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Home My WebLink About1367-z!/ FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'rlON OF THE WORK AUTHORIZED) N.o 1367 Z Permission is hereby granted to: ....... ......................... .......... ~ ~.~..e..~..~..o.~ ~.. ............................. at premises located at ~.~.....~..~...4~..~..4~..?..../,~..~¢~../t1....~0~..~. ..................... ~ ............. ......................................................... .,~..a.~..rh.e~-,D. ....... ,,'~.../...., ................................................. pursuant to application dated ............................. ~..A~.l~,~-L.h....e~,[...1. gla[...; and app~ by the F,e g~...~ .......... Building Inspector TOWN OF SOUTH[]LD BFFIBE OF BUILDING INSPEBTOR TOWN BLERK'S BI=FlOE Mr. H,F.Bishop Commissioner of Du]~lic Works Su!f0tk County Yaphank Ave., Yaphank, N. Y. Date .......... /.~]P~.J.l..,.~,..Z961 .............. De&~ Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commls- si0her of Public Works of the County of Suffolk that ..~,~11ztl~..,~t~,~ .......... .... A~. shamomaq.me.~... G.r. een.por-t ,..j¢~, ............................................... haS'applied to the Town of Southold for a permit to construct a building on ...~/~...C o:~:~.. 2 o~d.. 2 ~ ~.. Zo:~ ~olcl ~...~., .k', ........................... 6'S Shown on the attached plot plan, submitted in triplicate, dated ................ ..~.~.~..~.~.~...&.~ ........ and titled ..~.Q~...P,l~tl..~.O~.,~[e~'~..~8~ W~' shall withhold further action on this application for ten days or as dthe~ise provided in the aforementioned Section 2391(. Ver~ truly yours, ;~zar d Terry BqHdlng Inspector . T~w= of Southold, N. Y. TE]WN OF SOUTHE]LD BFFICE BF BUILDING INBPEBTGR TBWN CLERK'S BFFIBE BBUTHBLD, N, Y. Mr. H.F.Bishop 'Commissioner of Public Works Suffolk County Yophank Ave., Yaphank, N. Y. Cr 27 Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated ka,ws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ..~..e,~.Tn...¥Lt....~[~.8..s.¢ .......... has applied to the Town of Southold for a permit to construct a building ~n S/S' Count~z Road 224/ ~outho].~ ................ ...~ ................................. , ......... :/~ ....................... ~...;[.%.~?., ........... Corzaor North Rd. & Beverly Road~ as shown on the attached plot plan, submitted in triplicate, dated ................ ..!!J~.~.c...h....3...1..t....1..?...0.'./: ........ and titled ..~.3.?..t....~..'~;a.?_.....f...o.~...}.~..e.,.~.~.~..u..t....}.J;.a...s.s We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. 4/17/61 A~PROVED pursuant to Sec, ' 239K of the Genera]. Municipal Law,Very truly s~bject to app'licant obtaining perm~t~ for access to proposed sto~e bldg. SUFFOLK COUNT¥ DEPT PUBLIC WORKS Ho F, BISH0?, .C0mmissioner Ma%~unaye, ,Ir ~/ Chief Engineer Setback to be minim~ requirement plus 17~ of' North Road. Howard Terry ~l Building Inspector Town of Southold, N. Y. for future widening FOI~M NO. 1 TOwN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×am,ned ..... Approved ........................................ , 19 ........ Permit No......../J'/.......... ~: /........ ~ ~:~... Disapproved a/c ....... '.....'...~ ................ ? ................ ................................... ............... .................... j ................................... ............ r4":¢ ....... sp ................................. Application No...,/..,,d..;...../. ......... APPLICATION FOR BUILDING PERMIT · R~N~'~AL of~ 1367Z Date .......................... }~%1~.~h....~L~ ............. 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 adjoining premises or public streets or areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part 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 a 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 demo!ition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) North Road~ Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................ g...u~9.~. .............................................................................................................................................. Name of owner of premises ....... .~.~.~.~...~...~..~.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: ............ ~:~7~TfTJ-~ .............. Lot No: ....... ~ ...... Street and Number ...S../.~....~.9.r...t..h.....R...°..a..~..~...~9~.t..}.*.9..1..Q. ................. : ................... L ..................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....V.a.c. aD, t..,la~.d ..................................................................................................... b. Intended use and'occupancy .,..]~f~'lf~...bLhf,].dJ,~. ................................................................................... 3. Nature of work (check which applicable): New Buildlng .~ ....... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cast ....... ..~.~(;~..~.~.~ .............................. Fee ....;I...~.0..1~..~..~.~f¢.~ .................................................... (to be paid on filing this application) 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 ..J~l~li~ll~,~l ........... 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth ............................ Height ............................ Number af Stories ............................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8, Dimensions of entire new construction: Front ...~g. ................... Rear ....~.Q .................... Depth ........ ~.~'. ............... Height ............................ Number of Stories .1~, ................... 9. Size of lot: Front ........ ~0(~ ............ Rear ......... ;l,O(~ ........... Depth ......... ~0 .................. 10. Date of Purchase ........................................................ Name of Former Owner ........ .I~L....~I. iI~JIII~tlQ¢I .................... 11. Zone or use district in which premises are s~ uated ........ ~ ....... .~.;J,~.t~:['.~f~ ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... Z~I~ ..................................... 13, Na'me of Owner of' premises ..~,...JJlil.~l~. .................... Address ....... J~lli,t~f5~¢] .................. Phone No ..................... Name of Architect ........................ ~ ............................ Address...,....... ........ ~......................... P'hone No ..................... Name of Contractor # # .................................................... Address ............................................ P,hone 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 whether interior or corner lot. ¢ /v'o z Th STATE OF NEW YORK, / S.S. COUNTY OF ...................................... ~.~Ill;l.t,...~iB~. ................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing' application) above named. He is the ......... O.~¢~.~'...~....~l~l.:t~l.e:l'. ........................................................................................................... (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 fife 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 a~plication filed therewitll./~ ~ Sworntobeforemethis ,,~ L ~ j ~/I .................. ~... da.y-~f .,.....;...~, ....... ~/~....~..., 1~..¢...~2,,..' /¢~*"~'~,~1..../...¥_~... '~ ~ Notary Public, ..../:~'~?.-.".~.'...~f......~..:.....~'~.....~7..~:~7~..,'~z~Co;~nt~'~'¢~ ................... '('~i~;;~r'~'r';";¥';l~l~J[;'~;~')' ............................. 1/' JUDITH T. BOKEN