HomeMy WebLinkAbout1758-z FOR/g~ NO. 2
TOWN OF $OUTHOLD
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.° 1758 Z
Date .................... .eT:Bi~8. .i~ .......... ] 9..(~..
Permission is hereby granted to:
; Do Beebe....~....A/C..-TI'lee.,,...We:[..1.s .............
.......... ~teho~L~ ..................................
to ..... :Mu,~:l a..z~w.. ~me. $.a~.... 4w~l.~.~ .........................................................................
at premises Iocated at .-.~¢t,.-];~,~...]J['o1~l~li~.. ~'~i~, ...................................................................
.......................................................... ~.~i.~u~k .............................................................................
pursuant to application dated ................................. ~t~e ........~ ........ 19.~., and approved by the
Budding Inspector
Fee $ ~!,.0.,~ .0~ ...........
FORM NO, !
TOY~"~ M- ~
~ppJicatlon No
INSTRUCT'IONS
a This opp.lication must be completely filled m by typew&ter at in ink- and ~u~m~tted ~ duphcote to the Buildmg
In~tor.
b Plot ~Jo~ s~wm~ I~otion of Jot and of buddings'on p~)sQs, relaI)onsh*p tb OdJo~n~ng i)remmses or publmc streets or
areas and g ~i~. o deja led descrmptlon of Joy~4t of pr~erty mgst bedgown on the diagram which is part o~ ~is application.
c. The work co~ted by thms apphcohon may ~ ~'co~c~:beJore Lssuo~e nf BuHdir~g Permit
upon approval bf. this application the. Buil~i~: ,~p~ctor Will issue a Bu,ldmj Permll t the applicant Such
permn shall be kept ~ the Dremmses ovodable for, ~n~f']Oh throughout the progres> ,( rne v.~rk
e NO building shall be occupied or used i~ wh0~e'~'i~'~it for a~y purpt~e whateve: ~t)t -! edff~cate of OCCLIDOnCV
shall nave been granted ov the ~uild~ng inspector '.L
APPLICATION IS HEREBY MADE ~ me Bul~ng~rtm~nt ~o~ ~ne ~on~e m _ b~.khn~ Pe~n-t ~,ursuont tc me
Building Zone O~din~nce of the Town at South~M ~o~
Regul~hons ~or me conCructk~n o~ buddings, oddihbn~t~o[ter~tk~n~ of k;t rem~voi ~, mmc ~ ,-,e~eu- described
The op~licon~ ~gree~ ~ con. IV ~h o~1 ~pohc~e lows ,o~d[~once~
owner
' (1Dgtic0nf ~ O c¢:,rp, rote, s~gnoture of duJv odthorlzed othce
(Name aha t~,tJe of c.)rpo~ate offtcer
Estimotec Cost /(.~,.~ ...
Nature of work (check which opphcoble) New Bu td~r~g ~?-' Ad ~,t , r Alteration ................
DeroolitiSh ........... Othe, vv ~, gescri~) .........
.......... :No~ ~ ~welhng ,mT n each flor ....................
.?
bus~ness commercial o~ m~xecJ
Dm enslons of ex,sting structures f an} Rear Depth
'le*gm ........ Number o+ Stories ..
Depth ........ ~etght .........
t~elght 'Number of ~[otte~ ......
Dote ct Purchase ~../ '~ ~ ....... ~.~'.~'.~...Nome'Sf Farine, ~ner
~. Phone No .
Name of ArchJlect .......... ~ddress . . Phone No ....
Nc,me of Contractor ~o,. ¢~ ¢4 ..... Add(ess. ~ -o i"~ Phone No
PLOT DIAG~M.
propertx lines Give str..et 8no block number~ ,~ descf~Mioma~cort.(,ng to demi er.i ~how streut names and indicate