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Home My WebLink About10014-z FOP~M I~O. 2 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? 10014 Z Permission is hereby granted to: ..... '.:/.~.......:.:....z....:. ...... :...:.:...-..'...':...:.. ........ of premises located u~ ................................ ~. ...................................................................................... pursuant to application dated ................................ ./..v...u...:. ...... ./...:., 19:_~._, and approved by the Building Inspector. ......... / Building Inspector FO~M TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) ...~..o. ........ , ........................................ ~ z z (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance .... ..C...~...~..~.~.....(..q~....~,~-~ ~ Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that .~(¥.~.~.......~..~,x~,. ,c(...C/~...,~%.~.......(,(~.c,...~..~..~..,~.~. .................. (state character of violation) ~-,,/ ~FT-'X,.'~Z J<~" 6 ~ . ............ in violation of ...~....~... C ~..~. ~ -- ..~...~...~ /~'. . ............................................................. (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions obove mentioned forthwith on or before the ...................................................................... day of .......... .......................... , The,_pTmises to which~his ORDER TO REMEDY VIOLATION refers ore situated at ~..4T..~...~../.....~.......~....~...~..~..~...~...CTZ...,~.~.~.. ........ County of Suffolk, New York. Failure ~2r~e~?h~e¢on-~itions aforesaid and to comply with the opplica~ provlsions of Iow may constitute an offense punishable by fine or imprisonment or b~k / / .... ......... / ~uilding Inspector TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N, Y, 765-2860 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........................................ , i..Co,.L . Approved ............... ..~.....4~........(..~....., 19.~..~'.. Permff No.L.0.....0.L ..... ..~.......Z ..... Disapproved o/c ...........~ ....... ~ ................... APPLICATION FOR BUILDING PERMIT INSTRUCTtONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildingj~- 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 public streets or areas, and giving o detailed description of layout ofproperty must be drawn on the diagram which is part of this application. J c. The work covered by this application may not be commenced before issuance of Building Permit. J d. Upon approval of this application, the Building Inspector wil ssue a Building Perm t to the applicant Such permit shall be kept on the premises available for inspection throughout the work. ' ~'J e. No building shall be occupied or used in whole or in part for any purpose whatever until a Celt f cate of Occupancy (h 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 th2' Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other app cab e 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. . %,.., .............. ; ........................~ .......... ~.:...,.,..~.. ..................... ' ..... '-" State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.~ / ,,, ' _ Name of owner of prem ses /!.q .?~./~ .~..~.. .,L~..~.~. ..~. ?..('.O~(_Z?~ ~.~x~ ~/T. If applicant is a co/porate~ signature of duly~uthorized officer. /~-~'- - ~'~- /OOZ Z- ~ , (NaiVe and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. "*~O,thm' Trade's License No ............................................... 1. Location of land on whig~h Proposed'worlf~'~ill be,done. Map/Ne/: ....... ,~ ............ ./... Lot No Street and Number ........ /.~...L~.,~#.~.~,,~,Z~ ................ ..~...~.:..c~:,Z.'.~.......~..~[.:,~ .............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ExJsJting use and occupancy ......................................................................................................................... ._~_~¢. b. Intended use and occupancy ../.~..('..~(~.~.. , 3. Nature of work (check which applicable): New BuiMing., .................Addition ,,,,,,,,,,,,,,,,,, AJt~f~ltJgll Repair .................. Removal .................. Demolition .................... Other Work ......................................... ,.: .... _~ C~0 , /~.~....~12 (Description) 4. Estimated Cost ............................................................ Fee .......... (~o~e~ fiin'"'"~-~'"'-'l"- b p 'd on '' .................................... g 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. Dimensions of entire new construction: Front ...... ~ ........... Rear ....... ~... Depth .~...'~.. Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ............../~....G~...~......~.....-%.. ................... Rear ....... ~/..~'.....~......'%. ............... Depth .....~.~.~.?..~......-~... ..... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ] 1. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No ...m..~...%.., .c L ~_ 14. Name of Owner of premises ..................... ~ .................... Address ................................ Phone No ....................... Name of Architect ...... ~ ....................................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions froro property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~c ~ COUNTY OF .......................... f'~'¢,c~-~ ~ __ .~- , ~.~C (~ 'b ' ......... ~.&.~.~ ........ ~ ....... ~ .............. ~... ............ e,ng duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ He is the ........... .r~......~.. t...'~.,~'.,.w:..~, ........................................................................................................................................ (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 tha¥ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~ ~,,~ day of 2r /¢ ,, p .......................city/.,,.-'- ............................... ,> . ,,/ Nato Pub, c,. ....... .......... Co,n,., .......... ........................ ry , - t~ignotur/re or 6pplicont) ~ ~ BABETTE C. CO~ROY NOTARY PUBLIC, stero oi New York Suffolk County No. 52-57928D0 ~ Commission l~xp~res M~ch 30, 19 ~