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Home My WebLink About7539-z FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7539 Z Permission is hereby granted to: ¢%~ ~ua. · ..L-,'.l.e ~.e ~ ................................................. ....... ~o~,'i~h~,~l, ..................................................... to ..................................................................... ~t ~=~ .~,~.=t~.= ~=o~ cL~==:::.:.:~ ....................................... ~ ~?~=o~ ~.~+~. ~'::F.~..t~:...~.~.L:.v.~..~...?~ea'~ at premises located at ....~.~i.....~.~A~.~..q.q..~..j:.~' ................................................................................. ................................. .~.~,,..o......~9.~g...~ ~..e..e.k..p..~ ~:~..e.. ....... ~.o..~.b .~.;~ .................................................. pursuant to application dated ......................... ~iP.P..~......J..~. ............ , 19.~![.., and approved by the Building Inspector. Fee $..'1.~ ~ .~..L') ........... Building Inspector FORUM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION 19../....:' (owner or authorized agent of o~ner) (oddress oFowner dr ~uthorized orient of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations .......................................... at premises hereinafter described in that .../..~;~:L,g,;.~.~ ....... ~[C;~..~,...~.-L'.~..:x;...~......x~.: ........ ,.;:~.~...~5.:'./.~ (state: character of violation)~ -:~,.-,~,.x~...;Z..i ,. ~ .............. '~' ~' ...... ~' ........ ~'""'"'"'"~' ...... '"'""'"'"~'~~,v'f~ ......................... Z~.~Z:,.': ~...../..'..~..~. ........ :,,.,.¢,: ....... ,,.r.,,c,.,...:tZ...L~.. ............. in violation of /....Ad.~-./,....,~,~,~ ............. ,.~.,.~..~*.~ ..~.-~ ........ ,- ......................... (State section or parograph of applicable law, ordinance or regulotion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply ~vith the law and to rem~.¢he conditions above mentioned forthwith ,n or before ~e The premises to which this ORDER TO REMEDY VIOLATION refers are situated at · :., ~ . ~2~1~-,~. , c>.:'~,:~- . ...... ..~.~ .. ..::"'""'"".... ...... .~ ~,~':,~/~.-'~:"n'". of ~.f,o*,. _ ~New Fa.ilure to remedy the conditions aforesaid and to comply~h the may constitute an offense punishable by fine or imprisonment 6} both. provisions of Iow FORUM NO, I · ~ SOUTHOLD, N. Y. Application No. Z~.~.Z. ........... ..~ ~'~ ' 19..~.//~ Appro~,ed ............ '.! ........... L~ ........., l~.~Pormit No..~ .............. ~ ..... ...... APPLICATION FOR BUILDING PERMIT 19....~.... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ Jn in~ and submitted in triplicate to the Building Inspector, with 3 set~ of plans, accurate plat plan to ~ale. Fee according to schedule. b. PIo~ plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout of property must be drawn on the diagram w~ich ~s pa~ of this c. The work covered by this application may ~ot be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector w{ll issue a Building Permit to the applicant. Such permit ~all be kept on the premises available for inspection throughout the work. e. ~o building shall be occupied or used in whole or in part for any purpose whatever until a Ce~ificate of ~cupanc/ shall have been granted by the Building Inspector. APPLIC~TIO~ IS HEREBY ~DE to the Building Dep~rtment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, ~ew York, and other anplicable Laws Ordinances Regulahons, for the construchon of buddings, addihons or alterahons, or for removal or demolition, as here n descr bed/ The applicant agree~ to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admff authorized inspectors on premises and in buildings for n~essa~ inspections. .... - i.e.. ....... ................................... ~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of pr m s ......................................................................................................... If applicant is o corporot~ slg/ature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... PlumbeFs license No ................................................. Electrician's License No ............................................. ~1 Other Trode's License No ............................................... // .~/ '} / 1. Location of land on which profLsedz~rk will be done. Mal~.~~..../.../..~ ...... Lot No..'~.:.~.!. ................ Street and Number ~,-~:x~?~/~ ~'-" - ~'"~(~*~"~~// Municipality ........ 2. Stateexisting useandoccupancyofp~r,~and in(~ndeduseandoccupancyofproposedconstruction: · ' ' s ~_~._~LSe'jt o. Ex,siting u e and occupancy ...... ~ .................. ~ ........................................................................................ b. Intended use and occupancy ....... ..~...~.. ~ 3. Nature of work (check which applicable): New Building. ................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolitio~ .................... Other Work ................................................ .... Z...~... ~ (Description) 4. Estimated Cost ............................................................ 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 ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature end extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of some 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 ................................ ]0. Date of Purchase ........................................................Nome of Former Owner ........................................................ ] ]. Zone or use district in which premises ore situated ..................................................................................................... ]2. Does proposed construction violate any zoning Iow, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No ]4. Nome of Owner of premises .................................................... Address ................................Phone No, ...................... Nome of Architect .............................................................. Address ................................Phone No ....................... Nome of Contractor ............................................................ Address ................................Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly ell buildings, whether existing or proposed, and indicate ail set-b~ck dimensions frorn propcrty lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STA'I-E OF NEW YO~I(, IS S CO U N TY OF ........ $-':~lz.(-~9.(, .~. ........ ........................................... .'.?,~,,~.,~,~.,,~.!..~..v7,, ........................... being duly sworn, deposes and soys that he is the applicon (Nome of individual signing contract) above named. He is the ................................ .O.....U~....~..?....~. ............................................................................................................................... (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 applicction ore true to the best of his knowledge and belief; and tk, a~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... .J...~....:~. · ..... day of ........ Notary Public,. ........ .~ .~..~. ~..o...L~..c. ...................... County ...... ~..~. ~....~w~.. .................................... ~ (Signature of applicant) Commission ~xp~res Uarch 30~ lJ~