The URL can be used to link to this page

Home My WebLink About7718-z FO~[ NO. 2 TOWN OF $OUTHOI:D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N~ Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMIsEs UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 7718 Z Permiss'ion is hereby granted to: t~t~..~rt.~ ............................................. ........... g..r..t.~..n.~ ...................................................... ^erect post & rail fencing around p. remisea ~£t ~ high Orient Point pursuant to application dated .......................~.e..~......~.~. ............... , 19~.[..., and approved by the Building Inspector. Fee $.1.~. ~ .Q~. ............ 1~o~ No. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. ........................................ , 19.. Permit No .............. Application No. 2 ?// -' Disapproved a/c ................................ ~' (guJ~C~' Inspector)' ' APPLICATIONi FOR BUILDING PERMIT Date ..................... .~..~./../~./. .................. 19 ............ 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 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 o~ 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 Ragu at OhS for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comp y with a appl cable laws, ordinances, building code, housing code, and ragu at OhS, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. .......................... 7..~.,x~;~ ........................................................ (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..:.....;.......: .............................................................................................. Name of ow p ' . ............................. :: ........... '. ...................................................................................................... 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 Licensa No ............................................. Other Trade's License No ............................................... Location of land on which proj~osed work will ~e done. Map No.: ................................ ~ ...... Lot No ......................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. intended use and occupancy .... :_... '""7 ..... / 3. Nature of work (check which applicable): New Building'. ................. Addition .................. r- Alteration ................. ·. Repair .................. Removal .................. Demohhon .................... Other Work .................................................... .~-, / .///)6~ 4/~~ ~, ~,~ (Description) ,, ¢a c~ ~,1 ,'¢ , (- ¢ -- . .......... ?...Z..f..: .................................................................. 4. Estimated Cost .........i. ....................... /../X ......... ~.../......Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ [f 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 structclre 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 ...... ..¢...~....~. .......................... E~.~pth ...../..~...~. ............. ~'...~... 10. Date of Purchase ............. .)'./.~..4/....7.~. .......................... Name of Former Owner ....... .6..'.'.../..~f./../..~...?~. .......................... ] ]. Zone or use district in which premises ore situated ........... )~,.,../ ................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will Jot be regraded ..... ./.U..( ................. Will excess fill be removed fram premises: ( ) Yes ( ) No 14. Name of Owner of premises ...../..C.f..¢f:...(.~4~I.£..~.'!./'.LES.".;t. ........ Address No. Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, 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 Iol. .............. ~.~X~..~(.~.~.(~ ............................................. being duly sworn, deposes and says that he is the applicom (Name of individual signing contract) above named· He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have per~ormed 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 thru the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Nota~ PuN c,~., ......................... ' ~ .......................... t ............... ? ....... ; .................................... ~ (S~gnature of appdcant)