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Home My WebLink About1423-zTOWN OF SOUTHOLD ~UILDII~G DEPARTMENT 'I'OWN CI~ERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ,..l~.g-RO~[ .................................. Street ,, Fishers Island ~s~at~s "th~ ~rk'~ _ . ~ lv~ap ,~o ........................ ~lOCl( i'~o ......................... ~o~ ~'~o .............. }~SI~e~.S...A~.A~I~ ................... conforms ~ubstantially to the Application for Building Permit heretofore filed in this office dated ..................... Ma,y......22 ........... 19.~,.. pursuant to which Building Permit No...~.2.~ ..... dated ...................... :~.~e. ....... ~- ........ 19...~...~.., was issued, aud conforms to all of the require- ments of ~he applicable provisions of the law. The occupancy for which this certificate is issued is ...t3a~eh..~lonse...~,~;h..l~ms~;azlz~g....-....£.o~...P.~.~..v.a~..~l~ ................................ This certificate is issued to ~/~he~...~lc~<L.O~l~%r~...¢ff~b .......................... 0~el'.... (owner, lessee or tenant) 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.° 1423, z Permission is hereby granted to: A. J. Oada Date ........................... ~......~ ..............1~...]'..... k/.~...~sAe~s...I~.l~n~...Cl.~,b .......................... ........... F'I sher. s.. I ~ l~n.d,...l~.,.~., ..................... to .~.u,tld...~..a.t.¢~,.~,t. CU..~m.¢..W...a~...e.....a.!.t.~!~..P.~.. ~...9~ ~.~.~..~.~.~. ..... at premises located at .P,~k..,~.ea~.....S/.~.....~r.t..Ro~l,..E~;...l~d ....................................... Fishers Island, N.Y. pursuant to application dated ................................... ~......~.~ ............ 19..~..1...., and approved by the Building Inspector Fee $..~., O.Q ............ Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. (Building InspectOr) Application No. f /'~t ~1~ APPLICATION FOR BUILDING PERMIT D. I~ay 22~ 61 ate ............................................................ 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink one sut)mitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to odioining 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. 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 o 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 port for any purpose whatever until o Certificate of Occupancy shall have been §ranted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment i:or the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or o Iterations, or for removal or demolition, os herein described. The applicant agrees to comply with oll applicable lows, ordinances and regulations. ...... ~..:\. L%~!(~.~:.~..~..~ ~.¢..~.~. ~.~. ~Z ..................................................... (Signature of applicant, or name, ii: a corporation) Drawer B. Fishers Island~ New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Oon'l:ractor · Fishers Island Oountry Club Nome of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Park Area 1. Locotion of Iond on which proposed work will be done. Mop No: ......................................... ;.. Lot No: .................... Street and Number ........... .F..i.s..h.?.'.~;.s....!.s...~:a...n..d.~....N.g..w...Y..°..r. lk. ........................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... .B,..ef.%o..h_..O..1.,u..b..' ................................................................................................... b. Intended use and occupancy ........ .B.?..c.!!...O..~..u..b. .................................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration ..... X.X..X. ......... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.......~....~R.~.0..0..0..*..0.0 .................................. Fee .................. ~....~..,.C).0 .......................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 90~ 0" 90~-0~ ,- ' 327 0~T 7, Dimensions of existing structures, if any: Front ............ .-. .............. Rear ............................ ~epth ............. .-. ............. 20~ 0~' two Height ............. .-. ............. Number of Stories ............................................................................................................. Dimensions of some structure with alterations or additions: Front 90t-0~l Rear 20 ~ 0" Depth .......... 3..2..'..7.0.11 ........ Height .......... .Z .................. Number of Stories ........ .f-..w.9. .................. 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ....5..0..0.!.'~.0.~.~. ........... Rear ...... ~.0..0..I..~.0.~.~. ........ Depth ....... .2...0..0. I..~.0].' ....... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...N. 9. .............................................. 13. Name of Owner of premises...F.~..s..h.e..r..s...!..s.~.a.p..d....~.~.u..b.AddressF.i.?.h..~.c.~...[.~.$.~`Q~.~...~...~...Ph~ne NO...~.~.], ............ Name of Architect....d...°..h..n...R...a..w..1.!..n.g?. .......................... Address .N..e..w....Y..o..r..k..~...N..:...¥.: .............. Phone NO ..................... Name of Contractor....A..:...d..9..h..n...~.a..d..a. ........................ Address .?.C~.w.~.C..~.:...E$*.h.~.r..~...!..~.:..~onVe, No ....... .2. Az. ........ PLOT E~IAGRAM 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 slreet names and indicate whether interior or corner lot. STATE OF NEWk"~OJ~, ~ ~ ) S S COUNTY OF '"~l~"~'~"~T")~' ~4' ~-~' rJ ~ ,, --//~, t ~--~rv-~.-,,-x_ ~- ~--c('/c-~- ben du s orn de ose and as that he s t'e t .................................. ,f..~......~/~4..~..."~.....~.. ............................ ;., g y w , p s s y n app can (Name of individual si~ng op[~li~,~tion) / abow,~ named. He is the .............. ~' "'?,~-~.....'r-~...trr~....~.~...,L~'~ ..................................................................................................... (Contractor, agent, cat,borate officer, etc.) of said owner or owners, and is duty 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 Notary Public, . ........................................................... County : _L :fLO~ON STORE FIXTURE CO. 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