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HomeMy WebLinkAbout11617-zNo. 1',161 ? Z Perrhission is hereby granted to: TOWN 'OE BUILDING DEPARTME~N~' TOWN ~AL~ SOUTHOLD, N~ Y. er. 6/30180 ~.?../.. ............................. ~....~... ..... ~: ..... at ptemise~ located at ..~Y...~...~. .....~';'"';'"'""i;"*'~ Cou~ To~ Map No. I000 Section ....... ;. E (~., ~; ; , LOt No ~.~.~..~.; purs~ont ~o apphcoton d~t~d I..~,~. ~:.~...', .. ,~ ~ 1~ ~ ~nd bpprov~ by the ~u~l~ln~ I~p~ctor. ~ ~ ;~, ~ Fo~ ~ ........ v x - TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date .. ~...~..~. ( ./........~. ......................... 19~...~ TO ,</./, (address of owner or authorized agent of owner)' PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ..~,~'/~.. ~ .~...~...~....~..:..~.~.¢~.... Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that (state"eharacter of violation) ~ .~ ./.. ...... ~.~,,,~,...z~...F.x.~ ....... u'.~.~..~..~. ,.~..cz.......~.~o.~.~..,.~.. ............ /~, . ,..z.. ................................................................................................ in ~iolation of ~ .............. ~.~;;~...-..A.~.~¢..=../..~....~. ....................................................................... . , (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the ..................... ~, .............................................. day of ...... .,~."~.~./..~.. ........................... , 19.~.~ The premises to which this ORDER TO REMEDY VIOLATION refers are situated at County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicabl,e prov s OhS of law may constitute an offense punishable by fine or imprisonment or both. -' FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ................ 19..~./.. File No .................. Q-~5 ........... 7o . .Co/. ./.,?. . for ~e~t' to construct ...... ~ ~o .... ~.~ ~ ~-~. ~(<~-~... ~':~ ~ ~'~ ~ . .,~ ....... at Location of Prouortv ~ ~ ~K%$~'~ .~.q~. ~; ..... ~~.q.~ · · ' ~ ~JSs~ ~o~ ........... ~ Street Ham/et County Tax Map No. 1000 Section .............. Block .............. Lot .............. Subdivision .................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds .~.//2~.~/. x ~,~././.U..,4,~.. Zd~-: ~ ..... Building Inspector RV 1/80 F/EL O $ I .I ~J S~O~ CO~TY ~TH DEP~T~I fac~liti~ for this lom~i~n have been inspected bM this depa?t~en%.and~ou~ Chief of Goneral EnBinee~i~ Services -.,~ c~rt:~s (.~? ?,"u.:'c':~) c'l'~".'-?; ,:;:~c'.:L~ ..... :, JO~3 NO ?8-SglO VILE NO. $05F FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Approved~ . .~./1 ......... , 19~...~Permit No.......///(./7~ff~.... . . . . . .. .. .¢z. ................ Application No. /./~'t/. Z ..... APPLICATION .FOR BUILDING PERMIT Date ........ ,'~.,~ ~ .... , 19.~/ INSTRUCTIONS a. This application must be completely filled'in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location o[ lot and of buildings on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap[ cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Buildinff Inspector will issue a Building Permit to the applicant. Such peru 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describr The applicant agrees to comply with all applicable laws, ordinances, building code, ho))singjode, and regulations, an~, admit authorized inspectors on premises dud in buildings for necessary inspection~.~ (Signature of applicant, or n,?r~e, if a ~rporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Ntune of owner of premises ................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... f,~Tth~.XY~.q~.. ~.~.. ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done ................................................ .. .... ...... ............. e ./..q( .... ................... House Nmnber Street Hamlet Subdivision .................................... '. Filed Map No ............... Lot .............. (Nalne) 2. State existing use and occupancy of premises dud intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................... b Intended use and occupancy 3, Nature of work (checkwhicb applicable):[New Building . i ........ Addition .......... Alteration .......... Repair .............. RemoVal .... 'b~ .... : .... Demolition .............. Other Work .......... ~,. .... ' ] (D fipti ) ~. Estimated Cost ....... , ... I ...... Fee ....... ~ (to be paid on filing this application) L If dwelling, number of dwelling units ............... Nmnber of dwelling units on each floor ................ If garag,e,, number of ,cars ..... i ................................................................... 5. If busin, ess, commercial or mixed occupar~y, spec/fy nature and extent of each type of use .................. ?. Dimensions of existing structure~, if any: IP.ront ............... Rear .............. Depth .......... Num her o f St~ri ' Height ............... es ........................................................ Dimensions of same structure wi~h aiteraiions or additions: Front ................ ,. Rear .................. D,epth .................... i.. Heigh~ ...................... Nmnber of Stones ............. . ........ L Dimensions of. entire new construction: r~ront ............... Rear ............... Depth .............. Z Size of lot: Front ........... : ............ Rear ..... ' ......... ........ Depth ). Date of Purchase .... ....... i .......].. ............Name of Former Owner ........ 1. Zone or use district in which preimises are~ situated .......................... ' ............ ~. Does proposed construction violat~ any z~ning law, ordinanc~ or reg'alatio~'.: . L Will lot; be regraded ......... i ...... .]. ........... Will excess fill be removed from premises: k Name of Owner of premises ...i .............! ' .... Address ................... Phone No. Name of Axchitect ......... ~ ............... Address .................. Phone No. Name of Contractor ......... ,... Yes No ~ No .... ] ............ Address .................... Phone ................ ., Locate clearly and distinctly ~)ibuilding :operty lin~s. Give street and block tlumber ~ ~terior or corner lot. PLOT DIAGRAM h whether existing or proposed, and. indicate all set-back dimensions from .r description according to deed, and sho~ street names and indicate whether '1 TATE OF NEW YORK, . IS S OUNTY OF...W.td/~../=.O..L../~... : · , , (Name of ~n&wduai s~gn,~ng cont: oove named. ~s the ; said owner or owners, ~d is duly authoi 9plication; that all statements contOined .v'.~..,.,p: .~ ...... being duly sworn, deposes and says that he is the applicant ~ct) Contractor, ageut, corporate officer, etc.) ized to perform or have performed the sa. id work and to make and file this this application are true to th~ best of his kmowledge and belief; and that the ,ork will be performed in the manner set for~ in the application filed therewith. worn to before me this . ..... Z, .,~../~...~Z ....... day of ...... ~ot~ Public; . ~,.,,.i. ' .~0. 52-4~24771 ....... ~...{ ,~ ,. '~ ..........