HomeMy WebLinkAbout4579-zFORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
No. ~3892 ..... Date ............. July .... 22 .... , lg. 70
THIS CERTIFIES that the building located at F,~, 'lto~d 'F'.'I~Est' ........ Street
Map No.F*.!..~.~t. ..... Block No...31~ ...... Lot No. l ...... Ftsher. s. Islau5 .... 1~,~.,
conforms substantially to the Application for Building Pemit heretofore filed in this office
dated ............. Dew · · 2' ', 19 '(~9' pursuant to which Building Permit No..
dated ........... Dee ..... ~.. , 19.69, was issued, and confoms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ... P~iva~ce. one .fam$1y. d~el.ling ....................................
The certificate is issued to ... j... -Barton' If~rve~r..; · · Owner ....... . ..... '~ .........
~owner, lessee or Tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ....... perAcling .....................
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................................ , 19 ........ Permit No .................................
Disapproved a/c .......
APPLICATION FOR BUILDING PERMIT
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 propertymust be drawn on the diagram which is part of this application.
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 15 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, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code and regulations.
.... .F..i.a L.i..t..×...9..°...e.P...a..n.x..,....!..n..c..:. ......
(Signature of applicant, or name, if a corporation)
Drawer E
.... °. ....................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
enera contractor
J Barton Harvey
Name of owner of premises ..... : ..............................................................................................................................................
If appli,,~ co/~,.~t~sign~ of dub, authorized officer.
Robert M. Egelhofg,~r~aident
1. Location of land on which proposed work will be done. MaP No: ..T.~.~,....M..a.g....[5 ................... Lot No: ......3..4..7.! .......
Strem and Number Fis.h.~.r.e le end
Municipality
2. State existing use and occupancy of premises"q,nc~, .!ntended use and occupancy of proposed construction:
a. Ex.sting use and occupancy ...... .0.1~.h~,~.~J~.~..~.,~,~'...: ........................................................................................
R~ s.de~tG~a~l
n u anc .....................
b. Intended use a d otc p Y ...... : ~'""-' "j'"-:j ....... r....; ................. ; ................................. .....
3. Nature of work (check which applicable): New Building ....... ;~ ......... Addition .................. Alteration ..................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ......................................
4. Estimated Cost ..... .~.t~.~.g.~.~.~ ............................... Fee ...... ~i.~,.~.{) ........................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ...cd.J.ll,gJ.~ ........... 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 ............................
HeJ§ht ............................ Number of Stories ...............................................................................................................
Dimensions of same structure with alterations or additions: Front ................................ Rear ................................
Depth .............................. Height .............................. Numbe~ of Stories ........................................
8. Dimensions of entire new construction: Front ..... .?.3,~.. ............... Rear .,......~.3..~ .............. Depth ............ ~?.Z .........
Height ...... .4..0.~ ............... Number of Stories .......... ,~ ...............
See Dr'awing A-I
9. Size of lot: Front ............................ Rear ............................ Depth ................................
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
11. Zone or use district in which premises are situated ............... E.e~i.d~n.t.~&l .......................................................
12. Does proposed construction violate any zoning law, ordinance or reaulation? ......... .N..o.. ........................................
721 I-Io Ave. .
Name of Owner of premises ~,...~l.~.~.~13...H&r:.~,~.~..Addres~ ~J~4~ .... ~.,~ .................. PJlone No. ~Z~....~0..
13.
, . on -
Nome of Architect ..................... Address ..~.~.~.~.,., ...., ................ Ph e No. 5~I...[.~.~.Q..
Nome of Contractor No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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.
Dpewin9s A-I through A-4
STATE OF NEW YORK, ~, S.S.
COUNTY OF; ............................... /
Robe~,t: M. Ege I hot..{.. .... be na duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ........ C~nJ~.~:~'t:. .........................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners and is duly authorized to perform o~ have' performed the said work and to make and file
this applicat on; that all statements contained in this a.PPlica~tion are true to the best of his knowledge and belief;
and that the work will be RRrformed in the manner set forth in the ~>~')ation filed therewith.
Swam t~,,9~ m~ tho~S ~ .... 19.~. ~ / / ~
................. .... ......
Notary Pub' ,c~ ~'~..'.~unl~. ~~;;~'~;t ~c'~ ................
Qualified in Suffo)k Counly~)
lerm ~s March 30, 19 ~ ""'
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INDEX
OF
DRAW I NG S
2
-SITE PLAN A-1
/ ELEVAT IONS A.2
FIRST & SECOND FLOOR PLANS A'3 ,,'
'SCHEDULE~ ~,,,
THIRD FLOOR & ROOF PLANS, A.4
SCHEDULES, .~,
/ INTERIOR ELEVATIONS
/ STRUCTURAL SECTIONS A'5 ' ~ r
& FRAMING PLANS
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DIAM F---.T ~'R LF-..ACNI N G
Pk:~OPER DBPT~, LOC~TtoN 5RALL
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WALL SECTIONS & DETAILS A'6
ALTERNATE STRUCTURAL METHOD A'?
HEATING PLANS ' ',;' I ' r . M'I
ELECTR ICAL & PLUMBI'NG:·PLANS M'2
ARCHI
" Q~NElaAL NOTES :.,
ti,. ~T~R ~OR ,PLyWOOP S.4ALL ~ ~'XTe~IO[~ ~l~b¢ ~1~;
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f~O, ALL HED{C-I~IE CA~btE]~, TOILET PAP£¢- ' HOLO(~; ~OA? D~S,-FOOTH -
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T A T A R A N 0 K E L L Y
ARCHITECTS PLANNERS
5 2 0 L IG H T S ~"R E E T
BA LTIMOR'E MARYLAND 21202
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REVISIONS
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UPP~'~ PART om
~-m~ ~ooM DF---'DF~OOM ~ 7
LImB OF fbOiCOl~¢l
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~TAL~ '~ I W00P WOOP ~ ~-~ %~TU~el-II TS~TU~E I-t~~XTU~ H~ PLYW~D CA~PET ¢ LAMD/MG~
KITC~EM ~1 I~ , If II II II : II LAMINATED P~STIc COUM.~ ~TA~L~
UTILITy ~0OM plaided NONE ~L~WOOP PLVWOOD PLVWO6D PWW~D PLYWOOD
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QAM~ ~00~ PLYWOOD WOOD-GTAIN~ TE~T~EEI-ll.~TAINED ~TU~HI ~['t-II PLYWOOD
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141
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T A T A R AND K E L t Y
ARCHITECTS PLANNERS
520 LIGHT STREET
BALTIMORE MARYLAND 21202
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