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HomeMy WebLinkAbout8099-zTOWN 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) 8099 Z Permission is hereby granted to: . :7.~. :~...~z-:: .~.t .................................................... Sk~uud~ La ne Cutchogu~ to Buil~ ..n. ew ~rivate swlmmZu~ ~oo~. ~th f~cin~ & aceessorv~ et premises located at ...... ~-:~.~...~..~uJ~J- *¢.~-~.~ ............................................................... .C,~tc ho ~ue ........ ~,~., ................................................................ pursuant to application dated .............................. ~.,~L~T.....~ ...... , 19..../..~, and approved by the Building Inspector. FOI~M NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION /.~owne¢ or o~tnor ea g ~,./0 ~address or owner or authorizea agent or owne ) ~ PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance ...~~...~. Other Applicable Laws, Ordinances'or Regulations ............................................ ............................................. ([toro section or porooroph of opplicoble Iow, ordin*nco er ro~ulotion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the~aw, and to remedy the conditions ~,cw/? mentioned forthwith on or before the ......................... .~.. ....... .~ ................................. ,The preF/ti, ses to which,this OPJDER TO REMEDY VIOLATION refers are situated at ~.~.~,,,....~.~~/_.,~....~.~/~¢~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. FO~M NO. ~ ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~, N. Y. rORDER TO REMEDY VIOLATION ~]~wrle orizea agent of own'er) ....... ......... u~.~.:....,~..~....~..,......~,,, (address of owner or authorized agent/of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations . ........ ............ ?.......,"~L..,.. ..... at premises hereinafter described ~,~.~i:~'~......~.~,...x~m..,,~CO.~.~.,~...r,4,~...~.~,~........~..~ ~ (s~ate character of violationS,, ~.~.~....~.x..~..~...~:...~.~..~'....,~ ......... ~.. ...... ~.....~..~:~ ........ ~,~ ....... ~,~,.~.a.,......~.....~..?~.~v ...................................................................... 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 .................................................... , 19 ........ The premises to which th ER T EMEDY VIOLATION refers are situated at ..................... ;~.. ........................................................ County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of low may constitute an offense punishable by fine or imprisonment or both. lUfl. I)lld~ DIFAITMINT,' ~ Application No~ ................ .~.. .......... Disapproved a/c ............................... INSTRUCTIONS a. This application mu~t be completely filled in by typewriter o~. in ink and..~bmitted in triplioote to the Building Inspector, with 3 set~ of plato, oocurote ~ plan to esole. Fee according to schedule. b. Plot plan showing location of lot and of buildin~ on premises, relotio~h, ip to adjoining premis~ or public ~tr~ts o: orees, and giving o detailed description of layout ofproperty must be drown on the diagram which is port of this application. c. The work covered by this application rnoy not be commenced before issuance of Building Permit. will issue d. Upon approval of this application, the Build!nO Inspector shall be ~ on the premises available for Impect~on throughout the work. e. No building shall be occupied or used in whole or in part for any puq~ose whotover until a Certificate of Oocuponcy, 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 Lin?, .Ordi.non?. o.)r Regulations, for the construction of buildlng~, additions or alterations, or Tar mrnoval or demolition, The applicant agrees to comply with all applicable Iov~, ordinances, building code, housing cade, and regulmmm, cma ~o admit authorized inspectors on premises and in bullding~ for necessary Inspections. ............................... ................................... {Slgnotum of(.~:gid~t, or r~, if ~ ¢:o~onation) ........................ ........... (Address of applica~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................................................... ......................................................................................................................... Name of owner of premise~l~...,~.I/;I J,~',...?/-.~.'~.~. ............................................................................................................ If applicant is a coq~orate, signature of duly authorized officer. Builder's Lic~ No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... X 1. Location of land on which proposed worJ¢ will be done. ~ap I~1o.:~ ....... ~:.::......~,...;;. ............. Lot No. ~.~. ................... · Street and Number ....................~,~.t.....~./~L~ ....... .C~L/.'~-~7~.~ ................................... ~j~ ........ 2. State existing use and occupancy of premises and intended use and occupency of proposed construction: a. x $mng ond occupa ................ ............ ................................................. b, Intended ~ and occupancy ............... ~.,~, .............. ~.....-,-,~,, ....................... 3. Nature of work (check which applicable): New Building-. ................. Addition .................. Alteration ................. Repair .................. Removal .................. Den~olition .................... Other Work ..........~.~,.~ ............ 4. Estimated Cost ...........t~ ...................................... Fee ........................................................................................ (to be paid on filing this application) 5. If dwelling, number of clvfellJng 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 ........................... Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ..................... Height .................... Number of Stories .................................................................................................................... 9. Size of lot: Front ....................................................... Rear .......................................... Depth ................................ I0. Date of Purchase ....... ~.'.'~..~...~.../. ............................... Name of F~rmer .Ownjer ~..i~.~/?~.~../~..~1~¢~.. ......... ! 1. Zone or use district in which premises are situated .....................,/t~.¢~.~'/l~ ...................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... /~.~. ............................................ 13. Will lot be regraded ................ ............ Will excess fill be removed fr~. premises~'(~') Yes ( ) No Name of Architect ............................................................. Address ................................ Phor~ bio ....................... Name ~f Contractar ............................................................ Address ................................ Pho~ N~ ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposec~, and indicate all set-back dimensions from property, lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW~..~4)RK,j,_ ~ ISS COUNTY OF_ ~.~eg~',~qtf~l~..~4~. .................... ~...".'.-..~~ ......................... being du!y sworn, deposes and says that he is the applican! (l~e o! individubl signing contracf) above named: He is the ....................................... ~.~......~ .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized ~t) perfOrm Or have performed the said work and to make and file this application; that all statements contained in this apalicatic~n a?. true to the best of his knowledge and belief; and that th· work will be performed In the ~'~anner s~t forth in the applicahon filed therewith. Swoi:n .tj;i,~l~re me this ~ . · /'~ I %0, ...... N.'eN Notary Public, ................................ ~_~eun~y. ~ ................ ,,l~ll~..~..~[~ .................................................. ELIZABETH ANN NEVILLE NOTARY PUBLIC, Strife of Hew yolk Ne* 52,,8125850. Suffolk _C~_~