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Home My WebLink About4451-zTOWH OF $ODTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, H. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISE COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL N? J451 z Permission is hereby gronted to: ....... .C~ ............ ~,,~.~.~ ..................................... · ~.t.t :t.t~e~ ......... 11,~,..,..' ................. to ....... .~.~,~.~,~,...~ .~.. J:?,,~...~.~,~,,t~ ~.,~ ................................. ~ ......................................................... ot premises located ot ........... ~..~':.~....~.~,~.~-~.,~..~..-..;~.-'*.~.~,~..~ ...................................... ................................. ~.~,~?~!.e.~..~ ~..,. . pursuo~,t to opplicotion doted ............................ ~ ......... ~ .......... , 19...~.~, ond opproved by the Building Inspector. .~ee ~.~.:..o...q ............. Building Inspector TOWN OF SDUTHOLD OFFICE OF' BUILDING INSPECTnR TOWN CLERK'S OFFII~.E SDUTHOLD, N. Y. Dote AUgust 27, 1969 Mr. R.M.Kammerer Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this i~ to notify the Commis- sioner of Public Works of the County of Suffolk that i ..................................... Conrad Dullock x ............. .,... .............................. 9/2/59: Approved to theTown of Southold pursuant 'bo See. 239K of the General Municipal Law; a permit under Sec.130 of the Highway Law will not be required° Aeees:~ exists;. SUFFOLK COUNTY DEFf. PUBLIC WO~(S R. M. ~MMERER, CO~]ISSIONER William S. Matsunaye,Jl~. Chief Engineom has applied to the Town of Southold far o permit ;to construct o building (farm storage) os shown on the attached plot plan, submitted in triplicate, dated ....~.3~..~.2 ~ 1969 ............................................ ~nd titled ...~l~g..~..~...~9~..~..~u~loek We shell wlthhold fu~her action on thb *ppllcofi~on {or t~n days or os otherwise provided in the aforementioned Section 2~9K. Ve~ truly you~, Building In~eCtOr Town of ~uth01d, N, Y, NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ , 19 ........ APPLICATION FOR BUILDING P~RMI'I' Application No...~.,...~,,,~..!. ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ihk 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 drown ~n the diagram which is pa,fl 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 ~3 Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progre~'S of the work. e. No building shall be occupied or used in whole or in part for any pu~ose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the i~suance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Y~rk, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or f~>r removal 'or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. Co~ra~ Bullock (SignatuJ'e of applicant, or name, if a corporation) ........... ~I~,.~ .~.!.t,~,~l~ ....... .~ ....................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, genera[ contractor, electrician, plumber or builder. ~¢~e~ Name of owner of premises ..... g0.~..~.:...?!.t~.]:.].~..O..O.?-:~ ................................... ~ ......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No.: ..... ~ ...... ~,~ ...................... Lot No.: .~ ............... Street and Number ..... ]~/..~i~ J~..~.~.~,~...i.~.~.~....(.C...~..~.~.,~: ...... ..~.~..~..f..,~.~.,~.~. ...... :~.~z..~.?. ............................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: va~r~t l~.nd o. Existing use and occupancy ......................................................... ~ .................................................................... b. Intended use and occupancy ~.E, ~ ;L. ~, ~IL ~ 3. Nature of work (check which applicable): New Buil'dm~] ..... ; ............ Addition .................. Altermion .................. Repair .................. Removal .................. Demolitior .................. Other Work (Describe) ........................................ 4. Estimated Cost ............................................................ Fee ...~..?..0..0..i ............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...rtO~6 ............... Number of dwelling units on each floor ........................... If garage, number of c~rs ............................................................................................................................................. 6. If Business, commercial or mixed occupancy, spec*fy nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear .......... ; ..................... Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ................... : ................ Rear ............................ Depth Height ............................ Number of Stories ........... ..................... 8. Dimensions of entire new construction: Front' . .......... 'J.~ .................... Rear ....... ................ Depth ...... ~0 ............. Height .................... Number of Stories ..OZ~e ............................................................................................................. 9. Size of lot: Front ...~.~.eg.~ ............ Rear ............ 6.~,~ ............Depth .... J].~./...~.9*5 .......... 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated .!!T~!!..~J.i~t, ................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... FO ............................................. 13. Name of Owner of premises .O...o..n..~.a...d....b...~:.l,..1..O...0..k.......Address ......... ..M.l~..~.~.~...t..~...c..k....". ......... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..... .s...al~.e ...................................... Address ..................................... . ...... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate a'll set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether i.nterior or corner lot of COUNTY Of ................................ ~'~' ....................... .~O~J~I,0,..~I].I'ID.~}[ ........................................ being duly sworn, deposes and says tha¢ he is the applicant (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 and file this application; that all statements conta:ined 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 applJcafi~ filed therewith. Sworn to before me this .......... ................... N~t P bi , . x ~ g PP NOTARY P~FJ~IO; Stat~ of New, Y~rk fC~[F_ · 50'--1" ,q I~l],q = 1. 1705 ~1. 'tO' 4.$' ID" ~¥, . L~l~n §F CO /A~D~ FOK BULLOCK BITUliT. E lA,ti T'TI T UCI~ 77Z.~ H. ~3' 5 B' 20" '~V. - 513,87 / ,/