HomeMy WebLinkAbout8285-z JvO~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN C:LERK'S OFFIC:E
SOUTHOLD, N, ¥.
BUILDING PERMIT
(THIS PERMIT, MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
8285 Z
Date ............................ ~.O...V......~J. O. ........... , 19.~.~...
Permission is hereby granted to:
~ -~ .....................................................
....... .%~ ....... 22~...'.a..t, .......... Ee..~...~.o..~.....E :.~.:.... ~
to ...~.,~.~.~..~...~...~..~.~.~..a~...~ez.. a~)].ica~l~m.o...~.~.a~....-....l.l Z ~/..~5. ................
at premises located at ..~.(..'...Q.'..I'~.:....Q~....[..' ./{~...[.',.~.:;t.Z]...~,g.c~J .................................................................
............................................. QrJ,~.~.,...k,J.~. ......................................................................................
pursuant to application doted ............................... ]~.CL¥.....~ .......... , 1~.~...., and approved by t~e
Building Inspector.
Fee $~ .~-!.".~!~ ............
Building Inspector /
AFT DISTRIBUTING CORPORATION
November 5, 1975
Town of Southold
Building Department
Town Clerk's office
Southold, New York
Dear Sirs,
Enclosed is an application form for a building permit
and my personal check for $15. I am quite confused by
all the questions on the form. I am enclosing a copy
of my survey. My property is undeveloped and I have
put up a 210 foot fence to diuide my property from the
party behind me. The reason for the fence is to do away
with the two roads that run right through my property
that hawe been created by cars of the local residents
and their children on motorcycles.
If you need any further information please let me know.
Very truly yours,
George Holly
1'350 Avenue of the Americas New York, N.Y. 10019 (21.2) 489-8820
/ ,
TOWN OF IOUTHOLD ~ /
~UTHOLD, N. Y.
~pplic~tion ~o.
APPLICATION FOR BUILDING PERMIT
Date ~ove~e~ 5, 19.~.~ ......
INSTRUCTIONS
a. This application must be completely filled in by typewriter off 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, re a i0nship to adjoining premis s or public streets
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 port 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 all applicable laws, ordinances, buildii~g code, housing code, and regulations, and to
for necessa~ ' ections.
($igno~rur~ of oppl}cont, or nome, 'f a co potation)
154 West 73rd Street
............. .~..e...w....~.Q_r..k.,...N..e..w... ~ .o..r...k... ! Q o...2..3. ..........................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
O~JBR
GE O~G~ HOLLY
Name of owner of premises ....................................................................................................................................................
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 ...............................................
Location of land on which proposed work will be done. Map No.: ........................................ Lot No ....... .?-~.i .............
SEE ATTACHED SURVEY
Street and Number ....................................................................................................................................................
Municipality
State existing use o~d occupancy of premises and intended use and occupancy of proposed construction:
o. Exisiting use and occupancy ................................................................................................................................
b. Intended use and occupancy ....................... '....~....-~.-....~ ..........................................................................
3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration
PO~T & RAIL FEiqCE
Repair .................. Removal .................. Oemolitior. .................... Other Work ....................................................
$278.00 ~~ (Description)
4. Estimated Cost ............................................................ Fee .....................................................................
(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 ............................
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 SEE ATTACHED SURVEY Rear Depth
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
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 ............................ Will excess fill be removed from premises: ( ) Yes ( ) No
14. Name of Owner of premises .................................................... Address ................................ Phone No .......................
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor ............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
[.ocate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street end block number or description according to deed, and show street names and indicate
whether interior or corner lot.
**POST AND RAIL FENCE-21 sections of post and rail fence(10 feet
each section for a total of 210 feeet) was put up to divide
my property and what was or is formerly the land of Tabor.
The area is marked in red on a copy of the survey that is
attached.
STATE OF NEW YORK, ~ c c
COUNIY OF ................................
................................................................................................ being duly sworn, deposes and says that he is the opplicom
(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 performed the said work and to make and file
this application; that all statements contained in this application ore true to the best of his knowledge and belief; and
tk, a~ the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
........................ day of ............................................ , 19 ........
Notary Public, · ................................................... County
(Signature of applicant)