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Home My WebLink About8817-z FORI~ NO. 2 TO~N 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 AUTHORIZED) No. 8817 Z Permission is hereby granted to: Thos, Conra~ Seawoo~ Drive Lot 9 SeAwoo~ Ac~es premises located at ........................................................................................................................... e~woo~ apphcahon daf~ ........................................................ , 19 ........ , and approv~ by the TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ..................... L~ ...... ..~..~..., 19.?...~... Permit No. ~' G'~/7 ~ Disapproved a/c ......................... . ~/ Date ............. ~....~.~ .......... , 19.~ .... INTRUSIONS a. This apphcation must be completely fdled in by typewriter or in ink and submitted in tnplicate to the Buildinc Inspector, with 3 sere of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing location of lot and of buddings on premises, relationship to adimning premises or public streets oF 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 apphcation may not be commenced before issuance of Budding Permit. d Upon approval of th~s application, the Building Inspector wdl ~ssue a Buitdmg Permit to the apphcant 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 Occupanc~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Budding 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 applicable laws, ordinances, building code, housing code, and regulations, and t. admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of apphcont, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder ,-': ............................................................................................................................................................. Name of owner of premises ~.L'.:./..C~.!.?..~......~.: ..... .~.-~.'~.~..-?..~:./.~ ! .,~.. ............................................................................. If applicant ~s a corporate, signature of duly authorized officer. (Nome and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.' ................................... Lot No .....' [. .............. .... ....... - ....................... ,,,,' :..' "' "' ' ' / Street and Number '~ ./.C/ ..~):.>-': L~. ~4/~r.:~.~.~.~.~.~.~.~.~.~.~>~c~:~:~.~.~`'~..~..~.~.~.>~./.~.h~J.!~. ................... Municipality 2 State ex~sting use and occupancy of premises and m~.ended use and occupancy of proposed construction: a Exislting use and occupancy ..... ../':/..i¥.~..~.~.~ ............................................................................................ b Intended use and occupancy ....,~7.T~/.J.-..~..f~ ............................................................................................... 3. Nature of work (check which applicable). New Building ................ Addttion ...... ~ ...... Alterahon ......... Repair ................ Removal ................ Demohhor .............. Other Work .............................................. (Description) 4 Estimated Cost ........................................................ Fee .......................................................................... (to be pad on fihng th~s apphcahon) 5 If dwelling, number of dwelhng unns .......................... Number of dwelling units on each floor ....................... If garage, number of cars ...... ~. ................................................................................................................ 6 If business, commercJat or mixed occupancy, specify nature and extent of each type of use .............. y ....... 7 D,mens,ons of ex,st,ng structures, If any: Front ...... 4.~/ ............ Rear ......... .~....~.. ............... Depth ...:.~:~.~ ....... Height ........................ Number of Stones ....... /. ....................................................................................... D,menslons of same structure with alterat,ons or add,hans: Front ..... .f.....~.~. ..................... Rear ..... ~/..~.../. ..... Depth ...... .~-~..~ .................. Height ....................... Number of Stones .......... ! ............. 8 Du'nensions of enhre new construchon: Front .................................. Rear ......................... Depth Height .................. Number of Stories ............................................................................................ 9 S,ze of lot' Front / / Fx, ~ .../..(.;{.L,?..~. ...... -../ .................. Depth ....... .]..~.b.~ .............. 10. Date of Purchase ............. ..~:J..]..~.. ................................ Name of Former Owner ...................................................... 11 Zone or use d,str,ct m which premises are s~tuated ................................................................................. 12 Does proposed construchon violate any zoning law, ord,nonce or regular,on' . ....... ./>.f..~.. ....................................... 13 W~II lot be regraded ...... /:~..~.. .......... Will excess fill be removed from premises. (~ Yes ( ) No ~4 Name of Owner of prem,ses .....~./.!.:/.!..?.!...~:....~....\.~...c..L?.~:.~...d. Address ...~..~..c:.~...J/.~.~.~..]..~. ....... Phone No. Name of Architect ......................................... Address ................................ Phone No ....................... Nome of Contractor ............................................. Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and dishnctly oil buildings, whether ex~stmg or proposed, and ~nd~cote all set-back d~mens~ons from property h~es Gtve street and block number or descr~phon according to deed, and show street names and indmote whether inter,or or corner lot STATE OF NEW. ,~O,RK, ~.. ~ ~ ¢ COUNTY OF ............ .~ ................ ...................................................................................... being duly sworn, deposes and soys that he ~s the apphcor (Name of indiwdual s~gmng contracT) above narned He ~s the ............................................................................................................................................................... (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and ~s duly authorized to perform or have performed the so~d work and to make and th~s application; that all statements contained m th~s opphcahon are true to the best of h~s knowledge and behef; on tha~ the ~ork will be performed m the manner set forth in the ~pphcahon filed therewith Sworn to b. efor~/me thms ..................... day of ...................... .~ ....... I 19. Notary rub?C,. ................................... 3 .............. ': ~.~unty ..... 7?