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Home My WebLink About9149-z FORK xa L 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) N° 9149 Z Date .............................Ut.........3t...... 19...71. Permission is hereby granted to: vizuwBy....Bul al".,£r.orsk.........................:.. a307AZIL1......................................... to ..dwelll..................................................................................... ................................................................................................................................................................ at premises located at ...Lat..11......... ....................................................... ................................................................................................................................................................ .........................................................................................................:....................................................... pursuant to application dated ...............X".......,34.....i.............r )9,,.71.., and approved by the Building Inspector. Fee $ 82A.1......... . .. ............. Bui n8 In� r Suffolk County Department of Health Services Applicant: ror Approval of Construction Only Mr. 3tobert Wendell Winds Way Building Corp. . Date: HS Ref, No, -Glenn Road Southold, N.Y. 11971 Approved: The water supply and sewage disposal systems f.,or this residence will conform to the s'tand- ids of the Suffolk County Dept. of Health rvices. QEEh E C P�1�51 N� . J� 7 6WCFS ICE „onne `�VL\C NT 4'Z-60' 4 ' do �a OF lo— are 5 �S o4°0510"t_ 15.00 LOt .5nr. 1b0.00 8 1 LOZ 14 ° CVAC�NTI 'f- T_x I c" 1 C4 C �} Jj ,L 3 .4 200 . oo' 7 zuco 1 � d LOT 40 LM (V&C&o,11-) I' d ? LOT 13, V CFII: D ,l)NE 8,15 FILE No. 4b(D2) CERTlF/Ep To' ��•�\� EQU/TY A5577eRCT_7rNL. �VjuOl-D TO\NI N OG bbkjI QOlD Gel�N1� 1 a . W]Cl Nam(.5ZL\TE UC- •No . 52403 ELEV. D��UM _ flPPQOX• lal�ll \V�jEe M�RIC. ~OZ ~pproval of C~Struction ~1~ ' ~ ~ * ~ f ~;,-'~~ c,,' ~~ FORM NO. Y v TOWN OF SOUTHOLD S BUILDING DEPARTMENT Nit TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Application No: .::::......... ..... Approved ..............r........... ........3 �...... ., 1.972.. Permit No. .`......L.... .. ......... Disapproved,a/c .:................................................... .........................................:............................................... ...................... ........ ............................. ...Building Inspecto .............................. < APPLICATION FOR BUILDING PERMIT- ate ...........:.:.: ..3.�....... ., 19 .......... INSTRUCTIONS a. This application must be'completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate,plotrplan to scale. Fee according-to schedule. b., Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property 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. z 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 MADE to the Building Department for the issuance of a Building Permit pursuant to the f 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 in buildings for necessary inspections. ( of applicant, or name, if a corporation) i�n t ` /tl (Address of applicant) " State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................j!(J��. . . ...J.....�i L..... r ........................................................... Name of owner of premises ..... ./✓f ..(!f�. ...... . .�.f./�� .. :.................................................................. If opplicqpt5wa corporate, ignatur cf duly autho ' ed ficer. d ..... .................................................................................. (Name and title of corporate officer) Builder's License No. .................................................... 7-9 L/— �/y� r Plumber's License No. Electrician's License No. ".:?T'r'�'�� Other Trade's License No. . �'(3 b ..............1. Location of land on which proposed work will be done. Ma �No.:/'� ��"�' $� ' ��,,J 13 Street and Number .... . ........................................................... (,?.0 Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ......................:........................................................................................................... b. Intended use and occupancy :............/f. ........ .. .......,. :.................. 3. Nature of work (chock whichapplicable): New Building,'... ....--- Addition .................. Alteration .................. Repair .................. Removal ------ Demolition------. Other Work ................................................ ,' &^ ,--� (Description) � � 4. Estimated Cost —' .....................Fee ... �.-^�—.- __- ............................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units'--n^|.L�--.....Number ufdwelling units on each floor ............................ |fgarage, number of cars ----0�jhz- ---------___-.-^-------~,--.^.'.~-.-_--_____. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions ofexisting structures, if any: Front ............................ Rear ................................ Depth ..... Height ................ Number of Stories --.----.-----.-----'--_-'.--------__.—___________ Dimensions of some structure with alterations oradditions: Front .................................... Rear ............................ Depth ................................ Height ----------Nuo`ber of Stories ................................ �� 8. Dimensions of entire new construction: Front ---'wm.��j-,—_--.-' Rear --'=.,�-----�-- Depth ...al.V.............. Height —. X.`J....... Number of Stories ---J' �~�--.—_----__--------_.--______._,_,_ � � 9. Size of lot: Front ........... —��------.-�—_—.—. Rea --. �.��----- Depth 10. Dote of Purchase .......'~ J � .^�.�~--.------Nunne ' Forn�ar Owner ' ........................... 11. Zone or use district in which premises are situated -------_—.--.---_-------_---.^---------- l2. Does proposed construction violate any zoning |ovv ordinance or regulation: -'/V.0-.—..---.--.'.--..--. ��. 13. Will lot be regraded — Will excess filL be removed from ( ) Yes ONo 14. Nornmnf Owner ofprenmisea ��;��..AX��\'/�� - ��d,�s� ,..��J��l�� Phone No. /.................... Name of Architect .............................................................. Address -----........'........'Phone h �k ..'~.~.....'... �, ^� Non`e of Contractor .. — —.��".-' Address ~��-.-../�.'..-..��. Phone No ....-..-......., ' PLOT DIAGRAM Locate daony and distinctly all bui|dihe existing or proposed, and indicate all set-back dimensions from property lines. Give street and block hu,nb�r�.or description according to dead, and show street names and indicate whether interior orcorner lot. STATE � � - � � ` � ' ` \ ` . ` ` � OF ( ss COUNT 0 Suf Polk __---. '.'�.�.��..�..�..�.��.--.---beinQ duly ond says that he is the applicant"(Na � /' of signing controc� / �� ` � � | above named. Heis the ..............................zcxo1ractox........................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner orowners, 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 t t t� best f his knowledge d belief; d thortho work will be performed in the manner set forth in the |i t| Sworn to before me this \ ........3Oth....... day of ...............Nazclz................. 19. 71. J��QJ]� County ---~-^-~---'^-^-''^~~--^^^--'-^^^^^^^^^`^`^^`~'-^—~-~----- Notary. ' ./ (Signature of. applicant) « aIZxoon awm mcv/uE / m8TxnY PUBLIC, State of New vv,k No. 52'8125850' Suffolk Co W Term Expires Mai .4-0 _ LM IJ I - - - � r= - APPROVED AS NOTED E _ -- DATErpKtw 3( ?� • M' I'IFY BGlL ;, p �/H7"�.tF.NT AT --•---=e...----..a.�.V:�—;..._. ...._.�,.._.... i;f'•16ke hs: !c QPN KC r UQUIP• .y.sA. i CWF a REAR ELL VAT10 a I/8° = 1FT• II I n S 0 . I I •1 I I i 777 _ i n C E. LLA � to } Zf CzAgwL soRur WALLS _ 9'. . 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