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Home My WebLink About6964-z FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING P, ER~IT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6964 Z Permission is hereby granted to: ..~x.::.-..~....~.~,~...~ .............. ,,,,~m,,,,,~,~ ~, ~....~...,.....J~..~ ........ ~=.~ ..... &~. ....... ~ ........ ................... ~./~.... ~.~ ..... ~ Z~ .; ~:%.~,.~:~ ....... ~..~~ 13uilding Inspector. IFee i.,~T-~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date ...... .~..~. ~..~'.. ....... ~ .............. 19. To ~../.~ ~..~...~.....Z .~...~..~.~../~.~ (owner or authorized ag~'nt oF'owner) ', ............ -./. ,..z~ ~./..~.,~z.~..4/.z._..,L, . ., · ..... .~?..~ -- -'4, (adldl'ess of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: ............................ Other Apphcable Laws, Ordinances or Regular,ohs .......................................... ~-~ _ , ~. x~ ~ ,,~' at premises hereinafter described in that .. .;. ....... ~'~.~..,~.. ......~,.x,..~'.,~..~ ..... 'Z../,.:. ........ (state character of viol~tian) ~. ~,~,...~.. ......~T,....~. ~. ............. ~ ........ ~..~. ........ ................. '7~ ............. 7' ......... ,,¢,.~-..r~ ...... ~,..~,...:,.,.. ...,~. ~,.:.'.,:,....~...~.:: ............................................................................................................................... in violation o? ~c~..~ ........ ~'.,~-~,~../.. ......................................................................................... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith in or before the ...... ~'..~¢-,~,~i.~-.4/./. ...... The premises to which th~s ORDER TO REMEDY VIOLATION refers are situated at -"~/.~..I,'.~...,./~/ :~k:l,~,~j.,,4~.~,L..v~'.l.,~/z,~'..,f,z~,;'.,:~/,~/...County of Suffolk, New York. , Fa.ilure to remedy the conditions aforesaid and to comply with the applicable provisions of law m~y constitute an offense pun,shable by fine or ~mpnsonmen~or both. /- Approved BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ~_....~. ........ ....................................................................... - APPLICATION FOR BUILDING PERMIT Date ..../...~.....'~......~..,~. ........................ , 19.Zb.. INSTRUCTIONS o. This apphcat~on must be completely filled in by typewriter or ~n mk and submitted in triplicate to the Buildin~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. PIo~ plan showing location of lot and of buildings on premises, relationship to adJoining premises or pubhc streets~ areas, and g~ving a detmled descnpt~on of layout ofproperty must be drawn on the d~agram which is part of th~s apphcat~d~ c. ThE. work covered by th~s application may not be commenced before ~ssuance of Building Permit. d. Upon approval of this apphcation, the Building Inspector will zssue a Bu,'ldmg Permit to the apphcant. Such perm shall be kept on the premises available for inspection throughout the work. e No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or aJterat~ons, or for removal or demolition, as herein describer The applk ant agrees to comply w~th all apphcable laws, ordinances, budding code, housing code, and regulations, and admit cut~onzed inspectors on premises and in buildings for necessary inspections. (Signature of~pjSlicant, or name, if a corporation) r~ , . ~ '.~ (Addcess of ~j~,pplicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises .... J~.._/.IL,L~?~/......~..y...~...~..~../"(~.~..,~. ............................................ If applicant is a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer) Builder's License No ....... ~ .................................... Plumber's License No. --' Electrician's License No. ~ Other Trade's License No. - ' 1 Locat,on of land on wh,ch proposed work w,II be done. Map No .... "' *" '~'~..~..~)..... ................... Lot No. /..~....~..{ .~. ..... Street and Number .... ~./~.~.'....~./...~......~.....~../~......C~......~..~.g ~.A ..... ..~...~..~.~.. ........... ~.~:}.~..~......~/.~lr/~J.~.j~.~ ........ Municipality 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction' a. Ex,s,t,ng use and occupancy ...... .~. J.:J~.. ~ .~. ...... ................................................... b Intended use and occupancy ........ ~...?~, ·. ~../.~....~...ff. · .......................................... ~ Nature of work (check which applicable): New Budding ..... :..-~:.. ........ Addition ................Alteration .' /.j.; /'/I ~/-1 (Description) (to be pa~d on filing th~-~ opplicahon) If dwelling, number of dwelling units ...... : ..................... Number of dwelhng umts on each floor ..................... If garage, number of cars .............................................................................................................................. 6. If business, commercial or mixed occupancy, speofy nature and extent of each type of use ..................... 7 Dimensions of extstmg structures, if any: Front .........................Rear ................................ Depth .................. Height ........................ Number of Stories ..................................................................................................... Dirrens~ons of same structure with alterations or addmons: Front ................................... Rear ......... Depth ................................ Height ........................... Number of Stones ............................. 8 Dimensions of entire new construction: Front ............................... Rear .......................... Depth ............ He ght .................... Number of Stories ........................................................................ 9 S~ze of lot Front ....................................................... Rear .......................................... Depth ....................' . 10. Date of Purchase ..................................................... Name of Former Owner .............................................. 11 Zone or use dzstrict in which premises ore situated ................................................................................. 12 Does proposed construction violate any zoning law, ordinance or regulation 13 Wdl lot be regraded ............................ Wdl excess fill be removed from premises. ( ) Yes ( ) No Name of Architect .... ""-'-- ........................ Address ~- Phone No. Name of Contractor ... --'""-'-- Address Phone No. ~ ' PLOT DIAGRAM Locate clearly and d~st~nctly all buildings, whether exit_ting or proposed, and ~ndicote all set-bock dimensions property hnes. G~ve street and block number or descnpt~on according to deed, and show street names and md~cot, whether inJerior or corner lot STATE OF NEW YORK, COUN-FY,.OF~,/ ti, ,~ ............................... ~"~'u . . .I~.I/../Zt~./~'/ ...... I~.~..~/...A/..~.~-...lJ[/~:~... ............................. be,ng duly sworn, deposes and s~ys that he ,s the apphcan, (Name of ~nd~wdual signing contract) above named. He ,s the ...... ~..~.~.~ ..................................................................................................................................... (Contractor, egent, corporate officer, etc ) of sa~d owner or owners, and is duly authorized to perform or have per¢ormed the sa~d work and to make and f~l~ this opphcat~on; that oil statements contained m th~s ~pplicot~on ore true to the best of h~s knowledge and belief, or, c tha~ the work wdl be performed ,n the manner set forth m the application filed therewith Sworn to before me th~ .... .... ....... - .... .. / (Si~notu~ o~pplic~nt) ROSE S. ~RSKINE ?~ota~ Public, State of New York No 30-1129877 Quahfted ~n Nassau County