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Home My WebLink About3602-zTOWN OF SOUTHOLD BUILDING DEPAETMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. I]EI~!TIFIOAT£ OF [II]rI. IIpANI]Y No..~ .~.1.+06... Date .............. ~T~l~1~y...~b ..., 19.(~ THIS CERTIFIES that the building located at ~t~ 'ROe~(~· ~X~;' '(~/~' ~]))' ' Street Map No. ~g~ ......... Block No. ~ ......... Lot No. 11~' · 'l~;'titll0~ · N'~ .......... conforms substantially ~o the Applicati, on for Building Permit heretofore filed in this office dated ........... ~*~pt .... ~ ..... 19.6~ pursu'ant to which Building Permit No. -.~02~.- dated ............ Sep~ .... ~.., 196~,, ~vas issued, and conforms to all of the require- ments ~of the .applicable provisions of the law. Thc ~oecupancy f, or which this certificate is issued is . .rrtva.te' ~cc~aaor2' 'bnildi;o~' .......................................... · ........ · The certificate is issued t,o .... ~rrie'(~: ',~JelTa' ~(o~n~?~fe~see or t__._..~, ~ ....... of the aforesaid building. .Suffolk County Department of Health Approval .. ~,}].,. ................................. '"~'' '" 'Building Inspectorl[ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y, BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3602 Z Permission Is .hereby gronted to: : .................. ~..~.~.e,~,.~:~, ..... · ........................ ~.tLtU~ .................................. to purslane to application d~ted . ~} ........ [. '..~.~ I~,:~J..~.: ........ ,~. 19..~.., and approved by the Building ~nspector. Application No. ,,~,.(..O.....~TT... ........... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'g OFFICE SOUTHOLD, N. Y. (Building Ins{r)p~cto 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 o detailed description of layout of property must be drawn on the diagram which is port 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 o 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 B~ilding Zone Ordinance of the Town of Southold Suffolk County, New York, and other applicable Laws, Ording~ces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein ~'esc¥ibed. The applicant agrees to comply with all applicable laws, or ' ances, buil lng cod o~a~d regulations. ~u,/' (Signature. of applicant or name if a corporation) .......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... ,o.~.9.~ ....................................................................................................................................................................... Nome of owner of premises Barrio and Joella Vreeland If 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.: ........................................ Lot No.: ........................ Street and Number ..................................................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~.o....i~.. ................................................................................................................ b. Intended use and occupancy a~oZ'Y bu,'lldit~g 3. NatUre of work (check which applicable): New Build(ng ....... .~.. ........ Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) Esti~noted Cost ...~..1.?..0...0..0. ........................................... Fee ............................................. 4. / ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor If g!aroge, number of cars 6. If ~usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dir~ensions of existing structures, if any: Front .....~.Q..~'.t~ ........... Rear ...... ..~0...~ .............. Depth .....~0...f.~... Height .......2.,~....~.~ ...... Number of Stories ....... ~. Dirr[e, nsions of same structure with alterations or additions: Front .................................... Rear DeF~th ................................ Height ............................ Number of Stories ................................ 8. Dizens ohs of entire new construction: Front ..... .2.~..~.~.. ................... Rear ...... ......................PZI' ft Depth :LO ft Height 8 ft Number of Stories ................................................................ H.~.i~.6.~.;....~..ac,.re.l~¥ ....... 9. Siz( of lot: Front ............................ Rear .................................... Depth ................ ~.~..~;.:.. se8 ra~p attic 10. Dat,;e of Purchase ....~P~.~,.~,...~,~.6.~ ............................. Nome of Former Owner ....... I . residential 1 1. Zoqe or use district in which prem,ses ore situated ......................................................................... 12. Doeis proposed constr6ction violate any zoning Iow, ordinance or regulation? ....... .~..O. ..................... . Ba~rie Vreeland 2000 Ruth R · ext. 13. Narjne of Owner of premises ........................................ Address ........................... ~. .............. Phone No. No~e of Architect ...................................................... Address ............................................ Phone No. PLOT DIAGRAM I_ocat~ clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions property lines. Give street and blocknumber or description accord'ngi~ to deed, and show street names and indi~ whether inlerior or corner lot. see attached diagram . , J STATE OF I COUNTY ~(N~me being duly sworn, ~nd soys ~h~t he is the opplk obove no~ed.~He .~ (Controctor, oOenL corporoto officer~ etc.) of soid o~ner or ~nd is duly outhorized to perform or have performed the seld work ond to moke ~nd this appliqolion~ that all stotements contoined in this ~plic~tion ore true to the best of his knowleB~e ond belief~ that the w~rk will be performod in the monner set fo~h in the op~lication filod therewith. Swornto~eforemethis ~ ~ -....... ..