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HomeMy WebLinkAbout3994-z TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT ~jv- (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ,.. ~lJq:lS'J ~J~ 19....~.... N.° 3994 Z ~o,. ......................................... ~ .............. , Permission is hereby granted to: .............. 3~.....~w:'J,~......*.~ ...................... ..... MI.MAMmJ..IJaI~ ......... Z, eZ,t.~.,Z~ ....... to 11~.. m..mL~l,t...~.e;g,la~ ................................................................................... at premises located at ............. .{JJ~.....JJ~l~J~...~g~L~.lJ~JJ ................................................................. ................................... ~ ...... Ii.Z, ........................................................................................... pursuan¢ to application dated ......................... &~J~l~. ...... .$6 ....... , 19..j~j,, and approv~:l by the Building Inspector. Fee S.~.*~. ........... lrt~atM' ~'O. Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No. ~ Disapproved a/c~ ........................................... (Building ITector) 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 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 property must 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, housing code, and regulations. ]~~e, if a corporation) ........ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~l.lJl~.....;;..~....[ ........ ;:.....~.~ ..................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) r 3.,3.896 1. Location of land on which prol~sed work will be done· Map No.:k~..~,.~.. '* ~ ' ~ ' ....... ..... Stre~ and Number ..~.~...~~.~>~.~.~ .................................................. Munici~li~ 2. State existing u~ and ~cupancy of premises and intend~se an~ ~cu~ncy of pr~ construction: o. Existing use and ~cu~ncy ............... ~..~.....~.~ .................................................... b. intended use and ~cupancy ...... .~~..: ................. ~.~.~ ......................................................................... 3. Nature of work (check which applicable): New Building ....~[,,..~~ ..... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition ............ ::..;. Other Work (Describe) ........................................ 4. Estimated Cost ........~,.~J~.9.(~,..~.. ......................... Fee ....... ~ .................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... g~...(.1.).....Number of dwelling units on each floor ............................ If garage, number of cars ..~--_~.... ............................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .......J~.~..$. ............. Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ............. v"'vr .......... 8. Dimensions of entire new construction: Front ...... .~.'..~..~ ................... Rear ...... ~-~,l~. ............ Depth ..._~..b...! .......... Height .................... Number of Stories ..............~l....~...O=e .................................... ~ ................................................. 9. Size of lot: Front ..... ~.l..~...]:....~...~.?..~l~ear ......~..~...e.~ .~.-...~...~..~.~epth ................................ 10. Date of Purchase .....~.~).~..~.=.J....m~...~ ............................... N~am~e of Former Owner ...~.~....~..Q.~.~.:~/~ .......................... 11. Zone or use district in which premises are situated ....... .~ ......................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..~.~.~.~.~'~.~.~.~¥.T.¥.~. ......... Nc~..~ 13. Name of Owner of premises~.~dress Name of Architect ........ ..~...o..~....~/.. ................................. Address ............................................ Phone No ..................... ~S'~tO'~ o AHHr~ Phone No ..................... Name of Contractor ..................................................... ~ ............................................ 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 dr corner lot. See Nap Attache& STATE OF NEW~-~).P~. ~ COUNTY OF ...~...~.......,f .... ............................... being duly sworn, deposes end says thor he is the ~pplicom (Name of individual signing application) 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 ~ke a.nd 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 fo~h in the application filed therewith. Swam to before me this ~ ............... ,,.,,-, ,__.... .............. Not,~ Public, ./~..~~Count~=~'natur~'of No. 52-0618100 Suffolk Coun~ ~ommJssJon ~p res March ~. PraCtical features and facilities are well worth your attention. The large COmplete bathroom . . . disappea~ng stair to the attic . . . the ample attic storage spade.., the full basement.., open porch at side accessible from living room. The semi-detached, one car garage is COnnected to the main house by the COvered passage which accentuates the wide rambling effect of the entire structure. The service entry is at ground level. There is a na- tural Fu~place in the living room and the stationary picture window has two side windows that open for ventilation. [ ..~'- O" ~'- O' ['xl ~c HO MAP OF LAMD SU£VE'fE2 FOE. ,© DE C