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Home My WebLink About7501-z l~OE~I NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMEN~ TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISI~S UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: Aag~.l o... ~.arb. e ~.~ .~ ........................... ,. ................. 2 Hunter C~ .................. ~!~..~.~..1..1.~. ...................... '~ ................. ...e~o~,osure ..~... f.t .. hl~h.. ~...2~ f.k X~5~f~ .................... ~ ........................................ at premises located at L..o,t b~O Nassau Point prOP] E/S ~assau Point Road · CutehO~e pursuant to application dated ....................... ..~.~..~[......~..br.. .......... !;...., 19..~.~., and approved by the Building Inspector. ........... .... £fTTLE p£COIVlC BAY LOt 40 Area= 35,870 ~8 ~'ozu~ so. ~ .~~ TOWN OF SOUTHOLDi TOWN CLERK'S oFFI¢I~ SOUTHOLD, N. Y. Examined ............... ~Z] ...................... Approved ............ !.k. .......... ..~..2 ........ , 19..~.!L Permit No..Z.~..f,~.....~/~?~ Application No.~'';c'c~ Lr .~1 Disapproved a/c ......................................... (Building InspectOr) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or, n nk and submitted in triplicate to the Bu~ in 'Id' g0 Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordinglto schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout ofproperty mast be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced befo~'e 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 work. e. No building shall be occupied or used in whole or in part for any pm-pose 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',J 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ton admit author zed inspectors on premises and in, buildings for necessary it~tspections. ................ ....................... ..................................... (Signature of applicant, or name, if a corporation) ' ,~A~d~'gss'g~ '~'l~i~'nti .................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ ................... : ............................................................................................................................ Name of owner of rem sos ........ .......................... ...... ..................................... If applicant i~ a corporate, signature of duly authorized officer. ................ ................................. (Name a~ title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Zrade's License No ............................................... Locatonof and on wh ch proposed .w~ork will, l~edone MapN~q ~.~'~.~.~ff..~L[.~.. :~...~..~..~kot No Municipality State existing use and occupancy of premises and intended use an~ occupancy of proposed construct/on: a. Exisiting use and occupancy ....................................... ;~ ............ ~ ................... ¥.., .................... 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration .~. Repair .................. ,~,R,~moval .................. Demolitior ..................... Other Work .F~....~...~/....~.....~.. ..................... · ~ ~ .~ · ~ ~3 (D~cription) ' ' 4. Estimated Cost .~...~.~ .................................... Fee ....L.~...~ .................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ~.~.~]lZ~./~Number/of dwelling units on each floor ........................... ~f garage, number of c~rs .~: 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use "~'~'"Y'/""7 ...... 7. Dimensions of existing structures, if any: Front....Z~m.: ...... ..... ............ Depth .~ ..... Height ...... /~.( ........... Number of Stories ...~....~....~......~. ......................................................... Dimensions of same structure with alterations or ad~s: Front ....... ~ ............. Rear ...~ ........... Depth .........~ .................... Z Height .....~ ....... : ............. zNumb~r pf Stories ................................ 8. Dimensions of entire new construction: Front ~..~(~ .......... Rear ............................ Depth ........................ Height .................... Number of Stories ............................................................................................... ~.j ................... 9. Size of lot: Front ........... /~ ..................................... Rear ...... Z~ ........................... D~ptk~.~.~. ......... 10. Date of Purchase ...~'~.,.~].....~.~.~.~ .................. ~flme of Foyer Owner ~.....~...~dC.~ ............... 11. Zone or use district in which premises are situated ..~..~ .......... .~.~.~l~.~ ..................................... 12. Does proposed construct~violate any zoning law, ordinance or regulation: ...~ 13. Will lot be regraded .....¢~..~..~ ............ WJJl excess fil) be removed from premises: (.~ ~ ~ ( ) No 14. Name of ~wner of premiss .~.C~....~f~ ....... Address~ ~X ~/~o~No ~.. ~/1. .................................. , ....... ....... ........ Name of Contractor ............................................................ Address ~. ~ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~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 ~ _n~r~ STATE 0F NEW Y~R~, ~ S S J COUNTY O~~~..f ' r (N~m~ ~f i~divid~l ~i~i~ abaw named. af said owner ar owner~, ~nd is d~ly ~thari~ed to perfarm ~r haw p~rfarm~d the ~aid w~rk ~d t~ m~k~ and file this ~ppli¢~tian~ that ~11 ~tat~m~t~ ~o~in~d in thb ~p~lication ~r~ tm~ ~ th~ b~t ~f hi~ ~owl~d~ ~d b~li~f~ ~nd thor th~ ~ork will b~ p~r~rm~d i~ th~ m~r ~t f~h M th~ ~p~li:ati~m filed th~ith, ............... .............................. ~ ~ ~ (Si~n~turo o{ opplic~nt)