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HomeMy WebLinkAbout4586-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~586 Z Permission is hereby gronted to: .......... ,~.e~...,~...V~t,e.....~.~,,x~;t3,,. ........ Building Inspector. Building Inspe~tc~r , . I~ FOBM No. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ~'~ 7~"~ Other Applicable Laws, Ordinances or Regulations ~ at premises hereinafter described in that.....~.~,~..'..~..,~,~-,~.....~.~..~..;:?.~.'....~...~....?.~.. (state character of violation) ..,..,....~.~...~?. ~.~)..~...~.~.....~.~..~....~.~ .~ ~.~. ...... ~..~... YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith in or before the day of ............................ ~'~Z .......... '~...~.. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ............................. ~y ......................... ~ ................... County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector FOR~ ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ..... Approved .................. !..x ......... :'. ......... 19~... Perm,t No. ~/'~ ~ 7 ~ Disappr~ed e/c ........ ~~~ .................... .................................. {Buddin~ InspectOr) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application must be completely fdled m by typewnter or in mk and submitted m duphcate to the Budd~ns Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets of areas, and gwing 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 comrnenced before ~ssucnce of Building Permit d Upon approval of this application, the Building Inspector will issue a Building Permit to the apphcant 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 untd a Cemficate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance 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 Regulahons, for the construction of buildings, ad&tions or alterations, or, r,r,r,~ar removal or demolition, as hereto described The applicant agrees to comply with all applicable laws, ordinances,.,J~.,j~mg code, hou~sing code, and regulations .....~( "~n~re ~~~' ...... *' ' ' ' ......... ' ..................... corporation)' ................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder .......... .4/.~. .~z. / ~ ~ ~.. ~ . . ./. ~. .~. ..,44. . . .,g.~.~ ................................... Name of owner of premises ff ..~.~.~.'.~.4..~.'.~.~.//~./~.~...~"~,~.k/gZ/.~--;~-~ ...... If apphcant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1 Location of land on which proposed work w,II be done Map No ..~.d? ................. Lot No. ~.'~.~. ........... Street and Number ,~,~.t~..,~',~l.~.~....~.~,.../......~..~..~,L~.~g..C,D. ................................................................... Mumcipality 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy .~/4t'~.~.....¢~?.~ ............................................................................................ b. Intended use ond occupancy .~..m~.l.~'.~.l~...~.....~.~.~.~;.-. ..... ..-T..J..,.~.. ........................................... 3 Nature of work (check which applicable) New Bufldmg ..... /~ ........ Addmon ............... Alteration . Repair .................. Removal .................. Demolmon .................. Other Work (Describe) .................... 4 Estimated Cost .... ..//..~.~.~...~....~...O. ............................. Fee .../...~...~. ............................................................. (to be pa~d on filing th~s application) 5 If dwelling, number of dwelling units~i~.~f~...~..¢.,V/.~/.Number of dwelling units on each floor~ ~ f-~a~.a~g~, number of cars .~...~.,.. f...~..~ll~...~./~'.~ .................................. ..~..~. ........... ~..~ ...... ~~" ~ ¥9 ................... 6 If business, commercial or m,xed occup~c~,~.~c?~hnature and exte~t of each type of\use,,,~, ...................... existmg structures, if any: Front ..~.~.. ..~ ............. Rear ................................ Depth .................. 7 D~mens~ons of Height ........................ Number of Stories ............................................................................................................... Dimensions of same structure with alter-a~e.?_ ~r'/~JTt~,,s '~.... ~ear ..................... Depth ................................ Height .............. - ..... N ~ ,-,-,b~r.-a~t or, es ................................ 8 D,mensions of entire new construct,on: Front~-~.~.'b.~~...~,...¥.. ~ear ............... Depth He,ght ................... Number of Stories .../..~ ................... :;.~. .............. : ............................. 9. Size of lot- Fron~~..~'.~..../.. Rear..~./1~?~. .................. Depth//.~.~.f ........... 10 Date of Purchase .',~-.W..~..~......~...~.x./.~..~ ................... Name of Former Owner .~....~'...~.....~-..'..~:~.~...~'./.~.~..~.../~.../. .......... 11 Zone or use district in whlch'~premises are s,tuated .~7f/'..~..'r'.~..~.~..~../.~./~. ~dDoes proposed ctn~truc~teL'~' any zomng law, ordnance ~ regulot,onP .~ ......................... 1~ Name of Owner of prem,ses~.~.~.~.~ ~.~x~:~..~.~Address ~..'...~..'~. '~ '~. ,~... ......... Phone No Name of Architect ........................................ Address ..................................... Phone No ........... Name of Contractor~z'.....d'~c~r.*.¢-. .................. Address ..... *.~.~.¢.c .......................... Phone No ..~..~.~ .... PLOT DIAGRAM locate clearly and d~st~nctly all buildings, whether ex~sting or proposed, and red,cate all set-back d~mens~ons fro~ property hnes awe street and block number or description accordmg to deed, and show street names and induce[ ~vhether interior or corner lot .STATE OF NEV(~O.P,,K] ,~ ~f .. 1~ ~ COUNTY OF ~~.:z~ ......... ~ ' '~ ...................... ~....CL.~~ ..... ~=.:~..t..rC ...... being duly sworn, ~poses and says that he ,s the app ,ca. (Name of md~vidual's~gmng ap~hcat~on) ~ ' above named He ~s the .................... ~ .... r.: ......... 1. .................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized 1o perform or have performed the said work and to make and fl this application; that all statements contained m thru apphcatlon are true to the best of that the work wdl be performed m the manner set forth in the apphcation f~ therewith. Sworn to before me this f~ .// ................ 4/... o, ....... ........ ,~' ,,, ,, ,,, ~ ~ ~ ~ ~.:,i ...... ~..,~~.[..,..~.~2~2 ...... ~ot~ p,~,~~.~.~.L.~.~.., co.~¢~~ ..... ~s~.~.~o o~ o~;~""~;i ........................ ELIZABETH ANN NEVILLE NOTARY PUBliC, Stale of New York No 52-8125850 Sufielk Term Expires ~.]~rch 30,