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Home My WebLink About12579-z FOEM NO. 2 TOWH OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12579 Z Permission is hereby grantec~te: ~ ..... ..~..~.~...L~.~~....~...: .......... .~..~......~..:~..,.....,../..~.~z, ..... ~~ at premises Iocatea ar ...x....f..~w .......... ~ .{~%~%..~ ...... ; .................................... Building Inspector. Building Inspector Rev. 6/30/80 FIELn INS?EC~OS COMHENTS ,,g_~ . FOUNDATION (1st) FOUNDATION (2nd) 2s ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOI.;D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~~ t'~-, (,o Approved . .~.~-.....~.., 19~.~ Permit No..]a~.7.~ Disapproved a/c ..................................... Received .......... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .24. A.ugus.t ....... , 19 INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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!ations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) Andreas E. Markakis, Attorney-In-Facl FO~:.CO~RA$S..TRAN.~BOR~.S..$..~ ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises COMPASS TRANSPORTS S.A. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Andreas E. Markakis, Builder's License No .......................... Plumber's License No ......................... Attorney-In-Fa~t Electrician's License No. PA.IIL. 3.U.RN$,..8.q~f.o.!k Li # 282 E Other Trade's License No ...................... 1. Location of land on which proposed work will be done.. J-.7.$ B p.~,s.o .e.a.u..4y.e.n.u.e.,..S.qu..t.hp.l.d. ~..N...Y.:. 1.1.971 House Number Street Hamlet County Tax Map No. 1000 Section . .062 ............. Block ...0J- ............. Lot...0.1.6. ............. ..................................... Filed Map No ............. Lot ............... Subdivision (Name) ' 2. State existing use and occupancy of premises and intended use and occupanc¥~of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy "qq?.Y..a...D.U?.rqI..C.A.T.!N. 9' .8.~.qP.. i' .with allied s.u.p.p. 1..i.e.s. a .e.q.u.i..p- nlent ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .......... Demolition .............. Other Work..~..(.~/~ ........ i ' ' (D~'scription) 4. Estimated Cost.. o £..8 :[ ¢N...-.. ab.t.. $1 Y.5... ............ Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwellin~ 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....3-2: ........ Rear . ,3.2 '. ......... Depth .50: ........... Height . ab.t... 25.' ..... Number of Stories .. r..O. blI~ .(?A3.~13) ........................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... i. · · Height ...................... Number of Stories ...................... 8. Dimensions of entire new cons(ruction: Front .......... , ..... Rear ............... Depth ............... Height ............... Number of Stories ........................ ~ ............................... 9. Size oflot: Front ...75: .... i ............ Rear..75.' ................. Depth ..80: ................. 10. Date of Purchase 6..Dsc,..1.982 ................ Name of Former Owner . .V. Eh/ ........................ I 1. Zone or use district in which piemises are situated...B'r ~ ............................................... 12. Does proposed construction vi61ate 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 .o0mpo. sa. l:x. an~p~oa:lPaldress .... ............... Phone No..~..~.~.q .,~.3.~t.~. Name of Architect ......... ............. ~' 'a' ' 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-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK,./_ u, S.S COUNTY OF..~.~ .~.PT.°.. 5. .... /4 rkak, s ........ , .......................................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ' ~ , (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is du~y authorized to perform or have perfomed the said work and to m~e ~d file this application; that all statements conthined h this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~n~r set forth in the application filed therewith. Sworn to before me this ......... ~g~ .dayof. .~'g.~ ~ .. 19.~ Notaw Public ........ LINDA F, KOWALSKI NOTARY PUBLIC, S~te of N~w Yore No. 52-4524771 .............................. ~ Qualified in Suffolk Cougty .J (Signature of appHc~t) Commission [xpires March 3~,