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Home My WebLink About2424-z FORM 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 ^UTHORIZED) N? 2~24 z Date June Ii?. 19....(~.... Permission is hereby granted to: l~ra. Wllliaa MacLeish ....]....°Z:..~.~ ....... ~9.~h..fi.t. ......................................... ....... .~....L,.....c..!..t.~ ....t ~....~,.L ........................... Build new one fami,.l~, dwell~ pursuant to application dated ................................. A.,?..~..~...]:......~...~. ...... 19....~...., and approved by the Building Inspector JJ'O~]~l Variance Grated by~ appeal J~e ~ 196~ the ~ weeter~ aide y~d not to ~ less t~ lOftt tot~ side y~dl not Fee $ .. ~.9~.~. ......... .......................... ~;ii~f;j'i~;~;J;7 ....................... FOEM ~NO. 1 TOWN OF SOUTNOLD BUILDING~ .D.EPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This applicafion 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 o detailed description of layout of property must be drawn on thediagram 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. Such 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 pa rt for any purpose whatever until a Certificate of Occup&ncy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department ~or the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and reg~Jations. _J . ' ~[rs. ~a. ~[aoLeleh (Signature of applicant, or nome, if o corporation) 50-25 4gth ~t. Long Island City 5, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owl~ler Name of owner of premises ...... ~.]~.tl.,.....l~f~.,....~..l~.~.~.~..t..8..h.. ................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. (Subd!vi s ion ~ap, Se ct ion One,,LaurM1 property:of Geo.l. Tuthtll and others) Location of land on which proposed work will be done. Map No[ .8.~.]:.. ............................ ::...*:;. Lot-No: .~.0...0. ............ Street and Number ..................... .~..?..~.Z....A..v..e...~.~..e.! ........ !.~.~.t..~.~..o..~..!....L..,...Z..: .......................... : ...... .. ........................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... Z4xt...~lOO.,....v&o-~t,~...tAz~¢~,~,p4Le~l. ......................................................... occu,~anc,, wish to btltlrl ~,.~. [~ar rollIl'l h~t~le o~1 Let O0 b. Intended use and ,, .......................................................................................... ~ ........................ ~a~all summer cottage on Lot / 3. Nature of work (check which applicable): New Building ....:.~......... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..... .~. .1..4.. ~. .0.. .0..0. ...................................... Fee ........... ~..5....,0...0. ................................................................... on Lo~; ~100 (to be paid on filing this application) 5. If dwelling/, number of dwelling units ........QR~ ............... Number of dwelling unitS on each floor ..... D~I~ ................ If garage, number of cars ............................................................................................................................................. 6. If busir[ess, commerc a or m xed OCC~uDancy, specify nature and extent of each type of use ...... on Lot ~99, .......................... 7. Dimensions of ex st ng structures, f any/Front..~2..f.t,~ ........ Rear ....~..,,f'.~., ........ Depth ...2...8....~..~.t .............. Height .1..5..~ .................... Number of Stories ...... .o.b.e. ................................................................................................ Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ ~ 30 ' 40 ' 8. Dimensions of entire new construction: Fmnt...~.O ......................... Rear ............................ Depth ............................ Height ..... .~..O..' .............. .... Number of Stories ....... ..o..~...e. ................... 9. Size of lot: Front ....~.;~.6~ ................. Rear ....1..2...~.....1...5. ........... Depth ...~..°...'..~..l..~.e....1...~..0..~..~.....~..°.· Si. de ]. ?0 o 2~ 10. Date of Purchase .....J..~.]:~'....'J:.?..~...6. .............................. Name of Former Owner ...G..e..o..~;..e.....I.:..~...u..~..~.~.l...1. ................ 11. Zone or use district in which premises are stuoted rest4e~t,i~[ . 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ..~'..?.: ......................................... · 13. Nome of Owner of premisesli.r.a...l~lL,,1)i.&CL.~J[llll...Address ..;}J~..-..~.,~...~i~.~);)..~.~,... Phone mo ................... ,,. L.Z.C.:5,N.Y. ' ........ Name of Architect ..~.e...~..e.....H..9..~.~..o..~.. .................... Address ..~m..~u,~f~.]:~ ............... Phone No ..................... # It e Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propesed,'and indicate all set-back dimensions from praperl~/ 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 ..llew...~r~, ...... ) S.S. · - ' cJeposes and says that.~s the applicant ................................................................................................. De ng duly sworn, (Norr~ of individual Signing application) above ~ ow~er named. J-C-els the ......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to j~erform or have performed the said work and to make and file this application; that all statements contained in th~s appli_c, ation are true to the best of his knowledge and belief; and that the work will be performed inthe manner 'set foJ:th' in the appli.cation filed therewith. Sworn to befor~me this ~ ~ 6'' ' a.r , ......... ....... . o, 4 32 ............................. 1' '".' .......... ',~' '"~,' ....... : ..................................... Public, ~:~',~County (Signature of Notary opphcont)