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Home My WebLink About9180-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9180 Z Date .................. Permission is hereby granted to: C;~'&.,~,,~..~...~d,b~.~:.~,~ .. ~ ~.~ ........................... ........................ ~*'~ 4~..~ ~*1.~1 ..................................... ~o ..~.~.~,..~,.~.. ~:~L.~.x~ ~ ...~'~,~.~ ~.~g..~...~.~.z,..~up.~ '~e~ *,.~om .* ~/'3.~ ................................. at premises located at ...... .~.t....I~-.--.[~(~£'~.]~/~O~L-~"~"~,'~(Y]:C~' ............................................... ............................................. ~ ~3 9~'""~u~ · W'l'e~ "~,ve ....... :"$~vt,~o~'~ .................................... pursuant to application dated ................... J',~c~......~ .................... , 19,.~.~]., and approved by the Building Inspector. Fee $...$ .~'.,,';~, ......... Examined Approved II~IIM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S SOUTNOLD, N. Yo .......... Applicotion No. D sapproved a/c ~....~.. ........ ~ ..................................... : ...................... AR~PLICATION FO~, BUILDING PERMIT~ Date March 31, 77 INSTRUCTIONS a. This application must be completely filled in by typewriter o¢ in ink and submitted in triplicate to the Building Ins, pegtor~, with 3 sets.of plans, accurate p!ot plan 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 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 Jn part for any purpose whatever until o Certificate of Occupancy 'shall h~)ve been granted by the Building Inspector. APPJJCATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Perm t pursuant to the Bu~ldJ~ Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Lows, Ordinances or Regulations, for the construction of buildings, oddltions 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, anc[ to admit authorized inspectors on premises and in buildings for necessary inspections, ii~ (Signature of applicant, or name, if a corporation) P.O. Box 1011, Sound View Avenue, Southold, N.Y. 11971 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C~,rner Name of owner of premises Charles & Alberta Neis If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) '(Builder's License No .......... ~...~~.~. ........ ~('Plumber's License No ................................................. 1 Eiectrician~s License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ......... 5.6..~ ....................... Lot No .......]:.O. ............... Street and Number ..~,~.9.9..~.9.V~..d..V...$..e..~..?...~..q.n.'R.q,...~.9..u..t..h.~.l..~. .............................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...~.e..s.~.~..e~.t.~.,~.. ....................................................................................................... b, Intended use and occupancy ...~.~.~.~.~.e.~..f¢.~..~. ....................................................................................................... Permit requested for purpose of fencing portion of property as indicated on rear, with post and rail fence, 4 foot in height. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ................. Repair .................. Removal Demolitior ..................... Other Work £eno±ng. (Description) 4. Estimated Cost $500.00 (to be paid on filing this application) 5. If dwelling, number of dwelling units .............. ~ ............ Number of dwelling units on each floor ...... .1. .................... 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 ?~Rt Rear ......... ~. ..................... Depth .....2.~.t. .......... Height ........................ Number of Stories 1 Dimensions of same structure with alterations or additions: Front ..... ?...a~...e. ....................... Rear ...... ?..a~....e. ............. Depth ............................................................ eame Height same Numb~r~ of Stories ................................ sa~e 8. Dimensions of entire new construction'. Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ... 13-3t Rear '122t Depth ...... .3..,3...0..~. .................. 10. Date of Purchase .....1..2/~..1.0./.'Z.6. .................................... Name of Former Owner .~..~,~i~W..l~liil~Z'~ .................... Zone or use district in which premises are situated z'eside~f,i~'l Does proposed construction violate any zoning Iow, ordinance or regulation: .......... ~.o. .......................................... Will lot be regraded ...~.o. ..................... Will excess fill be removed from premises: ( ) Yes ( ) No Name of Owner of premises Cha~l~s Neis A~4~o~J3390 S. oundView .A.x~h~,, No...?.6.~.-..1..1..6..7 ..... ............................................................ ......... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ............................................................ Address ................................ Phone. No ....................... 11. 12. 13. 14. PLOT DIAGRAM q STATE OF NEW~'O~, I ~' I¢ c COUh~,Y/OF ....~,..~..~..~..~.)....;..f ........ .~:~.~.~ ...... ~.~ ....................................... be ng duly sworn, deposes and says that he is the applicam (Name of individual signing contract) abow~ named. He is the ............................ ~.~.:~....~ .......................................................................................... ~ ............................... (Contractor, agent, corporate officer, etc.) ~~rie'~, and is duly authorized to perform or have performed the said work and to make and file this appiication; that all statements contained in this application are true to the best of his knowledfle and belief; and tha~ the work will be performed in the manner set forth in the application ~t~ewith. Swam to ~efore me this __ , // ~ /" ~ ' [ ~ ..... day of ..~.~. · · , 19..27 Nota~ Public, ...-.~ ...... ~.7~,~.~'~. ..............~Lin~ .~~.~ .... ~/ ~ ~, / ~ ~ Lb~gnarure or~ppucontt