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Home My WebLink About2599-zZ~RM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. APPLICATION FOR BUILDING PERMIT Date December 4th, 1964 ............................................................ , 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. Suc)/ 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 whale or in pa rt i~or any purpose whatever until a Certificate of Occupanc~ shall I1~ be,an granted by the Building Inspector. RegulUs, for the construchon ~ b~gs, a~on~o~6~er~n~6~r ~o~F8r ~on, as harem described. The ~l~cant agrees to comply with all applicable laws, ordinanc~ buS, code and regulations, (Signature of appli~nt~ oFname, if a corporation) Wm. ~hr. .......... ............................... (Addre~ of applicant) Stat~h¢ther applicant is owner, lessee, aoent, architect, engineer, general contractor, el~trician, plumber or builder. If o~[~ ,s o corporate, s,gnoture of dul~d-~fflcer. (Nome and title of corporate officer) 1. Location of land on which pr~osed work will be done. Map No: ..~.~Z.~, ................................ Lot No:~]...~...~ ..... Street and Number Capt Kidd Estates, Mattituck, N.Y. 2. Store exJstin~ use ~.d ~cup~.cy of premises and intended use ~nd ~cup~ncy of proposed c. Existin~ use end ~cupcmcy ~.~ ..... b. [.temded use end occupemcy ........ meai~an~ial .............................................................................................. 3. Nature of work (check which applicable): New Building ....X. ........... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ...................... .$..1..Q_~.(~.QQ., ................... Fee ........... .$. .1. .0. . ... Q.Q ................................................................ (to be paid on filing this application) $. If dwelling, number of dwelling units ........ ~n~ ............ Number of dwelling units on each floor ............................ If garage, number of cars ........................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth ............................ Height ............................ Number of Stories ............................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ........... ,3~. ............ Rear ....... L....3~ .......... Depth ........ 2,8 ................ Height ............................ Number of Stories ...... oz[e ............... 9. Size of lot: Front ...... .7..7.. ~. .8..$. .......... Rear ....... Z~5.,.~.0. ......... Depth ....... 22.Q,.7. ZE~.s.t. line 260.32 West ~.ir 10. Date of Purchase .................. .S...e.p.~....2.,2..~....1..?.~..h: ...... Name of Former Owner ...... ~aw.Q..~s~a~.es ..................... 11. Zone or use district in which premises are situated ............... ~a.tt~,t~ck.,...~,~. .............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation.> .....q.o. ............................................. 13. Name of Owner of premises ...w...~,~.c.[t~.3,4~r. ........ Address ..1.8.9..~oadb. ul.[..A~E,... Phone No..~..A....~7.;2...3..]r..7 £ Rlverhead, N.Y. ~ ,~-~q/,,~, _ ~ · ~t~ ' '- Dot ~ c, ~/ Nome of Arch~tec QD, tr~.c.l~or~s...pla~'t~t, ........... (;Address;C~.{ ............................... Z..../... Phone No.../~ ................. Nome of Contractor1%....TL~...~t~..~..~,..lj~fl,~..c=.Qr.~.3Address( ..R.~.,..5.8.,...C~al.v.e~-.to~. Phone 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. Interior lot, bounded southwesterly by Sound Beach Drive, part of lot 63 and all of lot #6~-Map #1672 -Capt. Kidd Estates, Mattituck, N.Y. STATE OF N~ YORK, COUN~ OF .~.~f~olk ............. Wilhelm ~h~ be ng duly sworn, deposes ond seys that he is the applicant (N~me of individuol signing opplicetion) obove ~med. He is the ......................................................................................................................................................... (Contractor, ~gent, corporate officer, etc.) ~pOWner~ end is duly euthorized to perform or here performed the s~id work and to meke ~nd file licetion; thet ell stetements contoined in this opplic~tion ore true to the best of his knowledge end belief; and thet the work will be performed in the manner set fo~h in the' oppli[~tion filed therewith. ........... ........ ~-~~~ ............ ~.~ ......................................................................... Suffolk Coun~ FOEM 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? 2599 z Date ................ ,[htl~elabe~.....~/. ................ , 19.(3~.. Permission is hereby granted to: ..,~.. ~_h~ .......................................................... at premises located at .... [~o~..(l~.-&..l~.,(~]--*..l~.oek:..~ .... ~l~.~,~l~.U..[l~tl~te! ............... ................... · ............................. ~,ea....a~t. ~.. :r~, .......................................................... ............................................................. ~t~tt~ .......................................................................... .7. pursuant to application dated (llal311~e(~) ....... Z)~I;~F..~ ...... 19~..., and approved by the Fee $~1,0.~.00 ...........