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Home My WebLink About1397-z FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1397, Z Date ...................... I~ll,]r...;l.~ ...................... 19.6~,. Permission is hereby granted to: Lthe~.t..& ..¥~ron~a..F~,~hne ............................. · ..l~,.~ermer e...Road ......................................... ............. 4}~e e~r $,~... ~I~.,. ............................... to .~ee.t.-~nd...~$mt e.i.n...a.. ~1 ~..re~t .~n~l...s4,.gl~..6f.t...1[--~.t .......................................... ...eS.pea& s.t.. ~,,v~e~ep.tioJa..gran.'cert..by...Bd .~f...Appeal~) ............................................... at premises located at ...l~.~.s~s..~£...Nl~ss~..Br~l~..COr..$/S...l~:l,~..Roa&..-,..R.t2.~..&t ~/I..dra~..£.ro~...~s.~.l.vo~..~p.~.....~est...e~,-,ee~.per.t ~..~I,¥, ................................... pursuant to application dated .................................. ~L~ ...... ~r .......... ]9..6y., and approved by the Building Inspector NO~I~. Location checked and approved by state safety eng,.neet. Fee $'"b'i~O"l~"check Building Inspectoi' [ FOR][ NO. 1 OF SOUT.OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .......... .... ......................... ........................... i' ;Ji ................................ ^pplication ........... 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 Ioc6tion 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 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 o 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 lows, ordinances and regulations. Fishers Island Farms. Inc. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricon, plumber or builder. General Contractor Charles B. Fer_~uson Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. ............................................................ ~.:..~.e.~...F..e..r.~.. ~9..n.. :...J. r, Pre~dant (Name and title of corporate officer} Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number ................... State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and ~ccupancy~.~1n~-~gnf~1;~1B~n~L~D~t~g~~ ................................. b. Intended use and occupancy ........ ~.`~e~(~4~?~t~n~]~'~b~e:~e~!~[9~e~e~.~.~ ............. an artist so that the existin~ buildin~ (a former barn) can be ueed exclusively as a ~allerY for art shows and exhibits. 3. Nature of work (check which applicable): New Bui:lding i ................... Addition ....... .~. ........... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .............. ~2DOD.,D'0'.i ........................... Fee ....~.o~ ........................................................................... (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 ....... .e~....t....e...'~....~..o.. .... 7. Dimensions of existing structures, if any: Front ....... 3fl!..-.6.". ......... Rear ..... 30.t.-.67. ........... Depth .....20.t-.~?. ........... Height ....]:.~.'. ................... Number of Stories ..... 9..n..e. ................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ...~.e.~,...~.~...~...n~..~.tached 8. Dimensions of entire new construction: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ..... .~..~.$.. ........... Rear ...10~..f.~., ........... Depth ...~ariee ............. 10. Zone or use district in which premises are s~tuated ................... ~,...~e~i~e,~,t~ ................................................. 11. 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... .-~e$ ................. : ..................... ~artford, Ct. Name of Owner of premises...~h~l.~...B..,...~r,q~l~Address214.~l~c~ie~d..R~e ....... Phone NO ..................... Name of Architect .............7. ....................................... Address ............................................ Phone NO ..................... Name of ~ ....... Fishers Island Farms, I~c .... Fishers Island NY ~. 251 PLOT Locate clearly and distinctly all buildings, whethm property lines. Give street and block numbers or descri to deed, whether interior or corner lot. . ~ %. indicate all set-bock dimensions from ~nd show street names and indicate ~:...~.,~Z..J~I .......................... being duly sworn/deposes and says that he is the applicant (Name of individual signing ~plication) above named. He is the ....... .~flD~ (Contractor, agent, cat, rate officer, etc.) of said owner or owners, and is duly authorized to ~erform 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 therewi~. Sworn to before me this day of Ap~[ 19 ~a~fi~ m Suffol~ Cou~ ~