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Home My WebLink About7305-z FO~ NO. 2 TOWN OF SOUTHOLD BUILDING DE F,ART/v~,ENT 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? 7305 Z Date ............. ~ .............. ~[~t-~e..... 6 ........... , 19.~... · Permission is hereby granted to: Twin Fork Fence Co A/C Betty (A.E.) Har~ Mattituck ~o...e..~.e..e..~..A~.,~...~.t.~.~....~..e.~r...Z.~A..~..e.~.e...e. ........ (3.¢,~..~..-.~.....). ......................................... at premises located at ....~.?..~.....~..9.......~...~.~...~..~.,.~.?.~ ........................ ~ ........................................................ Wate.r.s Edge w.a..y. @ Ba~. Haveni~'a Southold pursuant to application dated ................ ff~13.e...(~ .................... h..., l~,.br...., and approved by the Building Inspector. Fee SJ.~.,...O..O. ............ Building Inspector t ............... BUILDING DEPARTMEN~t, TOWN CLERK'S OFFICE SOUTHOLD, N, Y. ..................... %4Z. Disapproved a/c .~~ APPLICATION FO~ BUILDING INSTRUCTIONS This application must be completely filled in by typewriter or in i,hk and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according t~o schedule. 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 ofproperty must be drawn .~n the diagram which is part of this application. ~. c. The work covered by this application may not be commenced befor~ issuance Of Building Permit. h'l d. Upon approval of this application, the Building Inspector will issue ~ Building Permit to the applicant. Such permit ~. shall be kept on the premises available for inspection throughout the world. e. No building shall be occupied or used in whole or in part for any puqpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. F* 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 ~or removal' or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, build[rig code, h6using code, and regulations, and to admit authorized inspectors on premises and in. buildings for necessary in.~pections (Signature of applicant, or name, f a corporot on) .... ....... (/Address of applicantj~/ State whether applicant is owner, lessee, agent, architect, engineer, gener8l contractor, electrician, plumber or bui der. If applicant is a corporate, s~gnature of duly authorized officer (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Zrade's License No ...............................................~. i.,~ /,/~.~z-~ / . StreetL°cati°nand°f landNumberOn which~/~pr°p°sed work will begone. Map No~.~]..~f. Lot N~...:~,fl..,., ...... State exisHng use and occupancy of premises and in~-ended use an~ occupancy of proposed construction: ,, [xisitino use ond occupancy ...... ................................................. 3. Nature of work (check which applicable): New Building ...~ .............. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ................................................ ~... (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 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 .................... Number of Stories ...................................................................................................................... 9, Size of lot: Front ........... {..~..,~T_ ................................ Rear ......... j...~...~,.'..-~.. ................... Depth ...... .~..~r~....~... ......... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 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 . ........................... Wilt excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ...;'........~ ........................................ Address ................................ Phone 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-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 /- c c COUNTY OF ....~,..~....,: ................. ~ ~'~ .......................................... ; ...................................................... being duly sworn, deposes and says that he is the applicor~ (Name of individual signing contract) above named. He is the ................................................................................................................................................................................. (Contractor, ageqt, corporate officer, etc.) of said owner or owners, and is duly authbrized to perform, or have performed the said work and to make and file thi~ application; that all statements contained in this application ore 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 bef. o/'e me this ~ JUDITH T. BOKEN No, 52.0344965 ~ffolk Coun~