The URL can be used to link to this page

Home My WebLink About7478-z ~0~ NO. ~ TOWN OF $OUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S oFFICE'. SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTi-~ORIZED) Ne 7478 Z Permission is hereby granted to: ....~.~.~,.~...~l.'~.~ ............................................. ...~o~h~.~& ...................................... : .................. erect and maintain stockade fence on ]~,i'..~...~ P.L, at premises located at ..... ............................... F~Z~, g~x..~.~ .... t ......................................................... pursuant to application dated ........................... &'O:g~t.~ ....... i1'~-., 1~¢~..., and approved by the Bui[ding Inspector. Fee ~, ~' O0 · Building Inspector / TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S Examined .......... ........... Disapproved a/c .......................................... ::: .................... i .... ....... ?" ' APPLICATION FOR BUILDING iPERMIT '~ Date ............... .~ ....... , 19.....~. ..... INSTRUCTIONS a. Th~s apphcotmn must be completely filled m by typewriter orr mmk and submitted ~n tnpl cate 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, rela[ionship to adjoining premises or publ c streets o areas, and giving a detailed description of layout ofproperty must be drawd on the d agram which is part of this application. c. The work covered by this application may not be commenced befdre issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the wdrk. e. No building shall be occupied or used in whole or in part for any parpose whatever until a Certificate of Occupancy-+/ shall have been granted by the Building Inspector. U APPLICATION IS HEREBY MADE Department for th& issuance of a Building Permit pursuant to the to the Building 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; for removal or demolition, as herein descr bed The applicant agrees to comply with all applicable laws, ordinan~ces, building code, housing code, a)~l regu at OhS, and t~ admit authorized inspectors on premises and in, buildings for necessary inspections. .............. (Address of applicant) State whether applicant is owner, lessee agent, architect,, engineer, general contractor, e ectr c an, plumber or builder ......................................... .......................... ............................................ ,u~^~~q~4 T~U P~ L ' . .............. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ................ ~ ................ Electrician's License No .............. ~-~ .......... Other Trode's License No ............../., .................... ~ ........ Location of land on wh',~ pro.p~_~L~d,work w IJ be d~,e Moj~ No' Street and Number ..~. ,. ..'~.~... Municipality State existing use and occupancy of prer'~fes and in~e?ded use an~d occupancy of proposed construction: 3. Nature of work (check which applicable): New Building.. ................. Addition ........ ~ .... Alteration ................ Repair .................. Removal .................. Demohttor ..................... Other Work ....(~[..~.:; ............. ;z. .................... . .... (Description) 4. Estimated Cost ............................................................ Fee .. /. ?~. .... .... ..... ... ......................................................... (to be paid on filing this application) /% 5. If dwelling, number of dwelling units ...... .k,./....~ ............. 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 ............................................ L ........................................................................ 9. Size of lot: Front ........................................................ Rear .......................................... Depth 10. Dote of Pt~rchose ..................................................... rl.~fmetr~f Fo.~er Owner ........................................................ 11. Zone or use district in which premises are situated ../Ut.....~: ............................................................................ 13.12' ~io~r~o~ ~tr r. ~ ~1.~..7~.Y ~° ~1 i~ f~l d ~?~ .... r;rgo~a ' ~:~~s" ( ) No: ....................................................... 14. Name of Owner of premises ....~.~..~..~...~.. Address ..~.~one No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... ..~..~. ;. Name of Contractor ...... '~'~' Address Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whethe~:_4~4'~,2"~r i:rrS~osed, and indicate all set-back dimensions from property lines. Give street and block number~..o~escription according to deed and show street names and indicate whether interior or corner et. ............. ,.~N~,,,?, ............... a~..,~,~ ................................ being duly sworn, deposes and says/...t h~ is the applicant (Iqame of individual signing contract) / above named. ~'¢""~)~:~ He is the :~.2~ ' . ............................. ~..~..~ ............................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and tsz make and file this application that oil statements contained in this application ore true to the best of his knowl, ed~o¢4 and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to bgfore me this ~--~. ~ L "~ .............. ~...(~?.. day of ....... .~....~..;..~'m....~..~...., i9....~..~ \ ~----~..-~._ ,. Notary Public,. ................................................... County ....... .~, · ,"~. ,,4~, · ~t:, · d, ................... ~, ,~/,, ,~,. :..~, ,~L....~d. ,'. ........... (Signature of applicant)~/