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Home My WebLink About8987-z FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTH'OLD, N.. V. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN T FULL COMPLETION OF THE WORK AUTHORIZED) NO 8987 z Date ...... .......................Tl o. .unb e 2?9...76 Permission is hereby granted to: -� �;• ce •s;�cC,� � Vin...... ................................... =............:I g tfppnG-Ville N.J. .......................... ................................... ...C.......................................... i �.I . .. : a . : sYl� ).. ........................................toI-lo1 » � � ................................................................. .............................................................................................. at premises located at ...T.'.✓,...T,r�a ::...: ......GT:�............................................................................. Cu i t l o gnic N.Y* ..................................................... ............................................................. ....................................... NOV r? 1976 pursuant to application dat Z..Qat...1.7...J.9.76..ammand.ed......, 19......... and approved by the Building Inspector. Fee $...i 0 00 (5.00 cru ) r. ti.....................t� :.G� /................ Building Inspector 9- T t. - _ rT".,VN Of. ..C,-IhCL.D l � b DEFT. /E� 2 lol� w AISOV", left !1141LZ U �ti�,ePi\t�°�qj FOR~I NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL File No .................................................................. Date 0etcher 20 19'~6 ................. PLEASE TAKE NOTICE that your application do~ed .................. .C}e~ol~r..J..~. ......... , 19...~.6. for permit to construct ~.?..~.~.~.~...g..~..~..~..~.e. ........ mt the premises located at .....~../.~....~..e...s.$....C...~..~.~.~ ..~..Yg.~t ............................................................ Street Cu~c~o~t,l.e ~ ~ ,Y, Map ......'~... ........................... Block ....... ~ ................................. Lot ...... ~ ...................................... is ~ disapproved on the following grounds ...... ~,.~.o.~}..o..8..e..~....f[c...c.'~.~f..O..~.~...~..~..i..lding ., ................................................................................................... III · etlon 100- 2 of zoning ordinance xee cnec~ pena~.ug revzsea pzot plan ?..~... or notice that you want to apply .......... for a front yard variance, Building Inspector PIoTo 44? AA 4� 130 l oz- - - _ FOI~M NO, ! TOWN O~ SO~TNOL~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ->/~' b~ 19.?...~.. No. · .~ ............................. , Application ~....~....(~.....Z .............. Approved ..~...~....~.. .............. , 19Z.~... Permit No....~.~.....~i:.~ .......... .... ....... APP LI CAT; B;;ld;nog yPeR B U I LCtl3~ r; G PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o¢ 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 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 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 alt applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. ~/ i~", ~,~ /~, ' ' ~VIL/ ........ ''~ .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ,..(~./~.J.;J..,/{~.~.Z;~¢.;.../.~:...~.~!~.~..4.~.';.//:.//.(.]/,L! ........... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ....... (..V.~...../-../.z./~::f~../?../../~~, ........ Electrician's License No .... .~/...~!.....(~/:.~.f~Z/.¢../.(.; ......... Other Trode's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ~./.~.~....~.(.~.)/~..(}./'].:./(.E~:Z.//.E(: at o. ~J.~C!'~.¢.Z;:E:'.~.:~/ Street and Number ....... .~.~ ( ~:.~:i~ ..~.~ ./.1.~.c. , ~ ~.:..7.'.(..~.~..~?.d.,:'(x.(.~'.j .~.?./.!.~d /.(.Z..444//~.,~....,.~..~...~./.. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ~"~ U/jr/ 1~ ~ -/(' ~Z]~"~/'~/~'/"~-~'' b. Intended use and occupancy .~'~//Hh~L,:7..¢. /,4z,:~;/z¢~--'4~ ~,~-- c~l~.r, cl~dM:: 3. Nature of work (check which applicaNe): New Building....~ ........... Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other W_o~r k 2~, .............................................. .... ~ ~ g~ ~,~6.~/~// (Description) 4. Estimated Cost ...'~.~.~. ............................................. Fee ...../:~/f~ ......... .~ .................................................................... ~ ({o 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 ..... ~/..¥:~Z ............................................................................................................................... 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 ....:.~.f ................... Depth ...~....*. ........ Height ..../...~...~ .......... Number of Stories ...........~../.~i;(~. ............................................................................................. Dimensions of same structure with alterations or additions: Front ........... ~..~..i.~.~../f!:; .... Rear ....'~.....'f..~..~]L~. .... Depth ......~l...;?/J;.()J/;; .... Height ........ ~./.~d~.(~/~':..Number of Stories ...... ~.......~..'~../½f.~... 8. Dimensions of entire new construction: Front ......... ~.~. .................... Rear .......... ~f..;~i../. .......... Depth ....?~-(?../. .......... Height ....ff..~...( ........ Number of Stories ...... ~_.A./.~,.~ .................................................................................................... ¢. Size of lot: Front ............... /. .~. . ¢. ./. ............................. Rear ............. /..~...i .................. Depth ..... ;Z:Z(2.L ............. 10. Date of Purchase ..... ./.)..t.'~.9.~.'~/~i/3Z-;~.~,.../¢....~/.ff.~'~!.....Name of Former Owner .~/.}:~[f.~'./..C.../.z..Z.'.~..Z..~/~.~?~ 11. 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 .......~k/.(.'! ............... Will excess fill be removed from ,p~remises: ( ) Yes (.k") No 14. Name of Owner of premises ~(ea&.&/t&'~-.../~.,./..~.!c.(¥..k]/~.~ ..... Address O~g.C%~.£¢.K(&fi~,~.,~;,hone No. ~.'/.?Y.:;~.fE.../,,~. Name of Architect ........... 2~./t!.U.!; ........................................ Address ................................ Phone No ....................... Nome of Contractor ......... ~.~.../!'?~'.'. ....................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner Io~ 5' ¢/VSL' 7 A'~t 77/ COUNTY OF ~.~4.6.~ ........ f . R¢=fT'f ~4~Lfva ..... ~LJ:.&d.f~:....A,...~Lc.&~4~ ............................ b~i~g duly sworn, deposes and says that he is the app[iaam (Name of individual signing contracO above named. He is the ....... .~.~[!.~.~. ........................................................................................................................................................ (Contractor, 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 oil 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 forth in the application filed therewith. Sworn to before me this Noto P b,c, . ............................. ........................... ,1 o 1