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Home My WebLink About238-zFOP~M NO. 4~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THiS CERTIFIES that the bu~Id,ng located at ..?..~..~.~.~..~ ...~g.~.~ ..-.....~.~.~'.1~..(l,~..~.~t. ...... Street Map No..~....~..,...~.:.....~.~..t¢. ....... Block No .......... ~ ..............., [~:X~z~ .,~.h~.~...][~.~P~d.t conforms substantially to the Apphcot~on for Building Permit heretofore filed m this office dated .......................... .3'.t~...~..~?.~....]..~ .... 19 ~'..8...., pursuant to which Build,ng Permit No ...... ~..~-~.~. ......... , dated ........ ~.g.~.. ~ ......... 19~.~ .... was issued, and conforms to all of the requirements of the applicable prows~ons of the law The occupancy for which this certificate is ~ssued is ............ ................................. .................................................................................... Th~s certificate ,s ,ssued to ..~g~ ~c1,, ..... (~1~ez') ........................................................... (owner, lessee or tenant) of the aforesaid budding Building Inspector TOWN OF $OUTHOLO BUILDING' DEPARTMENT TOWN CLERIC'S OFFICE SOUTH:OL?, N. Y. Perr BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 238 Z Date ............ 1t1~ ~ ................... 19~[~... ~ssion is hereby granted to: pursuant [to application dated Building Inspector .......... ~l'lttat~r,..~t~ ..................... 19..~8., and approved by the muiiding tnspector~ l~OltM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit ................................. (Building Inspector) · Application r~o ........................... APPLICATION FOR BUILDING PERMIT D. January 14 ,^ 58 INSTRUCTIONS o. 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 o detailed description of layout of property must be drawn on the diagram which is port of this location. c. T6e work covered by i'his application may not be cor~menced 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 oremises available (or inspection throughout the progress of the work. e. No building shall be occupied or used in whore or in port ~or any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE tb the Building Deportment for the issuance of o Building Permit pursuonf to the Building Zone Ordinance o~ the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remowl or demolition, os herein described. The applicant agrees to comply with all applicable lows, ordinances and regulatigns. ............ ,.? · (Signature of applicant, or name, if o corporation) Fishers Island, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Genera2 Contractor Name of owner of prem ses . ,~'-:-.%.~. Geo,r.K.e and Ruth LoEd If applicant is o corporate, 2ignature of duly~uthorized officer. . ...................,v~L~__: ~:.~.~ ...... f. H. Lee Fer~on, Jr. ~ice Pres. (Nome and title o~ co,orate officer) Location of land on which proposed work will be done. Mop No. t~La.~../i/..2...9..f..~.F......~.:..... Block .................................. Street and Number ................ [..~-'t._k.....AU...e..a....-....P..r..$.v..a..t..e....R.g.a..d. ...................................................................................... State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... .b.~./..d..e.~.e..e....-...]...~.m..i..]:..~. ................................................................................ b. Intended use and occupancy ............ ~$.c]..e..~.~.e....-....1..~.~.iT,~,~.. ........................................................................... 3. Nature of work (check which applicable): New Building ~ ................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition ... ................. Other Work (Describe) .................... 4. Estimated Cost ...... .~.~..0..0..0.,..0..0. ..................................... Fee ......... ~SA0f~ ......................................................... (to be paid on filing this application) FEES: If dwelling, number of dwelling units .......... .1 ................. Number of dwelling units on each floor ...... i ..................... If garage, number of cars ........................................................................................................................................ If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ Dimensions of existing structures, if any: Front......6...~.I. ................. Rear .....6~.t. ................... Depth ...~..8.~.~. ................. Height ........... .2...6.! ........... Number of Stories ....2. ......................................................................................................... Dimensions of same structure with alterations or additions: Front ..6.~.I. .........................Rear .....6..~.I ....................... Depth ...,3...8.!. ..................... Height .....2.6..~. ..................... Number of Stories ..2. ............................. 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ....... ..'~.. /*. . ..+. .-. ........ Rear .......... ~...0~...+.-. ......... Depth ...... ].~.?.'k.- ............. 10. Zone or use district in which premises are situated .......... D.~.~.~..d..e..n.~F~j ............................................................... ! 1. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~.o.. ........................................ 12. Name of Owner of premises~..e..°~.e...~....~.~.~..b.....Zc..o.~.d.....Address ~.e..u...!!~?..e..q~....C..¢.... ................ Phone NO ..................... Name of Architect ......... .~.~.g.~..~..o.~..e..s ......................... Address ~.o.~.~.?.~.: ..................Phone NO ..................... Name of C~ntract~r~.~..J~.s.~.h~.e.z.~.~..s~.]'~.~..n~.~..s~....~.~?.~.~..n~.c.~`ddres~.s..~.~K~:~.: ...... Phone NO.....~.5..1. .......... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from PwrhOePtehretrY ilr~eerSi.orGicVrec~trrneeert i~d block numbers or~ to ~ed, and show street names and indicate STATE OF NEW YORK, ) COUN ............... ) S S., .............. ~,..~e~..~_m~o~..~Tz- ............................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the...V.~.c..e...~.e.?..:l:~.e.'.n.,t'. ............................................................................................................................ (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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .......... J./f.%.?: ...... day of ............ .J-.~.n.~Z ............. 19...~..8. ..... Pub County c .... ~" ~wr' ............................... Notary (Singature of applicant)