HomeMy WebLinkAbout989-zFOlt~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF O(;CUPANCY
No..Z...67/.8 ........... Date .......................... June.....iL~. .......... ,
THIS CERTIFIES that the. building located at ..td~.f~.....~.~n~.~t..~O~.0, ......................... Street
~. Fort H,u,~r:b~h¢,, ,
~wopr~o ......................... r~OCK NO ..... ;~f,~ .......... Lot No...~,,~ .......~igh~i~.tj~..~[,~d ............... ..
conforms substantially to the Application for Building Permit heretofore filed in this, office dated
dated ...................... /~,'prJ,].....~ .......... 19..~.0., was iss'ued, and conforms to all of the requirement~
of the applicable provisions of the law. The occupancy for which this certificate is issued is '. ...............
~e~i"~al, i~ (owne,r, lessee or tenant)
of the aforesaid' building.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS P~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is he[eby gronted to:'
pursuant to ~ppli~otion doted ................. '...~ .......... ~....~ ........ 1~'_.~ ~nd opprovod by the
............ ~Building:*'*;' .......... Inspe~?'~ f'*' '~' ........................
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLFRK'S OFFICE
SOUTHOLD, N. Y.
NOTIC, F OF DISAPPROVAl.
File No ........... ~.c). .............................................. Date ...................... ]~ftr.~th..9 .................. 196.0._.
To A,,.C,.,.g.Q~.$..t.~.~..c..$..l.p~...C,Q.....~...C....~.'~.$..h.c.~rs Island Ferry District
........... Fisher.s,, Islan~ ,.....H,. ~., .............
PLEASE TAKE NOTICE that your application dated ....................... [~Ja~t. 13h..!.k .............. 19..~.0.
for permit to construct .~,.ad. dlt.'l..or~, .............. at the premises located at ...~Z'.~....~,o]Atb,..~,Cl, l.~l:~,ry Rd
..... &..~/.~...~hi s.t lm, r... ~ ..................... Street Fishers Island
Map...~. ~.."....~...".~.:..~. ~..~..~.. .... Block ............................................ Lot ............................................ is
~ disapproved on the following grounds ...~S...~.O.~..~...h~/$...~0.'l~..~.~t
.... ..........................
....... The...o~n~. s...and., op.erat om. s...o£...tlh~s...p~pe~tt~.., a~ e...~ax...exemDt...organi~ations
~d...as... s.~ch..a~. ~...n.Q~..~e.~]~i~.~.d...~o...D~Y....a.. f.e~...£mr...zonlng...p~.~its.~.....Th~, ehe~k
of $ ~.00 is herewith retu~ne~d.
. .t'J.., ........... ~.%d ...................... ~-'~1 ..................
Building Inspector ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CL,R, 'S O,:.C,
SOUT.O. , N.
Examined ...... .......
Approved .......
Disapproved a/c ............. x.~¢~,.: .................... ~ .......... ~ ......................................
(Buildin~ Inspecter)
Application No ..... ~..?.'...~. ............
APPLICATION FOR BUILDING PERMIT
60
Date ....... LLa~.ch...4 .................................... 19 ............
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 adioining 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 appficant. 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 issuanae 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 lows, ordinanceS,~a~ r4~g~c~tions. _~
(Signature of applicant, or name, if a corporation)
Fishers Island New York
(Address of applicant)
State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
premises Town of So.qt ......
Name of owner of ................................. ](.Lo.~..g....,~..,]~.$..8..~.Le.,..~..~..]..8.~..?,~..~. ~.~:..~.~. ~.~. ~.~.r..~...o.~
If applicant is a corporate, signature of duly authorized officer.
Albert OhsJalas. ki - ~owr~er
.................... ...............
M~,, ~,~,, ~LOO9 L
1. Location of land on which proposed work will be done, ..,~ ,,~: ............................................ at No: ....................
