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HomeMy WebLinkAbout5726-Z FORM NO. 4 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT : Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. f-,/ . . . . . . Date . .Jul y. ` 197`x. . . . . . . . . 19.73 THIS CERTIFIES that the building located at . . .e s c`�.' �... ..u c:;, 6i. . . / Street Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore',filed ' 'this office wy ch 6 7? i Ji72b 7— dated . . . . . . . . . . . . . . . . . . . . . .. 19. . . . pursuant to which Building Permit/No. . . . . . . . . 14arch 13 72 dated . . . . . . . . . . . . . . . . . . . . . . .. 19. was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy,for which this certificate is issued is . . warehouse 9. .shops and officer. s The certificate is issued to . . . C1.aren'Pe Douton (owner, lessee or tenant) of the aforesaid building. Suffolk County,Department of Health Approval °f L UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . . . . . . . . . . Street Cres cent— �ivenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Building Inspecto i FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 10ry 01 5 tl 26 Z Date ...........................l h.......6........ 191R.. Permission is hereby granted to: .............. oou.:t•oa..o :'GV$A0aG 11 W................... ...............Box. . .� . ............................................ .............psahars...I..l c.....301.0.....ICQ90.. to .... ..; �� . a� ra$i.o o ex.istin ..b .S. tem b ll . .................. ........................................................................................................................... .................................... at premises located at .............. l/.s..C.:C;'sP-erLt..A'r,e...&-Sl..F*X.AVs........................................ ................................................................................................................................................................ pursuant to application dated .................................kzf� .....2............, 19...` ., and approved by the Building Inspector. Fee $. .r .e�........ . ........... ............... Buildin.......9...Ins....P............. ................... ector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.-v. Examined ......................................... 19.' ?� Application No. .�.. Approved ................n...... . ............,. 19........ Permit No. .... k... . ?..... Disapproved a/c ............................ ........................................................... ................................ ......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ......%? .......r14................................ 19..7y 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 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 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. - °'� .........�a.�&`la t�...�`�r�Jt c e. ......1. .e.................. (Signature of applicant, or name, if a corporation) ....... ..4X. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Builder ................................................................................................................................................................................................. Name of owner of premises ...Clarence Bouton If =ic isa rpor e, sl not a of ly authorized officer. e nd title of corporate officer) 1. Location of land on which proposed work will be done. Map No . ........................................ Lot-No.: ........................ Street and Number ...Crescent. Avenue Fishers Island ............ ..... .... ................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....warehouse, shops and offices b. Intended use and occupancy ..warehouse, shops and offices 3. Nature of work (check which applicable): New Building .. Addition Alteration .......X Repair ......x......... Removal .................. Demolition.................. Other Work (Describe) Remodel 4. Estimated Cost ...T.7.000.00...................................Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...None ...Number of dwelling units on each floor ............................ If garage, number of cars ......None ....................................................................................................................................... 6. If business, commercial or mixed occupancy, ,specify nature and extent of each type of use ...Offices ...... 7. Dimensions of existing structures, if any: Front 511 ............ Rear .....511 p 7�1 Depth .................... Height ....... ............. Number of Stories .......3................ ................................................................................... - t Dimensions of some structure with alterations or additions: Front ....51........................... Rear ..........5,1,.t ,,,,.....,. $t Depth ........ .................. Height .....4.3.r................Number of Stories 3.............................. 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ... 04-.9.9T. Rear 36.011,,,,,,,,,,,,,,„ Depth 256.2$1 ....... ....�............. ..... 10. Date of Purchase .December l� 1971 Nome of Former Owner F?seers Island Utility .... .......................................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning 16w, ordinance or regulation? ........no 13. Name of Owner of premises ..Clarence Bouton Address ..New Canaan Conn. phone No. 966-1697 ..... ......... ..... Name of Architect ....John Bazzoni Address Stamfordl Conn. .. phone No. 325-0661 .......... ... Name of Contractor_Bout on Services Inc- Address Fishers Island, N. YPhone No. 788-7268 ................... .............................. . . ... Mechanical Contractor--John Pickering New Canaan, Conn. 9'66-�6' 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 number or description according' t6,deed, and show street names and indicate whether interior or corner lot. G� STATE N YORK C UNTYFOF�.....Wf AIX.............I .S. S ........................... nW WW jtARrshall..............................being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the General Manager................................................................... ... ..... ........................... (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 in this application are true to the best of his knowledge and belief; and tear the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 2nd.......... day of �............March................... 19..72.... ... ........ ........................./ . .. . . ... . Notary Public, . l�..... .. tl �'! .'.... County ignat re of applicant) Town Justi — Suffolk County /; - - ,. - _ "• fir: 1. 't • - - a - t. - ;�, - _, • .• -. - ... ' - _ •'t,:- - - ,., _ •r, ,. ' _ _ - �_ }- -fir:'•. -- - - -� ,, - zF� Max,c > ' `fox 506 ` 3 sse�*s- s�aid J y •�C ;�'sehtie}neYl� _ 9: eoo;i�ed' ,Your a p3J t16n:, fog-Jalte�a��.®rl add.mr,t n, .. on!_:exi"s,ti:ng,'bu�.3dingi '�1/8,°Crescent-Ave. ��s�,axs' Island ; - - , ;I, n �: 'o�r� e d�d`'tkio•:,a�p313�st�on Dior new ;;sewer"_ 'ci:�s�a�af s "sten to' ,he �oiuite =: sh:, ept'�, x o th� r a ,p�oval. :a d riov__ lid•a fee �®f'_ ',. :at? ssithirour, ap 13oa•�a�n -Sb�K :., affiiolda.n r, ail 'pa�e °s endaiigpec as thy: ,. " _ _ }dour ,proposal,', e�,. a�:Ver .thy = �a�.ldln Y, 'r uu _ ildin Cris Gcto 21 (z _ - • ].+ ' .,•-.ori�, .L:.;t' „ - ' _ h a`- ,+„ J'.i°t-��p�' P. O. BOX 506 BOUTON SERVICES INCORPORATED FISHER'S ISLAND, N. Y 06390 516 788-7268 March 9, 1972 Mr. Howard Terry Building Inspector Town of Southold Town Clerk' s Office Southold, New York 11971 Dear Mr. Terry: Thank you for your letter of March 6 and for sending our sewage disposal system application to the County Health Department. I- am enclosing a check for $25 to cover the fee for our building permit. Very truly yours, BOUTON SERVICES INCORPORATED A At . arshall General Manager AJM/mtr Enc: Check No. 118 i P. O. BOX 506 BOUTON SIERVICES INCORPORATED FISHER'S ISLAND, N. Y. 06390 516 788-7268 March 10, 1972 Mr. Howard Terry Building Inspector Town of Southold Town Clerk' s Office Southold,_ New York 11971 Dear Mr. Terry: I, am enclosing a copy of our plans for the sewage disposal system for our warehouse ry and offices as instructed by the Department of Health. Very truly yours, BOUTON SERVICES INCORPORATED G2j , Anthony Marshall General Manager AJM/mtr Enclosure ,is. '°�`` '� r - 'j. - fh{-�X' •ii K.• ', 4i _ ;ate• `..f" '�: �••,rr '•i. - , ,"a' -•,, � Jy,`t; - •tt:- - ,rite. ,�. s• t a L :�3t �;,i - ••,+.•;a: M1•'f r-.-.>i'M1r . t,L-ii i _ __" _ - - ,. .. . - '� a - , "- �. r It cti ,J>r �,•�, _ - , , _ •9! 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