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Home My WebLink About10274-z FOI~M lqO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PJREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~027~ Z Date .......................... , 19. . Permission is hereby granted to: ........... z~.z~.~... ~.:..../~..~../..¢~.~,~..~.4. ...... ,~.c~,~:~...~..~ ............ ~z.g.z~ to ....... ~.~.~.~.C~ ............................... ~ ..................... ....... ~ ~z~4 r~.....~~.. ~,.~ ..~...~'~.~ z.~.,~..Z~ ........... at premises located at ...~/~....~.~" ~....~... .......... ~~Z~.~..~¢.~... ~o~.~.~..~:.~.....J~,x~c...~.~.~ ..................... Z,7...~..~ ................... pursuant 1o opplicotion dated ......... ~....~ ............... 19.~ ond ~pproved bv the ~uildin9 Inspoctor. ~ ,....x~ ..... ~ / ~ ~Ol~( oTA~E DEPA~Tf~NT OF E~IRON~NTAL COJSERVATIoM Envir°n~Jttal Analysis Unit Bul~din~ 40, S~y .... ~tony Brook~ NY 1179~ (516) 751-7900 Robert F. Flacke CommissiOner C~nevie~ C. Murray, Owner ~*~L # i5276-0304 Dear LETTER APPROVAL This ~s to tnfomn you that we have reviewed the notification letter (or permit application) filed on 4/2/ 1979 and have determined that it will not be .necessary to file a permit apPlication (or secure a tidal wetlands Permit) to construct a one f~nily dwelling on parcel #70 of Cedar Beac~ Park, Southold, NY'. Assuming you have obtained all other necessary .~ permits, you may proceed with your project adhering tq the Spccial Conditions (if any) found on this letter. Rome~ must be at least 75' landward of ~ hig~l W~ter. cc: u.s. Army Corps Date Issued EXplrat ion 1)a~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined... ~..--, Z .~.-,' ..... 197.~~ Application No./~7~' ...... ~ (Building Inspector)' APPLICATION FOR BUILDING PERMIT Date...~M£...,'~ ~., 19 7./~' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 dia,:am which is part of this appli-/~ cation. c. The work covered by this application may not be commenced befores, issuance of Building Permit. d. Upon approval 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 fhe 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 described. Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspe~ct~f~ ~ ~ /.~ ' ' ' iSignature of applicant, or name, i~ a o p r ' ) ·..2.1~..o..~o. ~. ~..~.~.~...~.~.¢,,,,,. ~, .~., Z~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................... ~...~/.,~. ~. ~ ........................................................... Name of ow~er of premises ...... . · .~.~...~'~..~.. · .'~...-. ~''~. ./~.~.~. .~/..~..t~.~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) Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. o ........... .............................. ................... ~,,~,~.. ~.~.~..~. ~. ~. rr~a House Number Street Hamlet Co~,nty Ta× Ua~ ~o. 1000 Section .,. ~., .d..?... Block ........ ./ ......... Lot .... ..~.....7. ....... Subdivision .... . .~'.¢.~..t;.....~.~t?. ~.,. ~. ......... Filed Map No .... .~./. ~. ...... Lot ...... x*.~. ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. /)OX .~..r.~..~4~...~./.4..&. ...... . ./]...// ..................... b. Intended use and occupancy .... /~.E',~'f ~.~'~2~ Z,,-- 2~.~.~a~.~,~.. 3. Nature of work (check which applicable): New Building .......... Addition . .~.. ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ......... .'~.,,~..~.~. !..o..O. ................ 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 with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... tteight ............... Number of Stories ........................................................ 9. Size of lot: Front .~c,l~-. ~. · · Rear ...................... Depth 10. Date of Purchase .' ............... ~! ........... Name of Former Owner ............................. 11. Zone or use &strict ~n winch premises ak s~tuated ............ ,~ ...................................... ~12. Does proposed construction violate any zoning law, ordinance or regulation: .........................../..x2Q, '~'' 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes ~o~.) 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-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, S.S .... . .r~;~.-. ~..,....,~..~.~. ........... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained/n this application are trffe 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 ~-~J~-~ ~ ~ / ~o~a~¥ ~uaL~c. ~t~to o~ ~ow ¥o~k (Signature of applicant) ~ ~ Suffoll~ County No. 52-5792800 .~_ ~ ~ ~ommi~slon ~xplre~ March 30. ,/ ;~oderfcp- I/at~ 7~uyl, ~. c. 4-0'= I"