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Home My WebLink About162-zFORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No ~../...~.......~...'. Dc~te ................ .~..~t. ........ ../. ......... 19..Z7 Permission is hereby grant,~d to: , fl-'~ ~, ..... ....... ................. ............ ?'~.~.~ 0~, ~. ........... to.../.~..~ ........ ~......~.~~., ............ :~ .......................................................... ............................. ~~'/' ......... ~~:~':':~::'~ ....... "'~:::~:"-'"~' ............. : ....... at premises located at ....~/.....~.~......~z~.~..~..c~...;~'.~..~....~...~.~......C~.~....::..~.....~.:.....~ ................ · ..~:.:~.~?~.:.... :.~ ................................................................ ................................... ..A....'.:...7..: .................................. pursuant to application dated ................ ~.. 19 ~.~.'~.~and approved by the Building Inspector. Fee $..~.:. ........ ~.. ~: ''~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ......................... .U ........... Perm t ...... Disapproved a/c ................ ........................... APPLICATION FOR BUILDING PERMIT Oct. 29, i957 Date ............................................................ 19 ............ 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 adioining 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 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 worlc 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 laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) Southold N.Y. (Address of applicant) ,State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. owno r rem ses Mary. Sweeney Morris Name of owner of p .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ............................. : ..... Block .................................. Main Road Southold N. Y. Street and Number ...................................................................................................................................................... State existing use and occupancy of premieses and intended use and occupancy of proposed construction: Show room and storage a.Existing use and occupancy .................................................................................................................................. b. Intended use and occupancy ,~ .s..s:.m...e. ,. , 3. Nature of work (check which applicable): New Building .................... Addition ....................AlteraHon .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .~k~§OO.O0 Fee ~'" ~ (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..~::..-~. ......... bO' Rear .b..O..~. ...................... Depth bO' 7. Dimensions of existing structures, if any: Front ........................................................ Height ............................ Number of Stories ...9..~-.,,~. .................................................................................................... . ~0'+20' Jog ?0' Dimensions of same structure with alterations or additions: rron~ ................................ Rear ................................ Depth '50~ Height ..:~..2..! ...................... Number of Stories one 8. Dimensions of entire new construction: Front.....~..? .................. Rear '701 Depth ,50' /30I Height ..T.~..~. ................... Number of Stories ...... one ............... 43b ~ 435 ' 500 ~ + 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Zone or use district in which premises are situated ................................................................ No 11. Does proposed constructio~q violate any zoning law, ordinance or regulation? .................................................... of nremis~ary 8weeney ~orri~ddressSOUthold ~, 5-3200 12. Name of Owner ~ · ................................................................................... ~'none NO ..................... Name of Architect ...................................................... Address ............................................ Phone N~'.b..~..U. ........... _ RoDert L. Hyat~ . .. Southold Phone NO ..................... Name of rdontractor .................................................... Address ............................................ PLOT DIAGRAM 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 street names and indicate whether interior or corner lot. Shaded area is 20'x30' extensloz STATE OF NEW~YO~R,Kf,/Z ) .COUNTY OF,~......) S S.' Mary Sweeney Morris she ................................................................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) ~he above named. ¢~'Ts the°'crc-er (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 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 rne this ....... / ............... day of ..~.: ...................... 19..'.'~.,,.?. .... Public, State of Naw York Residing in Suffolk County No. 52-0357800 f ~y Commissm~] E,,pl[eS !¢~rch 30, 19 ~