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Home My WebLink About7047-z FOE]M[ NO. 2 TOWN OF $OOTHOI. O BUiLDiNG D£PARTMEN'I TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE pREMIsE COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL Permission is hereby granted to:~/ .... ' .... ~ ...... ~/~......~f<~. .... ~~~.~..~.~~, . ~t premises located at ..................................... ~ ................ ; ....... ~ ........................................................ pursuont to npplicotion d~ted .~;....,~ ................... ~,..~., and opprov~ by the Building Inspector. ~ ' ' Fee $ ........................ ' ;- ~'-'"~' Bui ding hspec or ~ FO~M NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATIO~ (owner or a~rizea agent o ow ; I ~/.....~.~.~. ............ ,.~..~.~;.~.~ ..... (address of owner or a~'thorized agegt of owner) PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations ..... , ..................................... ....... , (stat[character of wolahon) '. ~,o~,~' . ~ ~.~...~ ......... ~......~.0~......~.~' . - ............................................ . ~State section o~r~oroph o{ ~pplicoblo I~w, ordi~*nce or re0ul*tion) YOH AR[ TH[R[FOR[ DIR[CI[D A~D OR~[R[~ to compl] with the I~w ond to condltion~ mentioned forthwith in or befo~ the ...... ::~ ~Z~~...~... The pr~mises to which this ORDER TO RIM[DY VIO~TIO~ refom oro sltu~t~d ot Failuro to romedg tho conditions ~forosoid ond to comply wi{h th~ ~pplicobl~ provisions may constitute an offense punishable by fine or impr~san b~th. FOl~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE! SOUTHOLD, N. Y. Examined 19 .... Approved 19.[..:... Permit No..l.~......~..l...& ........ Disapproved a/c ......................................................................................... ?. / ....... ......... .............................. (Building Inspect'or) ~-~ APPLICATION FOR BUILDING P~RMIT ....... ....... , INSTRUCTIONS : a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according tb schedule. b. Plot plan showing location of lot and of buildings on premises, relatiolnship to adjoining premises or public streets areas, and giving a detailed description of layout ofproperty mu~t be drawn c~n the diagram which is part of this application. c. The work covered by this application may not be commenced befor~j issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue c~ 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 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 j~suance 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 aJteratlons, or fbr removal or demolition, as here n described. The applicant agrees to comply with all applicable laws, ordinances, buildi~ig code, housing code, and regu at OhS, and to admit authorized inspectors on premises and in, buildings for necessa~ inspections. (Signature of applicant, or narn~,, a cor_.Ep_.~ot on) ............ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generdl contractor, electrician, plumber or builder. owner of premises ...,x(...~./~'..c2m..~,,.~,~.~...l... :.'~."~..~.~.~.~C.~.~.~,~x~,~- ........ ' ................................................ Name of 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 ....... Z~'~'; ............................... ~-~--~;~z-~,~ ~ Other Zrade's License No .............. :~ ............................ ~7~'~J~'~/_~ ~ ~' 1. Location of land on which p~osed wor ,w~on~M~gp No..'/._. ~. .-S/~_ ....................... Lot No ~.L~.~.. Street and Number ..... ...~?.'~.~C...~..~.:, ~_.~.~__~~t'~ ................ ~ .............................................................. ~ ~,~ i; Municipality 2. State existing use and occupancy of premises and in.~ended use and occupancy of proposed construction: o. Exisiting use ond occupancy ..... . .................................... b. Intended use and occupancy ~.~_~~..~...~,4'~, ................... 3. Nature of work (check which applicable): New Building .................. Addition ....., ............ Alteration .................. Repair .................. Removal .................. Demolition .................... Other W . 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 ...................................................................................................................... / R r J 9. Size of lot: Front ..............~...~. ................. , .............. ea ............... ./....~..~ ............ Dep~th :~.~...~.~. .............. 10. Date of Purchase ....... ~../....'~..../~...~....~.../... .............. Name of Former Owner~.,....-...~'~t'b~'~.~¢~... ............ 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 .~z~ .......... Will excess fill be removed,,~o~i)e~s.~ ) Yes (~) No -- 14. Name of Owner of premise ddr e N~.~..~........~...~ Name of Architect .............................................................. Addre~~~..~.~:~ne No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-b~ck 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~OJ~, /~L~/ (¢ C COUNTy .................. /. ............................................................................. being duly sworn, deposes and soys that he is the appliconl (Name of individual signing contract) a'bove named. He is the ................................................................................................................................................................................. (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 fife this 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.