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HomeMy WebLinkAbout6602-zTOWN OF SOUTHOLD BUILDING DEPARTMEFIT TOWN CLERK'S OFFICE SOUTHOLD, FI. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6602 Z Permission is hereby granted to: tJ~lw A.b..i...t.~.~...n..t.~..a..g..~p.~..I..n.g..~.A/.g~...~....t..t..~.t.~k ]~states Ine ................. ~.~.~.~.~...~.~.~ ........................................ ~o ..... ~.~...~m,d.. m~J/~.~.~! ~ .. a .. s~ llk,l~ ~/1.. f. ea~e ............................................................. at premises located at .... /~g.k.~.~ .......... }~.tl.t.~ck.~at&~;e~ ...................................................... .................................... ~.~...~t~.~&k..&~.e...f,..}~e.act~w...~____~e ................. ;~a.~.t,;~.t,...¢k ................ pursuant to application dated ...................... j.J~[f ......... .2J+ ............ , 19..~3..., and approved by the Building Inspector. Fee $.1.~..~ ........... // ""'T-'~~*~ ~'ui[;ii;'~"i';~;~;;' ":'j ............... i Exomined ........ ~i ............ i Approved ........................................ TOWN OF SOUTHOLD ~ C'~/~'// ~ ~,~- ~ ~ ~ ,~'~--,J~ BUILDING DEPARTMENT ~, //~'~:~ "~C,,~,~ b.~c~.__L SOUTHOLD, N. Y. 19~.Z.-~... Application No. ~?..'.~...~...?..../. ........... 1~...~....~.. Pemit No .... ~.~...~..~ .......... Disapproved a/c .............. (Budding I nsp~ctor) APPLICATION FOR BUILDING PERMIT Date May 2i+ 19 73 ,,,, 'N Tu oT, ,, a. Th~s apphcation mus be completely ' ed m by typ ~ter nk and subm tted n triplicate to the Building Inspector, Lw~ 3s~Sp~tP~li?t~ :~; ~ti~l~no~Ol~a~dF~ a~?~;~ ~n s~;, relationship to adjoining premises or public streets or areas~a giving a detmled descnptlon of layout of property must be drawn on diagram which is part of th~s apphcat~on. c. The work covered by this apphcation may not be commen~d before ~ssuance of Budding Permit. ~ d. Upon approval of th~s application, the Building Inspector will issue a Building Permit to the apphcant. Such permit shall be ke the premises avmlable for ~ns~ctlon throughout the work. ' e. No building shall ~ occupied or u~d in whole or in part for anv purpose whatever untd a Cert~fi~te of O~upancy shall have~: granted by the Building Ins~ctor. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to the Building Zc Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constructio, buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply w~th all apphcable lam ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary mspectim Edw Abitz Contr Inc (S~gnature of applicant, or name, if a corporation) (Address of applicant) State wheth(~r applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build= Co~tr~c tot Name of owmer of premises ...~.~..~..c.~....~,..s,.t;.~e,.s. ..... ~.g..c. ............................................................................................ 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 ................................................... 1, Location of land on which proposed work will be done. Map No ......... No ..... ~ .............. Street and Number ..... ~e'?~S~'~.~.~`~?~&~.e~.'d:~I~-e~ ....... ?!,,~,~?...i,~,~,,,c,,~. ................................................. Municipality :2, State existing use and occupancy of premises and intended use and occupancv of proposed construction; a. Existing use and occupancy .... cl~e..2.i~ ............................................................................................................ b. Intended use and occupancy ....... .s,,a..,m,,.e.....~,,:ji;.t,.~...~..e.g.g..e. ....................................................................................... Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work Fence { Description) 4. Estimated Cost ............................................... Fee ...1,.~D.Q ................................................................................... (to be pa~d on filing th~s apphcat~on) 5. If dwelling, number of dwelling units ....... .1. ........ Number of dwelling units on each floor ......................................... If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occuoancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Heighl ........................................................... 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 ....... !~.A..'.'....d..,i..s.~. ........................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ rlQ .............................................. 13. Will lot be regraded ,...,ILO ............................ Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ..... ~.,.~,,q,q~...,~..s..~.~.~.,e.,s, ......................................................................................... (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor E. Abitz Contractor Inc {Address) (Phone No,) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro, property lines. Give street and block number or description according to deed, and show street names and indicate whetl er interior or corner lot. STATE OF NEW YOF~t[ffo] k ) SS COUNTY OF .................. ) Edward Abitz ........................................................... being duly sworn, deposes and says that he ~s the apphcant above nam (Name of tndtvidual stgnmg contract) He Is the ...................... .CQ~. .~,~...~..,O...~,.O..?.. ................................................................................................. (Contractor, agent, corporate officer, etc ) of smd ownel or owners, and ~s duly authorized to perform or have performed the said work and to make and file th~s apphcat~on; that statements contained m this apphcat~on are true to the best of h~s knowledge and behef, and that the work wdl be performed m the mar set forth m the apphcat~on filed therewith 73 day Notary Pubhc, ~~_~u~,:,~ County "~~p~far~h 307 ,County ($tgnature of applicant~