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Home My WebLink About12806-z FOU'M' NO. ~ TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT fi'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 .12506 Z Permission is hereby granted to: ....... ............ ...~.~:~/....~..~ .............. ,o ...~.~z..~ .~......~...~...~.~m~ ~...~.~f..~..~ ....................................... .....:w...~,.~.~.....~.~...~.~. ............ ./...~ ...... ~ ....................... ot prem,ses rated at .................................. ~/../.~.Z.¥~;.....~ ................................... ~.:Z..Z~,~.. ...... ~zZ.~. ................................. z'~.....~. ............................................ County Tax Map No. 1000 Section ...~.......~... ........ Block ..... .~.~.. ...... Lot No. ~..~...~... .......... pursuant to application dated ....... .~------C~~......~.. ....... , 19~ and approved by the Building Inspector. Fee S.~~ Rev. 6/30/80 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 Michael La Grande 63 Pinedale Hauppauge, N.Y. 11788 July 1,1985 Your request for a time extension to your present permit has been granted to Dec. 16,1985. Re: B.P. #12806Z. Very truly yours, VL:dsm Victor Lessard Exec. Admin. Bldg. Dept. DIANE HEROLD, ARCHITECT Bo~ 884 Westhampton Beach, Ne~ York September 8, 1982 11978 Building Department Town of Southold Main Street SoutholU, New York 11971 Gentlemen: E~olosed is the third set of prints for the LoGrande Residence, Stillwat~r Avenue, Cutcho~ue, as requested by your offioe. Please continue to process the application for a building permit. Sincerely, Diane Herold FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1802 Examined ..... , Approved ~.~C.. ~4 ...... , 1~. Pe~it No ......... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDtNG PER~IT Received ./.~/.7...., 19 .~..~ Date INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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, 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 regu!ation~, and to admit authorized inspectors on premises and in building for necessary in~g/e/~t,i.o.~, ff (Signature of applicant, or name, if a corporation) ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises...Z~.~,~/.,~.~-..~,..-~...~.7.~- .~. .'~- .'~. ................................ (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ....... ./?...~ ....... Block ~' Lot ... ~.~.. Subdivision .... .~....~:.....~.~, .,~. ................... Filed Map No. / 2~ Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................... ,d'~/~' .~..~..,~./.~. t/(. ................................ b. Intended use and occupancy .... .<?.A~..~.....~.~..~ 4~..~.. ~..o/d/,,4/d. ...., ............................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ........ ~..z:./. ~'~ 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 use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure w~th alterations or additions: Front ................. Rear .................. r)epth ................... i · · Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ......... , ..... Rear ............... Depth ............... Height ............... Number of Stories ..... ................................ ,. .................. 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. [)ate of Purchase .......... ~ .................. Name of Former Owner ............................. I 1. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction vid!ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ; ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . i ................. Address ................... Phone No.7.Z..~...~"~...~ ...... Name of Architect .............. ; ............ Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate c/early and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF. NEW YORK, ' ~ ! S.S COUNTY OF.. '.~.(d..~.. ~.~. blt,. .... : ...... i ....... ...... (Name of individual sig~ing contract) above named. ........ being duly sworn, deposes and says that he is the applicant He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or o~ners, and is duiy 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .day o ce rn Er- 19 ~ Notaw Public . , NOTARY PUBLId, State o No. 52-4524771'" ................................ , Qualified ia Suffolk County , / (Signature of applicanf) O~mmission Expires March 30, 198,~