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Home My WebLink About12597-z FOF, M NO. 2 TOWN OF SOUTHOLD IiIJILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby grantedJLc~_ ...(.....~~ ....... ~.~.~ .......... ...:....~-~....~..~ ......................................... ~o ...~.~...~....~....~.;...../....5.~.....~~...:..~.~4 ..... ~ ~.......:~...~.~ '~,....~..'~.~'....'~~~. : ............. ~.~ .................... County Tax Map No. 1000 Section .... ~ ........ Block ...... ..~...~.. ........ Lot No ....... ..~.....0....~. ...... pursuant to application dated ........... ~....:.~'...~ ................. , , 9.~..~, ond approyed by the Building Inspector. Fee .~ ...................... Rev. ~/30/80 FORM NO. 3 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLERK'SOFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ......... PLEASE TAKE NOTICE that your application dated ........................ , 19 ..... for permit to construct .... ~'~x~-E4. ~.~,,/.~....--~..,~7..K~. ................................... at Location of Property . . . .~ 7~fi. ..................................................... House lye. Street Han~lot County Tax Map No. 1000 Section .... .~..~..~. .... Block ....C?O~... ...... Lot .rp~. ....... Subdivision ~ Filed Map No ................. Lot No. - is returned herewith and disapproved on the following grounds .-~...~.q.~.q-~...~.-./~ .~....~.~.~.~o BuildMg Inspector RV 1/80 THOMAS L LUKAS (212) 728-2772 (212) 728-2773 July 19, 1983 Mr. Robert Ketcham East Pkrion, NY 11939 Dear Mr. Ketcham: This is to authorize Ketchum Signs, agent, to erect a directional sign for the Puerto Verde Restaurant of ~reenport on my property on Route 25 opposite Chapel Lane in ~reenpor%, New York. The undersigned is to receive the sum of T~D HUNDRED ($200) DOLLARS per year for said sign. This agreement shall be cancellable by will of the parties. The sign to be erected is to comply with all Southold Town laws. TJL/ps FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined.. ~.~.'~.../..~..., 19~.~ Approved ...~..0~..~. )..~.., 19~.~.. Permit No/.L)...~. ]'~.'.~.. Disapproved a/c ..................................... Received .......... 19... (Building Inspector) [ APPLICATION FOR BUILDING PERMIff ~ .t f Date ..... INSTRUCTIONS a. Tins 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- cafion. c. The work covered by tins 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, ¢~ilding code, h.~u~ing cQde, and regulations, agd to admit authorized inspectors on premises and in building for necessa./~f. :t. ~~/,~ ~ ~' I i[i'~ture o~ ~pplicant, or name, · Z~' · '~M~'a~ ad~e:s~ o~f a'F~ ' "'~' '~ '~ State whether applicant is owner, lessee~ architect, engineer, general contractor, electrician, plumber or builder. t,, [/ (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 ...................... Location o f land o,n whicb,,proposed w~ w~il be~.n.e~ . . . ~ ................... House Number ' Street f~amlet, County Tax Map No. 1000 Section ~:>'~ Block (Z)d'"'~ Lot...~'. :~..'~.....~..o...Z,.. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy i~;;s~a?~te~?~and occupancy of proposed construction: a. Existing use and occupancy . . .~..~.. ~,.~'~...3tr. · . · 4/ .... ~ ........... ,,, ......t ....., .... ~ ........ b. Intended use and occupancy . ~~./ff]~..~../~. /~f..V~.. ........ 4 10. I1. t2. 13. 14. property lines. Give street and block interior or corner lot. Nature of work (check which a~plicable): New Building .......... Addition .......... Alteratio.~/~j/_. j ..... Repair .............. Removal ............. Demolition .............. Other Work ./~.5..~ v/. ..... ]~/~.~ ~,~i ~r (DeScription) Estimated Cost .... or. ~.~..~.. , ....................... Fee ...................................... (to be paid on filing this application) If dwelling, number o f dwelling iunits .............. Number of dwelling units on each floor ................ If garage, number of cars .... ; ................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nunlber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... i · · Height ...................... Number of Stories ...................... Dimensions of entire new constrUction: Front ......... : ..... Rear ../... ..... · .j. Depth ............... Size of lot. Front ..................... Rear ................................. Date of Purchase .......... i .................. Name of Former Owner .. ~. Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded ........ ,_/3... ~t>...[ ......... Will excess~ll b~ r.o~ov, ed from premises[ 'kY~es ~ No Name of Owner of premises'~,~i-. ~.. AddressT~.'~./..[~ Phone Nol t, )TW..,g ..... Name of Architect ..)~.Lk.'i '~/,2.~'1 ;75 ........ address ~. ~.,,ot: ~-~. 'W~. ~.. Phone No." ....... 0(2.7..7...~:' Name of Contractor .t,.w~oT./d./~-4q4~. ....... Address ...... ? .......... Phone No .... - ..... ,* .~ ~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing Or proposed, and. indicate all set-back dimensions from or d~ordin~ to deed, and show street names and indicate whether STATE OF NEW YORK, ;o o COUNTY OF ~ ...... ~ ........ ........ /&~..' ~ ~- '~/.~31~...6~. · ........... being duty sworn, deposes and says that he is the applicant ! (Name of individual signing contract) above named. ' He is the ............................................................................ (Contractor, age}It, corporate officer, etc.) of said owner or owners, and is du~y authorized to perform or have performed the said work and to make and file this application; that all statements conthined in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann6r set forth in the application filed therewith. Sworn to before me this .............. il/n'ti H0. 4695~50 Qualified m ouflolk County Comrmssion Explr~S...March 30, 19~;,