HomeMy WebLinkAbout7396-zN°.
IUILDING I'~J~IT
(THIS PERMIT MUST BE KEPT ON THE I~EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
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7396 Z ~, ....................... ~,~ ....... ~s ........... ~...
Perrnis~io~ is hereby granted to:
O~l~t - ~r~..&..Oe~et~ ......bA~..~ll~d ~cteee~
at premises located at ..~4e~kl~.~ ....................................................................................................
......................................................... ~..~a~....#.~. ..............................................................
pursuant to application dated ....................... ,l'al~ ....... .$$ .......... , 19.~,..., and apl~roved by the
Building Im~oector.
TOWN 011SOUTHOLO
lUll. DING DEPARTMENT
TOWN aJRIC'S OfFiCE
SOUTHOLD, N. Y.
Examned. fl
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................................. . ,,....7.. it,a. ....... ..........
Di~pprowd a/c ......................................................
................. ...............
INSTRUCTIONS ,
a. This application must be completely filled in by typewriter ac. in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ,
b. Plot plan showing location Of lot and of buildings on premises, relationship to adjoinina I~remises or public streets
areas, and giving a detailed description of layout ofproparty must be drawn on the diagram .,~,~h is part of this application.
c. The work covered by this application may not be commenced before issuance of Budding Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicam. Such permit
shaU be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
i~ .A,P,.PLI_CATIO~N .!S HEREB. Y.MA_DE to .the B.uilding ,.D.ep?,,,rt~ent for the issuance of a Building Permit pursuant to th'
_u ~ .a. i _r_ .~,. .. /-_ on ,e u~nance, at .t. he I..mm..o.t. Southo. l.d, Suffo:v. ~.oun.ty, New York, and other applicable Laws, Ordinances or
=gu ~,ons, ~or rrm construction at ou.a,ngs, additions or alterations, or for removal or clemolition, as herein described.
aT~i~PaPul~Chao~[zaec~r~nLte~tC2~mPo~lY ~vmltmhl~l$~rd,~nab~l~ele/~of~ nnan~br~ryiljd~tiod~,.housinglcode, and regul~tiorts, and to
O~ient Tz~ncking & C~.ns. ~o
(Address of applicant)
State whether applicant is owner~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
contractor
Name of owner of premises Ronald ':~deen
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. Ot~t~lleZo
Other Tmde's License No ....................
LOCation of land on which prooosed work will be done Moo No ·
~'r ..... l~:[n ~oad ~st 1,larl~ ,~.Y'-' ................................. ~ ..................................
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 sa~.e with private swlr~m:Lag poo!
3. Noture of work (check which epplicable): New Building.. ................. Addition .................. Alteration .................
Repair .................. Removal Demolitior, .................... Other Work '
(~iption)
0
4. Estimated Cost ............... ~4~01~....-~. .......................... Fee ..1.~..t..0. ................................................. ~ ............. ~ ...............
(to be paid on filing this Pppl~catlon)
5. If dwelling, number of chuelling units ..... g~;~f~ ................ Number of dwelling units on each floo~ ............................
If garage, number of cars ............................................ : ........................... ; ....................................................................
6. If business, commercial or miXed occupancy, speci{7 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 ...... ~6 ......................... Rear ......... ~.6. .............. Depth 1 8
Height .................... Number of Stories ....................................................................................................................
9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................
10. Dote of Purchase ........................................................ Name of Former Owner .......................................................
11. Zone or use district in which premises are situated ...,/L....~J,~.~ ................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~ ............................................
13. Will lot be regraded ...... ~. .............Will excess fill be removed from premises: ( :~¥es ( ) No
14. Name of Owner of premises ..~-~lcl..J~d;l~.~.~.l~. ............... Address.........................:..:~~° M, al"tO~ ~1~_ NO. ......................
Name of Architect .............................................................. Address "-'""""'"'""-"-"'~..~one No. ......................
Name of Contractor ........ J~., :LeD.~,..~l~]f,g..~....C...o..ll..~..t...e.... Address Orient I~m Na
PLOT D~AGRAM
Locate clearly and distinctly all buildings, whether existing or 'proposed, and indicate ?11 set. back dimensions from
property lines. Give street and block number or,descriotion accord_il~g to deed, and show street hames and indicate
whether interior or corner lot. *t~ ...... ~ ...... ;
$_5
STATE OF NEW YORK, ~ c ~
COUNTY OF ..... ~L.~ O.3:~ ......... ~'~
.............................. · .i~ _e~-J~.l~ .&i~ ............ :....... ............ being duly sworn, deposes and says that he is the applicam
(Name Of individual slgmng contract~
above named.
He is the .................................... J~XL~Z~,~-.~D~.. ....................................................................................................................
(Contractor, agent, coqoorate officer, etc.)
of s~id owner or owners, and is duly authorized to perform o.r. have performed t.he said .wo.rk arid.to make and file
this application; that all statements contained in this Ppplicahon are tru,e.,to, ~e ~est of hm v, nowmage and belief; and
thor the work will be performed in the manner set forth in the application foea merewn~.
Swam to before me ~is
........................ ldby of ....................... Ju.l.a'. ........... , ......
Notary Public, .................................................... County ..... ~