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Home My WebLink About9198-z FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BI~ KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) b N? 9198 Z _,~pur~uant to application dated~ ........................... A~3;~.~.~......~j.~....? Building Insp~or. $ Permission is hereby granted to: John.... ~.~.~..~..:4&~.~ ................................ ........... ~...~%-m~.~a;~.er~..~ ......... ~e~o~-~ie ~o e~z.~ .t...and.. ~aJm, .~ ~.~.. ~t:.e ~uC ~ ~ g...~ ~... ?, ~... a.~ ,~'J. ~a~b;t~;aa.. h./.'lS~e'-7~. ........................... at premises located at ...,~(;.~u...~C)~.....~.g~,~..:~.~...~L3.~ ..... : ........................................................ .............................................. ./52~.....01d..~enhadex~.ao~d. ...... ;lt~s~...l~. ............................... 19~.~.,.,.[, and approved by the TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N, Y. 765-2660 v/~l~7 TOWN OF SOUTHOLD ~/~?' ~ /~,/~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~"~ ~'~/~ ~ SOUTHOLD, N. Y. t. d~ g p co') APPLICATION FOR BUILDING PERMIT Date April 18 77 INSTRUCTIONS a. Th~s application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi, Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing Iocat,on of lot and of buildings on premises, relationship to adjoining premmes or pubhc streets areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which m part of this apphcatio c. The work covered by this application may not be commenced before issuance of Building Permit d. Upon approval of this apphcation, the Building Inspector wdl fssue a Budding Permit to the applicant. Such pern 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 Occupan, 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 tt Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herren describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on p.remises and in buildiqgs for necess~ inspections. /~ //( a r of pptca t, or no (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises ...~.o..b.~...&...~.e.~.e.~.e....~.......S.?..e...i.~..s. .................................................................................... If apphcant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electric,oh'S License No ............................................. Other Zrade's License No ............................................... 1. 806 ~2 Location of land on which proposed work will be done. Map No ' . .............................. Lot No .................... Street and Number 675 Old Menhaden Rad., Cutchogue, Nassau Point Cutchogue Municipality State ex~shng use and occupancy of premises and in~ended use and occupancy of proposed construction: a Exisiting use and occupancy Private Residence Line Fence b Intended use and occupancy ............................................................................................................................. 3. Nature of work (check which applicable) New Budd,ng ................ Addition ................. Alteration .............. Repair ............... Removal ............... Demolmor ................... Other Work Locust: Post L±ne Feuee (Description) 4 Estimated Cost ..... ~ .2..2..4. :..0..0. ................................... Fee ..................................................................................... (to be pa~d on fding th~s apphcat~on) 5 If dwelling, number of dwelling umts ..................... Number of dwelling umts on each floor ........................ If garage, number of ccrs .................................. 6 If business, commercial or m~xed occupancy, spec,fy nature and extent of each type of use ......................... 7 D~mens~ons of ex~stmg structures, tf any' Front .......................... Rear ................................Depth .................... Height ........................ Number of Stones ............................................................................................................ Dmnenmons of same structure with alterations or addmons Front .................................... Rear ...................... Depth ............................... Height .................... Number of Stones ................................ 8 D~mensions of entire new construction' Front ................................. Rear ........................... : Depth .................... Height ................... Number of Stories ............................................................................................................. 9. S~ze of lot Front 103' Rear 101' Depth 312' 10. Date of Purchase ...~./.~.2./.7..3 ................................... Name of Former Owner ...~.e..c..e.~...G...e..o.~,g..e. .......................... 11. Zone or use d~stnct in which premises are mtuated ........... ~.a..s..s..a..u...~..o..i.~.~. ........................................................... 12 Does proposed construction wolate any zoning law, ordinance or regulation: .... ..R...o. ............................................. 13. Wdl lot be regroded .....~.o. .................. Wdl excess fill be removed from premises: ( ) Yes (×) No 14. Name of Owner of premises ~.o.~9...&...~.o.~.e.....S~p..e..1..~..s. ........... Address ...s.~.~..e. ...................... Phon~ No. 734-6101 Name of Architect ......................................... Address ................................Phone No ..................... Name of Contractor . T~..i.~..?.o~..k.. ?.e..~.c..e.. ..................... Address ....~..~.i.~.u..c..k..,.~.:~.:.. Phone No. 298-4777 PLOT DIAGRAM Locate clearly and dmtmctly all buddings, whether ex~sting or proposed, and indicate all set-back d~menmons fro~ property hnes Gwe street and block number or description according to deed, and show street names and indicai whether interior or corner lot Lot 392, Nassau Point, Cutchogue, New York \ ,'4 ,ca?- STATE OF NEW YORK, COUN~ OF .~ffo%k ............... fSS ............. ~qE~..~.:..~ ............................... ~. being duly sworn, deposes and says that he ~s the apphca (Name of indiwduol sigmng contract) above named J He ~s the ...................................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or hove performed the said work and to make and f this apphcat~on; that all statements contained m this apphcahon ore true to the best of his knowledge and belief; a tha~ the work will be performed m the manner set fodh in the c ,cation filed therewith; Sworn to before me thlS~sth~,,~/ ~ ~~~/,,/~A~ , 1977/ ...................... ................ ..... Moto~ ~ublic, ..~.~.~.:.: ..................... Coun~ ...~ ~ ........................ (Sion~tur applicant) C, READ VAIL ~ .F,'~ PU311,', b,~e 0~ N~tv York / ,,e b;'-'zO~, ~( ,, ~uqmk Co N f [ ~omn.ss~on ~pm~es ~larch 30, t9~