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Home My WebLink About8447-z FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8447 Z Permission is hereby granted to: u~ oboist.. ,z ... ~alae ~..... ~/,,..toni.. :sland.. ..b~....Aher~e e~....Bd ............................. : ......... ............ ................................ to ~$...1~....a..q ,.~..~$..d..ent~al oo~ .~ ..A~p.~vod (~o at premises located at ......... ~ ./~...~.~,.~L~..~RI.&{I,...(,{~.~.). .............................................................. ....... , ................................................. I~ ~;.t,;I,.t.uck....~.,~.~ ..................................... ~ ............................. pursuant to application dated ..................... ...~...F.......1.~ ................. , 19...~...~.., and approved by the Building Inspector. Fee $~.~..?...'~... ........... TOWN I-IF SFIUTHE]LD OFF'II~.E: OF' BUILDING INSPEI3TQF~ TOWN I~LEF~K'B r~F'F'l~' E~r~UTH~]I-~), N, Y. Mr. I~UDy I~A t~ ~ ~:"t~&~-~ Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated La,ws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...................................... ........................... ~..;. ~..,.,,. 2.~...~.. ...... ~.; ........... ?;. ............ .~.~ ............ ~.u..~.s.~? ~ ................................ has applied to the Town of Southold for a permit to construct a building as shown on the attached plot plan, submitted in triplicate, dated ................ ~.c-r ~.-/.~ I~)~'t and . .,~¥~c~'¢ ~a"~ ~<~Sw~L ~Pr¢~'. 3:NC. ......................................... titled ............................................................ We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. Very truly yours, Building Inspector Town of Southold, N. Y. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No..~.....'~....~/...~. ............. Date ................................................ , 19 ........... INSTRUCTIONS a. This application must be completely filled in by typewriter aP in ink and submitted in triplicate to the Buildin( Inspector, with 3 sets of plans, accurate plot plan to ~cale. Fee according to schedule. b. Plot plan showing IocatJor~ of lot and of buildings on premises, relationship to adjoining prem,ses 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 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 Occupant,, 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 describer The apphcant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and t. admit authorized inspectors on premises and in. buildings for necessary inspections. (Signature of applicant, or name, if a corporation) .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electnc~an, plumber or builde ................................................................... ............................................................................................. Name of owner of premises ........ J~..~..~...~. ...... .~.~.~.... ~../~ .............................................................................J~..~..~. 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 ............................................... 1 Location of land on which,p,roj~osed_wo~k will be done. Map No: 'r"r"~' ..... ~ ................... Lot No ...................... Street and Number "J~'/"~"------' ..... ~ __--~.~....~. ............ ~ ................................................. r r Municipality 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy .............. ~(J,J.~)~.../~. ..................................................................................... b. Intended use and occupancy ................ {~)~... ~.. ~ (-'*. '~m~r-.....F..OJ~...~/~.J.A ~ .~..C,.~..~.. ..................................... 3. Nature of work (check which applicable). New Building .................. Addition .................. Alteration ............. Repair .................. Removal ................. Demolmor. ............... Other Work .... .................. ~..,~ ~.. ......... / / 0 0 ~ ,- / ~ (Description) 4. Estimated Cost ............................. .-i.. ........................... tee .................................................................................... (to be pa~d on filing this application) 5. If dwelling, number of dwelling units .......... ~ ........... Number of dwelhng units on each floor ......................... If garage, number of cars ........................................................................................................................................ If business, commerc,al or re,xed occupancy, spec,fy nature and extent of each type of use ...J~I...F..~..!.~..~.. Dimensions of ex~stmg structures, if any. Front ........................ Rear ................................Depth ................... Hmght ........................ Number of Stories ............................................................................................................ Dimensions of same structure with alterations or additions' Front ................................... Rear ...................... Depth ................................Height ......................... Number of Stories ................................ 8 D~mensions of, entire new constructmon. Front ................................. Rear ............................ Depth ..................... Hemght It' Number of Stories ~ Si~e of~,~. ,~ot.,.~Front (.)/~/..,~.J~.~_~.(~'~.~ Rear ...................................... t~A'~Depth~ ~ ............................... ~ ~.'~ ate~chase .................. ~.[....~...¢ ..................... Name . of Former Owner ....................................................... or use distr,ct in wMch premises are s,tuated ................. ~1.~~...,...~ ....................... 11 Zone t t I n man.l~.v.. ~ O 12 Does proposed cons ruc ion wo ate a y zomng law, ord ce or regulation: ....................................................... 13. Will lot be regraded ......... ~.J.O ....... Wi~xcess fill be removed from p~m,s~:~ ) ~es ( ) No 14. Nome of Owner of premmses~..~.~ .......... .~ ....... ~...~... Address ...~2~ .......... ~....~Phone No. Nome of Architect .................................................. Address ................................Phone No ...................... ~ -. Nome of Contractor ................ ~~ .......... Address ................................Phone No ...................... PLOT DIAGMM Locote cleoHy ~nd dmshnctly ~11 buddings, whether ex~sting or proposed, ond indicate o~1 set-~ck d~mensmons fror prope~y lines Gwe street and block number or descnpt~on occording to deed, ond show street nomes and indicet whether interior or corner lot STATE OFI~W YORK, COUNT~ ..~(~f., [.~ ;,:4.~ · ~.....!~.~S .... ............................................................................................... being duly sworn, deposes and says that he ~s the ~ppHcor (Nome of individuel signing contrecO ~bove homed He ~s the ......................................................................................................................................................................... (Contractor, ~gent, corporote officer, etc ) of sold owner or owners, ond ~s duly outhor~zed to perform or hove performed the sold work end to ~ke ~nd fH this ~pplicotmon; that ~1~ statements contained m th~s opphcohon, ore true fo the best of his knowledge ~nd belief; on that the work wmll be performed in the manner set fo~h in the apphcation filed therewmth. .= _~ ~ Sworn to before me this ~ /~ ~ o / / YOUNG & YOUNG SURVEY FOR: KASTAL P~OPE~TIES, INC. MATTI TUCK ~o~ SOUTHO~D SCALE: / ": /00' ~ DATZ: