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Home My WebLink About905-zFO~ ~0. 4 TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. C~'-RTIFICATE OF' OCCUPANCY No. $.699 ..... Date THIS CERTIFIES that the building located a~ _Map No. $~oce.ii 3. Block No.. ~.. Lot No. ~ ... au:ky .. 6. .... :t9.60 Road .......... Street ~shers. I~land~ N.,.~. .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ htove~ler 20, 19 ~c) pursuant to which Building Permit No...2[. ~lated ..............t{Oveml~or 23 , 19 ~9, was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ... t~r.ivate one femi.ly dwelling This certihca~e is issued to C,e~t~,tt~e G, Ta!eot% of the aforesaid building. (owner) ..... (o~vner, lessee or tenant) Building Inspector \ FO~ ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT C1'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 905, Z Date ..........][~v~z~a'~er. ....... 2~ ............... 1 c~ ..... Permission is hereby granted to' ..... ~A ~r ~..lnl~t,::, ...~'~ .......................... to ..aai/~. A$~. ~..~.mil~..~w~iltnE ........................................................................................ at premises {ocated at .... ~ht~%-.~.-S-t~k..-1.~-..l~t~/'5¥ ..... ~iehe,~'e..;~;/~nd..~.~.~ .................. ........................... ~..~ae.,..~%~.~.,,a.i..;~..). ~v~her$. ~l~nd,..;~,~' .................................... pursuant to application dated ................ H~ahe. r. 2D ............... 19~c/..., and approved by the Bu~Idmg Inspector Fee ~uiiding inspector / FO~M NO~ ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CL,,'S OF,CE E×omned ....... ...... ^pproved ........................................ ,9 ........ Permit Disapproved a/c .......................................................... ' ........................ (Building Ins~c'ior) Application No APPLICATION FOR BUILDING PERMIT r n~+~ ~o~pmh~r 20 ~o 59 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 ussd 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 Southald, 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. (Signature of applicant, or name, if a corporation) Fishers Island, New York (Address of applicant) State whether applicant is owner, lessee, agent, architegt, engineer, general contractor, electrican, plumber or builder. General Contractor Gertrude G. Talcott Name of owner of prem ses .................................... ~ ..................................................................................................... If applicant is a corporate, signature of duly authorized officer. ;~x/~'~/ _x~/~ Harold J. Baker, Gen. ..~~ ....................................................................... Manager (Na~e and title of corporate officer) Location of land on which proposed work will be done. Map No...~...Y.a.£..,.~..h..e..e.,t¢..3... Block .~.]:..o.?.~...1.....~...t...,5, ....... Street and Number .............. .,~..~.a..C..e...~.o..a..c]. ................................................................................................................ State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy Vacant - residential ~esidence b. Intended use and occupancy X Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost$,~.0.~.0...6.0..,~...0. ......................................... Fee .$.IQ,.QQ ........................ (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units.....~ ................ 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.......l~.0..0.~. ............... Rear ..... ].0..0..! ................ Depth .1..6.!....a?..: ............... Height 2~' Number of Stories 2 ~ 9. Size of lot: Front . ........................... '2151' Rear ........... ..2..4:?. .......... .Depth ............................ 10. Zone or use district in which premises are s tuated Residential No 11. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 12. Name of Owne, of ,~rem ses Gertrqde G. Talcott A44,~c New York Cit : .......... :... ......................................................... ~'. ................ Phone NO. · 7~lber . Cla~ Niantic Conn. Name of Architect ...................................................... Address ............................................ Phone NO ..................... ~ - - ' Fishers Island Farms In~... Fishers Island NY ~, 251 Name of ~-onTractor .................................................... ~oaress ............................................ tmone NO ..................... 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 description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N~ YORK, ) _ _ ~,. .......................... ~.9~.~..~.~..~ ........................................ being duly sworn deposes a ays that he is the applicant , (Name of individual signing application) -- Genez~al Manager above named. He is me ................................................................................................................. (Con,rector, agen$, cor~rate officer, etc.) of ~id owner or owners, and is duly authorized to perform or have performed the said work and to ma~e and file this dpplication; ~hat all statements contained in ihis aDDlication are true to the bes~ of his k~owledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 20th day of N, vember 19...?.?. Notary Publi?:'"~'x~'.~;"~'~'~'o~WO ~v~J~,,,~.,,? ~'¥ ~,~ .......... County n of applicant)