HomeMy WebLinkAbout7407-zTOWN OF SO4JTHOLD
BUILDING ~EPARTMENT
TOWN CLARK'S OFFICE
SOUTHOLD, N~ Y,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 7 07 Z
Permission is hereby granted to:
...... ~i~z~.~.#~. ...................................
to. t~ u.t.l~. ~w...p r.t~t~ .. ~L~ ~I~,~ ..~)g~3,...~.~1. J,g.~.g ~.~ g.~.~ .........................................
at premises located at .~,4~t,. -%~. ..... ~-~.t~.~& .......................................................
....................................... ~t~oe4..~r~,~e .............. ~-,uf,~ r~e ...................................................
pursuant to application dated ............................... ~...1~. ....... .1.~..., 19..~...~.., and apprcrv~d by the
Building Inspector.
gOTE~ ~eed underwriters certificate for filtezheok~p
Fee $.~ .~*.{~ ............
FO~M NO.$
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Dote Decembe~ 22 19 80
(owner or authorized agent of owner)
71~ Eastwood D~., Cutcho~ue NY 1~9~
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance .... .~..R, .~..:....X..Z...~. .....................
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that Building Permit ~. Zk0..4 .
(state character of violation)
........... .....
new permit.
in violation of Sec. 100-~..41H
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the
conditions above mentioned forthwith on or before the seventh
day of ........~...~9...u..n...~.Y. ............................... , 19..8..!...
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
Z'I~ ~es~oocl. Dz~. ¢~t¢~o ue
............................................ ~ ................. g......~ ....... County of Suffolk, New York.
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
Building Inspector~c
TOWN OF SOUTHOLD
~UILDINe DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
.it .....
Disapproved a/c .........................................................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter oe~ in ink and submitted in triplicate to the Bui di~-4
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 ~l~aaadrJaOmini emises or public stree
areas, and giving a detailed description of layout ofpraperty must be drawn on the vnl~i :~r
· g w 'c 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~
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.
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 Southol.d., Suffolk County, New York, and other applicable laws, Ordnances or
_R.egulati.o. ns, for the construction of buildings, additions or alterations, or for removal or demolition, as here n described
fne applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary ir-~oections.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect; engineer, general contractor, electrician, plu .mber or builder.
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 done. Map No.: ~....~a4~l~..~ Lot No ........ ../..~.... .........
Street and Number .......... ~....~.......~...~... ................................................................................
Municipality
State existing use and occupancy of prem~s and~intended.J~,..~'-~ V,~'~- use and occupancy of proposed construction:
a. Exisiting use and occupancy ............. ..~...~ ............................................
b. Intended use and occupancy ...................................... ...~.....~...~. ....................................................
10~
ll.
12.
13.
l~.
property lines. Give street and block number or description according to deed, and show street names.
whether interior or corner lot.
Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ...~
Repair .................. Removal .................. Demolition .................... Other Work ..~.~..,~...
(Desc rlpti0n) ,~ ~lf--~L~
(to be paid on filing this application)
If dwelling, number of dwelling units ............................ Number of dwelling units bn each floor ......... i ..................
If garage, number of cars .................................................................................. ; ..........................................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
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 ................................
Dimensions of entire new construction: Front ....... ~ ............... Rear ....... ~ ......... Depth ...~ ........
Height .................... Number of Stories ......................................................................................................................
Zone or use district in which premises are situated .....................................................................................................
Does proposed construction violate any zoning law, ordinance or regulation: ............... .~....~.. .............. ~ ..................
Will lot be regraded ..........x~...z~. ............ Will excess fill be removed from premises: ( ) Yes ( )i No
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-bock dime nsions from
md indicate
·
STATE OF NEW '~C)I~,~,/ Y! ~ ¢ c
COUNTY OF ;~~...~'~
....................... ~..'. ........................................................... being duly sworn, deposes and says that he is the applicon!
(Nome of individual signing contracf)
above named.
He is the .................................................................................................................................................................................
(Contractor, agent, corporot.e 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.
Swam to ~r~.e this // ~
JUDITH T 8OKEFI