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Home My WebLink About3657-z FO~ NO, 2: TOWN OF $OUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3657 Z DaCe 0c?,ober t~ 19,.6..~..' Permission is hereby granted to: J. Ricapito A/C Nick Chryssiadis ......... ~......~P.~ .......................... .............. .~ :¢.e.e~:,~..o...z:..¢..~..... ~..,...z..: ! Build an additioz~ on an existi~ to et premises located pursuan¢ to application Building Inspector. Fee $.~.'t..q.O, .............. Oct V 19...~.~., and approved by the TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLV-RK'S OFFICE SOUTHOLD. N. Y. ROTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated ........................ ,0.~..t......~. .......... 19..~.. for permit to construct .a...d.d.!.~!.°..~. .................... at the premises located at .E/.,.~..... .R.9.~ .................... i ................................... Street East Mario~ N Map ............ ~ ...................... Block .......~ ........................ Lot ........... ~ ............................... is ~ disapproved on the followinff ground,~ .....~.~.~. ,~.,g...~.~..~....~.O,,~,..'.?..O...~..f..O.,,.~ing multtp, le residence (three A~ts) addition permit denied by Board of .... ~.~r..e..'.a..!.s..:. ............. $... ~..,.Q.O....e.g.s.b...~..e...r..m...i..t... f.e...e....r...e~u....~..e...d.....h..e..r..e.~.l...t..h .............................. Building Inspector/ FOEM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ~,.~ J ~ I t No .... Examined .......~ .......... ..LJ. ......... , 19..~....r~ ~./~/~ /~,~ App ica ion .~~ ....... Approved ........~~. ~ermit bio. ~~ ,, ........ ................................. APPLICATION FOR BUILOING Date .......................... ............ , 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 Tot 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. ..... ....... (AdSress of applicant) ~ / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................... ................................................................................................................................ Name of owner of premises .......... ..~..~..z.,.-y..,~'..~./..,.-.Z2~..~% ............................ 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..~...p..c.~. ............ 8~ ~..O..t..~.....?.....~..~.?..~. ................... ¢ ,~'~.6.'.~....../~..~./.:/...~....~. ................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ..... ~...~...~... ...... ~'"~"'/"/'~'"""'~'"'~'"?"/"/'"'"~"i ........................................................... b. Intended use and occupancy ...... ~....~..~E~< ....... 4 ........... ..~.:./ZE-.....~...~. .............. .~../~.. .......................................... 3. Nat~Jre of work (check which applicable): New Building .................. Addition ..... Alteration Rep¢ir .................. Removal ................... Demolition .................. Other Work (Describe) 4. Est, oted Cost ...... ......................... Fee I (to be paid on filing this application) 5. If d~elling, number of dwelling units ............................ Number of dwelling units on each floor If g~rage, number of cars 6. If Business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dirt ~nsions of existing structures, if any: Front ............. .~. ............ Rear ..... C~.../. .................... Depth i..~.~.~../. ......... Hei,( :hr ........................ Number of Stories ..................... Dim,'nsions of same structure with a, lterations or additions: Front ....... ~ ......................... Rear ....~., .~..(. Dep :h ...... ]...~..! .................. Height ............................ Number of Stories ....... ]. ...................... 8. Dirr~nsions of entire new construction: Front ....... ~...z/ ...................... Rear ....~,.~..../. ............ Depth ....~.. Height .................... Number of Stories .... 10. Dot, of Purchase ........................................................ Name of Former Owner 11. Zon or use district, in which premises are situated ...................... 12. Doe: proposed construction violate any zoning law, ordinance or regulation? ....~. cD, No. Nar~e of Architect ...................................................... Address ............................................ Phone No. Name of Contractor .................................................... Address ............................................ Phone No. I PLOT DIAGRAM I.ocatb clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property li!nes. Give street and block number or description according to deed, and show street names and indic whether in}erior or corner lot. STATE OF~ NEW COUNTY [OF ................. ~g duly sworn, deposes and says that he is the applic Name of indi~ signing aF abow,~ nar~ed. He is the (Contractor, agent, corporate officer, etc.) of said o~ net or owners, and is duly authorized to perform or have performed the said work and to m.oke and this application; that all statements contained in this application are true to the best of his knowledge and belief; that the w),rk will be performed in the manner set forth in the application filed therewith. Sworn to k ~fore me this. ........ ..... day of ........... , .. ,_..~,~ . / /~ ..... ..r..~.t.~./.~..~..~. ~z.~... ~~. :h,,J~l~ ..... Notary Pu~blic,~../~.../.~....(-'~.,..~.(~,-~rJ3~....... County ~ ~ (Signature of~pp[ican~ Term Expires ~a~ch ~0, 19~.~.~