The URL can be used to link to this page

Home My WebLink About8640-z(THIS PEP.~IT NtAJ~T BE KEPT ON THE I=~F.,~tSES UNTIL FULL ~ION OF 'P',..,E WOEK AUTHOI~IZI~) ........................................... ~c~.t.b.c~l~t.....tt, v, ........................................................................ :~ ~ to application dated ........................ ~'m~,~.....1.'l ........... , 19.~.,., / C w existing house to be an addition 8' x 8' to be used as an entry with a new doorway. It will have the same roof line as the existing house. This addition will be the same distance from the nearest,property line as the existing house, which is 13 feet. to be an added deck 2 feet high, measuring 12 feet by 16 feet. is to be a steel prefab storage shed measuring 10 feet by 10 feet and approximately 6 feet high, It will be 5 feet from the nearest property tine. FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Examined 19. Application No. ~ ................ c/..~... ............. Disapproved a/c .............~...~.....,........~ ........................................................................................, APPLICATION FOR BUILDING ~RMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or: 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 Iot and of buildings on premises, relationship to adioining premises or public streets or 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 approva] of this application, the Building Inspector will issue a Building Permit ?o 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ...... ;..- .... ~ - (Address of applicant) // State whefi~er applicant is owner, lessee, agent, architect, engineer, general coatractor, e~,,ctnc~an, plumber or builder'. ............. ......... ................................................... :. ................................................ :: ..:./.?:..: ' __. : 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 ............................................... · ' Me o' / Location of land on wbch proposed work will b,e done. p N ............. ~ .......... ,Z ............ :.. Lo, No ......................... Street and Number 7/-/:c~-~(j Municipality State existing use and occupancy of p~m[ses and in~ended use and bccupancy 9f proposed construction: a. ~xis~tin~ u:e a~d o~cupancy ........... , ............. :....x< ............. : ......................... .. ~.::.~ ....... ;:., ..................... b. Intended use and occupancy .............. Repair Removal Demolition .................... Other Work . 4. Estimated Cost ............................................................ Fee ~/' ~ ~' 0 CI (Description) (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 ............................ J'teight ..... ,,.//..~/.. .......... Number of Stories ....... ?..-~..[~i .................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .,,~ ....... X..,.~,~ ............. Rear ............................ Depth ........................ Height ...~.: ............ Number of Stories .... ../. ................................................... 9. Size of lot: Front ............ /.~..f?..r,?~.. ....... '~ ...................... Rear .......... ./.,Z;?.,2 ...................... Depth ...... ~..".~...?. .......... ....... ./...~.~.~....('~ .................................. Name of Former Owner ~.(.E.~'...~.z(.F. ...... .~..~....-~.../.~...~...~.: ............ 10. [)ate Purchase 1 ]. Zone or use district in which premises are situated ....~.~,,~:,.,L,~?,.,-,~,~,d,I,,/.~../..,~...~.,'. .................................................. -- 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ...'~.....~.. .......................................... 13. Will lot be regraded .. /1'/c; Will excess fill be removed from premises; ( ) Yes ( ) No 14. Name of Owner of prem ses ~ (.~../].4..~....~..,..~...~'.,:~,..~.~,~..... Address~/.:..~.....~.~.{.Z.Z.~.~. '?...'~one Name of Arch tact. .. ........ .. . Address .~.?~...~z~...,..../~..' .~... 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 frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether [ntedor or corner lot. STATE OF NEW YORI(, . COUNTY OF /~.¢...~N...~..~.-~ ............ ~'°"~ .................................................................................... ' ................ ~ duly sworn, deposes-and says that he is the applicant (Name of individual signing contract) above named. He '-*~(Contr,a. ctor, agent, corporate officer,.etc ) -¢,f-~eid~ owner or--own~rs, and,~s ~u]y authorized to perform or have performed the said work and lo make and file this application; that g'ff. sfc:~eFr,L,qts'.contained in this application ore true fo the best of his knowledge and belief; and thor the work wt,I be perrorr~¢d m?n~ manner set forth in dqe apphcahon [~led therewith. Notary PuN ~. , ~ ~County ................. /.(...~..5.~:... : ...... 2.~;¢:,,:~ ................... ,~. ~ ~k (S~gnature of apphcfl