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Home My WebLink About7504-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7504 Z Permission is hereby granted to: at premises located at ..~14L.~% ...... ~,~1~ ............................................................. ............................................... .lld~...Wl~r ........ J~et.t J..tmlk.... ll.,X,, ...................................... pursuant I~ application dated ............... .A....~....~..~_ .......... .............. , 19..~....., and approved by the Building Inspector. Fee $.~JG,i34) ........... uull~lrlg mspecmr I FO~M NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION ........ ..... TO ........... ~...~.,~ ....... (owner or e~horized ~gent of owner) .~.~....~&. ~ . ........ *~.~..~.;.' ~ .... (oddre~s of owner or ~uthori~ed a~nt or,wrier) ~k~Sfi TAKfi ~OIIC[ ~re ~xlsts o violotion of: Otfi~r Applic~bl~ L~w~, O~din~n~ or R~ul~tion~ .......................................... ..... ................... ................. . . ~.~ ~..~ ....... -. ~..~ ~.... ~..... ~...~ ............. · ..~..o.~.-~2 ........ ~~ ~. z ................................................................................... ,~ ~,o~o~,o~ o, ........... ~:~ ......... ~ ......... ~Z ................................................ {Stoto ~ection or poro~r~ph of opplicoble Iow. ordinonce or re~ulotion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with t~e Iow end to remedy the conditions obove mentioned forthwith in or before t~e ....... ~n~'i'!"~'-~-'.,.~,,~..,,,~d',, ,,~,~,,.....,~ ................. The premises to which this ORDER TO REMEDY VIOLATION refers ore situoted et '~:' '"~"-'";"~".-.~.'~.~,~.,"~,~-,'~r~7'--,~'- ~.~,~' z~.~.~ .~.. ...... ' .County of Suffolk, New York. Fo,ilure to remedy the conditions oforesoid end to ~omply with the opplicoble provisio~s of law may constitute on offense punishable by fine or imprisonn'~T'~r both. / FOUM* NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........................................ , 19. . Permit No .................................... Application No....~.....~...~...~.. ............ Disapproved a/c .................................. ~~ ................ ~ APPLICATION FOR BUILDING PERMIT Date .~...~ ~ , , INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sete of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which 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 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 purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION I$ 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 for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws ordinances, building code, housing ced~, and regular ons, and to admit authorized inspectors on promises and in buildings for necessary inspections. = ~] ..... ........ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ............................................................................ Nome of owner of premises ./~..~..~.~' ~ ~.~..( ...~/../~...E'.../~....E~'....~.. 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 ........................... /..?.~z'.-.~. ....... ]. Location of land on which proposed work will'"'~""'be done. Map No.: ..... .~/~.Jl~ .................. Lot No.....,~,.../.. ............ Street and Number .... /.~....~.,~......r,~.~..~..~."~/..~..~.....~A/.<~... ....... ~,ej~..../~...~,.~....~....~ ................................ Municipality 2. State existing use and occupancy of~~~r~ed use and occupancy of proposed construction: a E t n /I,//~ ak ~ ~ e"~'~ ......... · x's'i g use and occupancy ..................... ~ ............~(~.,~...~.....~. J~/.~...a~... ..................... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building' / Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work ................................................. .... /:/./~)~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~ ............. Number of dwelling units on each floo~ ............................ 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 ........................... /.. ...................................................................................... Depth .............. ;::'. ............. 101 Date of Pure a~e~ ...... ;. ............... .,: ....... ; ..................... Name of Former Owner ....................... ; ................................ 1 1. 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~x .................. Will excess fill be removed from premises: ( ) Yes ( 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. J STATE OF NEW_YORI~, '_ ; ~r;:, ! S:S ' - ; ,,-~'~ COUNTW~F ...~..~,~..,~-.~.)~. ........ f ' ( .~,~ ............. '......../;/,d.~L~......~/,,..~ .................. ~..; ...... be~n~ ?uly ~,orn, ~p~se~and soys t~t he is the applicam (~me o~ivi~l' ~g~i~g .contmc~ .... above name. e s the ..................................................... ; ............ ~....~.~.C.4..~... .............................................................................. , . (Contractor, a~t, cor~icer, etc.) of sa,d owner or owners, an8 ~ duly authorized to pbrform ~r~ve performed the sa,d work and to ~ke and file this application; that all sta~nts 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 fo~h in the application filed therewith. Swam to ~fom me this ...... ......... o, ................... , Not, ........... ............ .............. ............................... ~ ' (~ffature of applicant) R~, ~24521326 Su~olk ~,M~ ~pires March ~,