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Home My WebLink About8807-z FOI~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COIMpLETION OF THE wO~RK AUTHORIZED) 8807 Z Date ....................... . .~.~.?..~. ....... ~ ...... ,~ 19..?.,~... Permission is hereby granted to: L 8outl~o~ ~? · ........................................................... ~ -"'"" ......... : ..... : ......... : ...... ~":": ......... ; ....... ~ ...... ::.: ............................ ._~!i~~-~ pursuant to application dated ......... ~ ~.~,;~ ....... '~ ~'~- ..... .~....~....~_ . ...... .: ~:/, ....... ~_'~ 1 ~...~...6..,._.. ?'~a~d~ opprov~ed ~y. the Building Inspector. , ~ -~ ~ Fee $ l~jO0 ................. ~. .......... t~O~ ~[0. 1 TOWN OF SOUTHOLD BUILDING DEFARTMEHT TOWH CLERK'S OFFICE SOUTHOLD, H. Y. ~proved ........................................ , 197~ Permit No. ~O ~ .......... Application No....~.....~...~...Z ............ INSTRUCTIONS a. This application must be completely filled m by typewnter or in ink and submitted in triplicate to the Buildin: Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bu,ldmgs on premises, relationship to adloining premises or public streets o, areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which ~s 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 wdl issue a Building Permit to the applicant. Such permi 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 Occupano, 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 th, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in buildings for necessary inspections. Cornell Construction Corp (Signature of applicant, or name, if a corporation) Southold ~.~ · (Address of apphcant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~uilder Nome of owner of premises ....~..~..~.~.....~.....~..O....1~....~.~...~.?..~..~...O..~..~..~..?. ................................................................................... If apphcant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) Builder's License No .... 0...O...:~...?.?:..].....g...O..~..~ .................. Plumber's License No ................................................. Electrician's License No ...... ~.~...~..e. .............................. Other Trade's License No ............................................... 1. Location of land on which proposed work wdl be done Map No ' . ~ Lot No. ~ Street and Number .S..~.~.....~..;~.~..~..~....~..9.ft,~....(..q..~..~...) ..... ~.I~..~$.J~.Q~ .................................................................. Municipality 2 Stale existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy clvelli~g w'tth farm buildl~gs b. Intended use and occupancy .............. ...................................... 3. Nature of work (check wh,ch applicable). New Building' ...:!;::1~ ....... AddItion .................. Alteration ............ Repair ................ Removal .................. Demoht~ar .............. Other Work .............................................. (Description) 4 tlmated Cost .................... ........... Fee ................................................................... (to be pa~d on filing th~s applicahon) 5 If dwelling, number of dwelhng units ....... O ................ Number of dwelhng units on each floor .......................... If garage, number of cars ...................................................................................................................................... 6. If business, commercial or mixed occupancy, speofy nature and extent of each type of use 7 Dimensions of ex;sting structures, if any. Front ....................... Rear ................................ Depth ................ Height ........................ Number of Storms ............................................................................................................. D~mnnsions of same structure with alterations or addmons. Front ................................... Rear ................... Deplh ..................... '. .......... Height .......................... Number of Stones .............................. 8 D;mensions of entire new construct;on' Front ........ ~ ...................... Rear ......... ~'O .............. Depth ...... ~r~ ...... Height .................... Number of Stories ............................................................................................................ 9 Size of lot Front ...... ~,{~e~'~,£~ ................................. Rear ...................................... Depth ............................... 10. Dote of Purchase ....................................................... Name of Former Owner ..................................................... 11 Zone or use district in which premises are situated .. ~&~..~J. Gt~ ...................................................................... 12 Does proposed construchon violate any zoning law, ordinance or regulation: ..... ~ ............................................ 13. Wdl lot be regraded ........ ~ ............... Will excess fill be removed from premises: ( ) Yes (~) No 14 Name of Owner ~f premises ...Ge~..&..~Ol~l~..)~.~O.~ress ...... G~I~.I~ ...... Phone No ...................... Name of ArcbI~tect ........................................................ Address ................................ Phone No ...................... / Name of Contractor ..(~.~L~..~[t~t,z~¢t,~ .0.OZ'.pAddress ......... S~:F.,~O3,¢~ ....Phone No ...................... / PLOT DIAGRAM Locate clearly land dmt~nctly all buildings, whether ex,sting or proposed, and red,cate all set-back d;mensions fron property hnes Gwb street and block number or description according to deed, and show street names and ind~cah whether inter;or or corner lot ~ee filed pl~ STATE OF NEW YORK. ~S COUNTY OF .S.U.~,.~DI¢I_ .............~ S ....................... .~.~.~T.~.f~:~e:L~ ...................................... being duly sworn, deposes and says that he ~s the apphca. (Name of individual signing contracf) above named He ~s the .................................... ~~ ................................................... : ................................................... (Contractor, agent, co~orate officer, otc ) of said owner or owners, and is duly authorized to perform or hove performed the so~d work and to make and f~ this apphcahon, that ail statements contained m th~s apphcation ore true to the best of h,s knowledge and behef, th~ the work will be performed m the manner set fo~h in the apphcation filed therewith. Sworn to before me this ~ ~ ~ ................. ~0.. day of .................. ,~j ............, 19 . 8~fo · ~'.. Nota~ Public .......................... ~....~.....~un~ j ............ ..................... I~',h% St~te al New York , ~ ' ~,i363, Suliotk County - - T ,AA?' 0:' "-' L C)LJ !~ i=.: W E-5 TOWN f2~TU/A.: RoDr-I&IC K V,/XN TUyL,F.C.