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Home My WebLink About10099-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Building Inspector. Fee $ .~.~..,~. ..... Building nspector FOR.~I HO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S O~FICE SOUTHOLD~ N. Y. ..... ................... Application No. /.~...~.....~...,~.. ........... APPLICATION FOR BUILDING PERMIT Date ........... p. e..~ .e...m..b..e. ,~....5. .............. , 19,?.,8. ...... INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o, areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or nome, if a corporation) .5.~33.5..~ain..~o~d.,...$o.~thpiLd.,...N~.....3~193.1 ........... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ,.~i%..9.b.~',f~. ........................................ ' ...................................................................................... officer. If applicant is/~. co~/~rate, signature of duly authorized .......... J..,...~./.~O. fi~.,....k'~.~ ~ ....................... (~me and title of corporate officer) Builder's License No. /~ Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... I. Location of land on which proposed work will be done. Mcp No.: ........................................ Lot No ......................... Street and Number D.i~.C,Z:£.g.~...1.O.0. O.,...~C.,...6g.,...B&k...2.,...~.l~z...1g.-.3 .................................................... E/S Youngs Avenue, Southolcl, NY Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .....~...m.?...1..o.~...e..e....~.a..~'..~..J:..n..g....q..g.~.~...~r.~.~j,~. ..................................................... b. Intended use and occupancy .....A...S..,..A..b..o..~f~ ......................................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ................. Kepair , Remo~,al ............. Demolition .................... Other Work .~.e.,q.t..i...o.~....o.~....6..'....hig~......... cnazn ~'~""~nce ~9.18' in length along northerly line. (Description) 4. Estimated Cost $...2. A.6..,8..0, ................................ : ......... ?...Fee ,.$1~ .................................................................................. (to be paid on fJJJrlg 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, speofy nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ..... N.on~ ............. Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number o~ Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front St~.'~e.:y:...a, tta~h~d ..................... Rear .......................................... Depth ................................ 10. Date of Purchase ..4.,/.13./78 ...................................... Name of Former Owner ~...B.~,,..A.~s~c~&~.t,~.)....~.~g ..... 1 I. Zone or use district in which premises are situated ~.z.],...Ge~er~l..Rus.±~e, ss,..D:t~trict ................................. 12. Does proposed construction violate any zoning Jaw, ordinance or regulation: ~s ................................................. 13. Will lot be regraded ...... ~O ................. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ..,.Ap. plica~.t ...........................Address ................................ Phone No. 7.6,Sm2B.0.a ..... Name of Architect ..... ~QD,~. ................................................ Address 'N5'f[~"'Rb'~cT ....... Phone No ....................... Name of Contractor ~.~ir~..Eo~k,~.ez~ce..,Co. ................. Address ~a.tti.tuc~.,~. Phone No, ZBS.~.¢.%7.~ ..... PLOT DIAGRAM PO Box 41 Lc)cate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions {lam property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. To erect 6' high chain link fence 489.18' in length along northerly boundary. See survey attached. STATE OF NEW YORK, ~ c ¢ COUNTY OF .~ufiolk ............. .... .J..:..~.~...~.O...~.~..~ .................................................................... be~r~g duly sworn, deposes and soys that he is the applicant (Name of indlviduol signing contract) above named. He is the .... ?...~..e..s..~...d..e...n..~:`....~.~...$..~"u..~.h..~...]`.d...~.~.~.i~.~s..`Bank ............................................................................................. (G~mx~ COrporate officer,~) of sold owner or owners, and is duly authorized to oerform or have performed the said work and to rrmke and file this applicotion; that ail stotements contained in tk~is opplic,~tion are true to the best of his knowledge and belief; onc tha~ the work will be performed in the manner set forth in the oppiicotlon flied therewith. Sworn to before me this 5th -- ~ December . 1978 ' ....... ............................ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 January 17, 1979 Southold Savings Bank Main Road Southold, New York 11971 Attn: Jack Rose Dear Jack, Re: Building Permit #10099Z Dick Lark called regarding this permit for the fence fo~ off premises parking area on Youngs Ave, Southold, N.Y. The variance, as applied for, included fence on westerly side in addition to north side while your application for permit did not. Since your intentions are to construct this additional fencing, we are amending this permit accordingly. Your permit dated January 12, 1979 is valid for eight- een months. Within this time period you may complete the fencing under this permit. Trusting this will clarify any questions you have regarding this matter. Regards,~ EDWARD HINDERMANN Building Inspector TRAVELER STREET .... $4--- -" EXIBiTNG CONTOUR --34-- -' pROPOSED CONTOUR TC = TOP CURB week of December 4,1978 by A~den ** sighting st~es N. 67°13 '10 30 R S. 6'¢'"13 '10" ~ ! now er £ormer/y Corl E;~emon NO. SCALE now or formerly PB.M Corp. $44 320 32 $ ~88,21 ' now or formerly F P RiCh SITE PLAN PREPARED FOR SOUTHOLD S~ VINGS AT SOUTHOLD TOWN OF SOUTHOAD' SUFF CO., N.Y oar£ ~AY ~, 1978