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HomeMy WebLinkAbout9797-z TOWN I-IF SOUTHOLD r'IFFIOE OF BUILDING INE~PEOTOE TOWN OLERK'5 RFFIOE SOUTHOLD, N. Y. 11971 FORM NO. 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? 9797 Z Date ....... .~.g33{~.....~, ............................. , 19...?.8. Permission is hereby granted to: ..... ..3..~..~..h...e.u..~....R..o..k~m....K,.....'T.o..~.;l, ................... to ...1~..~:Ld.. a.. L~.~vate...0~e.. Ea~Ehy... ]:~we~ Lng. .................................................................... at premises located at ...........l~O~..~ji~j.~.E~..]~nive ......................................................................... .............................................. ~..g.~. ~b.~.:k .¢,...~ J~., ................................................................................. ...Lofc..~..,20,..,Ba~£e~..Wc~oct..Es+-,,a~e,~,,..F:tled.~'~ap..~...~520 ............................... ~ .......... pursuant to application dated ..... Jtme--...5 ................................. , 19.7~.., and approved by the Building Inspector. Fee $,...80,~.5 ........ Building inspector 1000-79-5-40 H.S. # 8-S0-56 FORM ~0, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............. ~T~II'I~ ....... 2~ ......19'""78 Approved ............. ~'~e .......22""" 19..~. Permit No .......... ~J~j~F.. .............. Disapproved a/c ........................ ~'~'~ ~.~.~"~'i ....................................................... (Building inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No ........ .~..~.~. ............... a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building 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, end 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 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Qrdinances 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. (Si~(qature aY applicant, or nome, if a corporation) (Address of applicant) Sta~e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ........... .......................................................................................................................... Nome of owner of p ~,,.C~..~,.~,.~..I.~..~,.~...~.,...~.'...v~. ................................... . (Name and title of corporate officer) Builder's License No .... ~...~jr~. .................................... Plumber's License No..~.. .............. : .................... Electrician's License No. ~A~)...:.~ ................ ~ .................. f0 I~'O ~ Other Trode's License No.../~3...:." ~ . . /Z/'_~ /,~ ~ ~'- SO - ~ G ................................... - / , Location of land on which proposed work will be done. Map No.:~.c~C.-~.~,.~,~.Q¢.~).~.~.~ ...... Lot No...~-~..c~ ............. Street and Number ...~c~.J.';[.l..~..~.....~...t~L~...~....~.'...Q.~.4..~.J.4~.~SLI~..~./~..,..~.~ ........................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ..... ~?..).~...?....~.~...k..~..~'....b.~...~...L~. .............................................................................. b. Intended use and occupancy ........ ©...~...~....~..~..~...t.L~.~.....L~.~P...~.L.~..L.~O..G ............................................... 3. Nature of work (check which applicable): New Building, ..../,...-~.... ...... Addition .................. Alterat.~, Repair .................. Removal .................. Demolition .................... Other Work ............................................... st~ ~.~' (Description) 4. Estimated Co ...~.~..O. ..................................... Fee .......................................................................................... (to be paid on filing 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 i3se ...,-~...."T:.,~.. ............ 7. Dimensions of existing structures, iF any: Front _..../~.....-...~. ............ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................ Dimensions of some structure with alterations or additions: Front ...~..:T./~. ..................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....~..: .~.../. ....................... Rear ....~.~....z. ............. Depth ....'~....~..~ ............ Height ~.~..~L).'...~.¢~../Number of Stories ......~... ............................................................................................................ 9. Size of lot: Front ..................................... ~eor _./...O./..:....~.~Z.:. .................. Depth ~...~...<ff'.'.,.o..~..z.~../.f~.-~.<f?f/ 10. Date of Purchase .:.~.(-)...~...:.../..~..2~.. ....................... Name of Former Owner ...~.o....&.~,..P:.(Z{......~.I.-I.J..~..c..L.L..C, ..... 1 1. Zone or use district in which premises are situated ..C~,..)~...~.....~'....~..~,\.~,,~...]~.L...~..~.~.~.~.~...~ ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...X~.'...Q. ............................................... 13. Will lot be regraded ....~..~....~.. ............... Will excess fill be removed from premises: ( ) Yes (>~)/No 14. Name of Owner of premises ~...%..~..~.J.5..~...~..G..,~.Ac~O,~..~..~....R.....7"..°..~/Address .~.'..~:,[,./.?.q.~..9'.£..'~:...., ,Phone No.('.~./.~.'7.,3,.,V.,~..~...~(~ Name of Architect ...Z.)..7..~. ................................................. Address ................................ Phone No ....................... Nome of Contractor . .-/~...7...PJ ................................................. Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back, dimensions from property lines· Give street and block number or description according to deed, and show street names and indicate ~vhether interior or corner ~ 2S z STATE OF NEW YQR[~-,/: j,' ~ S S COUN ~ Y OF ..:..-:..:....: .......... ..~......f ...~.:~.z....~...~..~..~......~.:...-~....o...~../. ............................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Fie is the ..'~....~....~...Z:.~...Jr~...~.....~-....~....O-..~....~...~..~..~...°...~-. ................................................................................................... (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 end file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....... . ....... Z.' ...... day of ,~ t , , 19. :."./.:..,- /~- j . i/t ................ : ........................... , , I Notary Public,. ............................ .,' 'f,.~i:'/'/, County ............... ,~ ....... ....;..f......: .......................................................... · : ' ,., ;;/_? (Signature of applicant) NOTARY F~IBHC, State of New No. 52-8]25850, Suffolk County Term Expires ~srch ~0,