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HomeMy WebLinkAbout1990-zTOWN OF SOUTHOLD BUILDING DEPART/RENT TOWN CLERK'S OFFICE SOUTHOLD, 1'4. Y. CERTIFICATE OF OCCUPAt~ICY THIS CERTIFIES that the building located at -~'..~V,~,..:R~a~. ........................................ Street Map No ....................... Block No ..... ~.~ ............. Lot No. ~., ............. ~.~...~.~.~'~ ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................... ~e.b~.&~ ....... ~O ......... , t9.6~g., pursuant to which Building Permit No. dated ..................... ~b~2.~.....~ ...... , 19..~., was' issued, and conforms to all of the requiremsnts of the applicable provisions of the law. The occupancy for which this certificate is issued is .... ~.~.~.~...~.,...~.~y...~.e~d~n¢.e.....(~ea~..h~s.e.) ...................................................... The certificate is issued to ~.*...~h~.g..~o~.d~ .................................. 0~ ........................... (owner, lessee or tencnt) of the aforesaid building. 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.° 1990 Z Date .................. Jrll~l$~.~'.....~.~ .......... 19.(:l~.. Permission is hereby granted to: ll'i sher s...t~-l.a~d...F~...~l.~e.....-~/G .. 1/~ s....... A.l~er t 6ordon ..... l~.she~,s...T.s.l, ar~ ......................................... t o .. t~u~.]:.d...ne,,~.. ~ne...~.a~. · .ly,.. ~e]:.14.n~.. ~ Be aeh.. ~ho~s e ) .................................................. at premises located at .....Lo.t...Jt, r..~t~ek...3~y...F.~she~s...T.s.~.artd...Gorp..ma.p ....................... ........................................... I~aBe.1.1.a...Beaeh¥ ·. · ..l~_~h~r ~.-..~te~,~d ........................................... pursuont to opplicotion dated ............................... Feb~m~y.....:~)....19.(~3.., and approved by the Building Inspector F6e $ '];0~,'00 ........... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined F~,~ ~ 3 19...~....~.. Approved ........................................ , 19 ........ Permit No .......... : ...................... Disopproved o/c ..... ~.....~- Application No ............................. APPLICATION FOR BUILDING PERMIT Date Februazsr 20 19 6,~ ..... 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 odioining premises or public streets or areas, and giving o detailed description of layout of property must be drown on the diagram which is port of this application. c. The work covered by this application may not be commenced before issuance of l~uilding 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 pa rt for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICA¥1ON IS HEREBY MADE to the Building Deportment for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other opplicol61e Lows, Ordinances or Regulations, for the construction of buildings, additions or olter~otions, or for removal or demolition, os herein described. The applicant o§rees to comply with oll applicable lows, 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, enginee.r, general contractor, electrician, plumber or builder. General Contractor ~s, Albert N. Gordon Name of owner of premises ..................................................................................................................................................... If appli,cff~t isa cotrate, signat,~e of duly authorized officer. .......... .............. -- (Name and t~le of corporate officer) F.t. Corp. Map rev. 1928 I. tocation of Io,d o, which p~oposed work w~H be do,e. ~p ~o~ ..~%~G~..~ ........................ hot Mo~ 2. 5~ete ex~sfinD ~se end occopcncy o~ p~e~ses cnd ~ ntended ~se ond occ~pon&y o~ proposed ~. Hx~sfin9 ~se ~,d occ~pe,c~ residential ~ b. ~nte,ded ~se a,d occ~pc,cy r.e.s.ide, ntial..[beach_ho~.e.) .... . 3. Nature of work (check which applicable): New Building .....X. ............ Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..................................... Fee ..!!.1..0.....0..0. ............................................................................ (to be paid on filing this application) 5. tf dwelling, number of dwelling units ......0.~.e. ................... 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 ..... .-. ......................... 7. Dimensions of existing structures, if any: Front ....... .-. ................. Rear ............ -. ............. Depth ....-. ......................... Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front. ............................... Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front.....~.6..~. ..................... Rear ...... 4.~.~ ................. Depth .....~].~. ................. Height ...1..!..~.~.'. .............. Number of Stories......0.~.e. ....................... 9. Size of lot: Front .....1..3..0..I. .................... Rear ....2..8../t.' .................. Depth ..... ~...0..0.I. ........................... 10. Date of Purchase ...1.?.5..8....~....1.?..6.~ ............................... Name of Former Owner~a?....D.:...~e~.e.~...~...~...Z..:~.s.~?.~.e..s....In~ · a Residential 1 1. Zone or use district in which premises are s.tu ted ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ....~.9. ............................................... 13. Name of Owner of premises ..~...s.,....&.,.E.,..G.¢.:~.c].o.~ ......... Address .J.0...6~.e,¢.ie...¢.~o...]2,.~,..C.,... Phone No ..................... Name of Architect -R°..b..e.~.~..[:....E..~¢.¢.~¢...~.~.-. ............. Address ............................................ Phone No ..................... t Name of Contractor .~......Z......~.a..r..~.~...Z.?... ................. Address ............................................ Phone No..2.5..1. ............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back 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 YORK, ) COUNTY OF .....S..'t.:C.....r..o..1..k. .......... ) S.S. H. Lee Ferguson~ Jr. ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ............... ~..e..s%.d...e.~.C.,...,~.,.;[;,.~.e,~.as~..Z.n¢ ........................................................................................ (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 all statements contained Jn this application are true to the best/of his knowledge and belief; and that the work will be performed in ~rhe manner set forth in the application filed th, e'rewith. Sworn to before me this ~ / ........................ of ........ ...... ,, Notary Pub,,c, .... applicant),. "4 ~e~ ~.~¢~r;,'~ ~:v~ct, 30, ~.9 6 J