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Home My WebLink About11714-z1 714 (THIS PERMIT MUSrl' BE KEPg QN THE W, ORK:.AU~H 0~1, COMPLETION~,r '~ ' ~ : ~ ~' ' P,: ission is hereby granted tO: oF pr~m ses~ located at ' ' ' '~' ?'~"'.',"!i ..-~.;,.~ ......... ~ ............................. , .......... ' .... .';.;...~..-: .,'~-:,~-,' 'i~ ': : a :Map NO. 1000 secton, ..,~ ~dndtOpproved by the I : 765-1802 U°,ED COI 2. FINAL :- ' THE title: date: rev: SECTION THRU scale: NONE HOD. EL: MANUAL VENT (AUTO. OPTIONAL) 'OP OF RIDGE 12 SHING BY OTHERS 3¼ 8'-5 9//1'16"' 12 GIRT WALL PURLIN R. TO GLASS BRACE LINE .~ . 9'-1 9/16" : 2'-10" MIN. 20" 12" J BENCH BEN( 3'-0" 3'-0" : 3'-0" 10'-3" -- CONT. CONC. FTG. 12" x 20" SQ. C.M.U. BENCH FTG. SECTION THRU SUN VALLEY GLASS-TO-GROUND, CU RVED-EAVE w[ATHER ALUMINU~ BARCAP DS-B 6LAS S ~ MAIN ~4~W-3 / 4"-~ ALL ~OUND I I ~A L [ I I I~ I F~I~ ~ Fl I _L'I I ] I I [ I I I I [ I I [//1/ ~7,1 1 1 J[I [ I I.II LI I1 II II 11 I ~ll I [I 11 ii FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765- '!~0~ ..7. .... .......... ,19(.. Permit No ..... t/ isappmved a/c .... Z" ''~' y' ..................... (Buildins Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ........... a. This application must be completely filled in by typewriter or in ink and ~abmitted in triplicate to the Buildin~ 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 adjoinin~ premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Buildin$ Permit. · d. Upon ~pproval 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 ~ranted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buildir~ Pemfit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and.other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, ~s herein deacribed. The applicant a~ees to comply with all applicable taws, ordinances, buildin~ code, housing code, and relulatio~, and admit authorized inspectors on premises and in buildings for neces~ry inspections. ..... ....... (Mailing addr~ of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contracWr, electrician, plumber or builder. ....... C. .............................................................................. Name of owner of premises .... ~,.V'~ ..~ .O-~L~.~ .v9 .'~....l~. C~...,,~..~.~..~ ...................... (as on the tax roll or htest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~,, ./~..~.. ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ..... ; ................ 1 Lo of land o hich proposed k will be do ' · cation n w wor ne ............................................... House Number Street Hamlet County Tax Map NO. 1000 Section ~. ~. ~ ....... Block....~. i?. Lot....~.~./,~ ~..~).. ~.... ., ¥. ,- Subdivision .................................. Filed Map No ............. Lot ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing. and occupancy....~J~F-J~'~.....~.~.r..~..~. :~...~.~ ' .- b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Dmnolition ........ Other Work ............... (to be paid on ~ this ~siicatiou) $. If dwelling, number of dwelling units ............... Number of dwellin~ units on e~h floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extant of ~ 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 .................. _I~. pth ...................... Height ...... ~ .... Height .. :.-I. y~.,' ....... Number of Stori~ ................... 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purcbase ............................. Name of FotmerOwner ............................. 11. Zone ~)r use district in which premises are situated ..................................................... Does proposad construction violate any zoning law ordinance or ~lation: . 13. W'fll lot be re~ed ............................ Will exca~ fill be rmnoved from premises: Yes No 14. Name of OWner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-beck dimmlsions from property lines. Give street and block number or description according to ~ and show street names and indicate whetlmr interior or corner lot. STATE OF N~'~ .,/ S S " above named. being duly sworn, deposes and says that he is the applicant He is the ..................... ~ ........................................................ (Contractor, a~nt, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfonnad th~ mid work and to mnke nmi fil~ this application; that all statements contained in this application are trim to th~ be~t of his knowledge and belief; ~ that the work will be performed in the manner set forth in the application ~ tberewith. Sworn to before me this ............ ..... .... ....