The URL can be used to link to this page

Home My WebLink About3948-z FOILM NO. l 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? 3948 Z Permission is hereby granted to: ...J~J~.....1.~(~ ........................................................ ......... lJ~l~n~ ....... I.Xo ................................... to . .~... :g ~,,J,'~...~. :.'~ ...0.~...~.~k 3. ~-~.. IJJlJ~ ~- ~.'J,ll~ ............................................................................. at premises located at ..........ll~j~..~kl~'~..~l~..JdJ, ............................................................................. .............................................. ~I~1,1~I~ ...... ileX,. ........................................................................... pursuan¢ to application doted ................................ ~.1;~. ....... ~. ........ , 19..l~J~.., and approved by the Building Inspector. Fee $..~,~0 .......... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLiRK'S OFFICE . SOUTHOLD, N. Y. Examined .................... ' Approved ........................................ , 19 ........ Permit No ............................. Disapproved a/c ........ ~ ............ Application NO ...... APPLICATION FOR BUiLDiNG PERMIT ............ ...................................... 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 showin~ 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 property must be drawn on the diagram which is port of this application. c. The work covered by this apptication 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, housing code, and regulations. ;;;;tur'-;';;:F";~;ii;;mt, or na'-"'"'"""r~:'ilF'a"~;;;~)orotio'"'"'"r;i' ........ .Y., /-/~ ,,//'C /'/, / · ..... ............................... Y.. ......................... -- (Address of applicant) . State whether a~r~dnl~,s owner, lessee, agent, architect, engin'eer, general contractor, electrician, plumber or builder. ............................................... · ....... ................................................................. Nam~e./~f owner of Rremi~s ............ .-~..~. .................................................................................................................................. If ap~ ~oro~ duly authorized officer. (Name and title of corporate officer) 0/./~ ,~'"~ ~ .g-.~ I. Location of land on which proposed work wm I~e aone. ARap No.: 7 ........................................ Lot No.: ........................ Street and Number ..................................................................................................................................................... Municipality ~/o~/z- . State existing use and oocuponcy of premtses aha intended use and occuponcy of proposed construction: a. Existing use and occupancy ..... .,~....,~....,.~.. ........ , _~., ..D...~.., .~...~.,, .................................................................................. b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building ..... ~ ......... Addition .................. Alteration .................. Repair ............ :.Z:~' Removal .................. Demolition ............... :.~Other Work (Describe) ........................................ 4. Estmated Cost' r~.~.O0 Fee ..'~.~.O*~° (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... .O...~../~... ......... Number of dwelling units on each floor .....?....~...'~'.. ............. If garage, number of ca:rs ........~..J~.~.. ............................................................................................................ ~ .............. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of e>~isting structures, f any Front Rear ........ Depth Height ......~... ............. Number of Stories ..... ~ .................................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ............. 8. D mens ons,of ent re new construct an Front . .~...O...% ............ Rear ...~...O...~ ..~.. .......... Depth ....~..?.. ............... ht /~ ~ ' He g .................. Number of Stones ..... .~. ........... ~. ................................................................................................. 9. Size of lot: Front ..... L.O...?../. ........... Rear .....~ .~.~...~...'~.. .................. Depth ..../..~..~.:.:.~..~...~...-../..O ~ & f/' 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... /~....O.. .......................................... 13. Name of Owner of premise ................................... ress ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..~.~..~...~../~.../../.~....~...~.../...~....~./~.....~....~/A~ddress ~.~s,~...,(./~...)~/~..~./~..~./..(.. Phone No?.~..(.?...~...~....~...O 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW~¥'OI~K/) ~ J ,-. ,-. , - COUNTY. OF~...$ "'~' g ' above named. He is the ..... ~.~ ............................................................................................... ; ..................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rn~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application' filed therewith. Sworn to before me this Noary Public, ~l~~oun~ ~~"~l~,,cant) ............................ \ × ) rf ~- (, ~1,11 17. t4 TI,'/',, N 32° LANDS CONVEYED TO JULIUS ZEBROSKi BY DEED RECORDED IN LIBER' 3[76 PAGE NOW OR FORMERLY SPENCER PETTY TFr 23~ 40/' W S 30° 40' 00' E 108.'64' 29~ 0 i4 3.09" FORMERLY JOHNSTOr~ NOW F K1ERNAN THURN REVISED 9 - 18-67 S-206097 GU,~ INTER-COUNTY TITLE GUARANTY & MORTGAGE CO, MAP OF LAND LOCATED AT MATTITUCK THOMAS & NORMA MULGANNON GEO .