HomeMy WebLinkAbout1992-zFOI~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ...~.~.T..~,.CJ~.~....Q~'~...O~.i.e.~.~,.9,~L...~...~..i Street
M~'~J~o~.S....~.?..~...~tI~c~SNo .......... 27. ........ Lot No...6.t. ....... ~.$,~f~.~...Z~.~.~..~¢l,.,...~[,.~',.,. ......
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..................................... ~.e~btt~'.e.~'.~.....~, 19.6.~... pursuant to which Building Permit No..~k~.~.~...
dated ................ : .......... .~.~g~':~.~...~.~.., 19..~., was issued, and conforms to oil of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
...... P~L.v.a.t,.e...ane..~.amilT...~e. lllnF, ..........................................................................................
The certificate is issued to ..~.~.EI,~..(~,e,.,]:I. Q1DJAn,,~.OZL.*T~ ........................ ~).~ ......................... (owner, lessee or tena,nt)
of the aforesaid building.
FOF, M NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 1992 Z
Date ...................... ]1~;1~.~.... 27. ......
Permission is hereby granted to:
L. C, Foyle.&...8on.....~.C. ¥~ll.~,am.C,.. Robinson Jr.
........ · Fi~here-.-Z~ta~d ......................................
to ...bu&ld..ml.. add.~.tA, on..oa..~n..~--~t~ng..dwe;~L~ ......................................................
at premises located at .~v.~v~ll:~te~ ....... .B.~.ook...~.~.t......%G:~6 .....................................................
.......................................... l~her ~ ...l.s .~nd... ~ .....ll~.Y., ..................................................................
pursuant to application dated ....................... Jll~t~l)~j.~ ....... ~J~ .......... ]96.~..., and approved by the
Building Inspector ·
Fee
Building Inspector J
TOWN OF SOUTHOLD
BUILDING D~EPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y,
Approved ........................................ , 19 ........ Permit No. //~' ~ ~
Disapproved a/c ........................................................
.......... ...................
Application No .........
APPLICATION FOR BUILDING PERMIT
February 24 63
Date .................................................... , 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 adjoining premises or public streets or
areas, and giving a detailed description of layout of property must be drown on the diagram which is part of thi.~ applica-
tion.
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 inpa ri- far_ any purpose whatever until a Certific.~e of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bui d ng Perm t pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other opp cable Laws, Oral nances or
Regulations for the construction of buildings, additions, alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
(Signature of applicant, or name, if a corporation)
P. O. Box 212, Fishers Islend, Mew York
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
Name of owner of arem ses William C, Robinson, Jr,
If applicant is o corporate, signature of duty authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No.: Block 27 Lot No.: 6
Street and Number Fishers Island, New York
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction.
a. Existing use and occupancy Summer Residence
b. Intended use and occupancy Summer Residence :; - ,
....................................................... ~..:~) ...... ~ ....................... ~ ...................................
3. Nature of work (check which applicable): New Building. ................... Addition ....... X. ......... Alteration ..~....;~ .........
Repair .................. Remova! .................. Demolition .................. Other Work (Describe) ..................
4. Estimated Cost $34~000.00 Fee ~o00
(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 a=nd extent of each type of use ....................................
7. Dimensions of existing structures, if any: Front ..... .6..0....f..t... ............ Rear ....6..0...?.~... ............. Depth 30 ft. .
Height 24 fro e · 2
............................ Numb r of Storms ................................................................................................................
Dimensions of same structure with alterations or additions: Front 80 ft. 6 in. Rear 80 ft. 6 ~.n.
Depth 30 ft. Height 24 ft. Number of Star es ..... ..2. ........................
8. Dimensions of entire new construction: Front ....2..0....f.~......6....[..n....... Rear ..... .2..0....f.~:..6...~.n..... Depth ....3..]....?.~....[../..4....[..n..,
Height 17 ft. to ridgeNumber of Stories ! , , .
9. '-'Size of lot: Front ...3..6..0....f.~.: .............. Rear a20 ft. Depth 150 ft..
10. Date of Purchase .......................................................... Name of Former Owner ........................................................
11. Zone or use district in which premises are situated. Eastern section of Fishers Island '
12. Does proposed construction violate any zoning law ordinance ,~rre~u at on~ NO
........ ' ~ Gil~ewa y ' Ce'~'~'~ .....................................................
13, · ~.u. ~,oDznson, Jr.
Name of Owner of premises .................................... Address PJ[t.t:sbu=gh~..P. enna ........... Phone No. G..R....1..2...8.5..2....
................................................ . PE 98546
Name of Architect ..A..I....b~..T..t....H.t....C.~.a.Y. ..................... Address Ntantlc, Conn. Phone ~1o ............ ; ......
Name of Contractor ..[..;...(;;......F...o.¥.[.e....a..n..d....S..o..n. ........... Address .F.~.s..h..e.~.s...~.s..]:.a..n..d.A...N......'~.... ...... Phone No. 288
PLOT DIAGRAM
Locate clearly and distinctly, all buildings, whether existing or proposed; and indicate all set-back dimensions ~rom
property lines. Give street and' block, numbers or description according to deed, and show street names and indicate
whether ihterior or corner lot.
STATE OF NE~ Y~RK, I. )
COUNTY OF
...~~ ..~/ ~,.,'l) ~, bein ;ul sworn de osesandsa
............... ;~, · ........ ~.....~. :.;..,....:.-~ ........ ;....:....[ ................ g y , p ys that he s the app leant
u~ame o~ ~na~waua~ sJgn~g application)
~ove named. He is the ........ "....~.....~ ................. .
'"(Contractor, ~ ' ~ "~'~ '~[~ ............................
of said owner or owners, and is duly authorized to perform or have performed the said work and to mare and file this
~plication; that all sta.~ement~ contained in this- application are true to the ~st of his knowl~ge and belief; and
that the wore will be performed in the manner set fo~h in the application filed therewith.
Sworn to ~efore me this
............ ............................
A LTEP../~TIONI$ TO
FIS'P,.EIL$ iDL~,ND NEW'
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