HomeMy WebLinkAbout1626-zFOR~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No...~]3~.~. ............. Date ................................... Jlll~....20.., 19.62..
THIS CERTIFIES that the bu,ldmg located at ...... ~Lt~.~..~.~ ............................................. Street
Map No ....X..~ ........... Block No ~ ............... Lot No. ~ ........ li~4th~.~.l~...:X~.~l~.~d ......................
conforms substantially to the Apphcat,on for 8u~ld,ng Permit heretofore filed in this office dated
............................... De~el~b~. ..... ~t2., 19..6~.. pursuant to wh,ch Bu,lding Perm,t No -Zl.~2~..
dated ....................... Dt~ ..... ~j~ ........ , 19.t~.., was issued, and conforms to all of the requirements
of the apphcable provisions of the Iow. The occupancy for which this certificate is issued ~s ..........
........ P~ixa.~e...al~..~zi~...~e!L~lg ..................................................................................
Th~s certificate ~s ~ssued to ..~l~q~,...Th~f~,...~83~ ......................................................................
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector !
F~ NO. ·
TOWH OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHO~, N. Y.
BUILDING PERMIT
crHIs PERMIT MUST BE KEPT Obi THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZ£D)
N°. 1626, Z
Date .................. i]~eel~ber -...33 .......... 196!-..
Permission is hereby granfed fo:
~rs In..'~ua~...~..Tw-e '"'~C"'l~"'~a~s'-~cCL~e ...... Ft~l~m- ~ .I~.i'- ~; ~ ........................
to .~l,~.d..--~_n..~d,i,t~ol~...o~..~ll-e~.l~.~2~l~' ~[%ee~'~:~ .....................................................
at premises located at ---~/~J~'.,'-~o~K:-'A~ .........................................................................................
....................................................... ~she~m.-.~s~.a~-~-.....~.~ ......................................................
pursuant to apphcahcn dated .................................. ~teee~el--'-"]:~'196'~:'", and approved by the
~udding Inspector
~uddmg Inspector /
GENERAl.. CONTRACTING
FISHERS ISLAND FARMS, INC.
December 13, 1961
FISHERS ISLAND, N.Y
Mr. Howard Terry,Building Inspector
Town Clerk's Office
Southold, L. I. New York
Dear Mr. Terry:
Re: ~cOance
In regar~ to the building permit for Mrs. Thomas McCance's addition
here I just realized that there is no indication on the application as to
the size of the addition. This consists of a porch measuring 12~' wide by
25' lone and a living room 19' x 38' overall, for a total area o£ 13~ sq. ft.
of new construction~ not counting an open deck.
I give you this information because I remember your saying that for
any addition over 15OO sq. ft. you will require a set of architect's drawings.
We have started the grading for this addition so I hope there will be no diffi-
c~lty in obtaining the b~utlding permit. I wot~ld appreciate your phoning me
if you have any questions at all on this. It is so late in the year that
everyday counts.
Sincerely yours,
HI~,Jr:la
FISHERS ISLAN_~F_ARMS, INC.
H. ~Lee Ferguson, ~jr~.0'~'--
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Exom ned -.,.~.....~<..../..,.u~. ....... 19.~.,.(..
Approved ........................!.! ............. ! 9.,.~.,.,Permit No..,~-../..~,,.,-~...(.~ .......
............................. ..............................
(Building Inspectort
APPLICATION FOR BUILDING PERMIT
Application No...../.~.~... ~ .........
Date .............. . .J~...~.~.~MIK ..1~' ....................... i 9..~.1 .......
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 o 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 p~Jrpose 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, os herein described.
The applicant agrees to 'comply with oil applicable laws, ordinances and regulations.
(Signature of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder.
Nome of owner of orem ses lll'a. ~c~ne lCeCaaee
If applicant is a corporate, signature of duly authorized officer.
1. Location of land on which proposed work will be done. Map No ........... ~ .................... Block ..................... ~ ............
Street and Number ............ ~{~....~II~[I~.~.....[I~.JI~....~I~,J~KI[,...IJ~I~. ~'~K .. ........
2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction:
l~oatdentta!
o. Existing use and occupancy ............................................................................................. ..........
b. Intended use and occupancy ............................................................................. ; ..................
3. Nature of work (check which applicable): New BUilding .................... Addition .Z ................ Alteration.~ ................
Repair .................... Removal .................... Demolition. ............. ......Other Work (Describe) ....................
4. Estimated Cost ..................................... $.l~t~lX)l:)e~l:~..Fee i ........... .$,~.e.(~. ...................................................................
(to be paid on filing this application)
FEES:
5. If dwelling, number of dwelling units.....O~.fl~e .......... 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 ...............~.~J. ....... Rear ............... ~1.! ....... Depth ............. .,~,! .........
Height ............. ~.....~."....Number of Stories ..................... ~' .....................................................................................
Dimensions of same structure with alterations or additions: Front ................. 9~ ......... Rear ............... .9~t. ..........
Depth ............. 911~t.e! ..... Height 2~j.t..~, ............... Number of Stories ................... .~ .........
8. Dimensions of entire new construction: Front...~e ................... Rear ............ ~/~.! .......... Depth .........
Height ..~l~J.--(~ .............. Number of Stories ............. ~ ........
9. Size of lot: Front ..~9.£t,. ............. Rear ....141~.£%,, .......... Depth .................. .....~'~]
10. Zone or use district in which premises are situated ............................................. ~eo~lel~:l~l ............................
1 1. Does proposed construction violate any zoning law, ordinance or regulation~le ................................................
12.
PLOT DIAGRAM
Locate clearly and distinctly oll buildings, whether existing or
property lines. Give street and b ack numbers or description
whether interior or corner lot. ~-~ \_~ ~Z-I~~
Name of Owner of premises. Ml~i..s~l~lllllr.~oeAddress H%~..~l~ao¥..ll',~',~ .............. Phone NO ...................
Name of Architect.....~l'ei~.Bl,~l~ ............................ Address ..8~¢1~1~..1~e~, ............ Phone NO ...................
Name of Contractor~lmheZ'~..~..[ll~lll~,..~e~Address ........ ~.¢~l...][ll0,tltl~..l~.Phone NO ......... ~J.~ ......
icate alt set-back dimensions from
to deed, and indicate
STATE OF NEW YORK, )
COUNTY OF .,.q~'~l,ir,.:.;;....:::)
............................... l~..~ne..~ ._ i..~'~.,..::~. ................ being duly sworn, deposes and says that he is the applicant
(Name of inclFv~cluaF-s/'gning application)
President,
above named. He is the ..........................................................................................................................................................
(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
th s application; that all' statements contained in this application are true to the best of J~is knowledge and belief;
and that the Wore will be performed in the manner set forth in the application filed there/~h. /-
th( ' 13t~ / ~
ornto efo, me ',
· .......... ....... ....... ** v ' ,// ....
of
~ J~ I~ (Singature at applicant)
Notary P u b I i c, - .u.°..~..a..a.~. · .~..u.~Lc. ~/~.. · · · .~. · ~ .c. · .~. · · · .[. · · ~. · .Co~ ~ n~