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Home My WebLink About6598-z I~ORM NO. 2 TOWN OF SOU?HOlD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUILDING P,ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6598 Z Date ......................... /~r..... ~3 ............... 19.~.~.. Permission is hereby granted to: He~ry W, Lauber ........... ~.~..~..o..1~. ................................................. ~o~...r.~...e.~.....~..~..~J,~.~...~..p~d~Lc~k...t~a..f~-e,~......~g,,. ..... oz~..S..&..~...~X..~..~/S. -' ...... ( ~z'&ge -- ~1~*~1~ .. ~.- ~eat~ e) ..................... .~ ....................................................................... at premises located at ........ ~l~,~3-.~..&..~..C~O,~S~aJ] ..................................................... ............................................ ~t~bn~ ......... ~¥.~ ........................................................................... pursuant to application dated .................. ~!.~....~3 ..................... , 19.?~.., and approved by the Building Inspector. Fe~ ~t.5.o,(:~0 ............. Building! Inspector l~ltM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ....... ~~ .......................... .............................. Application No .... ..~...~ ...... APPLICATION FOR BUILDING PERMIT ~,~ Date }~9.y 23 19...~.3... INSTRUCTIONS a. Th~s al3phcat~on must be completely hlled in by typewriter or mmk and submitted in triplicate to the Budding Inspector~,~, 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, relationship to adjoining premises or public streets or areas, g~wng a detailed description of layout of property must be drawn on d~agram which is part of th~sapphcat~on. ~'~ c. The work covered by th~s apphcat~on may not be commenced before ~ssuance of Building Permit. d. Upon approval of this apphcatlon, the Building Inspector will issue a Budding Permit to the applicant Such permit,shall be ke the premmes available for inspection throughout the work. e. No budding shall be occupmd or used m whole or m part for any purpose whatever untd a Certificate of Occupancy shall havelb granted by the Budding Inspector. APPLICA'I['ION IS HEREBY MADE to the Budding Department for the ~ssuance of a Budding Permit pursuant to the Budding Z, Ordinance of the Town of Southold, Suffotk County, New York, and other apphcable Laws, Ordinances or Regulations, for the constructio, buildings, adlht~ons or alterations, or for removal or demohtlon, as herein described The apphcant agrees to comply with all applicable la ordinances, b,Jddmg code, housing code, and regulations, and to admit authorized inspectors on premises and tn buildings for necessary mspectto Henry Lauber (S~gnature of apphcant, or name, ~f a corporation) ......... ................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build 0~er Name of owner of premises ...... .~..~.~.;~..~..~.t....~..a..~.b...e..~. .................................................................................................... If applicant is a corporate, 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 ................................................... I 1. Location of land on which proposed work will be done, Map No ............................................... Lot No ........ ...:~.. ........... Street and Number ........... ?..e..g..'g~....s..~.....~.~..~. ..... .(..LI:..~.O..) ................. .C..,g;~.a..,~.g[,~.9 .......................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Extorting use and occupancy ....... ~.~f~,-k~;~g ........................................................................................................ b. Intunded use and occupancy ........ same.,~zi~h......f..e,,n,,c,.,e. ................................................................................... 'Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration.". ......... ,.. Repair ......................... Removal ......................... Demolition ........................ Other Work ...P..e...~..o...e. ..................... (Descnpuon) 4. Estimated Cost ............................................... Fee .1.,5'.....0..0.. .................................................................................... (to be paid on fdmg th~s apphcabon) 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 ......................... Rear ............................ Depth ................................ Height ................................................. Number of Stories ....................................................................................... 9. Size of lot: Front ...................................... Rear .......................................... Depth ............................................... 10. Date of Purchase ..................................... Name of Former Owner .......................................................................... 11. Zone or use district in which premises are situated ......... I!.A..'.L.~.~.s..~ ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......... ~ ........................................... 13. Will lot be regraded __Tk.o. ............................ Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises .... J~ez:klzSr..~a.~be.~ .................................................................................................... (Address) (Phone No.) Narne of Architect ................................................................................................................................................... (Address) (Phone No.) Narne of Contractor ..............s.~.~...e. ........................................................................................................................... {Address) (Phone No.) proE er ir PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr¢ .~rty lines. Give street and block number or description according to deed, and show street names and indicate whel :erior or corner lot. STATE OF NEW YORK, ) COUNTY OF ........ .~.~.1'" O...~.. .......... ) Henry Lauber .................................... being duly sworn, deposes and says that he ,s the apphcant above nam ............... iNdke' contract; He IS the ................................. 0M12eZL'. ............................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and file this apphcation; tha statements contained m thru apphcatlon are true to the best of hm knowledge and behef, and that the work wdl be performed in the ma~ set forth m t~he apphcatlon flied the.~?~w~th, 2= ~ TEI~$LI FE ELA r~-, .......... J....day of .... ~;~]~Ag*"ttPlt~'L~.~.~taI~. 0~ .I,[~'~v I~L~fj . "~',.'_ ' ~ ~,~ ~d ,. au.i. ~ ~.oum~ .'r' Notary Pubhc, .~,~~ .F.~,a$..;',ar¢tCt0~rt~ '~ ~ ......... ~' ~ ~ ~)~~~'($,;n'aYdre'J'f"a~2'li'~'~;) .............................