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Home My WebLink About236-zFORi~i NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the budding located at S,/E~ ..E~'$Va, te..l~¢l. ...................... Street Map No .l~he:P ]]l~...]~t~t~. Block No .,~. .............. , Lot No8 conforms substantially to the Apphcation for Building Permit heretofore filed in this office dated ......................... F~' .']-~' ..19..~'~., pursuant to which I~uild,ng Perm,t No ..Z......~.~.. ............. , dated .................l(a~. oh ...... 12. ......19...~ , was issued, and conforms to al[ of the requirements of the applicable provisions of the law The occupancy for which thts certificate is issued is ............ .................................... PtR ~.k~.. D~ L~I,~O~ .......................................................................... This cert,f,cate ,s issued to .'~lomas. W., ..Ruase3.1..8~, ......... (. o....~...e...r.,) .................................... (owner, lessee or tenant) of the aforesaid budding Building Inspector N? Peru FOI~ NO. 2 TOWN OF S~OUTHOLD BUILDING DEPARTMENT TOWN CLEP~K'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 236 z msion is hereby granted to Date ................. JJ~l~' ~ .............. 19...~J. at premisJ~s located at ..... P~.~I1;~iI~'"J~III~ ..... ]-O~ '~J "]~Lol~k"_'-l'5 ..................................... .............. I ............................................................. l~-si~r.l...tst_a~ ~ ..1I.,.I~ .................................. pursuant ~o appJJcat,on dated .............. .~~.. il.Si;Iii ....... 19...58, and approved by the Budding !nspector Fee $.10,.00 ....phial Building Inspector CARPENTRY PAINTING ~ DECORATING PLUMBING & HEATING FISHERS ISLAND FARMS, INC. July 3, 1958 FISHERS ISLAND, N.Y. Mr. Howard Terry, Building Inspector Town of Southold Town Clerk's Office Southold, New York Dear Mr. Terry: ~/. We enclose herewith Building Permit ~236 Z issued to Thomas Russell on March 12, 1958 for construction of a private house on Fishers Island. Please be advised that this house is now complete and the owners plan to move in within the next few days. We request then, a Certificate of Occupancy for this building. Harold Baker tells me you went t~ough the building and must be aware of its status. Sincerely yours, FISHERS ISLAND ~FAHMS, INC. H. Lee Ferguson, Jr. HLF,Jr :la end, cat,re FOI~M NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. Approved ........................................ ]9 ........ Permit No ................................. Disapproved o/c ............................................................................................ (Building Inspector) Application No ............................ APPLICATION FOR BUILDING PERMIT Dnt~ F®brtlary 15 f~ 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 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 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 and regulations. ........ ........ ... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Geaez~l Name of owner of prem sesj ..!~... ~ l~S. ~holla~ ~. ~e~ Sr. If applicant~/orp~t,; signatu re ~ duly authorized of ricer. ................. ' ". (Name and titl~of corporate officer) .... Location of land on which proposed work will be done. Map No...?..l~....~.~.p....S~..o..e..~...~.~. Bock ..~..~}..~ .............. ,, - P~va~ ~ Street and I~umoer ...................................................................................................................................................... State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and ~t ~ occupancy .................................................................................................................................. b. Intended use and occuponcy......~6~ .............................. . ....................... 3. Nature of work (check which applicable): New Building .....IL[. ............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... J4~,,00C**0G ................................. Fee ..~.lg.o~tO. ........................................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ....... o1~ ............... Number of dwelling units on each floor ............................ If garage, number of cars ........................................................................................................................................ 6. If business, commerical 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 ............. I~~. ......... Rear ............ ~/~ .......... Depth ...~.? ................... Height ............ .1~.,~.?.... Number of Stories .......~ .............. 9. Size of lot: Front .~...(~l~..z'~o~i)Reor ....... 4OO!..&~.,.... Depth .......,,~(~0!~ ............ 10. Zone or use district in which premises are situated.....~t~a~.cient,~,~ .................................................................... ! 1. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~1~ ...................................... 12. Name of Owner of premises.....Zlaz~..J~o..ll~l~me.l.~ddress ....~'tl~,~'a..~,~l..l.]....Phone NO....-. ................ Name of Architect.~h_ .~..~11~ ........................... '.....Address .(¢l.t,:l,£.g;:'.cj,,...~.t,., .................. Phone NO....-. ................ Name of Contractor~.~her_r,~..~,~..F~,~.,...]',,i,~,Address j'~i~,~..,T~j~..~,,.~.,,...Phone NO...2,.~: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 de~and show street names and indicate whether interior or corner lot. ~~-~'~ ~ ~',e/- e= "~~,~ STATE OF NEW YORK, ) COUNTY OF ..,Stl,f.~el'~ ............ ) ....................................... ~.,...~dl~.~....~..l~IA~l.9.~.~...~..~.t. ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........... ~.~.]~reld.~le~t,r.}~.$~r~..]L~]~J~l.~It~v..l'l~o .......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove 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 performed in the manner set forth in the application filed therewith. Sworn to before me this ........... · 't.J~l~ .... day of ............... J'~'~ii~ ........ 19.....~ .... Public ' ~.....~,.:. ·..~. ·...~ ......... County Notary " ........... ~'~i~ 1. (Singature of, applicant)