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Home My WebLink About2135-zF01?~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z..~16.~6 ............ Date ...................... Augas*.....,~l ......... , THIS CERTIFIES that the building located at ...~..~;..~b],..~[~-'[..,~,~ ...................... Street Map No....7~,~ ............Block No .....~',~ ............. Lot No. Z~z.~ .......... ~h~'~,..Z.~,~,~rJ .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... ~._"I:~.....P~ ..................... , 19.~.~... pursuant to which Building Permit No. doted ............................ ~.1~. ....... ~.0. ...... , 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 ........ ........ ~.rl'~t o... oz~e...~a~i.lM....d'~.e lltng ........................................................................................ The certificate is issued to ..~:],~.e...,.C~3J,'~q~t. .......................... ~.~,,~[3.~7-~ .......................................... (owner, lessee or tenant) of the aforesaid building. YOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS DERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2135~ Z gete .................. ~T .~...-..30 .................... ~9.&~.. Permission is hereby granted to: E/~hers*"~s'l'a~ ' · ~r ams* ' *" ~C *' "O~ee CoZfey ............ Fis. he~s.-*[e~a~ .................................. to l~t,.td..'ar~ · .a~tdi~i~n...o~ .'an' · exi-st;J:ng · · ~l't-tn~ ......................................................... at premises located at .....1Po~..&..Bet.}bzL. l']...-Ave ............................................................................. .......................................................... l~.l.$he~s...t~ t~nd. ..................................................................... pursuant to application dated ............................... ~T'cll[~'"'~'(} ............. 19.63.., ~nd approved by the Building ~nspector Fee $'5'~'00' ............. Budding lnspecto¥ NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19...~.?.. Examined Approved ........................................ , 19 ........ Permit No .............................. Disapproved: a/c .... ......................... ........................ Application No. e~.l 3 ~C . APPLICATION FOR I~UIL. DING PER/~IT Dote July 29 19 63 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 applica- tion. 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 applica.nt. 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 pa rt 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, 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 narhe, if a corporation) Fishers Island, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises ..... 0.~9.~.e..e....~.:...?..°.~.e.~. ............................................................................................................... If applicant ~sf] corporaT, signature/gl duly authorized officer. ~~ H. Lee Ferguson, .................. iN' of r'pg';g 'J'Jf i Ji .................. 1. Jr. President Location of land on which proposed work will be done. Map No.: ................. - Lot No.: Street and Number Fox Avenue and Bell Hill Avenue Fishers Island~ New York Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction. R t'a "" a. Existing use and occupancy ......... ~.:j-..d,~x~,~.,~... ~. ............................................................................................. b. Intended use and occupancy Same 3. Nature of work (check which applicable): New Building .................... Add~ition 3: Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ~.../..~.?.:..~.~. ........................................... Fee ~§o00 (to be paid on filing this appllcation) 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 occupa,ncy, specify nature and extent of each type of use ......... T .................... .. ~.0. ..................... Rear ..... ~0.! .................. Depth ..~.0 .................. 7. Dim.ensions of existing structures, if any: Front ~ Height 22~ Number of Stories . . ~ .......... Dimensions of same structure with alterations or additions: Front ..... ~.0..~ ...................... Rear Depth ?0~ Height 22~ Number of Stories 8. Dimensions of entire new construction: Front ~,r Rear $'-~ ............................................................ Depth ........................ Height ...C...~.:17.7. .................. Number of Stories ..... 1. ........................ 9. Size of lot: Front .1. .1. .0. .-. .1~ ! ................. Rear ....... ..8.~.!....+..- .............. Depth ......... .1.~.ql....+..': ........ 10. Dat~ of Purchase ............................................. Na,m~ of Former Owner ~.~..~..~ 11. Zone or use district in which premises are situated. ~es:tclezt%~ 12. Does proposed construchon wolate any zoning law, ordinance or regulation? ...... ~ .................................. ~ 13. Name of Owner of premises .0..n..o..],.e.~..~.,...0..o..t..¢..~' ...... Address ..~.:]...s...b.e.~..~....Z~..~..n~.,...~..:.~: ....... Phone No. ;.4;(.4,. ...... Name of Architect ~o~e Address Phone No .............. Name of Contracto~.J;.~.l?'..e.~...Z.~.]'.~..~.~.,...Z...n..°.: Address?..J'~..~.e..T..~....Z..~..]-..n..n.~.,..~.:Z; ......... Phone No. ?.8. .8. ?. .2.~ PLOT DIAGRAM Loca;te clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property lines. Give street and block numbers or description .according to deed, and show street names and indi whether ihterior or corner lot. STATE OF NF..N~ YOP~K, ) C C "' COUNTY OF .~..~: ........... 4~....~...~..T~..':;:.....~:..~'~ ..................................................... De[ng duly sworn, deposes and ~ays that he is the applic( (Nome of individual signing application) a.bove na~ed. He is the ....~ ................................................................................................................... (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 t~is application; that all statement.s contained in this application ore 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 ..... ......... of.. ..... , Notary Pubhc~