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HomeMy WebLinkAbout6486-z FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6486 Z Permission is hereby granted to: .~.~.c..b.a..~...~...~.....g.~.e.y. ............ ; ............. ...~.....~..Y~ .......................................................... ..... Nm s.a....R ~;.... ~d~......~U:tcBo gne...: ............. ~o ...~?..~.~...?.~...~.~.~.o..~...?.~...~.~.~.g...?.?.~.~. ....... : ..................................................... at premises located at W/~ Nassau Pt Road gsa!it f~.om McKnight). larE.e. .....~ ~. ..~,~ ~.~..~.~..~,~. ............ ~.~ ...................................... pursuant to application dated ................ ~ ...... ].~......, ]9.~..., and opproved by the ,,,,, ............................. ......... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATI~)N (owner or authorized agent of owner) Box 7,~.0~ Nassau P~. Rd., Cutcho ue, (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance .... ?..R..?..:...~.Z...V. ..................... Other Applicable Laws, Ordinances'or Regulations ..] .......................................... (st~ete character of violation) dated 4/,16/,~3, has e,.x, pired. You are r~q.~red to aD~lv fo~ ~ new pez~mi t. in violation of Sec. 1 00-141H (State section or paragraph of applicable Jaw, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comp y with the law and to remedy the conditions above mentioned forthwith on or before the .... ~.i...x.J;.h. ...................................................... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~.~.8..Q...N..f~.~..~,..~P.~.~...~.cl,;..,....q.,q~.o...t~g~.u.,e..~ ....... County of Suffolk, New York. Failure to remedy th~ conditions aforesaid and to comply w~ith the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. · Building Inspector ~3; ' Nature of work (check which applicable): New Building ....................... Addition .......~.. ............ Alteration ....... :...;.., Repair ......................... Removal ......................... Demolition ........................ Other Work ......................... (Description) 4. Estimated Cost ...~....~...,....~...~...~ ........................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ...0.,.~...%; ..... 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 ................................... Neight ,~LI ' (;. Number of Stories '~- Dimensions of same structure with alterations or additions: Front ........ .~....L~.. ........... Rear .......... ~.'..O.. ....................... Depth ...... ;~.. .................................. Height ...~..[.i.....~..'.' ...................... Number of Stories 8. Dimensions of entire new construction: Front ...... ~..O....'. ......... Rear ....... ..~....~..'. ............ Depth ......~...~.[. ................... Height .. ~ .~. ... Number of Stet es . ~ ...................... 9. Size of lot: Front ........ L.~...O.. ...................... Rear ............ L.~...~. ...................... Depth .......... ~..o....o. .............................. 10. Date of Purchase ...!.!..~.~1.~.(.~.?..). ........ Name of Former Owner ....~.'.....~.!.~?.......~...:.....J~..~:..~.....~....~:?..%,: ............... 1 I. 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 ex, ess fill be removed from premises: [ ] Yes,~ ~ No nar of e ises ~ (/' -¢' ~--,-~,...z~ /,,4' A/,~,r 14. Name of Ow pr m .../:~/)~. ................... .~'.¢. ..................... ~....~. .........~,~....~.../..~. .......... ~.(~.. ............... (Address) (Phone No.) Name of Architect ..... ../,~.....~....~... ............................................................................................................................... (Address) (Phone No.) Name of Contractor ~)~x/A/'~.~. .... (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW,~YORK, ) COUNTY OF....~.,.~.-.~ .~.g.~.~. ,. ........................ ) SS ............ ~'~2-~x'~.'~.'~./'k]V~.t~ ~].:.~.'~...~....~-~..q.-~. being duly sworn, deposes end says that he is the applicant above named. .................... He s th, (Contractor, ~gen t, corporate officer, ~tc.) of said owner or owners, and is duly authorized to ~rform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. j / r~ __ T~RRI LEI O H~,, n~ ~ ~PUBLIC, State 0f .......................~% ............. ' ~' X~, ~ ............. c~ ........ ~uali~ed~"~2:6'~b~gb'~m Suhoik C0umy '""~ ..... Notary Pub'c,~ ~.~pires M~V[9 ~~ ....................................... ,+