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Home My WebLink About6130-z FOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT ,TOWN CLERK'S OFFICE SOUTHOLO, N. Y. BUILDING PERMIT ! ~, (THIS PERMIT MUST BE KEPT ON THE PREMISE~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 6130 Z Permission is hereby granted to: TWin Fe~k Fenoe Ce~p A~He ~ . ...................................................... ~.~..I.~.~.,~ Jeanne Latha~ ............. ~.~.,t.~...~.~k ............................ ................. Build ne~ fenee 3ft in ?.ro~t yard areas '~& ~ft+ .~, .q$.~ ~..~..a.~,ea Aekerly Pond La ~ ga~. ' ' at premises located at ........................... 6 ...................................... ~ .......................... .............................. 8outhold pursuant to opplicotion dined ................... u...~p~....~O...:...;...., I~....., ~d opproved by the Buildin0 ........... ...... :~ .....~ ........ : ..................... Buildi~ In~ctor-- Examined ... FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICEi SOUTHOLD, N. Y. Application No. O Approved '' '~ 19.2..Z.~ Pemit No. ~ 'j ~'~ 0 Disapproved a/c .... .~_~_~~ ................................................. (Buildin~ Inspector) I ' ~PPUCATION FOR BUILDING PERMIT , ~ ~te ~b~..20,...2~.22 ...... INSTRU~IONS r~ a. This application must be completely filled in by typewriter or in ink and ~ubmitted in triplicate to the Budding Inspemo ~ sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premmes, relationshi~ to adjoining premises or public streets or area~nd ~iving a detailed description o~ layout o~ property must be d~awn on dbgram which is part of this application. ~. The work covered by this application may not be commenced before issuance ~f Building Permit. d. Upon approval of this application, the Budding Inspector will issue a Building: Permit to the applicant. Such permit shall be ke~o~ the premises available fo~ inspection throughout the work. / e. No building shall be occupied or used in whole or in part for any purpose wt~atever until a Certificate of OccupaneV shall hav~been granted bv the Building Inspector. APPLICATION IS HEREBY ~ADE to the Building Department for the issuanc~ of a Building Permit pursuant to the Building Zone Ordinance o~ the Town of Southold, Suffolk County, New York, and othe~ applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The a~plicant agrees to comply with all aOpEcable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectdrs on premises and in buildings for necessaw inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, gener:al contractor, electrician, plumber or builder. · ....... ~o~tn~z~o~:. ....................................................................................... i ........................................................................ Name of owner of premises ..[[~¢.~t,~...~.~...~...~.e.~,~.e....~......~.~.~ ........ i ........................................................................ 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 ....... 3.vJ~z,~...LLo~]...25...~Zz~i...~,¢~.3.~r...~g~.~..~,f~c~- ................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ..~...e.D.~..~.e..n..,~...L¥. .......... 7,._~/~ ...............': ...................................................................... Intended use and occupancy ............. '?. ........... .L,.~....,.,.'/ ~..~ ................................................................... / ~ature of work (check which applicable): New Building ....................... Addition ..................... /~lte~atior~...".X;.., .... Repair ......................... Removal Demolition ........................ Other Work .~.~.~?.e. ...... ( Descripti 4. Estimated Cost ...~.~..0..0..~..0.~. ............................. Fee ..~..1.,5. e..0..0. ................................................................................ (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 .................................... 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 ..................................... 8. Dimensions of entire new construction: Front ...2.?.;.9.~.I ............ Rear .!.~.9..*..~7.t, ............ Depth ............................... Height ..... 3.! ........................................ Number of Stories ......................................................................................... ...~,.4.9, ~. ......................... Rear .~.~Q ................................... Depth .1.7.~)...~..~.! ................................. 9. Size of lot: Front ~ Height .................................................... Number of Stories ..................................................................................... 10. Date of Purchase ..................................... Name of Former Owner ........................................................................ 11. Zone or use district in which premises are situated .................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................... 13. Will lot be regraded ..................................... Will excess fill be removed from premises: [ ] Yes [ ] ~4. Name of Owner of premises ...~..e...~.?.;y...~.~..6.....~...e..~..~...e....~...~.~.~....a~.. ............................................................................ (Address) (Phone No.) Name of Architect .................................................................................................................................................... ~---~-~ (Address) (Phone No. Name of Contractor..~.....~.....~..c~...~..._~......~,¢....~... ................ ~.f,~ ............... .... ~ (lAddress) ~ Phone No. ' PLOT DIAGRAM Locate cle, arly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimem ions from property lines. Give street and block number or description according to deed, and show street names and indic~ te wheth- er interior or corner lot. 279 STATE OF NEW.Y. QRK.i/~x ~ / ) SS COUNTY OF ....~~ ........ ............................. :...V...~'..~..~.,~. ...................... ?.,~.~-~.~ ......... being duly sworn, deposes and says that he ,s the apphean ' (Name of individual signing c{g]~/act) He is the ...................................................... ~.~ ............................................................................................ (Cbntractor, agent, corporate officer, etc.) of said owner or owners, and is ~q~l~l ~6i[lttl~ed to perform or have performed the said work and to make and file this applic statements contained in tI~)T~I~N~0.'~P~ ~a~:L~eNeL"~o Yt~g best of his knowledge and ~elief; and that the work will be performed set forth in the application fH~a~fqlC'~tolk ~ Oom~isslOn Expi~.,~arch 3~ ~7 ~ 19 r applicant/ )ove named~ the mannel-