~...~. ...... Number of Stories ................. J ...........................................................................................
Dimensions of same structure with alterations or additions: Front ...... ~ ......... .1,;3.9.~ ......... Rear ..................... 1.,3...9..t. ....
Depth ........ ] ........... ~.5.! ..... Height ...... .2..2.! ................... Number of Stories ...... [.....1. ...................
8. Dimensions of entire new construction: Front ................ .3·.c)·.~ ....... Rear ............. ~c)..~ .......... Depth ................ .2..2..~. ......
Height ................. ~1.~ ...... Number of Stories .............. ~ ............
9. Size of lot: Front ........ ~.9...'..~.~. ...... Rear ...... ~..8.;.9..8..~ ......... Depth ..~7...~....+..-. ..............
~i,, ,~o,~ Residential
10. Zone or use district in which premises are .....................................................................................
! 1. Does proposed constructio~ violate ~n.y zoning law, ordinance or regulation? .......... .N..O. ......................................
12. Name of Owner of "rem~co~ Rowland Robblns AH,4 .... _.N..e..w....Y...o.r..k....C.i,..t~.. ............... Phone NO.
· Hugh Jones
Name of Arch,tect ...................................................... Address ...G..~.~.l...~.o...~,~.....~..~.; .................. Phone NO .....................
Name of Contractor....~$.s..b..e.~.s....Z.~..nql....~.~..z~..§.,~..v.~.~ddress ..~.s...b.e...~..s....~,.s.l..~...n.~...~ ....... Phone NO. ~ ..............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from
property lines. Give street and block numbers or description accorj;iing,,,to deed, and show street names and indicate
whether interior or corner lot. ~ q,> r ~ Seu~
.$
STATE OF NEW YORK, )
COUNTY OF ..S..u:~...f..o.l..k.. .......... .4.._$ S.'
..... i ........... .H.;....L..e..e....F..e..r.~.o..n..,....J..r..,....P..r_e..s..i..d..e.~. .................. being duly sworn, deposes and says that he is the oppllcant
(Name of individual signing opplication)
above named. He is the ...... .~.r.~.~.~.~teRt,>..F..$~ha~l~..]:~lan~l..~,..]nm, .........................................................................
(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 oil statements contained- in this application are true to the Ipest of his knowledge and
and that the work will be performed in the manner set forth in the application file/al'therewith. / belief;
Sworn to before me this
8th f October 19 59
........................ day o .................................................... ,~ y .
t:~ingature of applicant)
Notary Public,... 2~.... ,k.~. · ?....'"-~.....~ ............. County
~OT~Y PUBLIC, STATE OF NE%V YOR~
Tern~ exp~cs i~Iarch SO, 19 ~ f