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Home My WebLink About5537-z FOEM ~0, ~ TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 5537 Z Permission is hereby granted to: ............. Ila~:~.t,-.z~ ............................................. pursuar~ to application dated ........................... ~j~.~....~. ............. , 19....~.~, and approved by the Building Inspector. .Fee $..~ .......... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved Disapproved a/c (Building ~/n~ector) APPLICATION FOR BUILDING PERMIT Apphcahon No .. INSTRUCTIONS a This apphcahon must be completely filled in by typewriter or ~n mk and submitted m duphcate to the Building Inspector. b Plot plan showing location of lot and of buildings on premises, relahonsh~p to adjoining premises or pubhc streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apphcat~on c. The work covered by th~s application may not be commenced before ~ssuance of Building Permit d Upon approval of this application, the Building inspector will issue a Budding Permit to the apphcant Such permit shall be kept on the premises avadable for inspection throughout the progress of the work e. No building shall be occupied or used in whole or ~n port 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 apphcable Laws, Ordinances or Regulations, for the construction of buildings, addmons or alterahons, or for removal or demohtion, as here~n described The applicant agrees to comply with all applicable laws, ordinances, budding code, housing code, and regulations (Signature of applicant, or name, if a corporc~tion) (Address of apphcant) State whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder ............................................ .g ....... Name of owner of premises ............... .~.(~.~.1.% ~...(~. [4/~' I~1,!(~ [~l l~ .L//1~,~1~/~/~ ~"' ............... if apphcant is o corporate, signature of duly authorized officer (Name and title of corporate officer) 1 Location of land on wh,ch,oroposed work w,II be done Map No (,~. JV, JI~C"O~ Lot No .. Street and Number ~ ...... ~.~ ........ .~., ~,.~,. · ~..[.~ .................... ~~.~..~C~ . . Mumcipality 2 State ex~sting use and occupancy of premises and intended use and occupancy of propos~ construction a Exist,ng use and occupancy ........ ~.k.~.~ ... ~.~.t ~.~. .... ~S,.~[ ~¢~ ............ b Intended use and occupancy ................................ 3 Nature of work (check which applicable): New Building ..~'~, ......... Addition .................. Alteration .......... Repair .................. Removal .................. Demohtion .................. Other Work (Describe) ............................. 4. Estimated Cost ............ ~.~....~.. ...................... Fee ...................................................................................... (to be paid on filing this application) fit dwelling, number of dwelling umts ............................ Number of dwelling units on each floor ....................... If garage, number of cars .......................................................................................................................................... fit business, commercial or mixed occupancy, specify nature and extent of each type of use ......................... f Dimensions of ex~stmg structures, if any' Front .......................... Rear ................................ Depth .................... Height ........................ Number of Stories .............................................................................................................. Dtmensions of same structure with alterations or additions: Front ....................................Rear ........................ Depth ................................ Height ........................... Number of Stones .......................... 8 Dimensions of ~nt,re new construction: Front ....... .~.~., .................. Rear ..... ~.~.. ............... Depth...~..O. ........ Height .....~...~..~. ...... Number of Stories ............. !.'~.~.,..,~. .................................................................. 9 Size of lot: Front ...... ~'1~..~.¢~ .......... Rear ...... .~...~.~,,.~..! ............ Depth ....~. ~.~' ......... 10. Date of Purchase .............. .J.~..~,..~ ....................... Name of Former Owner .d.,...~.l.l~.l~.l./~J~...~:l~.~,~.(~, 11. Zone or use district in which premises are situated ............................................................................................. 12, Does proposed construction wolate any zoning law, ordinance or regulat~on~ ................................................... 13 Name of Owner of premises ~:.O..,....~,,~L~,/.I~-- -- ..... Address .... J~.i~i,.T)'. I.Z'..~T,J~. ............ Phone No ................ Name of Architect . ~ ..Address -" Phone No ................. Name of Contractor ~"~,.~J~.,.f~l~.lf'.~...lJlL~l;~'~,,.~rlL~.t,,,.Address ~,~.~.~O1¢ ~.~,~..,¥J~.,~l,~.t~'/Jt,/~hone No PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions fron property hnes. Gwe street and block number or description according to deed, and show street names and indicat~ whether interior or corner lot. STATE OF Nk-'~/YORK, 1 S S COUNTY OF ~..~...~. ~.~.1~ ......... ............ ...... ....... (Name of indiwduol s~gmng application) above named. He ,s the ......................................... (~,.,"~,.L~-.~.~:;.J~.....~.......k~.~).J.~..~.l~/~.~..'~.JO..~ ............................. (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 th~s application; that all statements contained in this apphcatton are true to the best of his knowledge and belief tha~ the work will be perfo(med in the manner set forth in the applicah,on filed therewith. Sworjg to be.fore me this )~ , / ......... N No 52 Bt25BS0, Sullolk Te~rn ~xpjf~s ~8rc[1 being duly sworn, deposes and says that he ~s the apph popular and economical... Yakutat This design reduces the A-frame concept to its simplest denominator yet provides ample living room, The ~leeping !oft, which is reached by a ladder, will sleep oodles of kids as well as adults on occasion: The o foot roof projection over deck pro- vides shelter and shade. Living Area DESIGN A DES!G~ B First Floor 480 Sq. Ft. 600 Sqi Ft, Loft Area 138 Sq. Ft, 138 Sq, Ft. Please Specify Design A or B When Ordering 8i~ePr!,t plans F,RST FLOOR sEco. D FLOOR sEco. D FLOOR DESIGN B DESIGN A FIRST FLOOR CONSTRUCTION PLANS ARE AVAILABLE ... SEE BACK COVER Er,