HomeMy WebLinkAbout2585-z FORM 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.O 2585 Z Date ......................... JjO1~lll~Je~..... ,~.7......, 19..6.~.
Permission is hereby granted to:
........ · V. ie te~...,T.,...Ges ~e.l.l.z~ ...........................
.................. l~a.t t.i. tuel~ ........................................
to ...Bu~.l.d...new..erm...£am~.t~,..&wel. t4.n~ ...................................................................................
ct premises located at ..... .Le.t,.....~?.t. ....... Gr'~'rtU~h$'t'l' ...................................................................
................................................ N/~....~,th....8.t j ............... .LmueeJ .......................................................
pursuant to application doted ................................ NO'I~I~II~I~.....J..~, 19.(3~.., and approved by the
Building Inspector
Fee $.30, OO ..........
· ,v Building Inspector J
NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
(owner or authorized agent of owner)
...~[f~l~ ..... ~.t~.e. ..........................................
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
Other Applicable Laws, Ordinances or Regulations ..........................................
at premmes hereinafter described in that J~..~!~:t8J_t~..~ermtl:..~l.s~=e~L..to~a~...e~e~L ......... (state character of violation)
PP..~....~.~.~d~l~...(~>.ee...r~o./:.. ~e.e ~;..J~'l(~c~.. ~:.e.~..r e,ct~.~e=~. .....................................
in violet,on of ~A~Z~e~chJ`e~2~3~Ar~1;~Z~ea~~m~n~.~.~.~inan~e
(State section or paragraph of applicable law, ordinance or regulation~o~rt,t of 8outhotd
YOU ARE THEREFORE DIRECTED AND ORDERED to comply w~th the law and to remedy the
cond~hons above mentioned forthwith in or before the .............. ~l.~t,~ .............................................
day of ................. ~ r. ct]:t. .......................... 19~....
The premises to wh,ch this ORDER TO REMEDY VIOLATION refers are situated at ~/¢~
..~..~.*.?,.~.....~..~.t.....~.'~..~.~ ........................................ County of Suffolk, New York.
Io~. Ma,.of ~.I~Tu~h~ll & other~, Laurel, N.Y, filed in County Clerk'
Failure to remedy the conditions atoresaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
FORi~I NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved .................................... , 19 .....Permit No
Application No .'--~.....~.CCLZ.....~.....
APPLICATION FOR BUILDING PERMIT
............ .,,
INSTRUCTIONS
a This apphcat~on must be completely filled m by typewriter or in mk and submitted in duphcate to the Build~
Inspector.
b. Plot plan showing location of lot and of buHd,ngs on premises, relationship to adlo~ning premises or pubhc streets
areas, and gwmg a detaded description of layout of property must be drawn on the d~agram which ~s part of th,s apphcat~
c. The work covered by this apphcation 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 Su
permit shall be kept on the premises available for inspection throughout the progress of the work.
e No budding shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupar
shall have been granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances
Regulations, for the construction of buildings, additions or alteratlons/~or for removal or demolition, as herein descnb~
The apphcant agrees to comply with all applicable laws, ordina, gc..e~' and regvi'~/tlons /'~ ~
.... ...................
(Address of apphcant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build:
Name of owner of premises ..... V~..°.~..°.~...~.:...~9..s~el~ .........................................................................
If apphcant ~s a corporate, s~gnature of duly authorized officer
(Name and title of corporate officer)
^~_ (Geoz~e
1 Locat,on of land on which proposed work w,II be done Map No ~?.t: ...... ~,...~g.~g,!-..~l.)Lot No ....~..7. .....
Street and Number...~.~...'919...~.e.e...~...o?..f'. ~:r?~r..&-g.eg~e .................................. ; .................
Munic~pahty
2 State existing use and occupancy of premises and ~ntended use and occupancy oF proposed construction
a Existing use and occupancy ...... .v..~. q§~. 'I~Dcl ..........................................................................
b Intended use and occupancy ..0.g.~ ,~$~..~l.~¥e.~L].~f. rl~ .....................................................................
3. Nature of work (check which applicable) New Building .....~ .......... Addmon ................. AIterat~on .............
Repair .................... Removal ................... Demolmon .................. Other Work (Describe) .......................
4 Estimated Cost ...~.~.?.9...~...~..8...0..0..0.. ........................Fee ...
(to be prod on fihng th~s apphcation)
5 If dwelhng, number of dwelhng umts . .o.~..~ ...... Number of dwelhng umts on each floor .... .O~ ............
If garage, number of cars ....... q.~.~ ............................................................................................
6 If bus~ness, commercial or mixed occupancy, specify nature.and extent of each type of use ...~./.~ ................
7 Dimensions of ex~stmg structures, if any Front .~./.~. ........ Rear ..................... Depth ......................
Height ......................... Number of Stones ................................ ~1'/~'"";- ...................... I~; ..............................
D~mens~ons of same structure w~th alterations or additions Front ................................................
Depth ............................ Height .............................. Number of Stories ......................................
8 D,mensions of entire new construction Front ..~.~.~.~ ............... Rear .... .~..~. .............. Depth .... ~...~.'. ..............
Height ..~..0..-..~..]:.. ............. Number of Stones ..]:.....3-/..~ ............
9 Size of lot: Front ...?.~...~.. ................ Rear..?.5.?.. ..... Depth ..]..~...0....~.. ....................
10 Date of Purchase 0o¢obez' 9~ '1964 Name of Former Owner ~eELen T~bt~se
11 Zone or use &strict m which prem,ses are s,tuated.. ~'
12 Does proposed construction violate any zoning law, ordinance or regulat,on~..°~.....e.?..J:.~.~?..~....b..e...~..°?..?...~.°.i
13 Name of Owner of premises ...~..~.o...~.....3'....~.o...~..e.]-$.t~ddress .?.~..~ .~.~-~9..¥. .............. Phone No ]~....-.?..-...8.~.
PLOT DIAGRAM
Locate clearly and d~stmctly all bud&ngs, whether ex~stmg or proposed, and red,cate all set-back d,mensions fr,
property bnes Gwe street and block numbers or description according to deed, and show street names and md~cr
whether interior or corner lot.
S I XT/--I
STATE OF NEW YORK, )
COUNTY OF$ t .lt .... ) s s
......... ............................. b~,~ duly sworn, deposes ond soys thor he ,s the eppli,
(Neme of mdiwdu~l signing opphcot~on)
obove nemed He ~s lhe ......................................................................................................................
(Controctor, ogent, corporate officer, etc.)
~ owner or owners, ond ~s duly outhonzed to perform or have performed the smd work end to moke ond
this opphcot~on; thor oll statements contmned m this opplic~tion ore true to the best of his knowledge end be
ond thor the work wdl be performed m the monner set forth In the ~hcotion filed~herew~th
Sworn to before me this ~//
................................. ............. o, ......................