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Home My WebLink About559-z FOI~M 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? 559 Z Dote ......................... .~...8,.~.......1...0. ................ 19..6..~.... Permission is hereby grunted to: ~Tame~ &..¢;1 aizdJL~.....Dglt, d~n ....................................... Box..3.%l ......... B~idg.eha~p.~on ........................... ............... :~.,.I.,.~......~..j., ........................................ to ..Moxre...a~. · e;~i.~t.i, ng.. A~ 1,1 ~g...t ~.. ~i.~ ...loe.~.tt~ ..................................................... at premises located at ~.~.~.~*~t~.`T~..~..~.~]~;Lt~d~.~(.~t.~.~.8,.~p~ ............... ............................................... ~.a..~..C..t..~.~.e. ~ ,.....~., L. ........................................................................... pursuant to application dated ................................ ~O.V.G~:I::...~ ........ 19..~.., and approved by the Building Inspector Fee ~.0. ,..QQ ............ Building Inspector Examined ........................................ 19 ........ FOR1VI NO. 1 TOWN OF SOUTHOI. D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved..: .................................. '/ ./"~t19 ........ ~TRemit~r\N°' Disapproved a/c ................... ~ ......... ~ ............................................................... //¥-' Application No ............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 0teas, and giving o detailed description of layout of property must be drown on the diagram which is port 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 opplicanL 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 granted by the Building Inspector. APPLICATION ~S HEREBY MAD£ to the Building Deportment for the issuonc.e 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 or alterotlons, or for removal or demolition, os herein described. The applicant agrees to comply with oll applicable lows, ordinance,s~an.d r_eg.ul,ati~(~s.,.,_ ~.~ ........................... (Signature of applicant, or nome, if a corporation) (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... ................................................................................................................................................................... ~ames Da~den and Olaudia Da~,den Name of owner of premises ................................ .:...~ .................... ] .................... ~ ...................................... ~...~ .......................... 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: ............................................Lot No: .................... Municipality 2. State existing use and occupancy of pr.emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................~...~.~.~..~..~..~. ................................................................................................ ~es i~e~c e b. Intended use and occupancy ............. , ................................................................................................................... 3. Nature of work (check which applicables;/: New Building ....................Addition .................... Alteration .................... Repair .................... Removal ................. l;...DemoliHon ............ ~ ....... Other Work (Describe)../~_~K.~..,..~.~/.~S ~Y//~' 4. Estimated Cost....J~L,..~0. o.O~l ................................... Fee .../...w ................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... .0~ .............. 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 .............................. 7. Dimensions of existing structures, if any: Front ........ PI~. ............... Rear ....~,0 ................... Depth ...... 40 ................. One 8to~y . ' r Height ............................ mumoe of Stories ....... ~e. .......................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ..... 8. Dimensions of entire new construction: Fro~t ............................Rear ............................ Depth ............................ Height ............................ Number of Stones ............................ 9. Size; of lot: Front ..'..;...i~ ............... 'Rear' .'.:!....~{~ ....... ........ Depth ,',.~.~0 ....... , ......... 10. Date of Purchase ~t~O.~.., ~....~..~.i~.~ ....... . ............ Name of Former Owner ..... ~TI;I~IB..~C.~B,~I~p& ............ .................... , ,i~Iubb at, d 11. Zone or use district in which premises are situated ........ ,~.t~.~t~,~], ............................................................. 12. Does proposed construction violate any zoning taw, ordinance or regulation? ........ ~..0. ....................................... 13. Name of Owner of premises ....... ~,~],.[~&tlf~ ........... Address ..~.;~.~'tla~tD.tl~..~Y...Ph0ne Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... 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 whetl~er interior or corner lot. See attached hereto STATE OF NE~L_.Y_QB~,_ ) S S. COUNTY OF ~.q~g/,~ ........... ) ~'J~IE.~I, D/b1~.~....]~.....lt~.~...q.~,.~l~.~.])~,. ,,l~O~j' ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. ~ ................................... : ....................................................................................................................... (Contract ro, a entg, cor'por~te officer, etc.) that a i 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 ,ft)ed therewith.,, Sworn t.~efore me this ~:L^UDI^ CAV^~flARO ~[~ ~ ..~'" , f Jl~Ja.~.. HJI~.A. JJJ~.U. BLIC. State of New Y~k [5/~gnatu~ of ~p'J'icant) -- ...... ~. ..............aay OT~....~/.~?..%~. ................... HO~'~'.'(~0~.400 Suffolk Count~J Notary Public/2;,~~ (~-/~~ · ....................... .~cj~b~l~ti~es March 30,. 1963)~ C~"~-k-x'-c~c't^ ' ~ID--