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Home My WebLink About8963-z FORM NO. 2 TOWN OF SOUTHOLD 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) N.° 8963 Z pursuant to application dated ....................~~ ............. 19. , and approved by the Building Inspector. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDL N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) , .7.c2.... Z~..Hz'...c.o..dG... ~..4. ...... .z....~..z:K.....w....../..~z-?w (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance C"'/-x","~,,~T-z~'/~'~, /.0...0., ............... ~.Z,~../.-~..~ Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that ..~...~.-7-~.,9.~..z~.~77......z~../.-...q..cT..~.=.....(~,d..,~...~'../....../~...~...ff.....j?.~ (state character of violation) .C.o xsz.~ .z:. z~cz.c: r. ~.67.....~.cT...,2~ O. ~,-z......,'~.: ...O......ccz ....... d~....r..2~.~..d4.. ?...... ~..(4../.~.42,..4..,6z. G' ....... in violation of ..... .~,~..~x .~.CT.~.('2.../~.. ...... ./.~..~.,..-Z..../...~.../.. ....................................................................... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the -- day of ..... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ..4~'~.-.~.....G.~ ..................... ..?.,//~...~"~....~.Z~.z",~.~:,~../.,~. ./.~.~...:.County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......~...../..~. ............ 19~...~... Approved ........~.~b~...../....~. ........... , 19~.~... Permit No. ~.....~.....~...~..,....~ .... Disapproved a/c ....................... ~ .......................................................... (Building Inspector) Application No..(~)....~..).~....~...~. ............. APPLICATION FOR BUILDING PERMIT Date ........ .. ,J~)..~ .~..?.~..~?:!~..,,.!.~.~. ,,,,, 19.~ ...... INSTRUCTIONS a. This application must be completely filled in by typewriter ac in ink and submitted in triplicate 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, relationship to adioining 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 application ma}' 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 shell 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 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 to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applic0nt, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, eng[neer, general contractor, electrician, plumber or builder. Nome of owner of prem,ses .......................... 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.././.,/~...L,TA'./~.Y... .................. 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ....... w,~,/,~.. . . .~ .,..~7.(~ ~. . . . . .,r : .~ /./.,6r, (..,~ ~ .¢ /. .v. . . .4~,~. . ,~, ........... ................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..~..:..~.~. ~: ............. i ......... b. Intended use and occupancy ..../.<~..~.~..:.~....../J.~.,'.?...~...z~.~...~.!./.~..~.~....f;it~..~.~Z~~. 3. Nature of work (check which applicable): New Building,. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work . ..~...~.?...~.~.....~?..~..¢~i.C.~....~..~...~'~,) .~..~ ~ (Description) 4. Estimated Cost ............................................................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ 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 c ........................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................... · ............... Rear ............................ Depth ........................ l-leight ...,~.~.....~?. ........ ~es ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ 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 . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions frore property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 9 SZATE OF NEW YORK. I c ¢ COL, INTY OF ..... ..~..?....~- ~..~...~....... f .... ...... ..~....3..~.?....~..?.,.~..~......~.:......~......~....!.?........~.~... ........................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contrac~ above named. He is the · ~.~. ................................................................................................................ (Controctor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;, that all statements 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. Sworn to before me this ~ c ~ ~ o, ...... N °to rY"pUb'l'iC" ..~ ~ ~ ' '~ ~.O'~'"'"" ' Coun~ ..................... ~:.:7 .............................. t4 .................................. ~ ~'"~ ....... C'~ ..... ~ (SJgnature of appl~ant} No. 52- 3448900 ~guailfi~d m Suffolk Counly f omm~ss~on Exp~r~s March 30, 1977