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Home My WebLink About9592-zBUI BuILDiNG i~ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~',0 ..~..~r...~,. ~.....z...~ ........~.:..:.....~.. ................ tit pr pa .............. ~ ............. ,..~ ..... .?,~ , -"~/, '"'-~ ....... ~' ......................... pursuant to application doted ............................ ..c~:r...../....'./.,. ...... ]9.7.7 , end approved by the Building Inspector. Fee $ ..................... Date December 5 INSTRUCTIONS Oe This application must I~ completely filial 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 pub c 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 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 Building Department for the issuance of a Building Permit pursuant to the? MADE 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, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) 2 Center Street, So. Jamesport, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... I,;~0,~%~;~.~;2 .................................................................................................................. Name of owner of premises ~g.~.h ~., ~ t~.ucy ~. ~right If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Plumber's license No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... i~ ai rvlew Park 1. Location of land on which proposed work will be done. Map No.: 3388 Lot No. 8&9 Street and Number #290 Custer .A..v..enue, South~ld Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Private one family dwelling b. Intended use and occupancy SJkITI~ W./. ~J,.~J,.Q.T~ Q~'. ,,~.,1,~..t.. :~.g.:~!.....f.~k3.~..~ ............................. 3. Nature of work (check which applicable): New Building.: ................. Addition .................. Alteration ................ Repair .................. Removal Demolition .................... Other Work ....~..¢.n..c.~f~....-..s.~.~.J-...t....~.J-..~ ..... .................. (Description) 4. Estimated Cost $57..5.:..0...0. ........ Fee 15.00 (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. Dimension~ of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ 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: ...~...o. ................................................. 13. Will lot be regraded ....D.Q ................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ...~..~..:l:?.~..B.:.t..~..u...c.~....~..~..j'.~,~,t... Address ...,C.~t.s..t..e..~..!~..e.?.... Phone No....7...6..5..7..3..4-.,5...0.. Name of Architect .............................................................. Address ................................ Phone No ....................... Name 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 lot. CTATE O~F NEW YORK, O~e~' ! (~ ................................................................................................ being duly sworn, (Name of individual signing contracf) above named. .} deposes and soys that he is the applicam He is the ............................................... ('~ntracto~', ~'~ent, '~orporate 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 are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Swornto before me this ,~ . (Signature of app icant) . ' ~'-:7C;. ,u~nt ~ No. 52~164372t, Soffolk , ~. ,unr~ Term Ex~i es March 30,