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HomeMy WebLinkAbout9471-zDate TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Yo Examined ................. ~ ............... 19 ........ ...................... (Buildin~ Impector) Application No..x.?.~4Z.~., ............... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This 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. Pbt plan showing lecotion of lot and of buildings on premises, relationship to adjoining premises or public streets or 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 o 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 hove 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. (Signature df 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 ./~..~..~.~/....~...~.....~.,......~..~..~......~...~....~..~..f.~f...~.. ~ ...~...O...~.~../~. ........................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....~.~. ......... !..'.~., ...... Plumber's License No ............. Z .............. ~ .................... Electrician's License No ............ .~. ............................... Other Trade's License No. (~'~ - ~ ~'~'~ '~'~ Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construcHon: ...... ...... ................ b. Intended use and occupancy ....... ~..~..~ ...... .~......~.~......~ ..................................................................... 3. Nature of work (check which applicable): New Building,. ................. Addition ......L. Alteration ................ Repair .................. Removal .................. Demolitior, .................... Other Work ................................................... (Description) 4. Estimated Cost ............... ;z. ........... r .............................. r e ........................................................................................ (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 ....... /....J-.~ ................................ ;,.....;;~ ..................................... .; ................ Dimensions of same structure with alterations or additions: Front ..... ~../......~. .................... Rear ..,~...?. .................. Depth ',~'~ ~' .~. ' Height ..Z~..'-A-...~:ff..~.;;.:..Number of Stories .............. .~- .............. ............................... ¢.z ............. 8. Dimensions of entire new construction: Front ....... "~/. ......................... Rear ......................... Depth Height .(.~..~ ......... Number of Stories ....?.~ ............................................ 9. Size of lot' Front L~..,-~'~ ............. Rear .~.~f.:..~....Z......~::, ..... Depth~..~..~7.~....~..~..~..:../.~.. Date of Purchase ...~..~.../'/.~....~.+../..'~...~...--? .................. Name of Farrier Owner.~...~..~..WCj~.~..~.(...~. ............. 10. Zone or use district in which prer~ises are situated C~"~t.~...~'~ ;/ .~.¢'~/~ ~'. ,~.. ~.~.~.~.~.~.~.~-/ 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 hame of Owner of ~remise/s .~'.~.: ~ ~:?~T...~..~.~I,~ AddresS... ~J'-..,~..~.~.~...~.~:.~"~m~-~(~e//'N~o~/.,,~.. 14. ~ ~ ................................................................... Name of Architect ~,.(~.~....~-.../.~..~....~..~.. ........................ A~a~r'e~a.~.?~...~'...~..~..~...~..~.~ '~t~ohe No.7/.~,.....¢~....J~...~..g( Nome of Contractor ,.?.~..~/...~.....~....a....~,~t..~..~3 ...................... Address .~..~l~..~.../~..c/.;..~..~..~.~g~ne No. PLOT DIAGRAM Locate c]early 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 ,? ,¥A-i'* O* --Z / ........................ ..~.x,~z~'-~...~...;...'~.....'~.....~being duly sworn, deposes and soys that he is the applicon, (N~of individual signing contracf) .<~ above named. ~ ~ ~, /~ .... /~/ He is the ................................... ~..~-,.~....L...C~ .......... Z .................................................................... (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 are true to the best of his knowledge and belief; and that' the work wilt be performed in the manner set forth in the application filed therewith. Swor~ to before me this / ~ ................... ........... ............................. ' SUSAN I. DENNIS ~on Expires March 30,*I~ made the 21St: day of Jl~lO , nineteen hundred and party of the first part, a~d R[[C~L~RD A, }JORRZB :ant PAr~RICIA JEANNE NORRIS wLfe~ 'both z'esidit~g at 70 Graeo]~Aventl.e~ Great Neck~ Now ¥oz/k his '~[T~q~%'],~ that the party of the fil'fit part, m consideration of Ten Dollars and qth. er valuable cons~¢erNi~ paid By the parly of the second par~, does hereby grant and release unto the par~y or the secona parc, me ne s or success~r~ and assigns of lhe party o~ the second part forever, . ~I.L that certain plot, piece or parcel o~ land, with the bulldiqgs ann improv~ents thereon erected~ situate, lylnga~dbeingZqJq~i~ a~6 Catchogue~ Term of $outho].ct~ Co~ty of g~uffolk arid ,.~3abe of Ns~ '}[ork~ bounded and described as follow-m: B.~(~I~NZEG ag' a point om. tho ~mster!7 side of Holdem Av~naa ~lhors the same ~$ ]nto:psected by the southerly side of no~.~ or f'o:r,x~ia~2].y of Maraoux~ which point fa also distant )_.0~ 4 feet ooutl-~.o:plv f~',om the com'~e? Fozm~d by the ~nter~. ~ecbion of the ~msterly side of Holdon Avenue ~4fth the south-, er3.y side of I):ick~ a Point ltoad; and from said point of giar~ing rcm.ning thence along tho ~Je4ter%~- side of Holden Avemzo tho fo]3. o~img ~*o courses and distances: (1) South 39 degrees ~9 ~!inu~es 30 seconds East 100~0 feet; (R) South ' ~n-,~.u'~es ~0 seconds :~ast }-b~0 feet to land nou ~.ozm~riy of ~3au%; ru~ing thence along said lazed South o. of I_~os 38 minutes 00 seconds West 207.71 feet to %and now o~ Formoz~ly' of Young; mumming tb.emee along said land and along land notq or _o~merly of Sea. combe and along l~md or formerly of Burning North ~ degrees JJ minutes 30 seconds I'~est 31~_(),26 Feet to said land now or formerly of Marcoux; runnir~4~ thence along said l~d No:nth 69 degrees 13 minutes 30~ seconds, ~ast 2~7oi~.3 .feet go the ~oste~'l~ side of 3Io!don Avenue a~ the potn'~ or place of BEGINNING~ ,,,UB. ECE to covenan'bs~ utility company easoments~ and tionS of' record~ TOGETItER with ~11 rlgbt, title and interest, if any, of the party of'the first part in and to any greets and abntting the above described preniises to the center line~ thereof; TOGETHER wkh the appmeenances m~d all the <:state and rights of the party of the first par~ in and to aid premises TO IIAVlg AND TO I[OLD the premises herein ffrauted umo the parry of the second Imrt, the heirs or successors and assigns thq party 6~f the second par~ {orever. . ' AND the party of tim first ~r,t covenants that the ~y of th~ first pa~ has not aerie or suffered anything . whexeby the said 9r~nises have been encmnbered in any way whatever, except as aforesaid. ~'/' AND the party of ihe first parb in compliance with Seaion 13 of the Lien Law, covenants thai the ~rty ~: ,the first part will receive the consideration for this conveyance and will bold the right to receive such consid- ': eration as a trust {nnd to be at)plied first for tim pur~se of paying the cost o~ the improv~nent and will apply the same ~rst to dm paymeut of the cost of the improvement before using any part oi the total of the s~me for any other pnrpose. The word .... pauly shall be conslrued as if k r~yd "parties" whenever the sense of tMs indenture so requires. iN ~SflTNESg ~V[{~E~7~ the party of the first ~rt has duly exmuted this deed the day and year first written.