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
~~ .......................................
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