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Home My WebLink About2418-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? 2418 z Dote .................... Jl~l~e ....... 6 .................... , 19..~. Permission is hereby granted to: Don~l..&.i,~u~&....~d~ ................................ ................ l~l~r~...$sl~4 .............................. to ....t.o.. btttlrl .. ~ew...one.. £aml~... dwe;I. :lJ,ng. ............................................................................ ct premises Iocoted ot .......... JJl~l~l. Oll..~Se..l~t,¥~ ...................................................................... ........................................................ ~,ahsa'.s...l~la~d ........................................................................ pursuant to application dated ............................. ~l'lllle ......... ~ .......... 19~1..., and approved by the Building Inspector Fee $...10..00 ......... .... ~~"~r..~.~..~.~.......~..`..~~.....m~.......~.~..~.f....~~.~~.~.~.......Building Inspector NO. I TOWN OF SOUTHOID · BUILDIING DEPARTMENT 'rOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. ~...i.~.J.~.,-~..; ........... Approved ........................................ , 19 ........ Permit No ................................. Disapp roved a/c :~!~,.~../~. ................ ..................... / ................................. · (Buildin~ Insp'~i APPI. ICATION FOI~ BUILDING Date .................... J~e..;~.~ .......................... , 19.-.6-..~. ..... 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. 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 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 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, building code and regulations. (Signature of applicant, or name, if a corpora¢ion) Fishers Island, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER ...................................................................................................... ra ~. wa ds Nome of owner of premises ...... ..D.9.g,$;~...S.~..9~g~d..~[~f~'.~'. ............ ..E~. :...~. ..................................................................................... If applicant is a corporate, signature of duly authorized office'S. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... · ' i Island New York Street and Number ..... [W~p,~;I,QD [JgD~.~ .]),~,$.V.$.~....~'. ~.~t~.E~. .............. ~ ................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed. , .c°nstructi°n: Vacant Land o. Existing use and occupancy .............................................................................................................. ~ .................... , b. Intended use and occupancy Re~;~deng.e. ............................... property lines. Give street and block whether interior or corner lot. 3. Nafure of work (check which applicable): New Building .... ~ ........... Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................. 4. Estimated Cost ............. $,7k3~j.0.QO.~ ............................... Fee ........... $,1~0..,.0..0 ................................................................ (to be paid on filing this application) 5. If dwelling, nu.mber of dwelling units ....... .0..n.~ ............... Number of dwelling units on each floor ........................ If g'arage, number of cars ....................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, Jf any: Front .......................... Rear .......................... Depth ........................ Height ............................ Number of Stories ........................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ............................ Depth .............................. Height .............................. Number of Stories ........................................ 8. DiMensions of entire new construction: Front ..... 32,!.-~! ........... Rear ....~.~..!..-..8.'J ............ Depth Height ........ ~.0..?.t,., ........ Number of Stories ..... .~ .................. 9. Siz~ of lot: Front ...g.5.~,..~.t.^ ........... Rear .~.$.~....f.~.t ............. Depth ....... ~,]:..~.t..,. ........... 10. Date of Purchase ..~.~.~'.~ ./~.......~'..,~.~..~.. ................. Name of Former Owner ...W.e..8..t.....~...d.....~,...n...d....0..°.:.,,....l.~9.t... 11. Zone or use district in which premises are situated .............. ~.e..~.J,~.~p,~.~j}~ ......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~9 ..................................... · , y ..7..8..8..-.7..6..1. 13. Name of Owner of prern~sesg.,8.,~T~,~,..~l.w~.~ ....... Address ..l?..;t,~Ib,.~e~..~.,~..~.,..., ........ Phone No. ' Architect Grossman Sons Name of ...................................................... ~aaress ~az, s~.~.owo..~..~omz, ............ Phone No. ~ ~Pre-cut ~ome) Name of Contractor ....... S~i~ ..................................... Address ............................................ Phone No ................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr( according to deed, and show street names and indic( STATE OF NEW YORK, / S.S. COUNTY OF ....... $~0L[¢ ..........~ ............. i..~Jon~il~..~,..~l,a~;l~ .......................................... being duly sworn, deposes and says that he is the applicc (Name of individuo signing app cat on) above named. He is the ...................... O~'ze~'...m..bg. i34:l.~l~. ................................................................................................ (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 ~ this application; that a I statements contained in this application are true to the best of his knowledge and bali and that ripe work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .......... .2...n,.d.! ........... day of ...... ,~,g~ .............................. , 19.~,... ~/,~f'-~ ~.~,,,~ ./~ ~..,~/~~~. Ju~-~'~ J~ee~ o:'~t~ c~c~ t' /~. ~t~. ................. __~,, ._~ ......... : .......... 8u~£elk Coun y ..... ~ i~noture of applicant,