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Home My WebLink About1975-zFOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C£ERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~.~.Y. ft.t. ft..~.O.~C,......(~f~'.~_~'.6:ft] ......... Street Fishers Tsland Estates Map No ....................... Block No ....................... Lot No ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. .J...~.~.~...~.~ ....... .~.~..., 19...~.~. pursuant to which Building Permit No..~..~...~.~.,~. .... d~¢ed ....................... ~.a...~..~...~..~..~. ....... .1...~..., 19.~...., was issued, and conforms to a~[ of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ........... ~.%X~.t.e...o.~.e...£.am.t~...d~.l:lixq~ ........... Z, ...................................................................... ~le~and ~r t~tobinson O~.ner The certificate is issued to ............................................ t ..................................................... ~ ................. : (owner, lessee or tenant) of the aforesaid building. Building Inspe, ctor;l' ~ / FOlt~/ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 1975 Z Date ................. ~i~.~i.... ~1 ~. ............. 19..~3. Permission is hereby granted to: A..I', Gade .....A~C .....At..ex~n4er...Reb~n~o~ ........ ............. .leA.she~...~la~d ................................. to .bui. td. -a~ .. a~d.i.t.i~r~ ..o~ .. eh. · ~x.i.s.t~mg...d~et.t .$~g .......................................... . .............. at premises located at ...pe.t~...~ea.t...t~...Roa~...:~.sher~...~.$t~,~d. .................................... pursuant to application dated .............................. ~l'm,nA~.....~l,~ ....... 19.~3..., and approved by the Building Inspector Fee $-.~...00 ............ '' Building Inspector FOR~/[ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. Approved ...... ,,.. ............................... 19..::....Permit No ............. ; ................. Disapproved a/c ...... ~ ............................ ~..i ........... Application No. ~. ~ 7 5 APPLICATION FOR BUILDING PERMIT D t , January 12 63 ae ........................................................... 19 ............ INSTRUCTIONS a. This oppllcotion mqst,be completely filled in by typewriter or in ink and]subm~tt,ed in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to edioining premises or public streets or areas, and giving o detailed description of layout of property must be drawn on the diagram which is port 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 p art 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ord ina~s~,nd r,elgula.tions.~.~-~,~.. --.-~--~-....~--~- ................ (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0ontractor Alexander L. Robinson Nome of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. Pres. & Treas. (Name and title of corporate officer) 1. Location of land on which proposed work will be done, Map No: ............. .P.~r.k..Ar. flg ............. Lot No: .................... Street and Number ....................................................................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed,construction: Res i dance a. Existing use and occupancy .................................................................................................................................... Residence b, Intended use and occupancy ........................................................................................... ..................................... 3. Nature of wark (check which applicable): New Building .................... Addition ....X..X. ............. Alteration .................... Repair .................... Removal .................... Demolitlon .................... Other Work (Describe) .................... $1200.00 . 5.00 ............................ 4. Estimated Cost .............................................................. bee ............................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. - 261 0" 261 0n '- ' 131 0n 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ uepth ............................ 12' 0" Height ............................ Number of Stories Dimensions of same structure with alterations or additions: Front 261 0n Rear 33' 0n '2' 0n Depth ...... .2.3,~....0. t.~. ............ Height .....' ......................... Number of Stories ...... ,~ ......................... 7' 0" 7' 0" 10' 0" B. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height .!..2.1-.0.'.' ................ Number of Stories .......}. .................... 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ Residental 11. Zone or use district in which pr,emlses are situated ................................................................................................ No 12. Does proposed construction violate any zoning [aw, ordinance or regulation? .................................................... · A.L. Robinson -" s Fishers Island~ N.Y. ~- 587 13. Name of Owner of premises ........................................ /~aare s ............................................ ~'none NO ..................... · None Nome of Architect ........................................................ Address ............................................ Phone NO ..................... ~. . ^, dohn Gada Address Fishers Island~ N,Y, ph~,o NO. 231 Name of ~ontractor ........................................................................................................................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-ba~k 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 NEW ~¢1:~')~, ,~',~ ) SS COUNTY OF'- ,,.~//z~'~.~./~..~.......} 7 ~ ......................... ~Z~....~:.* ......................... being duly sworn, deposes and s,ys that he is the applicant (Name ~nd[vidu~l sipi~g a~cation)/ He .............. .......................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized fo 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; and that the work will be perfgrmed in the manner set forth in the application flied therewith. Sworn to b,¢fore me this , /