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HomeMy WebLinkAbout991-zFOEI~ NO. 4 TOWhi OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, hi. Y. CERTIFICATE OF OCCUPANCY No ..... Z~6.V.9 .......... Dote ......................... ~"~'"'"~f'~ ........... , 79...60 THIS CERTIFIES that the, building located at 'J;~/6'"RO~d ................................................ Street Map No.....~...t,~.mla~gBIock No ......... 3:~. ........... Lot No..1 ......... Fl~he~ ....... ~l.ar~cl ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............................. .~vI~tz:gh.....],~..,., 19.~Q., pursu.a'nt to which Building Permit No. -~.9~u ............ dated .......................... [~}&*~h ....... .~},+.... lC).~..,wos issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ This certificate is issued to...(] ~.O:~..~,~..]:'{~c...~O=~(~. ~ ' .......... ?~L'~')' ......................................... of the aforesaid building. t _ Building Inspec,~r ' FOI~M NO. ~ TOWti OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, ti. Y. BUILDING PERMIT (THIS PERMIT-MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 991 Z Permission is hereby granted to: F~hers Island' "rar,~ ' · The'"' "A/~"" t~eo~ '-...~o~d. ........ ...... .Fi~h~r~..t~t~nd.j ........ N~.~.~, .................... to ...... l~u:l:l:d'"an" add'l: ti'or~"ozr ' ~'"exis$;ing" .dwe i.ting ................................................... ct premises [ocated at ...~...Blo~t:..~..l.O~,..I.....~Ir..sh~et..a:..of..t~.~... ......... .... ~ ...................................................... t~ishe~f'$..:I~te~td.~.... 4q., ¥, ................................................... pursudntAo applicotion doted ............................ l~a'~/~l//'"'~I// .............. 19.~0.., and opproved by the Building Inspector Fee $..~;~,O01.paTd ehecl~ CARPENTRY PAINTING & DECORATING PLUMBING & HEATING FISHERS ISLAND FARMS, INC. July 14, 1960 FISHERS ISLAND, N.Y. Mr. Howard Terry Building Inspector Town of Southold, New York Dear Mr. Terry: Enclosed herewith is the building permit for the George Lord addition which has been completed. Would you be good enough to send us the certificate of occupancy at your convenience. Sincerely yours, FISHERS ISLAND FARMS, INC. Secretary TO~ NO. ! TOWN OF SOUTHOLD , BUILDING DEPARTMENT 'TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ....................................... 1 g ........ Permit ........... '. ......... ....................................... , ~ i (Building In!pector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing Iocati(~n of lot and' of buildings on premises, relationship t,o 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 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 issuande of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and ot~2e~ 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 applicbble 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, electrican, plumber or builder. General Contractor Nome of owner of ~rem ses eorge deF. Lord and Ruth duP. Lord If opp)icant is a corporate, signature of duly authorized'officer. ,. .......................... ~. ........................................ .ff.~?.~.d....J.. :...~ .ire r, Secretary (N~m'~'~nd title of corporate officer) Location of land on which proposed work will be done. Map No. Sheet 2 'off tax mar~, , 37-L.o.t 1. Street and Number ................................................................ State existing use and occupancy of\premieses and intended use and occupancy of~ proposed construcition: a. Existing use andoccupancy Private Residence b. Intended use and Private Residence occupancy ...................................................................... .......................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost' I ~g* ~g .......................................... Fee .$.~ ,.0. O. ..................................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ....... Q~ ............... 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 ....... 60.! ................ Rear ..... 60! .................. Depth ............................ Height ....... .2..6..~ ................ Number of Stories .................. 2,, ......................................................................................... Dimensions of same structure with alterations or additions: Front ...... .~.Q! .................... Rear ...f~g!. ....................... Depth ........ ,~].-..6. .............. Height ...;~. ....................... Number of Stories ................................ 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ..... .2.7.~.+..-. ............. Rear ...;~..~.+..-. ................. Depth .....~..0...0:k.= ............. I . . .' Residential 10. Zone or use district in which premises are s,marea ................................................................................................ 11. 12. Does proposed construction violate any zoning Jaw, ordinance or regulation.;) ............... n(~ ................................. New Haven Ct. Name of Owner of premises..G..e..°.:..~....~..~.?¢.b:..~.°.~.d. ......... Address 1..9..0...~.:...~..o.p~p..~..t.: ........... Phone NO ..................... Name of Architect ...... ~t....Z.t....~.~.~.~. ......................... Address ....... ~%~e..z'.~..~.a...~.c]....~...M...Phane NO...~..1 ............. ~ . . I~. I. Farms _.. " " Name of ~onrracror .................................................... ~aaress ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give block numbers or description according to deed, and show street names and indicate whether i~ erior or cornm sworn, deposos ~nd soys that he is the appllcont above nomad. Ho is tho ........... ........................................ } .................................................................................... (Contractor, o~ont, corporate officer, etc.) o~ s~id owner or owners, and is duly authorized to perform or have performed the so~d work and to m~ke and file this application; that ali statements contained in this ~ppllcotion ore true to the best o~ his knowledge and and that the work will be performed in the manner set forth in the application filed therewith. STATE OF NEW YORK, ) COUNTY OF 8.~.t.~.o..1..~. .............. ) Harold ,T. Ba~e~ (Name of individual signing application) Sworn to before me this 12 day of March 19.....(~.. ..... Notary Pubhc,...~....~t~ .......................... County