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Home My WebLink About10093-z /'~ (Name and title of comor6~e~afficer) Builder's License No ............. INSTRUCTIGNS '- '""--"; ' a. This ~ppliaatlon mu~t' be completely filled in by t,tpewrlter or.in ink and submitted in trlplico~e to the Building !nspectar, w~th 3 set~ o~ plans, accurcrte plqt plan to scale. Fee accordmg to schedule. . -- i.: :- :... , I showln location of lot and of buildings an premises, relotionsh p to adjoining premises or publlc streets or b Plot p an - - g' ..... ' ' ' -~ ........ uct be drm//n an the diagram which is part of this application. Upon ~ppr~l oq ~is ~p~llc~tian, ~e Building Inspector will i~ue a ~uilding Permit to the o~plicant. Such h~ll be k~p~ an the premls~ ~aitabl~ far inspecHa~ throughout the work. .. No buildln~ s~ll ~e ~cupJ~ ar used in Whole ar in p~ far ~ny pu~ase whatever until ~ Cedific~e of Occupancy ~II h~e been ~mnt~ by th. Buildi,~ ........ z-~. ........ * 'lqn- De-a~ment for the i~uance of a Building Permit pu~uant to APPLICATION I~ H~K~Y ~uc m rne am ~ ~ ~ . . , ~uilding Zone Ordin~ce af the Town of ~outhold, Suffolk CaunW, New York, ~nd other opphcable Laws, Ordnances , .... 1~-;~ for the ca~m~ion of buildings, cdditians or ~Iter~ons, Or for removal or demolition, os herein described. :.= ..... ~-., . I with ~II ~ -lie=bio I~ws, ordln~ncos, buildino c~e, housMg c~e, and regulations, and to he ~pphcant ~grees to comp y ignamre of applicant, or ~me, if o'co~oration) ~ ...... --?-~&~ss o~.~pl~nt) ~ .... r" :tote whether ~pplic~nt is owner, levee, agent, a~ite~, engineer, general contractor, electrician, plumber or bmld~. ~ ...................................... ~-~ . ~ .-'-?f' ~ . S . . ' n' No. Other Trade s L~¢ense No ............................................. ,. Location o, ,and o. which ,opo ed work.'" ........................ 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) No. 10093 Z Permission is hereby gronted to: ..... ~c~~ .. z~.. ~.~. ~., :~,~, ...... ............................... .... d~.z~.~..~..~.,~..~..~.....~ ............. , ~o C~..~.~zZ...a....c..~..~... .~..~.~u~....~.,~.~..: .~..~s~.z ~ ~.....~.~./../~ ot pre~,ses ,oca,ed at../..~........~..-~.~.~...~Z~,~,...Z~-~..Z.~.ZZ..~.C/C~..~-'.;7. pursuant to opplication dated .,,,~..~.C~',~.~..~...2..~..., 192 .~.., and approved by the Building Inspector. Fee O~molit~o. .................... O~r ~%rk ............................... 4. ~s~'~ co~ '~' .......... : .............. ~ ......... ~'~'~ ......................................... ........ " ' (to be p~id on filing this application] 5. If dwelling, number of dwe[~ing units J ..... Number of dwelling un[ts on each flor ...J .................... :f s~,~.~e, ~'-'~ or ~,~ ....... ~--.-~-: ........... : .................................................................. 6. I~ business, commercial or m~x~ occupancy, specifi/ n_:~ure ~d eMent o[ eo~h type oF use ........................ 7. Dimensions o~ existing srru:tures, ff any: Front ............................ Reor ................................ Depth .................... - . Number of S~ories .................................. ' ................................... He~gnt ............. ' ........... Rear ........................ Depth ............................... Heigh~ ........................ N~mb~r of S~ories ................................ 8. gime~ions of enHre new constructior*: Front ..,~O ..................... Reor...~ ...................D~th ..~ ........ e~¢',~ ~ ~ 'Number of Stories ...................................... ~ ................................................................... ~ ' ~ ..l.~ .............. ~- ~ ~- .- .-/~- ..~ 9. - ' ~ ~' ~ I~ ~/ Name of Forrr:er G~ner~-.~/.~-~~ ...................... I0. D~e ~ p~,~¢h~s~ .... ~-.-~ ............. v ................ /j ........ I J. Zon~ or ~Se distric~ in wFncn premises ore s~t~ted ......... ~ .......... t2. Dc~s proposed c~nstruciion violote ~ny zoning iow, ordinance or re3ulotion: ..................................... . ............. ' ~ ~ , . V/ill exces~ fill be removed from premises:~ ) Yes ~',('~ 13. Wile le~ b- regr~ded ...~.* ............ ~ ii ~ / O~ ~ ~ ~ - b~,l ~o-~ - . J)~ ~ ~ ~. '~ AddressL:~ ......... ~,~one ~o ........ Phone No Name oF Architect ........................................................ Address ..................... , .......... N~me ~ Contractor ............................................................ Address .................. Phone No ................. PLOT whether i~teriar or corner loL ~T. ATE OF N:m,',' YORK, LS S , ' .... -~nd s,~ys thor he is the cpp ~ R-,x~ ..~..~.¢, .g~:C.... ............ :. ................ b~g duly sworn, oF s~k~ cwc~r er ~wner~, and is duly authorized to ~erFo,m o,' hove performed the said work and to ~ke · ~ ~^ the bes~ oF h~s know[edg~' ond bol~e catlon filed therewith. . March 30, VALID TLUE COPY. Fi.. APPROV'ED AS NOTED NOTIFY BUILDING DEP.~RT'ME~NT AT 765-2660 9AM to 4PM FOR REQUtR. TION OR 'START FRAMING 3. B~FORE COVERING PiFZS OF ANY KIND NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 5. ALL CONSTRUCTION MUST MEET REQUIREMENTS OF N.Y. STATE CODE AND TOW~ HOUSING CODE & ZONING L 2 __L --I L :u oL 7" .T.~. l ~o,~ p IT , , lan ~c, L .~ECT 1~ -