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Home My WebLink About6348-z I~OB,~ 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? 6348 Z Permission is hereby granted to: ..~ ~..~..~..~:~L..~L~.~.~.J~.. ~.~ ...................... ............ .~ 2. 5.....~,.~...f~3~l..Cx~ma~r~...~t .............. ................... ~It~/~y~.J,~....jf.~3;~ ...................... to ..~a~l-~.~a~..&c~e~sa=~...s~u~tA~as..-.(.sv~teh...~&~.~..D~4t,..at&) ................ ct premises located at ....)W,~E.~i~).&,.,I.-a~e, ............................................................................. ; .......... ................................................. · .a~.oale. ......... 3[..~, .............. .~ ............................................................ pursuant to application d~ted .......................... ~all ....... .JJO .......... , 19...~.3., and approved by the Building Inspector. Building Inspector FOR~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............. .c~.. ......... , 19.,,'~. ,~. Approved ........................................ , ........ ermit No ................................ Application No, ...~...~...?.....~.. ........ Disapl: roved o/c .............................................................................................. APPLICATION FOR BUILDING PERMIT D,~,,, January 10 19,7...3 ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the BuildingF' Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or Jn pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) 175 East Old Country Road ..H...i..c...k..s...v..i..$..%.e..,.....N..e..w.....Y...q.r...k. ....... J.!.8..9.! ............................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises Long Island Lighting Company If applican~ corpora~.,~j/~,~signature o' duly authorized officer. (Name and tit,/of corporate officer) A. C. Sugder~, .Vice President School Dist. 7 1. Location of land on which proposed work will be done. Map No: ..,~ke.~k~i..J.,...~..,....~....6.... Lot No: .................... Street and Number / 775~Mill Road¢ Peconic .......... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Electric Distribution Substation, Unattended b. Intended use and occupancy Electric Distribution Substation, Unattended 3. Nature of work (check which applicable): New Building .................. Addition ........ .X. ........ Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ................... .$.~,~.~.Q.0 .......................... Fee I ~ ~ (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 ........................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, Jf 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 ............................ See LTLCO Draw±ng 9. Size of lot: Front ....... ~.Q.,.].J ......... Rear][~',lZe.~,~p. ea Depth ................................ F-278gs-3 10. Date of Contract ....Dct.o. bez:...]..~.,....l~6.tJ.. ........ Name of Former Owner .~.....,~.~.,....~...o..t;~.s..t;.~.,,,q...k~,,..~.~,kez 11. Zone or use district in which premises are s~ uated ...... ~.....~,~.~A.~t,~,~,~.~,~,..~..~g, lZ~,.C:l~l~t:~l:~l. .................... 12. Does proposed construction violate any zoning law, ordinance or regulation? No 13. Name of Owner of premises ....... ..~.~..~..C...O. .................... Address ...]..~.~...~.....Q.~.~,..C.Q1~,~,~YPhone No. ?..3..!.T..~..3..9..0.. Rd. , Hicksville, Name of Architect ..................... ,gA~_E ....................... Address ..New...¥~tk...,.~..~G0.] ...... Dhone No ..................... Name of Contractor ................... ..S.~ ....................... 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 numbers ar description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ S.S. COUNTY OF .................... .A..:.....C..;....B...~.c4'.c]...e..n. ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ................................................. ..C..o...~..o...r.~..e.....O.~..J:?...e..r.. .............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform 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. Sworn to before me this ,~ ...... ........... day of .~..~,.....;,~.~, ~ ,,_ ~9 ,_ ......... . ............................ Notary Public, . ........... .~..~.~..~.,.~..~.....~.. ............ ~,4~,.;;:(~o~Jnty (Signat~j/e of applicant) ~ ~u~l;fi"d h ~: u C .qty ~ '/~' ~"~"~"";'"' I~ommi,;io; E;;i/~::,~';h':;;, 1~",,~' C. Sugden, ~ice President ? // ? Z O C/I T/O,t/ LONG IS~ND LIGHTING COMPANY 17B EAST OLD COUNTRY HICKSV NEW YORK CALE /~O~ ,,V~ .,,S,