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HomeMy WebLinkAbout1451-z FOI~M NO. 2 TOWN OF SOOTHOLD 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.o 1451 Z Date ............................. ~.1~!~.....~. ......... 19~1- ... Permission is hereby granted to: A..P~o.. C, ons .txuct, iarkC,~ .... ~fl:..D.,.. ~.... Bra Jan ......... Fi.~her~...]:~ta~d ...................................... to ... ~ ld.. Iie¥..o~...f.a~ily.. ~lwel.ll~ .................................................................................. at premises located ot .L~t..Jt..l+3,,t3.¥.....W.i.tderne~s...pe:l:nt ................................................... ........................................................ ~J, aher. s...Zs land.,... II, ;~ ......................................................... pursuant to application dated ..................................... ,T,,ilI~....?I.~'. ....... ]96]...., ond approved by the Building Inspector Fee $..10. O0...]:NJ... Building Inspector TOWN OF SOUTHOLD I~UILDIblG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exo mlned.......~....k~...t..~ ....... 19..~../. , Approved ........................................ 19~..}....Permit No. ,..~..../C/ ,~' ~. Disapproved a/c ~-..~ , ~ ...................................................... ."."i'"' ....... ........... .............. ................................ APPLICATION FOR BUILDING PERMIT Application No..?....~....?..../. ............ Date ....... J.~ue....Z.5 .................................... 19...6:1. .... 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 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 work. e. No buiJding 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 issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sou'thold, Suffolk County, New York, and other~ 6i~plicable 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 Paws, ordinances and regulations. (Signature of ap~rlicant, or name, if a corporation) ............... *. ..................................... ;~ (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect; engineer, general contractor, electrician, plumber or builder. ........................................................................... .Ge ge z'al ...C o.n ~:~'.a c.t c~. .................................................... ' premises D J Braman - 9 Datla St Cambz~id Nome of owner of ge NIans If applicant is o corporate, signature of duly authorized officer. ~ (Name and title of corporate officer) -~Chandler ~ Pal~el~ 1. Location of land on which proposed work will be done. Map No:W.t.l~.meaa...~o£n~; ....... Lot No: ...Ab...L~ ...... Street and Number ............................................... P.~,.~,v~,$~...Eoe..cl .................... ....................................................... Municipality , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... res fclent al b. Intended use and occupancy .......................................................................... .-. .................................................... property lines. Give street and block 3. Nature of work (check which applicable): New Building ....... ~ ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........... $......1~0.00...00 ......................... Fee ................... $,5 .................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .........1.. ..................... Number of dwelling units on each floor ........ .1. .................. If garage, number of cars ........................ l ................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......-...'..-...'. ............... 7. Dimensions of existing structures, Jf any: Front .......... tJ~ .............. Rear ......... :1.1~. .............. Depth ........ t~D ............... Height ....... .9....~.~...~..~.....Number of Stories ................ .3: ........................................................................................... Dimensions of same structure with alterations or additions: Front ...§§.f.~..~.l.~ ......... Rear i~.f.t~..~-.i~ ............. Depth .~.Sf.~....~,..£n ....... Height ........ 3.5 ................. Number of Stories ......... .'1 ..................... 8. Dimensions of entire new construction: Front ......... ~.J~...,C.lL..'~;l, nP, eor ...... ~5...~.~...~J.~ Depth ........~.~£.~...~.&~ Height ,..!.~ ..................... Number of Stories ......... ~ ................. 9. Size of lot: Front ......J~.§O ............... Rear ...... 9~O ............... Depth ........ 2J~ ............. 10. Date of Purchase ..........,T..~t~mlC:~r.....'1961 ............... Name of Former Owner ....... A,....~I~,~laS~L .................... 11. Zone or use district in which premises are situated ................... ;~.L..~?...~.~.]: ............................................ 12. Does proposed construction violate any zoning law, ordinance or regulaticl~l~J~Jx;:J,~c....~O ....................... 13. Name of Owner of premise~..LT...]~,~. ................. Address '.9"'~n.~..~'t~ .................... Phone NO. "~n'"~"~5'68 Name of Architect ........................ , ......... ,~ ..................... Address ..... ~..~..~.~..8.~.9.....~.l~.L.Phone NO ..................... Name of Contractor.A..~...(~o~;.~U~.&.O~ ............. Address ...~..Z....~.%..~ ........................ Phone NO. ~;"4'0~ ..... PLOT DIAGRAM Locate clearly and distinctly all build!~ngs, Whether existing or proposed, and indicate all set-back dimensions from irs or description according to deed, and show street names and indicate whether interior or corner lot. STATE! OF NEW YORK couN. T ,,°f ....... ) ¥ozn ......... !:,.,/..'