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Home My WebLink About3517-zFORM NO. 4- TOWN OF SOUTHOLD BUILDING DEPARTMI~NT TOWN CLIZi~K'S OFFICE SOUTHOLD, N. Y. [3EF~TIFII3ATE nF Q[3[3UPANI3Y No..,~. 2~26 .... Date ......... 8e~.'l;emb. e.~'. ~, ...... , 19.67. TI-IIS CERTIFIES that the building located at .]Ninth~Op .Dri.v.e .......... Street Map No... ;~X... Block No...X](X ....... Lot 1NoZZlE ...... [~ishe~.s. Islar~(/,. conforms substantially to the Application for Building Permit heretofore filed in this office dated .. ~une. 16 .......... , 19.67, ])ursuant to which Building Permit No. dated ...June .19 .......... , 19.67-, was issued, and conforms to ali of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .... o.n..e..f.a.m..i.ly...dv.e.l.l, irl. g ................................... The certificate is issued to ...... Glenn Aqinnett, (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ......... [~/~ ..................... Building Insp e~or FORM 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? 3517 Z Permission is hereby granted to: l~.z.llt~J, t3, co Iaa..~/C,..~i;i,e~..~..~l~ ........................... .............. · ~he~,~ .-I~t~,m$ ............................... at premises located at ..8,/.~.....II/~ILthF~p..Dz"I~'~. ............................................................................ ...................................... l~,eher~.. ~:la~ ~.....I~.,.IL, ........................................................................ pursuan¢ to application dated .......................... ~.tll~ ......... ~,6 ......... , 196~..., and approved by the Building Inspector. Fee $...~[1~ ........... FOEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c ~~~ .... Application No..,~,,,,,~,,,/,..~ ........... APPLICATION FOR BUILDING PERMIT Date June 16, 19 62 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 propertymust be drawn on the diagram which is port of this application. 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 o 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 or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Genera I Con~rac~;or Name of owner of premises Glenn ~/inne~; Boocock (Mrs. Kenyon Boocock) If appll,g/m~t is a co[rporate~si~nature~of duly~euthorized officer. .................. (Nbme and t~//~Sf corporate/Ef~cer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... p Dr- Jvet ' Street and Number h/in~h~,o FIshe~'s Island Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................. .R..e~,i_d.e.o.C.j..eJ ....................................................................................... b. Intended use and occupancy ...................................................... ...., ......... ,.,?,..: ..................................................... Naiure of work (check which applicable): New Building .................. Addition Repiair .................... Removal .................... Demolition .................... Other Work (Describe) 4. Estil. mated Cost 4~.......J'Jl..~....O...O..:...O....~. .......................... Fee ......... .~.......5,.00 J (to be paid on filing this application) I umber of 5. If lwelling, number of dwelling units ............................ N dwelling units on each floor -'' If ~larage, number of cars 6. if ~}usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Din~ensions of existing structures, if any: Front ............ ..~.~.~ ....... Rear..........................36' Depth 2?' Heir( ht 28' Number of Stories 2 Din ensions of same structure with alterations or additions: Front 36' Rear 36'. DeF th 39' Height .............................. Number of Stories .........~.....J(. ......................... 36' 8. Din ensions of entire new construction: Front ............................ Rear ............................ Depth Hei ~ht I O' Number of Stories I 7 ' 174' 9. Siz, of lot: Front ........... .~. .............. Rear .......... ~..5..~. ........... Depth ................................ 1966 Cerl J. Schmid 10. Daie of Purchase ........................................................ Name of Former Owner 11. Zone or use district in which premises are situated ..... Residential 12. Do~s proposed construction violate any zoning law, ordinance ~r re~ulatiorg ........ .N..o. k ye No.838.4: 9 ~ r~ ......~ ....i~ G~enn W.Boocock ArtArn~ New Yor[ 2~, ~.Y. Phone 13. Na e .......... ~ .................................................................................................... Nakne of Architect ......... -.,'._'..'..T..'..Z..'. ........................... Address ...... -. . .q .'. . .'. .'. 7. . .'. ...................... Phone No. No'ne of Contractor F, I· U~ClI~;~. Co, Address Fishers Island/.N,¥,-.on 788-72 PLOT DIAGRAM Locaie clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions f property lines. Give street and block numbers or desc[iption according to deed, and show street names and indi~ whether i~terior or corner lot. ~/~' ~ STATE O: NEW YORK, ~ S.S. COUNTY OF ................................ . Robert, ~. E~el .h..o.f.?. be ng duly sworn, deposes and says that he is the appli Name of individual signing application) above named. He is the Vice-Presiden~; of ~;he Contr.a.c~;in~ Co, (Contractor, agent, corporate officer, etc.) of said o~vner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contained in this application are true to the best of his knowledge and b~ and that 'the work will be performed in the,manner set forth [n the ~licafion filed therewith. Sworn to~ore me this ~ ~--~> ........ Z.; .............. d~ of ......~ ....... ~ .................... , w mO. 52-9509185 '~ ~ ~ Qualified in Suffolk COU.~ ~. 3~J~ [[erm Expires March 30, 1~68 ~/ ' ~