HomeMy WebLinkAbout6703-z FOI~M NO. ~
TOWN OF SOUTHOLD i
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~ Y.
BUILDING PER/vIIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No. 6703 Z
Permission is hereby granted to:
~.a.i~ .... ~,a.Cha;a ...............................................
.... P.~e~mLc ......................................... ~ .................
to ...:ap~ir...&..er~l.a.~ g~ ..~t;~ ~ S...a~e asOx. T...bucL. id, ta~§ ..............................................
at premises located at ..... ;..k~.~'~.;~.$~....-~aD$ ...........................................................................
............................................ ~'.~.~r2~ .......... ~.,~* ...................... i .........................................................
pursuant to application doted ......................... ~l*~t~.....~.~......[...., ]9..~,.~.., and approved by the
Building Inspector.
Fee $.. ~.* ~).0 ..........
t I - Building Insp~r~tor /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date .......... .D. ,9. g. p..~. ~.e...z?., ..1..~. .................... 196.0....
(owner or authorized agent of owner)
.... 958
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
ART. XIV
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that ..... .B.~]_.~.~g...?..~...z~...~....~.....6.~...0.~ ..........................
(state character of violation)
dated 7/3/73 has e,p. ired You ~re r~.qu' ed t only for a
new permit. ~
in violation of Sec. 100-1L~1H :
(State section or paragraph of appJicable Jaw, o~dinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned forthwith on or before the sixth
day- of ...... .~...~.g..~, .~ ?. ~. ................................ 19' ' ' ~']. Lr
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
3~. Peconic Lane, Peconic, C'n,,ntv of Suffolk, New York.
Failure to remedy the. conditions aforesaid and to comply With the applicable provisions of law
may constitute an offensd punishable by fine or imprisonment o~' both.
Building Inspector ,,~q ~_
N
,, I
'7/. '~ /-.~ APPLICATION FOR B ILDING PERMIT
~4~
....... ~ ........................................ , 19 ............
INTRUSIONS
a. This a~lication must be completely fill~ in by ~writer o~ in ir~ and s~mi~ in triplicate ~ ~ B~i
Ink,tot, With 3 ~t· of plans, accurate plot plan to ~le. Fee a~o~ing to ~h~ule.
b. Plot plan shying J~ation of Jot and of bu ~i~s ~ premises, ~lati~io to adioininn nremi~s or n~l C ~
and i ' ' ~ ' ~ ~ ~
or~s, g w~ a deta I~ d~npt~ of I~ ofpr~ m~t be drawn ~ the diagram which is ~ ~ ~is ~ katie.
c. ~e wo~ c~ered by th~ a~licatlon may n~ ~ c~me~ before Jssua~e of Building Pe~it.
d. Upon a~mval of this appJicati~, the Buildl~ I~tor will i~ue a Building Permit to the applicant. Such
shall be ~t ~ ~e premi~ available ~r in~ti~ ~r~h~t the work.
e. No building shall be ~cupi~ or u~d in whole or in pa ~ for any pu~e whatever until a Ce~ifica~ of ~cuponcy
shall have been grant~ ~ tho Buildi~ In~tor. /
APPLICATION IS HEREBY ~DE to the Building D~a~ment for ~e issuance of a Building Pe~it~t
Building Zone Ordinate of the T~n of ~ld, Suffolk Count, New York~ and other applic~le ~, ~i~
Regulations, for the c~tr~tion of buildings, a~itions or alterati~s, or for m~al or demoliti~, os ~min d~rJ~.
The applicant ogres to comply with all a~licable la~, o~ina~, buildi~ c~, h~si~ c~, a~ ~ul~J~s,
admit authoriz~ in~to~ on premiss ~ in ~ildi~s ~ n~essa~ i~tions.
(Signature of applicant, or ~me, if a co,ration)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general ~ontractor, electrician, plumber or builder.
Name of owner of premises .......... · ................... :. ...... ~,~........~?...:...
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 ...............................................
Location of land on which proposed work will be dor~e~ Map No · . .............. /~ Lot No
Street and Number ....... .~....~......?~.. ....... ~.....i./~..~...e~. .......................................................................
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ....... ~.........~.....~.. ...................................................
b. Intended use and occupancy ....... ~ .~.....~7~....~.... ~ .~. ............................................................
3. Nature of work ~dneck which applicable): New Building .................. Addition f Alteration '
Repair.........~..~....., ... Removal .................. Demolition .................... Other Work ......................................................
(Description)
4. Estimated Cost ............ .~...Z~ .................................... Fee ./....~...~ ................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................
If garage, number of cars ................. .C~)....[-C. ..................................................................................................................
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 ......... (..~..r. ..... Number of Stories ............~ ..................................................................................................
9. Size of lot: Front ................(...~...~..~.....: ........................ Rear .......... ./....Z~... .............. ~,~ ...... Depth ....... ~'..~..~..~. ............
10. Date of Purchase ..... /..~....z~... ........................................ Name of Former Owner ..1l~...~.~.~....~.....~.._~ ........
11. 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 excess fill be removed from premises: ( ) Yes (A') No
14. Name of Owner of premises...~....:..~/.~......~ ....... Address .....~.c.c,~.. ...... Phone No.~...~...5'..T..~..?..~.~.
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor ............................................................ 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
whether interior or corner lot.
STATE OF NEW_YORK, [ee
COUNTY OF ..~r,~.~ ............ ~'~
............. ~:::...~.~,.j.).d....~.......~: ......... .L....o:...~....~.....~.~ ................. being duly sworn, d~o~s and says t~t he is the applicam
(Name of i~ividual signing controc~
above name.
He is the .............................................. ~..~..~..~..~ ......................................... ~ ..................................................................
(Contractor, ag~t, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file
this application; that oil statements contused, in this application am tree to the best of his knowledge and belief;
tha~ t~ WOrk will be performed in the manner set fo~h in the application filed ther~ith.
Swam to ~Eore me this
......... ......... ......................... ,
Nota~ Public~ ...~......~..~.~.~.~ ............... County~~...~.~...~ ....
. ~ ~ , ~.. ,~. -- (Signat~ of appli~t}
SH~Y B, AME~ - rk '