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Home My WebLink About6302-z FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~ SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6302 Z Date December 20 , 19_.7..2.. Permission is hereby granted to: Rev John McGuire ............. ~..q.z.....~.Q3.2.. ............................................... ....................... S.pu.tho&d ...................................... Pvt Road off S/S Bayview Road at premises located at ................................................................... : ........................................................ Southold 1~ .Y · pursuant to application dated .......................~.f~.C. ....... ~,0. ............. , 19..7..~.., and approved by the Building Inspector, Fee $..J!.O..'...0.9 .......... Building Inspector(_ ~O~M TOWN O~ ~O~T~O~ BUILDING DEPARTMENT TOWN ~GLERK'S OFFICE SOUTHOLD, N. Approved ........................................ ~ 19.. Pemit No. ............... .................................... (Buildin~ ~poctor) APPLICATION PaR BUILDING Date Application No, .~...?.....0...~ ............. :ember 20 72 INSTRUCTIONS a. Tbis application mList be completeJy filled i~ by typewriter or in 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, rela giving a detailed description of layout of property must be drawn on diagra c. The work covered by this application may not be commenced before iSSL d. Upon approval of this application, the Building Inspector will issue a the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any granted by the Building Inspector. ~ubmitted tn tripii~ df Bu ilding Building Inspector, with ublic streets or areas, and ng P~t~nit. ~,~,-" : to'(he ap~ga~. Such permit,shall be kept on of Occupancy shall have been APPLICATION IS HEREBY MADE to the Building Dep issua Ordinance of the Town of County, New ppli buildings, additions at alte herein de ordinances, building code to admit authori a Building Permit pursuant to the Building Zone Ordinances or Regulations, for the construction of ~he applicant agrees to comply with all applicable laws, premises and in buildings for necessary inspections. ///' ',Rev John McGuire ~/ (Signature of applicant, or name, if a corporation) / ........ ................................... (Address of applicant) State whether applicant is owner, le.s~e, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................... .............................................. i ................. , ....................................... ............... Name of owner of premises ...~eff_.~T.c~bzz..~.Gu~.~e .......................... ......................................................................... If applicant is a corporaLe, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No .......... ,..X~: ............................ Lot No..~-~. ................. Street and Number ....... ~9-.~..~Qa.d...g~.£...l~/..~...]~.~r~'&e~..~o.a~,... $.m~thold ..................................................... Municipality 2. State existing use and occupancy of premises and intended use and occ?pancy of proposed construction: a. Existing use and occupancy ...... .s~.e.?...~.}?...];.]:.~.~..l~. .................... ', ........................................................................ b. intended use and occupancy ........ .s`~.~..m.~e.~`~.~.~.~..~.~.~.~.~e..s...s..~...~.~...~.~'~...~..e..~`.b~.~.~.~.~.~.~ ..................................... Nature of work (check which applicable): New Building ...... ,.~....~. .......... Addition ..................... Repair ......................... Removal ......................... Demolition ........................ Other Work ..... 4. Estimated Cost .......... .~..,t::.~..'~ ................... Fee ....... .11..0.,?..0..0. .................................................. {to be paid on filing this application), 5. If dwelling, number of dwelling units ...0,. ............ Number of dwelling units on each floor ..... .;4';... If garage, number of cars ............................................................................................................... 6. If business, commercial or mixed occuoancv, 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 ......... .~, ........... Rear ...,1.~ .................... Depth ... Height ................................................. Number of Stories ..o33e .................................................. 9. Size of lot: Front ....~l~$~ .......................... Rear ....... .lJ,I.0 ............................ Depth ......1.~.0 ...... 10. Date of Purchase ..................................... Name of Former Owner ............................................. 1 1. Zone or use district,in which premises are situated ............ ~.A..~.~....~..~.s..~.. ....................................... 12, Does proposed construction violate any zoning law, ordinance or regulation: ............. ~l,O ........... 13. Will lot be regraded ___~.o. .......................... Will excess fill be removed from premises: [ ] Yes 14, Name of Owner of premises .......... Z~z~.~1(~Gl~e ................... ,~3~l,t,b. oJ, c!. ........................... {Address) Name of Architect ...................................................................................................................... (Address) Name of Contractor ........ ?...8:,.~..e.. .................................................................................................. {Address) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-I- property lines. Give street and block number or description according to deed, and show street name er interior or corner lot, STATE! OF NEW YOR~'-'~'~'O~Cou. J. ) SS COUNTY OF ...................................................... ) Iteration..,! ............ {Description) Phone No.) i Phone No.) )hone No.) )ck dimen~'ions from ; and indicate wheth- ......................................... ..~.,.~...~.....~...o...~,.~.,..~..c..,G...~...~.~.e.. .................... being duly sworn, deposes and says that he is th~ applicant a )ove named. (Name of individual si~ing contract) I He is the ............................................... ~.~ .............................................................................................................. q. .................. ~ .................. (Contractor, agent, corporate officer, etc.) I of said owner or owners, and is duly authorized to ~rform or have performed the said work and to make and ~il~ this a~plic~tion; that all statements contained in this appIication are true to the best o~,ffiglq~wledge and belief; and that the work will be'~erformed in the manor set forth in the application filed therewith. Notary Public, S~ of Ne~v No, 52-0344~ SurtulI, co 20 , . Dec e~b~.i~ion.~ · t ~ ' ' ~,~/~ ,o,,,v ...... ..... .... .........