..'..~,~,~..04..~;,.,~..~.4,,...../1~.. ............. swor is the applicant · (Nome of lhdividual signing above named. He is the .... ', agent, c'~?'~e ;~¥i~'e~',' ;t~.i '" ~"'3 of said owner or owners, and is duly authorized to performr or have performed the sa'd work and to this application; that oil statements contained in this opplicatlon ore true to the best of his knowledge and bellef~ and that tBe work will be performed in the manner set forth I~O~h~dt~!~ion filed therewith. Sworn to before me this Euc¥ 1. T;%RY pUBLIC, STATE OF NEV~ ,Y OBI~ · es March ~O, 19 Notary Public, ..~.....~.....'~ ................... County TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c ............ ............... / ................................... (Building Inspect~ APPLICATION FOR BUILDING PERMIT Application No. / I.~/~ / Date ................ ~U~e..~l§ ........................... 19...~1 .... 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 areas, and giving o detailed description of layout of property must be drawn on the diagram which is port of this location. c. The work cov, ered 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 througl~out the progress of the work. e. No building shall be occupied or used in whole or in port for any purpose what. ever until ~ Certificate of Occupancy shall have been granted by the Building Inspector. ~ APPLICATION IS HEREBY MADE to the Building Department for the issuanoe 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 o Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable lows, ordinances and regulations. (Signature of ap~Jcant, or name, it ~ corporation) Fishers Island New York (Address of applicant) State whether applicant is owner, lessee,,.?gent, architect, engineer, general contractor, electrician, plumber or builder. ................................. ,,, ............... )...::....i::,~..:, .................... ~ral...O o~ ~r. aat o~. :.' x .~ ""' Dana J B~aman Name of owner o~ premises ..................... ...~ ............................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Chandler & Palmer 1. Location of land on which proposed work will be done. Map No: .....~i~Lde~l~e,s,s..~'.o~t. Eot No: .~-.1-~ ....... Street and Number .......................... ~ ......................... ~,~'.~,~a.~e...Z~a~l. ..................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............................................................................. z: ..................................................... Residental -~ b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repoir .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ..........'~'""¥~'0b'/J'."[~0 ......................... Fee ............ i~.~..}~.l~.~.i~..~..~.i.li.~../~/~i~..~.~i}~i~i ................... 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......,,~ ............... 7, Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ 1~ 1R 10 Height ....... 9~.~..~.~....Number of Stories ............... '1' ........................................................................................... Dimensions of same structure with alterations or additions: Front ...~.~.~..~.~.~. ......... Rear ~.[~...~.[.~ ............. Depth .~.~.~..~...~.~ ....... Height ........ ~.~ .................. Number of Stories ......... ~ ..................... 8. Dimensions of entire new construction: Front ......... 8~...~..~.&.~Rear'......8~...~.~..~.~. Depth ........ ~T~"'~'t~' Height ...~.B ..................... Number of Stories ......... ~ ................. 9. Size of lot: Front ............................ Rear ............................ Depth ........ ~8~ ............. ~80 10. D~e o~ Pu~ch~se .......... ~H~'~'""~'gB~ ............... ~me o~ ~o~me~ Owne~ ....... ~.....~.~.~ .................... ~ ~. Zone or use ~s~Hc~ ~n which p~em~ses ~re s~u~ed ............................. ~.~ ............................................ 12. Does p~oposed construction v~o~e~e en~ zon~n~ ~w, ordinance o~ ~e~u~fi~~....~ .............................. ~. Heine o~ Owner o~ 9rem~ses ........................................ A~ress ............................................ PhOne ~O ..................... D J ~ an 9 ~na ~ Un 4 2568 Name o{ Architect ............................... ~. k~ ..................... Address .....0a, e~i~,,,,~a,8~,,.Phone NO ..................... Name of Contractor ..................... .~.......-~,, .................. Address ............ ,, .............................. Phone NO ..................... ~ ~ ~onst~u~On F ~ ' Y F~ 409 ~~ PLOT DIAGRAM Locate clearly and distinctly all bulldogs, ~ether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or ~escrJption according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW,/-~Y,r0~,K,. ) COUNTY OF ..'~,'~,.~4~¢ ....... ......... ..... (Name of Individual signing application) is the applicant above named. He is the ......... -- J . ~. , r agent, corporate ~i'~'e'r~" ~i) '~"' ~*'~ 'j .......... ~ ..... of said owner or owners, and is duly authortzed' to or have performed the said work and to ma~file this application; that all statements contained in this application are true to the ~est of his knowledge and Belief; and that t~e work will be performed ~[ ~r set forth in the application filed therewith. Sworn to before me th~s ~ ,~.~y~uc, st~o~N~ ~ ...... ~.~..~ ....... ~y of ....~e~l?~ .... (Smon=ture of ~pplmccnt) Nota~ Public, .~..~,..~ ............................... County