HomeMy WebLinkAbout1228-zTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at '-"0~ari~:e~"~r~' ..................................... Street
_Map No ........ :r~X ....... Block No ......XXX ....... Lot No. '.XXX ........ ~Sl~r'~'"~'~&~l~];~'"~l;'Y.'~ ............
conforms substantially to the Application for Building Per'mit heretofore filed in this office
dated ............... 0~ber" "~ ...... 19.~0. pursuant to which Building Permit No ...... ~'"!'22~'"'
~]ated .................. 0~.~o.be:~'""~-", 19"~0' 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
.............. P.r ]:~ra ~e...cm~" f a~;I ~" 'd~o'~i~g ..........................................................................................
This certiflcaie is issued to '~)avi'd"¥'±~I'd;;.~g ............ ;' .......... 0~n'oX' ......... ]' ........ ]'[ ....................
[owner,lessee or ~enan~)
of the aforesaid building.
Building Inspector
FOI~ 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? 1228 Z
Date .......................
Permission is hereby granted to:
......... .Eiahe.~.~...I.s.tand... t----.I't...~.. ..................
to ......... ,~.o...ball~..a.n..add. l~.e~..on..an...ext.sti, ng...d~e!.ti~ .........................................
at premises located at .~/~.,..-0e~,a~oe...~.~e .....................................................................................
.......................................... .Ff~he~...:~-~ .la. nd.~., ...t~.~f'~ ....................................................................
pursuont to application d~ted ............................ (~.~tD~.1~.....~ ............ 19..,~0, and approved by the
Building Inspector
Fee $...~O(~..pd...eheek
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................................ 19....~...Perm t No ...............................
Disapproved a/c ........................ ~ ~-~.~......~
APPLICATION FOR BUILDING PERMIT
D · October 6 lo 60
ate..................... ............. ...... .................. ..._.... ........
INSTRUCTIONS
a. This application must be completely filled in by typewriter or ~n ink and sub,mitt?d 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 coYered 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 fo~ i~q~pe~io~r~ throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any pul'pose 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 SouChold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildlngs, additions or a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with oil applicable laws, ordinances and regulations.
Fishers Island Farms, Inc.
(Signature of applicant, or name, if (3 corporation)
Fishers Islands New York
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
David R. Wilmerding
Name of owner of premises .....................................................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
H. Lee Ferguson, Jr. President
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: ....................
Oceanic Ave. Fishers Island, New York
Street and Number .......................................................................................................................................................
Municipality
2. State existing use and occdpancy of premises and intended use and oc, cupancy of proposed construction:
. ' D~ellin~- occ.u.p, ied .by. owner
o. Existing use OhO occupancy .................................................................................................................................
.qame
b. Intended use Ond occupancy ................................................................................................................................
10.
tl.
12.
13.
.................... Alter~tmn ....................
Nature of work (check which applicable): New Building .................... Addition x ·
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
Estimated Cost ......$.$g..pp.,..0~... ....................................... Fee ..~.~.~..0..0. ..............................................................................
(to be paid on filing this application)
If dwelling, number of dwelling uni~ ..........O..n...~, ................. Number of dwelling units on each floor ............................
If garage,,.: n~umber of cars ............. ¢]
'r
If bu~iqess, commercial or mixea~ gccupancy, specify nature and extent of each type of use ..............................
DimensiOns 9~[ existing ~tructures, !if any: Front......6..c).l-.. ................. Rear ...~.6.~ ................... Depth _....1~......~.0..t. ..........
Dimensions o~f some structure with alterations or additions: Front ...... ~.9..
Dept}~,:. ......... ,: .......... Height .... ..~! .................... Number of Stories ........ 2. ......................
~ 11 ' -6" 1 1 ' -6" 6' -0"
Dim'~nsions of entire new construction: front ........................... . Rear ............................ Depth ............................
Height ...1..0..!, ................... Number of Stories ......0.~?. .................
Size of lot: Front ............................ Rear ............................ Depth ............................
Date of Purchase ...... .1..9..4..5. .......................................... Name of Former Owner ....J~..~..z~...~.:l:.~.m..e.?..c].~ ......................
Zone or use district in which premises are situated ........ ~.e.~.J:.~.t...:i~...1. ..................................................................
Does proposed construction violate any zoning law, ordinance or regulation? ...... ~? ..........................................
· David Wilmerding -.. Fishers Island NY
Name of Owner of prem,ses ........................................ /~aaress ............................................ Phone NO .....................
Name of ArcNtect' ........................................................ none Address ....... ..' .................................... Phone NO .....................
Name of Contractor..?..:..!..:...F...mT....m~..,'.....I..n.9.: .............. i. Address'L.F.i..s..h..e..r..s....I..s..1..a..n..d....N..Y. ......... Phone NO...2..5..1. ............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
proper?, lines. Give street and block numbers or description according to deed, and shaw street names and indicate
wheth r int~z,~r or corner lot.
STATE! OF NEW.YORK. ) S S.
COUNTY OF ...?.].u~...z..o....~.. ........... )
................... i'...~.:....~..e.~...~.97...~..@.9.~....~..~.: .................................... be ng duly s~vorn, deposes and says that he is the applicant
(Name of individual signing application)
ah ....... ~a t4o i~ tho Presiden$~ Fishers Island Farms~. Ino.
..................................................... ' ............... ; Zi ........................................
of said owner or owners, and is duly authorized to perform or have performed the ~6[d work and to make and file
this application; that all statements contained, in this application are true to the ~st of his knowle/tge and belief;
and that the work will be performed in the m.a~ner set forth in the appljc~tion fileJJ therewith·
Sworn to before me this I !1. . I~ · ~,~ ~ ~ ,1~.~,.,~3,.~ ,'
........................ w~' ....... /~ ........... 'fi .......... i~o. s~.6b'~0'" I/ .... ~ ......... ~' -~'
r, lo~ary ~uo, , a.: ......... l'"'1~ ......... '~"¢"~j~O,~'~'~rt~