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Home My WebLink About2183-zFOR~VI NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .,,~o..llf~.~.[~.~,~*~..~;..At~0.~,.~..~.~...e.~.e..~...~.... Street Map No....~ ........... Block No ......~ ......... Lot No..~ ....... ~s~e~.s...[s~.....~, ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... ~.~he~...~ 1~.... pursuant to which Building Permit No...~.. da(ed .......................... .0~.[O~e~.....~[..., 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 ........ ..~i~e..Ho.us~ .............................. ......................................................................................................... The certificate is issued to .~l~e~s...Is. land...~...DiS~mt=~,s ......................... 0~.F ......... (owner, lessee or tenant) of the aforesaid building. 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.° 2183, Z Dote .................. O~t;O1~e~......,lL~ ............. 1963... Permission is hereby granted to: .............. Fisher s"']~s'l~d ................................ ........................... ~;;~ .............................................. to .....tlui. tcT..n~w...fire,..Hcms~ ........................................................................................................ at premises located at ...... 2q~e~ria.~r.&..ithol~ireseent...Av~ ........................................... ....................................................... F-l. st~rit .- I.s ']:m'e~ ~..... ~..~ ........................................................ pursuant to application dgted .......................... J]~pts~I~l]De~'.....]:O ...... 19.6~.., and approved by the Building Inspector Fee $ '"I~01?~, ........... GENERAL CONTRACTING CARPENTRY pAINTING & DECORATING pLUMBING & HEATING FISHERS iSLAND FARMS, INC. December 17, 1963 FISHERS ISLAND, N.Y. Mr. Howard Terry, Building Inspector Town of Southold New York Be: Fire House Sewage System Deer Howard: I gather from the endorsement on the back of the enclosed Thermofax plan of the proposed sewage system to the Fire House that this has been approved by the Suffolk County Department of Health and that we should file this and a copy of the specifications with you. The system has largely been completed except for the installation of the connecting pipe but the septic tank has been installed and the three leaching pools have been constructed, each in an o~ersized hole packed with three feet of run of bank sand and gravel, as required. The three leaching pools, the distribution box and the septic tank will ail have cast iron covers to grade. Very truly yours, F[[SBERS ISL~D ~mA~s, INC. H. Lee Ferguson, Jr. HLF~Jr:la enclosure cc: Mr. Robert Villa, Suffolk County Dept. of Health ~. Hugh McK. Jones, Architect The la2out for the sewage disposal system shall be as shown on Dra~Ang #1, Site Plan, ' ' Hax~mMm elevation of greuad water below pa~Lng a~ea assumed to be 10,00, Ymvert elevations to be aa ohos. SeDtiO Tankt Furnish and ~ustall ane ?~0 gallon oapact~y oeanrete septic tank. Tank ~ con~orm te ofere~antioned ,Stan~ f~F eenstruetian Page ~ and ~. Leaching Poo!s~ ~uvert elevati~as to be as sh~, giving at least ~'-0" of :l[eq~ ~,~al 'Wall beXew be%%em of pipe. F~Ch pool aba!! be 8'..0ff :LU ~t~r ~antside) oeust~Aoted in s~rie~ accordance wAth "Standards% ~ach leaching peel shall have a 20 ia~ diameter east iron manhole cover and i~. Cover 8hall be set ~lush with paving. Each POOl must bo backfilled ~ith a three foot oolla~ of san~ and gFaval areun~ $~ poale Dist~i~u~en B~,x~ ~Aere sho~n on DFawing shell be ~*-0u square, conorete box iron manhole cover aad f~me. Set ~u~hele ~over flush ~A~ paving. Suhwis~one of PI~ F~ier to start of work o~ the oe~age disposal ~stem ~e oen~r Sh~l Sub~ t~ ~e~ PI~ ~d $~e~ieations to ~ Ar~ite~e TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......~....!..! ....... ,19...~..... Approved ........................................ , 19 ........ Pormit ~o .............................. Applicotion No. . APPLIGATION FOR BUILDING PERMIT D. September 10 19 63 ate .................................................... , ........ 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 drown 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 e,pproval 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 po rt for any purpose whatever until a Certificate of Occupancy shall hove 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 Lows, Ordinances or Regulations for the construction of buildings, additions, alterations, 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 o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................... g,e. ? ...................................................................................................... Name of owner of premises ........... .~.~.~..e.?.~...~..a..]:.~...13~.....~...:~...e....]~...~.~?.~ ................................................................................. If app!icant is o ,9orporate, signature of duly authorized officer. ..... .......... ............. (Name ar~J title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ...................... Street and Number Junot~on of .~.~. uest~ian Ave. an~ Athol Orescen~s Fishers Isl&n~ Municipality 2. State existing use and occupancy of prem:ises and intended use end occupancy of proposed construction. a. Existing use and occupancy Vacant 1~,~ &t, ~z'e~el~ (~&ll ~:J.ciel~J~l ~reaI b. Intended use and occupancy F:Lre Hottae 3. Nature of work (check which applicable): New Building .................... Addition ................. ~.~AIteration .................. Repair .................. Remova! .................. Demolition .................. Other Work (Describe) ..............!... 4. Estimated Cost $80,/+38.00 $10o00 (to be paid on filing this appJicbtion) 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 ..l~..%.e....~.p...a~...e. ................ 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 ................................ ,_ ~ 78t_0 8. Dimensions of entire new construction: Front J~.l,...,~ .................... Rear .... .~.~....-g. ................ Depth ............................ Height ..~....-0 ................. Number of Stories ...... .0.R~ .................. 9. Size of lot: Front ~651 Rear ............. .~..0..0.! ............. Depth 6"17 ]0. Dote of Purchase ...........1.~...~.~ ........................................ Name of Former Owner .~..-...]~...d...~.a.~.d...~o,.. .......................... ] 1. Zone or use district in which premises are situated· aA~ ,.~. ~i,.~ential 12. Does proposed construction violate any zoning law, ordinance or regulation> - Name at ~rcmtect .......................................... /~aaress ............. Phone [No ................... Name of Contractor F, I. Faz'~ Ina. Address FJ. shers Is. Ne~ !fork Phone No. 788-7251 PLOT DIAGRAM Locate clearly and distinctly o!i 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 interior or corner lot. STATE OF NE~ Y_OP~, ) T ' Su~o~ S.S. COUN Y OF ............................ ) H. Lee Fer~on. Jr~. . . (Name of individua! signing application) ' du ~, sworn, deposes and says that he is the applicant above named· He is the ............ ~ ....... ~...Q..S..[~..~.....~.......(.! [.~..~.....~..~.....O~.....~.....~. (Controc >r, agent, corporate officer;"~:~ii ............................. of said owner ar owners, and is duly authorized to perform or have ~erformed the said ~ork and to make and file this application; that all statements contained in this application are true to the best o,/h s 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 / D J / /~, .............. 1..0. ...... ~y of ....~.~...l~..~........~::[~.d~.:;~;.~.~..¥Ot~' , ..~..~ ~. Notary Pubic ~ ~ ' · , · ..~....~ .... aa, saT. ~'l~bnt~ __ '-'i~'i~'~'~'~'-cJf apphcant) ~ (~ht~ ~ -30 19~~