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Home My WebLink About3294-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. y. BUILDING PERMIT L (THIS PERMIT MUST BE KEPT ON THE PREMISES UNT1-L FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ............. i_ah_~_.ZLe~Ll~o ........................ i .......... to . ~aJ.L~t ..z~m...pz~.~at~e.. 5m ~,~lje; ............................................................................................. at premises located at ..... ~j~tJ.,.-~JkJ~Jl~.-JJllJ~ .................................................................................... ............................................... J JJ .. jJJXlul~pO~t .. J.t~, .................................................................... pursuc~t to application dated ........................... ~,~J~J~ ...... .J~J..., 19.~j~., and approved by the Building Inspector. Fee $..~[~.(~. ........... ui ding nspector ( ,~ '" BUILDING DEPARTM~ ~'~ ~t ~ ~ - ~ ~ ........................................ , 19 ........ Pe~it No ................................ ,~ ~ Di~pproveda/c ......... ~ .........~ .......... ¢/ ......... ~ . :~ ~ .~_ ~ _ ~ ............................ ....... ...... ............. ~/~ ~ ~ ~Z~ ~PPLICATI~ FO~ BUILDING PE~IT a. This application must be completely fill~ in by ~ewriter or in ink and submi~ed in d~lica~ to the Building Ins~tor. b. PI~ pian. s~ I~aflon of lot and of buildings on premises, relationshipYo adjoining premiss or public st~ts or a~s, and gi~ a detail~ description of Io~t of pr~e~must be drawn ~ the diagram which is ~ ~ this ~licati~. c. ~e ~rk covered by this applicati~ may not be commenced before i~uaKe of Buildi~ Pe~)) d. Up~ a~raval of this application, ~e Building Ink,tar will isle a Building Pe~it ~ ~ ~licant. Such permit s~ll ~ kept on the premises avail~le )or in~tion th~ghout the p~mss of the ~ e. No building shall be ~capied or u~ in whole or in ~ for any pu~ose whatever until a ~ific~e of ~cu~ncy shall have ~dn granted by the Building In~ector. 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 de~cribed, The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a cOrporOtion) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner- Builder Name of owner of premises John Ricaoito tf 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. Map No: ............. ~.i ..................... Lot No: ....... ~ ..... Street and Nugl_~r ..... S~..~....~ tn..P~oad.....~,=e~npo.l:t;.,...H,y,, ...................... : .............................. , ...... [ ....... Z./'~, ~ ~) j Municipality State existing use and occupancy of premises and intended use and bccupancy of proposed construction: a. Existing use and occupancy .......~:e]&;Lo.g ............................................................................. , ~ .......... i~, b. Intended use and occupancy ...........,~,~, .~.~.th ~.r./.v~t.e.. g~r&ge ............... 10. 11. 12. 13. Locate clearly and distinctly oil buildings, whether property lines. Give street and block numbers or descr whether interior or corner lot. Nature of work (check which applicable): New'Building ....~ ....... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... Estimated Cost ....... 3, ~.~0..~./.~ ............................... Fee ........ ~. ............................................................................... (to be paid on filing this application) If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ........................................................................................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ Dimensions of existing structures, if any: Front ..........................Rear .......................... Depth ............................ Heigl~t ........................... Number of Stories ............................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height ............................ Number of Stories .................. : ..................... Dimensions of entire new co'ns~ruction: Front ..... ~,8 .................. Rear .....~ .................. Depth ..~ ..................... Height ............................ Number of Stories ~ .................... Size of lot: Front ...'l.:t~) ................. Rear ............................ Depth ......~.~3~ .................. Date of Purchase ........................................................ Name of Former Owner ~. ...................................................... Zone or use district in which premises are situated ....... .~C......t.t~,!!..~. ......................................................... Does prpposed construction violate any zoning Iow, ordinance or regulation? ........ ZX~ ........................................ Name of Owner of premises .~:D~..~TL.(~&p['GO ....... Address ........ ~ez~p'o~t~ ............. Phone No ..................... Name of Architect ..................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM existing or proposed, and indicate all set-back dimensions fram tion according to deed, and show street names and indicate · STATE OF NEW YORK, ~ S.S. COUNTY OF ;..~13.C~c~1c ........... ........ ;: ........ ~, .(~....~,~.~'~Pee ....... '.- .................. ; ........ being duly ~orn~ d~ and ~ys that he is t~ app~ic~t ~mame or ina v aual s~gn ng appl cdt on] above ~med. He is the .................... ~ ......................... ~.~ ......................................................................................... : .... (Contractor, agent, co~mte officer, ~c.) of ~id owner or ownem, and is du.ly authorize, to p~rform' or~ have ~fformed ~he, ~d ~o~ ~nd ~o .~ke ~qd .~il~ this application; that al state~nts c~tain~ In th s a~ph~l~_are t~e ~o t~ ~ at ~.~s Kn~m~e aha ' and that the work will be peHo~ n the manner ~t tach in the app,cahon ~l~ tne~itn. ' Sworn to ~fore me this ', ~ . ~ Nota~ Public ~~ ~~un~ ~ (Signature ~ applicant) NOTARY ~ ~ u~lk County