Plan of Fort H G Wright Reservation - Showlr~g Land Sub -Division
St~eef end Numbe~S.t.C.d..f.¢.b...Y..19.5.5.....h~...dbandl.e~....&...lalmml-.En~ ...... .Nor. wmch_.O.anm ...........
2. State ex~sUm~ use ~nd occupG,cy o[ pr,sinUses end ~mfended use.~6d occ6~qcy o~ proposed co,s~ucHon:
&.Zr.pt ~.~e-.he~s.~..~n~..~f,$.Lo a .............. :~...~. .............................................
a. Existing use and occupancy.[ ~ ' " ' " - '
b. Intended use and occupancy ............. ~.~..~.agm~ .............. r .................. :"':". "~ ..............................................
3. Nature of work (check which applicable): New Building .................... Addition .~. .................. Alteration ....................
Repair ................... Re,re_oval ............ Demolition .................... Other Work (Describe) ....................
4. Estimated .Cost .............................................................. Fee ............................. ~5.,~OD. .................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units.~S2~;,,~ ................... Number of dwelling units on each floor .......... ~x ........
If garage, number of cars ............................. x;~¢,"¢ .....................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.~ese..r.ooms .....
,- .~z~x§4£t Rear 48 £t .... ~..~. ....... ~J;. .......
7. Dimensions of existing structures, if any: front ........................................................ Depth
Height ...~.0f.t ................ Number of Stories .............. 1 .............................................................................................
Dimensions of same structure with alterations or additions: Front .....5.~.~ ................... Rear ..... .5..~...~. ...............
Depth ......~..~...,.f'..~ ............ Height ........ 2~..£.~ .......... Number of Stories ............~ ..................
8. Dimensions of entire new construction: Front ......... .OD~ ............ Rear ....... ' ....... 8"~t ..... Depth .......g...~ ...............
Height ....... 8.~ .............. Number of Stories ......... ~. ................
9. Size of rot: Fror¢~..~....~...~.~.0...O..O.~.~... Rear ~900 £t Depth lb00£t
10. Date of Purchase ......... &,~'.fbl...19.59 ....................... Name of Former Owner ..~..rz.l. te.ct..~.te.~...~o.~.t ..........
Airport
11. Zone or use district in which premises are situated ................................ ; ...............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ........ rio .......................................
13. Name of Owner of premises.~g~...~.~...~.q~,.t]~.o.l~l. Address ....... 2.u~£.o~)~,.g~:;~u. ri.t,y...Phone NO .....................
..... ~' I Ferry District ~res. F I~ , ...,,Phone NO, ~.~.,.4,~.~ ......
~ I N Y~ ~ Fi 409
Name of Contractor~..~.,.O.On~.~Z,'..~G.t.~ri...0G ...... Address ................. ;..~..~ .................... rnone NO .....................
PLO D,AGRA \\
Locate clearly and distinctly all buildings, whether existing or proposed, and'l,~icate all set-bqc~k dimensions from
property lines. Give street and block numbers or description according to deed, a~[ show street ~4mes and indicate
whether interior or corner lot.
STATE! OF NEW~YOJgK, ~ / )
COUNTY OF ..~.~./~..J?~..) S S.
............. ~,],.12..e.x.~...~..~D~..~fl~ ............................................. being duly sworn, deposes .and says that he is the applicant
(Name of individual signing application)
Contractor
above named. He is the .............................................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authoriz~ to Rerform or have performed the said work and to make and file
this application; that all statements ~?t~'OSdq[~f~aB~[ication are true to the bes~ of hi~ knowledge and belief;
and that the work wil be performedq?f~'i~f~?0;~:~[~h~h~,application f~ed therewith.
Sworn to before me this :" : "' "~' '" ' '~ ' ~ z ~ ~, r ¢
'ZZ/ :' "' 19 (;~,
............. r ~ ...... ' ~ (Sig~ture~f]applicant),~ / ~
Notaw Public, .,.[~.[LJ.L¢~M}.]]>~:VM;q..~ .......................... County ~,