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Home My WebLink About2636-z?OWN OF SOUT.OL '/ 7/70 BUILDING DEPARTMENT . /-n4 ,~ ! "~/ ~ "~, ~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR /~ INSTRUCTIONS ~ a. This application must be completely filled in by ~ewriter 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 stFeets or areas, and giving a detailed ~scription of layout of prope~y must be drawn on the diagram which is ~ 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 ~rmit shall be kept on the premises available for inspection throughout the pr~r~s of the work. e. No building s~lJ be occupied or used in whole or in pa~ for any purpose whatever until a Ce~ificate of ~cupancy shall have been granted by the Building Insp~tor. ~ ~ APPLI~TION IS HEREBY ~DE to the Building Department ~or the ~u~¢~ of a Building Permit pu~uant to lhe Building Zone Ordinance of the Town of Southold, Suffolk CounW, New York, and other applicable Laws, Ordi~nces 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 uilding c~e and r~ulations. ~ .... ..................................... / (S~ i~nature of applicant, or name, if a~oration) '~~~see, agent, a~hitect, engin.r, general contractor, electrician, plumber or builder-- Name of owner of premises .............................................................................. 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, Mop No.: ........................................ Lot No.: ........................ Street and Number ................................................ '"'-- ' ".~.,~....~'...~ ........ ~~..~.. 2. State existing use and occupancy of premises and intenc~d use and occupancy of proposed construction: o. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building .... ~.. ........... Addition .................. Alteration .................. Repar ............... Removal ................ Demolition .................... Other Work (Describe) .................. i ................... 4. Estimated Cost ......... '~......~).QQ.O. ................................... Fee .................................................................... ./. ................... (to be paid on filing this applicatiqY~) 5. if dwelling, number of dwelling units ....1. ....................... Number of dwelling units on each floor ............................ If garage, number of cars ...... ~l~...~l~J~l~ ............................................................................................................... 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 ....~... ..................... ight b f St ~' He............~-- ...... .......... Num er o aries ............................................................................................................... Dimensions of same structure with alterations or additions: Front ....,~m-~.... ..................... Rear ........-~T... ..................... ~ Number of Stories ~ Depth .............................. Height ...................................................................... 8. Dimensions of entire new construction: Front 2Zt Rear 24 Depth ......... ~'~ .............. Height .....9. ..................... Number of Stories ....1.~e .................... 9. Size of lot: Front ........ 5.Q..t. ............. Rear ......... {~.~. .............. Depth .....1..~g..~ ................... 10. Date of Purchase .....C..o...~.t;...~..e,..9..~...¥..~..~..d...e..e. ................ Name of Former Owner ..g.~.:T..[..s..~..~..~....S..~.~.~.s..9.~ ........... 11. Zone or use district Jn which premises are situated ...... ~ .................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....~TO ............................................. 13. Name of Owner of premises ........................................ Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................ ................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... 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. STATE OF NEW ~. / ~ ¢ COUNTY OF ............. ~'~' ........... .~T.j~,t~,.~ ~.l~]~t~e:~. ................................................. be' g duly sworn, deposes and says that he is th~ applicant (Name of individual signing application) above ~med. He is the ....... ~ ...................................................................................................................................... (Contractor, agent, co~orate officer, etc.) of said owner or owne~, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the a~lication filed therewith TH ~n~'~,, u~vJ~ R. COSTELLO Sworn to befo[e me this ~ ~ "~'~Y PUBLIC, St to of N~W York ' ' ~ No. 52.07752~0 Nota~ Public, ~.~~....~County / (Signature of applicant) FO~lVI 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) No. 2636 z Permission is hereby granted to: Thos. Cos%e~[~lo A/C ~.L.Turner ..~.. ~..~z..~.~.~ ................................................................................................. puts ant to apphcation dated ........................................................... , 1 ........ , and approved by the Building Inspector Fee $ ~.0.....~ ........... TOWN OF SOUTHOLD BUILDING DEPARTI~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. 'ir. NOTICE OF DISAPPROVAL File .No ................. .............. Date .. To "~ho~t,, .CO.S~.].lo Atty',.r. ~C..~s L, T~ner ...... g~erhe~., N.~. ................. PLEASE T~ NOTICE that your application dated ~Y- 2~ - 19 ~.~ ~or permit to construct . d~ell~ at thc pr~m]ses located at .... ~i~fl~..~.. · ..(~.T.. R,0,W ~ ...................... Street So~thold~ returnea herewith and disapproved on the followinf, ground .... (]~tt ~) ~t III s~. 3~ .~0~ ~ ~l~i~ plan~ .. ~ee.,f~ ..De~m!i.. ~ .10,.00 .................................................... NO~ Sldey~ds & rear y~ds Building Inspector THOMAS R COSTELLO ATTORNEY AND COUNSELOR AT LAW 455 GRIFFING AVENUE P O BOX 295 PARk 7-1090 - 3284 Building Inspector Building Department Town Clerk's Office Southold,New York January 23rd,1965 Dear Sir, In accordance with your telephone instructions of last week I am enclosing an application for permission to build a dwelling on the premises described in said application for my client,James L.Turner, contract vendee from the Christian Simonsen Estate for which the Zoning Board of Appeals granted the said Estate a variance on December 17th,1964 under appeal No 728. Will you kindly advise me of the amount of the filing fee in order that I may forward you my check for same. Thank you for your courtesy and attention in thismatter. Very truly yours, THOMAS R.Oos~ello TOWN OF .qOUTI-rOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. NOTICE OF DISAPPROVAL File No .................... Date To ....... .J.~?e~..I,. ~.~rner ............. .............. 21 .F~the~ La .......... PLEASE TAKE NOTICE that your application dated .. ' for permit to ~X~(K. renew .Dermis at thc premises located at ...... ~.,~ . ....... 6o'o~'"piiy Istates ............................. Street 8outho!d ~ N.Y. Map ................ Block .............. Lot ........................ is returned herewith and disapproved on the followin,~ ground~ . ~l~pllca~iblt 'i~' ',','" '