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Home My WebLink About1532-z 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,° 1532 Z Dote Permission is hereby granted to: A. R~i] S~ns Ina .~a.¢.....28 ....... 19_61. at premises Iocat, pursuant to apl Building Inspector .................................. .~-~g.~.~..~.....2,~ ...... 19..~.1., and approved by the TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ ] 9 ........ Permit No ............................... Disapproved a/c .............................................................................................. (Building Inspec/or) Application No...../...Z..~...~ .... APPLICATION FOR BUILDING PERMIT August 28 61 Date ............................................................ 1 9 ............ INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink ond 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 location. c. The work covered by this application may not be commenced befo d. Upon approval of this application, the Building inspector will permit shall be kept on the premises available for inspection throughout e. No building shall be occupied or used in whole or in for any pu shall have been granted by the Building APPLICATION IS HEREBY MADE tc Building Zone Ordinance of Regulations, for the construct The applicant agrees to I a Bull progress Building Permit. Permit to the applicant. Such the work. Occupancy ~nt for the a Building Permit pursuant to the New other applicable Laws, Ordinances or r removal or demolition, as herein described. regulations. (Signature of applicant, or nome, if a corporation) (Address of applicant) State whether applicant lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises ....... ..~.......~.~?;..1...];.~...&.....S...o..~.s. ....................................................................................................... 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: ..W-...e..s...~..~...i..e..w.. ....................... Lot No.'P..a..~..~..~.]r.~.... Street and Number ~.~.~./..s.~.G.~"a.~c1:.~A.~¥..e.~.u.~e.~!~.~..a.~.~"J~.~.u..~.~!~.~9~ ........................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant Lot o. Existing use ond occuponcy ..................................................................................................................................... b. Intended use ond occuponcy......O..~.e...~.a..m..~.]:~...~.~.e..1...]:.~...q~ ............................................................................. 3. Nature of work (check which applicable): New tmihl,,~(I XX ,'~dditiur, .............. A.~teltotion .................... Repair ....................Per, oval ....................Demdifiau .............. t)ihe~ Work (Describe) .......... t ......... (to be pcJid on filing ~his application) 5. If dwelling, number of dwelling units .............................. Numhu* al dwelhng units on each floor ............................ If garage, number of cars ........................................................................................................................... 6. If business, commercial or m/xed occulpanc¥ ~pec liy t~alu,(t oriel exient of each type of use .............................. 7. Dimensions of existing structures, if any: F'or t .......... : ............. Rear . .......................... Depth ............................ Height ............................Number of Stories .......... ' ................................................................................................ Dimensions of same structure with alterations a~ ~Mdifior,s. f'l'an{ ............................... Rear ............................... Depth .............................. Height ...................... ........ Number of S1aries ................................ 8. Dimensions of entire new conshuction: k~ont ...56 .................. Rear .......... .5.6 ............. Depth ...2~. .................... Height ............................ Number of Stories ........ ~- .............. 9. Size of lot: Front ..... .1.00 ...............Rear ........ 1.0.0 .......... [)eptl, ............. $..~..0. ........ 10. Date of Purchase ...... ~..~..1. ............ ~.~y. ................... Nc, ivac of Forn-ler Owner ........ .M~.~Dr~ .................................. 11. Zone or use district in which premises ore sih, d'cd ... "A" Residential 12. Does proposed construction violate any zoning law, o,,li,~ur~ce or regulation? ..... D.Q .......................................... · A. Reilly & Son.sAddres Mattituck Phone NO. 13 Name of Owner of premises ........................................ s ................................................................ Name of Architect ....................................................... Address ............................................ Phone NO .................... A. Reilly & Sons Mattituck Name of Contractor .................................................. A&hess ............................................ Phone NO ..................... ' property lines. Give street and blo~gk.n~ml~ds corner lot../~ ~ whdher interior or '"' I :~ PL 0 I' L)IAGItAM Locate cleorly end distinctly all buildings, whether exishng er propased, and indicate all set-back dimensions from or description t~ccording lo deed, and show street names and indicate STATE OF NEW YORK. ) S S. -- COUNTY OF .~.g.~.~...o..~.}f. .......... ) .............................................................................. ~ ................ beillg, duly sworn, deposes and says that he is /he applicant (Name of individual signing application) above named. He s the .O...~.?...e..r...-..~..°..~.t...~..~...cL~.,O..~ ................................................................................................ ................ Coutr(l~tor, ugent, 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 ~he application fi[ed the~vith*. Sworn to DeTore me Tn s , · blowfly I ubhc, State of New York..F~J,'~¢~ 28th da_ ..f Au.~,ust ~ A 19 ~.u..~.j.?:~/t49~3..~Suflolk C0unty]~'~Signatur~ of appli~)ant) ......................... ~ ........ .: ....... ~2~'"~,~..~'"-/]'" .'F/6ba'i-~'~.l:~s~.March 30, Notary Public, ~.~...:..":' ~.'"'~'~'~'"~