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Home My WebLink About2575-z FORI~I 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? 2575 z Date ........................ Jl:~em~e~. ..... 9. ........ , 19....1~ Permission is hereby granted to: i, j,G&8~.....A/CL.&~Le~er...L,...~on ........... .......... ~.he~..Z~& ................................... to .... ~d~...~..~at~..~.~L~t~..~..~Ls~..b~d~ ...... ...... · ~.,~..f~l~..~.~ge .................................................................................................... at premises located ot ....... ~..~ ..... ~..I.~at&~a ................................................................. ................................................... ~e~L.I~a~s...~..~.. ............................................................... pursuant to apphcatlon d~ted ............................. ~~......~ ..... 19...~, ~d ~pproved by t~e Building Inspector Fee $...~LO..O0 ......... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ......................................... 1 t ........ Permit No ................................. Application No, ..~..ZZ..~,,...,~...,, Disapproved a/c .................................... /~ APPLICATION FOR BUILDING PERMIT Date hovember 5. 19 64 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildir Inspector, b. Plot plan showing location of lot and of buildings on premises, relationship ta adjoining premises or public streets areas, and giwng a detailed description of layout of propertymust be drawn on the diagram which is part of this applicatio c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval af this application, the Building Inspector will issue a Building Permit to the applicant. Su, 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 untd a Certificate of Occupan, shall hove been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Buffding Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply w~th all applicable laws, ordinances, building code and regulations. ...... ...... ........................ (Address of applicar~) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build General Contractor Name of owner of premises ~'Irs. ~lexender L. Robinson 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 ........ .P.?..k...~.r..e..~ .................. Lot No: ............... Street and Number r: ishers I slued l!ew York Municipality 2. State ex~sting use and occupancy of premises and ~ntended use and occupancy of proposed construction: a. Ex~sting use and occupancy Residence b. Intended use and occupancy ..... ~¢.~.Ld.~D.O.~ .......................................................... , ........................................... 3. Nature of work (check which applicable): New Building ....... : .......... Addlbon .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost .... ~c~.{]Q,.fl{) ........................................ Fee ....... ?.ii..0.:..0..0. ...................................................................... (to be prod on filing this application) 5. If dwelhng, 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 D~mensions of ex~sting structures, if any: Front 20~ Rear 20~ Depth Hmght ! 2 ' 0" Number of Stories '~ne D~mens~ons of same structure with alterahons or additions: Front 3G~ Rear 36' .............................. 12'0" Depth 24' Height .............................. Number of Stories ........ .q..n..e. .......................... 8. Dimensions of entire new construction: Front 16' Rear 16' Depth ?4' Height ...... !~.'. ................. Number of Stories ........ ~.n..e. .............. 9. Size of lot: Front 340 Rear :360 Depth 2.50' 10. Date of Purchase 1950 ........................................................ ixlame of Former Owner ...z..i..s..h..e.r.~..J..s.].~.P..d....E..s..lfl.+,.~.~ ......... i I. Zone or use district in which premises are s~tuated.....$..e.%i..d..e..~..t....~J ...................................................................... 12 Does proposed construction wolate any zoning law, ordinance or regulation? ........ 9. ........................................... ~. L. Robinson --- -~ishers Islar~d~ f.Y. 13. Name of Owner of premises ........................................ ^aaress ........................................... Phone No. 58? Name of Architect ................ F.,;.o.p..e. .............................. Address ............................................ I~hone No .................... Nome of Contractor 4, ~ohn g. adfl ............... Address .r..~.~.b.e,.r.s...J.s.).a,qf~..F..^,.^... Phone No...232 ........... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensmons fron property hnes. Give street and block numbers or description according to deed, and show street names and indicat whether mnterior or corner lot. STATE OF NEW~IYORK,~, COUNTY OF ~.: .......... ~...~ ......................................... being duly sworn, deposes and says that he is the applica, '~;'i'~ ~a~m( ~';.m~: tis i :~ ':i.d. ~~n '~'' ~'1 iz~.~z-'¢.~.~¢~¢,¢-~..w.~'..°.~! .............................................................................................................. (Contractor, agent, co~orate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and fi this apphcotion; that all statements contained in this application are true to the best of his knowledge and belie and that the work w~ll be performed in the manner set forth in the application filed therewith. Sworn to he.re me this ~ .......... &.¢ .... do, ...................... :..., ' a~ ~ t .............. ;' - ..................................... / v / i ; ) /