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Home My WebLink About604-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY T~,tvat, e Romt THIS CERTIFIES that the building located /~aE?N~......?.~.e.,e..?....~,.. Block No ..... ~. .............. Lot No..?'1 ............................................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................... ~l~t~.Oh..~...&..~,919..~'~., pursuant to which Building Permit No ......... [..~..~ ........ doted ............................. ..~..[.q .~...~..]: ...... , 19....,~.~, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. .................................... ........................................................ This certificate is issued to .....D&~I~],..I~(~,e ..~e.~. .................................................................. (owner, lessee or tenant) of the aforesaid building. Building Inspector HOWAI~D N. TERRY FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 604 Z Dote ......................... .~.~,. r~.h....,~. .............. 19.57. .... Permission is hereby granted to: F~h,r~ I ela~.. F.~.~a~.. ~u~. '~.C.... ~)~.~cl..H~i .................. ........... ~.~..,.~r~..~ ........................................ to ..... ~...~.~..~.:~.~ .................................................................................................................. at premises located at ......ht..~..B,..Bloc~.~......ti~..I~h~..~fe~ ................................ ............................................ ~3~..~,....~.~,.r~..l.~ .......................................................... pursuant to application dated ........................ ~....~ ...................... 19.~...., and approved by the Building Inspector ...... /...~,~.,./. . ,.~..., ............ ~, ....................................... Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL File No ....... ;E..6Q/, ............ ..................................... Date ~l~h ].6 19~c) PLEASE TAKE NOTICE that your application doted ..... ..~.r.e..h......1.~. .............. 1977 .... for permit to construct ....Guest,..ho~e ................ at the premises located at .....~..o..t,....~...,]:~.~...~.~.o,..O.~.....2~ Fishers I~le~nd s, ............ .~./.~.., ~.¥~.. ?..e....~..o. ~,c] .......................... Street ~op .....s~.~..~..~ .................. Block ...... ~?. ................................. Lot ,.Z..Z. ........................................ returned herewith and disapproved on the following grounds ..Lot,..ffor..b~].~Bg.~..~....~..o~.~..e~....:~.e~ ............ see.~ton. ~1.0.0.0~ .......................................................................... Building Inspector NO. I TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned .... App',cat,on ...... ................. .... [ ....... ...... 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 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. Fishers Island Farms, Inc. (Signature of applicant, or name, if a corporation) Fishers Island, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eJectrican, plumber or builder. General Cont_ actor ,, Name of owner of .... is~- Mr. and Mrs. David S. Henkel If applicant is a corporate, signature of duly authorized officer. / ~~-"~Y',' .~ , (~, ~ H. Lee Ferg~son, Jr. President ......... l.t ...................... ;.D....~(¢. · ~ .~...~.~ ...................................... / (Name an~,jtitle of corporate officer) I. Location of land on which proposed work will be done. Map No?~..z...?.t.e..D...~qh.e..e..'q..~, ...... Bloc <2:3. ,m ..Te..o.~...~..1 .............. Private Road Street and Number .................................................................................................. 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................................... ,~ ................................................................................... b. Intended use and occupancy ......... .g..u.e.~..C...~..o.g.~.~...[o.~e...~.o.g~..Cc..bfl.~b)...~..g~rppz~ ......... 3. Nature of work (check which applicable): New Building ........ .X. .......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition. ................... Other Work (Describe) .................... 4. Estimated Cost ...~.5..0..0...0.: ............................................. Fee ....$..~..0.,..0..Q .......................................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units...0~.~ .................... Number of dwelling units on each floor ............................ If garage, number of cars ........................................................ .... .............................................................................. 6. If business, commericol or mixed occupancy, specify ngture and extent of each type of Use: ........... ~ ................... 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ..'..: ........................ '...... ............................................................................ Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8, Dimensions of entire new construction: Front....2..6.!..-..6~! .............. Rear ...~.6..!r~J! ............. Depth .$..0.! ...................... Height ............. ~/+?. ......... Number of Stories .........O~0.e .............. 9. Size of lot: Front ..~Z<~.~.o. ........... Rear .~,~.~'5...-~':.. ......... Depth ...~...~¢P..~.~ ............. 10. Zone or use district in which premises are sitbated...~..~.i..d..e..n.t.i..~.~ ....................................................................... 11. 12. Does proposed construction violate any zoning law, ordinance or regulation?....D'g ............................................ Name of Owner of premises...D,.a.Y..J:.d....S..:....H..e..n..k..e..1. ....... Address ....&:.8...~.a.~...g..+g.:...~:..Y.:..O..:.....Phone NO ..................... Name of Architect....~.'gg.lM.a..°.~.e..s. .............................. AddressQV,.~.~.°.~ft~....O.~.*. ................... Phone NO ..................... Name of C~ntract~r~'..i.~.~..e.?.~.`..~.~.?...n.d.~..~.~.~.m.~.....~..n.9.:..AddressF..i..s.~..~..~.t].t ....... Phone NO. 2..5..1 ................ PLOT DIAGRAM Locate"~learly 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 interi~ or corner lot. STATE OF NEW YOgJf,,,~'--Y ~,r4 ~/,,~ ~ COUNTY OF ..~.'.$'..k. ........... :). S S.' '" H. Lee ~erguson, Jr. bein dui or ' ' .................................................................................. ~that he is the apphcant (Name of individual signing application) above named. He is the ......... .P.~.e..s.~n.,t. ........ a..?..~.p..h..e..~.~....Z.~l,.{t.g.d.....F.a...r..m.,s.~...[,n.g.: ............................................................... (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 oppliqotion~ that all statements contained in this application ore true to the best of?his knowledge and belief; and fhat the work will be performed in the manner set forth in the application f!!ed there~4th. Sworn to before me this l~th day of March 19.....5.9.. ~ lic 5-~,- ('~' ~w-~ Count Notary rub ,. ............ p?,,W;..~,,,.~{~}w__ ............ ~ ............. y (Singature of applicant)