HomeMy WebLinkAbout4851-zTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISE:
COMPLETION OF THE WORK AUTHORIZED)
UNTIL FULL
N? ~851 Z
Permission is hereby granted to:
............. ~e~....~i~ .................. ~ ................
........... ~)... · .W.,, ·. ~,~,1..~. · ~ t,. .......... - ................
.............. ~--~h~re ......... ~,~'~'~ ........ i ................
to .... ~u~. ~...~l~ ~.~ .. ~.~.~.~.~Lt..o....~P. ~.~.e..e.:..?..°. ~?. ~ ..~.~.".... ?.~..°.~..l..n..?... ~ *~t i°n
at premises located at .............
............................ ~.~£~ ......... ~..,~.~. ....................................... i ........................................................
pursuant to application doted ............................ &~,.~..,~ .......... '....., 19...~.0., and approved by the
Building Inspector.
tO It:ighlcay p~aii; frola 8tlffolk Cowry and. a~ reqLU:t~e¢l by ~'o~ll lt~ Dep%,
.Fee $....~.0,1~0 .........
Building Inspector
· OWN
OFFICE DFBUILDINI~ INsPEcTOR
TOWN CLERK'S OFFIOI~
Date April 6, 1970
Mr. R .),l. tLamme r r er
Commissioner of Public Works
Suffolk County
Yophank Ave., Yaphank, N. Y.
Dear Sir:
In accordance with Section 239K of the General Municipal Law of the
consolidated ka,ws of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that ......................................
...... .~. mz:.~:z .....Y. $..z.!.~.~.~.......o..f....6. P......?L :.....0.~.4. ~.&e....~.t..,... ~z~ h .o.~.9. ~
has applied to the Town of Southold for a permit to construct o building(replacing Paul
as shown on the attached plot plan, submitted in triplicate, da, ted ................
.... /.L. VI~..~. ....... J..~.(zc). ........ and titled ....~f~.~...aZ..~n0...~.~=.~.~.~.a~...£.ar ~erry V~Z~n~
We shall withhold fu~her action on this application for ten days or as
othe~ise provided in the aforementioned Section 239K.
6/12/70: Approved to the Tow~ of Ve~ truly yours,
Southold pursuant to See. 239K of the
Gen~ Municipal Law, as per pev:lsed
plan; a pe~mil~ under See' 136 ('f the [~¢~ ~ -?~
High.way Law wi].] be requiz, ed foz- ~ ~d~
access to ~.R.27, MJddle Road,
SUFFOLK COUNTY DEPT, PUBLIC WORKS 8uilding Ink.for
R. M~ ~ERER~ CO~ISS[[ONI'iR Town of SouShold, N. Y.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
...... V'.'~'~:-' .............. ' ........ ~'ermit mo .............................
..........
(Building In~ector)
Application No....~..~..~...~. ..........
_ .c, .z L
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 adjo n ng pram ses or public streets or
areas, and giving a detailed description of layout of property must be drawn onthe diagram wh ch is port of this application.
c. The work covered by this application maynot be commenced before issuance of Building Permit.
d. Upon approval of this app. lication, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kePt an the premises avmlable 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 JS~HEREBY MADE to the Building Department for the issuance of a Bu ~1 ng Permit 'pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ord nonces or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with oil applicable laws, ordinance~building code, housing code, and regulations.
(,~ddre~s of a~licant) ~
State whether applicant is owner, lessee, agent, architect, engineer; general contractor, electrician,' plumber or builder.
......................................................................................................................................................... i ....
Name of owner of premises .~......~.~..~..~. ~.' ,~,,1.~../~/. ~..~...l
If applicant is a corporate, signature of duly ~uthorized officer.
1. Location of land on which proposed work will be done. Map No.: ..................... : .................. Lot No.: .................
Street and Number ....... ~ ................. ~.......~..C~..~.. ............ .~.~....~..~........~.......~..~....~..~...~..~ ....
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... .~.~..~..... ,~ .~.....~ ~..~....~...7... Z..~.........L ~~... ........... : .......................
b.
Intended
use and occupancy ................ ,,'~,'~..~,,.~., ............ (,.~?,..~.J .......................................
3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ..................
Repair ............... 't,' Removal .................. Demolition ................... Other Work (Describe) ................................. ~. .....
4. Estimated Cost .......~/...~...~.¢~.,.~)..¢. ............................ Fee ............. /.~. .......................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................
If garage, number of cars .............................................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....~..?...~.1.~..~..¢:.~....
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 ................................. ·
.'""' r'"' ~ "~ "'~*-''
Height .................... Numbers,~ ~' ·al Stories ......... ~//3,- ........................................ --,~ ';/ ..................................................
9. Size of lot: Front ......./..~.~.....- ....... Rear .......... /...~..~J... .............. Depth ..../..~.J... ................
10. Date of Purchase/¢/:~?.;.~.¢9...~...../~l,.'.~...:~..~.. .............. Nome of Former Owner/~../¢.~..~..~At.~..~.~..Z~..~.~..~..~......D~...~-
11. Zone or use district in which premises are situated ................. .~..~...i....~..L~..~..:..,~.) ................................................
12. Does proposed construction Violate any zoning law, qrdinance or regulation.;) ....... /.lf...~..:_ ................ .~..~,~..~'~.~.~
Name of Owner of premise~..~.~.~...~. ~/./.~.~./~ ~.).Address~..~.~.~f.~.c.~.~...v~.,~r~, ~Phone No ~...~...~.
13 ...................... ~ ......... ~ ..................
Name of Architect ................ ~ ........... ~ ....................... Address ............................................ Phone No .....................
Name of Contractor .............../~. ................................... Address ............................................ Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
STATf OF tS.S
............................ ~Z~~......~ ...................... being duly sworn, d~es and says t~t he is the applicant
(Name 6f indi~al signing application) .
above named. He is the ........................ ~ ........................................... '"~....' ......................... ~ ............
(Contractor, ag~t, co~r~e officer, etc,)
of said owner or owners, and is duly authorized to perform or have perfo~ the said work and to ~ke and file
this application; that all statements contained in this..application are tree to the ~st of his knowledge and.belief; and
thor the work will be performed in the manner set fo~h in the appli~ti~ filed therewith.
. State of New York
No. 52.8125850, Suffolk County
Term ~pi~s March 3P.
,PERMIT REQUIRED
/'UNDER SECTION 136 ~~/~"~ ~'~
H'WAY ~W FOR AC~ - /
~ .................. . .......~0 COU~ RO~ ...................."~ ...................
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/'-~'~x ~ ~/~,~ /~/~r/~W f ~--G~ J
PERMIT REQUIRED
UNDER SECTION 136
H)WAY LAW FOR ACCESS
'TO cOUNTY ROAD