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Home My WebLink About1899-z FORM N0. 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.o 1899 Z Dote .................. ~ ~p.~.ltt~ ~ l~.....~. ....... ]9.~.. Permission is hereby granted to: ........ N~tt t.~'c.uel~ .................................................. to. -.]~.l~l.. an...ad4 .i.t $ ~>n. · eh...a~ .. ~x~.t.i:ng... d.we.l.l.i, ng ....................................................... at premises located at ..ll///~..../]~...0~]~od..]~l,~,~ ....................................................................... pursuant to application dated .......................... .~l~t~m~1, ....... .~..7....196~....., and approved by the Building Inspector Fee $"~ (])0 ............. I~OE~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examinedc:, ,,,,?, r ,. / 19..:.. ~.~' Approved ........................................ , 19 ~..Permit No ......... Disapproved a/c (Building I~spector) Application No. APPLICATION FOR B'UILDING PERMIT Date ......................... I~.ep~eml~e~...~? ] 9..6.~ 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 Iocotion of lot and of buildings on premises, relationship to ad oining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this applica- tion. 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 applico,nt. Such permit shall be kept on the premises available for inspection throughout the progress oF the work. e. No building ~hall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA,DE 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 L:aws, Ordinances or Regulations for the construction of buildings, additions, alterations, or for removal or demolition, as herein described. The appticant agreee to comply with all applicable laws, ordinances and regulations. ................ ~a.tt.i.tue.~ .......................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................... C~n.t~ae~e~ .................................................................................................................. Name of owner of premises .~'z.~ho-~'...Za. ga~&~r~o ............................................................................................................ 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.: ~A~e'~"~ ............. Lot No.: ...................... Street and Number ~/~"~'O~'"O~oo~'"~Ye'i ........ ~'~'~'l'i~ ................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ~e~ ............................................................................................................. b. Intended use and occupancy ....... ~. ........... .~.~..~..~.~.~ .................................................. 3. Nature of %/ark (check which applicable): New Building .................... Addition ...:K,]gr, ...... Alteration .................. Repair ...... ' ............ Remova! .................. Demolition .................. Other Work (Describe) .................. 4. Estimated: Cost ......... ~.~0..~/.J~ ................................... Fee ...... .~. ............................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..............~Jle .......... Number of dwelling units on each floor ............................ If garage,~ number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupa.ncy, specify nature and extent of each type of use .................................... 7. Dimensio, ns of existing structures, if any: Front ............................ Rear ............................ Depth .............................. Height Number c~f Stories ................ Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ................................ Height ................................ Number of Stories ................................ 8. Dimensions'of entire new construction: Front .............. '1'0' .......... Rear ............. ~.O ............ Depth ......... ],J~ ................ Height ...... ., ....................... Number of Stories '"~lq~ ................... 9. Size of Iot;'Front ............ .~.~. ............ Rear .............. ,~ ............... Depth .............................. 10. Date of' Purchase .......................................................... Nome of Former Owner .......... 11. Zone or use district in which premises are situated. 12. Does proposed construction viol.ate any zoning ]ow, ordinance or regulation? ............ I%0 ............................................. 13. Name of Owner of premises ...A,....Za~jalt. irio .......... Address .............. L~,~]~ ................... Phone No ................... Name of Architect .................................................... Address ................................... : ............ Phone No ................... Name of Contractor .....I.l,w.~rl...T. 1.~tJ',:J,.1.1. .............. Address ....... J4a.~;'t;.:J, ttl~k, ................... Phone No .................. F~LOT DIAGRAM Locate clearly and distinctly a]i buildings, whether existing or proposed, a.nd 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. STATE OF NEW YORK ) COUNTY OF ..... I~ll~.f.(~],k......) S.S. I _t ! ................................... · ~.l'.W~.l'~...T. ta~,,~.l.1. ............................ be ng duly sworn, deposes and saysl that he is the applicant (Name of individ~]6[ sign ng app ication) above named. He is the ............................. (]l:~l.t~.al~tOlR. ........................ ....... (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 file this application; that all statements contained, in this application are true/to the best of his know edge and belief; and that the work will be performed in the manner set forth in the applicatig/n filed therew th Sworn to before me this / ~ No 52 0344983, Suffolk 00unt/ ~ g~mlll~SsJon Expires ~a~stl 30,, 1~