The URL can be used to link to this page

Home My WebLink About7965-z FORM NO. ~ TOWN 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) 7965 Z Date ................... J~.~r. ....... 30. .................. 19..2~. Permission is hereby granted to: -.'in ?orl,: ...~ce Co A/C Oenevieve Stiles ........ ,.:~.~.t.~.L~ck .................................................. t,--, c~ '-intain stockade fencin on front, side & rear prop. line at premises located at .~;....~L.7.~.....~.t..~J. dct~mt, ................................................................. .......................................................... ~.~.,~:~..t.....q~ ...... .~.~.~.~. ................................................... pursuant to application dated .......................i'~,a.~'.....~..O. ................ , 19..~.~..., and approved by the Building Inspector. Building Inspector FORUM NO. TOWM OF $OUTHOLD BUILDIMG DEPARTA4.~IqT TOWN CLERK'S OFFICE SOUTHOLD, H. Y. ................. ::..'. ...... '.: ......... . .... ................................................. .T.L ......................................... . il~,.._.__. ................................. (i~'SiCdiA'~,"i'd~'&'i~ii ............ ~ ................. APPLI~ATIOI~ FOR llUILDII~ INSTRUCTIONS Application ldo ................................. a Th~s application must be completely filled in by typewriter o¢ 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 Iocahon of lot and of buddings on premises, relahonsh~p to adjoining premises or public streets or areas, and g~vmg a detailed description of layout of property must be drawn on the diagram which is port of this application. c. The work covered by this application may not be commenced before ~ssuance of Building Permit. d. Upon approval of this application, the Building Inspector w~ll issue a Buitdmg 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 Budding 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 Regulahons, for the construction of buildings, additions or alterations, or for removal or demolihon, as herein described The applicant Qgrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to 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, electrician, plumber or builder Name of owner of premises ...~..~.:¢-'.~...~.....?../...~....~ ........................................................................................... If applicant ~s a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer) Builder's License No. ~..~C..~....,..qt...,,.~,'~ Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... ~n m I t r~ - ' ~rCeaeti~O~n~jf ~dm~rWhich .p.~.~sed w~r w,II be done Map No.~.....~....~~.~.~ Municipality State existing use and occupancy of premises andj~, ' fmtended use and ac_c~y of proposed construction: , ...... ..... ..................................... b. Intended use and occupancy .................................................................... --.................~..J.. ~-./.~.~....~ ...................... 3. Nature of work (check which applicable). New Building ............. Add,ban .................. Alteration ......... Repmr .................. Removal .............. Demoht,or. ................Other Work ..........~ ~ .~..~ ........ /,/ (Desc r ,pt i~g/) 4 Estimated Cast ........... ...~.......~...~...'. .......................... Fee ........... ~..~. ............................................................ (to be paid on fihng th~s application) 5 If dwelhng, number of dwelling units ..........................Number of dwelhng umts on each floor .......................... If garage, number of cars .......................................................................................................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ......................... 7 Dimensions of exmtmg structures, ~f any. Front ..................... Rear ................................ Depth .................... Height ........................ Number of Stones ................................................................................................ D~mensions of same structure with alterations or addmons. Front .................................... Rear ..................... Depth ............................... Height .......................... Number of Stones ............................ 8 D~mensions of enhre new construction' Front .................. , ............... Rear ............................ Depth .................. Height ................ Number of Stories ............................................................................. ~ ........... 9. S,ze of lot Front ............ /..0...O.....'. ............................. Rear ............ ../....~...~....: ............. Depth ...... /.../.....~....~ .......... 10. Date of Purchase .................................................... Name of Former Owner ..................................................... 11. Zone or use district ~n which premmes are s~tuated .......................................................................................... 12 Does proposed construchon wolate any zoning law, ordinance or regulahon 13 Wdl lot be regraded ............................ Wdl excess fill be removed from premises: ( ) Yes ( ) No 14 Name of Owner of prem,ses ........ ..~..~..../.../'....~'~... .................... Address~'.V...~....~...t...~..../~.....~.... Phone No. Name of Architect ...................................... Address ...~.~...']....~.,.[.~....~...~.~.l~hone~ '~ ---~' ---- ~' No ...................... Name of Contractor ................................... Address ................................ Phone No ...................... PLOT DIAGRAM Locate clearly and dmt~nctly all buildings, whether ex~stmg or proposed, and red,cate all set-back dimensions fron property hnes Gwe street and block number or descnphon according to deed, and show street names and ind~cah whether interior or corner lot STATE OF NEW¥ORK. ., [~S COUNTY OF ..~..~..~.~...z~'~-'.....~.~..4~...~.]44~.~...~.-- '~-- '~ ---- ...... be,ng duly sworn, deposes and says that he ,s the apphcan (Name of md~wdual signing contracf) above named He ,s the ................. ~~.~~ ............................................................................................. (Contractor, agent, corporate officer, etc) of said owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and this application; that all statements contained ~n th~s apphcehon are true to the best of his knowledge and behef, an tk, a~ the work wilt beperformed ,n the manner set fasb ,n the apphc~io~ file~therew,t~ Swornt~obeforo~ metK~s ' ........ Nota~ Public, ~..~~~~ ............................... ....................... JUDITH T BOKEN No ~2-0~4~96~ Suffo~ County ~7