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HomeMy WebLinkAbout4808-z FOR1F[ TOWN O~ $OUTH~LD! BUILDING DEP~RTMENT SOUTHOLD, '~, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES,UNTIL FULL COMPLETION OF THE WORK AUTHORI~E,D), 808 Z D~te ..::..,, ........ ~ ........ ~a~e ....... ~* ........ , 19.._.~.0 Permission is hereby granted to: to pursuo~ to application doted ................................. ~:1;i,~ ........ %~'...., 19.,.70, and approved by the Building inspector. Fee $.~0,l~ ........... ................ ~,,.,~,,,,~ ............... ' ~uilding inspec~or j TOWN CLERK'S OFFICK '/,, fy ~ -"V' .......... ~ ................. . ^.rov.d .......................... '. ............. . ','~.~ .... P.rm,t No. ~l~..~....~-"'~ .'~ .................................................. / ........................ .................... Date 16 ,Tune 19 70 INSTRUCTIONS a. This application must be completely filled Jn by typewriter or in ink und 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, Or~nances 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. ~olden Yang Rae~sch & Corset (Signature cf applicant, or name, if a corporation) 251 Park Avenue South, N.Y.,N.Y. 10010 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Architect Name of owner of Gregory Dawson premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. ~"X~"'l~lW~ ................................................................ (Name and title 'of corporate officer) · Birch H~lls 2 & 3 1. Location of land on wh?~proposed work will be done. Map No.: ........................................Lot No.: ........................ treat an umber~"-"~e'k"~lan Co~-- ~outhold, York S d N ............................... =~. ................................................................................................ . ............. a. Existing use and occupancy ................................................................................................................................... b. Intended use and occuponc,' ................. ~.e....~....mp.J..]~....~..e.~.~fg~..e...; .................................... 3. Nature of work (check which applicable): New Building ...... .X. .......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ........................................................... Fee ~.0.,..00 ~ald w~.t.h (to be paid on fi!lng this application) 5. If dwelling, number of dwelling units ......... .1. ................. Number of dwelling units on each floor ............................ If garage, number of cars 2 ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......t~.. .................... 7. Dimensions of existing structures, if any: Front'. ........................... Rear ................................ Depth .................... Height ........................ Number of S~orJes ...................................................................................... Dimensions of same structure with alterations or additions: Front ...... ..1~. ......................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ Z~z~ga.l.a~ 8. 71 ' -0" 83 Dimens cms of e~tire new construct on' Front I~,, ./. ~'z'e g13~ az' ....................................................................... ~,-,, ........................ · 26' m~. . Height .................... Number of Star es .2.. .......................................... 9. Size of lot: Front 200 ft. Rear 200 £t:o Depth 205 10. Date of Purchase ....2.?.....O~...t..o...b~....~...1.?.69. ...................... Name of Former Owner ~.,..~?h......t~..pe .z~..~..e.?....~Z~.?... ............. ] 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or ragu at en> ~ ~o ~ kaa~lecl .~.. ............................... 21' ? ............ 13. Name of Owner of premises .~..~.....z?....l~....~....o..~. .......... Address 54 #es~ 16'ch St. ,N.~.C~, ,. 989-4310 ............................................ mane Iqo2~.~ .............. of Arch tectH°lden Yang Raemsch & Cozse .... 251 Paz'k.Rve.So.~N.¥.C,~ · ~673-0690 Name ' · ......................................... ~,dd,~ ............ · ........................................... mane mo ..................... STATE OF NEW' YORK, ..~ lee 'Z~:~I-O'1 COUNTY OF ............ .Z~.....'(.: ......... ,f ~"~' ................ .B.....~....~.Z..~.~. ................................................. being duly sworn, deposes and soys that he is the applicant (Name of individual signing application) above n~med. He is the . ~hitect · (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make end file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Swam to before me this t / ............... .................... · · ....... '~'"'='"-:'"')"Z'"':'-::'-"-~/- '.,,~,v,ot~,~-~° / (Signatu;e of'~plic~) ........................... / ..... .o, 41'13703/3,-~.,n~ EL- ~OOl_O'r I Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAG,OJ~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from properh/ lines. Give street and block number or description according to deed, and show street names and indicate whether interior or carrier lot. · El.. '7' ZEP~P..ACE.. PAVI~C~ PETA!L- SECTION $CAL~ V'f'- WITH' A~PHAL'T~C D~IVEWAY PAVI i'q.C-r DETAIL ~, CATN~ 6~VO ~ &6Tgi 4~ / 10" / / / 1 f t / / z. /~ ', '- ' ~"'L '- ~ ~ ,~r~'~*'Io"' ,: 4 : ,,:, q~ ~,, *%,, ~, , , :, , , . ~ , ~'-~" , , ~ I"~'"I ~ ~.~-' _ :~ / X ,"'] ~ ----:--, ', ./ ~ .- ~ ~ ~ FI~T ~L~ [~VAff,o~J ~ L j" d~$ ~T~e~vl~ ~o~ -~ 1' '-¥T ~,.~. )/4-" ,= bl _1 FLAT / // ~Ar~T LF_~T SIDE ELE,.~ ,,w,,'~ FROItT ELEVA¥10N b _J t RIGHT 5/D£ E LEVAT{ON ,! ~-~hr f~L~ No sc.A~ .L 4 J t __ FLaT 'i ~ut LL kAra C~e~c~ f2..~.w¢:~q ¢MsJAc~-T,e~e¥ NO. ~GALE ,) ('L LANPlNC~ Z ELEVAT101',~% BATH I ELEVA~; /-- SCALE VA"- I'" 5' '~ J UN,mgz2