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Home My WebLink About11233-z11233 Z P~rmission: is hereby gran~ed.~tto: ~ ~. ~<~-~ ?OWN ~ BUILDING ~ ,TOWN H,~L, ~ SOUTHOI~I~, N~ Y~ ,~ BUILDING !p,£1~lrr ~ I (TH S PERMIT MUST BE KEPT ON THE P]~.E~ISI~ UNTIL,~LL CQMPLETION OF THE WORK AUTHORFZED): ~ 5: ~ate ..; :...r~ ............. .......................................................................................... ~..i....~.,, ............ I, ...................... at p~'em se~ ocated at .......... :..~....~..~.. ........ i" '": ............................. ..~.,~.._.~...~:~' ~: ~.:.~, , ~ · ...... ~ .......................... · '.~ ........................................................ ~ ...... .. t ..... ~ ~ W..~ ....... ', ......... ' ......................................................... , ~,~"'"'~'"'"":""~ .... :~ ~o~' coU~ ,dx ~p ~o moo soot o~ ~. ~.~ ¢ ~ oe~ .~ ............... t ~o. ~,....~:: ......... ~ ~ ~ '.~ ~ ond ~pprovod by tho purSuont tp ~ppl~c~tlon d~t~d ......................~..:...~. ........ ....~ .......... 1~ ng spector. F~ ~ ........ ~ ............... : ? ^pprovea .q ',-~.~ --:~ , 19 ,?.~Permit No ....... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Application No. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date..~..~..~.~-., .... .~.~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locadon of lot and of buildings on premises, relationship to adjoining premises or public stre( or areas, and giving a detailed description of layout of property must'be drawn on the diagram which is part of this apl cation. c. The work covered by this application may not be cominenced before issuance of Building Permit. d. Upon approval of this application, the Bnilding Inspector will issue a Building Permit to the applicant. Such penn 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or nmne, if a corporation) P.../:..G.. ¢Iailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, · .O.co. ~4.~ .~ ............................................................................... Name of owner of premises ...~ f~cO.d.t.l[~....~, t.[ .~../~..~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) 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 ................................................ ';3. a .,t...a .,o.l ,;.,.. 1:?.4 e .... ......... At. \,'. House Number ~ ' Street Hamlet ''' 'r ................. County Tax Map No. 1000 Section . .F.). ,~ ..~/. ......... Block ...... ~. .......... Lot.. ~../~. ......... Subdivision ................ (iq'a;~) ................ Filed Map No.. ,~..~. ,~. ..... Lot ..~..~.//.~ff.... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ~..,~..~...~.. ....................... ; ....... . ......................... b. Intended use and occupancy ...................... ~.......c-~r~-.~.~. ................................ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Off,er Work. ~-7..~tv, ~ ~_... (Description) ~. Esthnated Cost ....... ~ ~ ,~ ~ ........... Fee ................... . ........... ~ (to be paid on filing this application) L If dwelling, number o f dwelling ~nits ............... Number o f dwelling units on each floor ................ If garage, number of cars ..... ~ ................................................................... i. If business, commercial or mixed occupancy, spccffy nature and extent of each type of use ..................... 7. Dimensions of existing structure's, if any: Front ............... Rear .............. Depth ............... Height ............... Nulr~ber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... .. Height ...................... Number of Stories ...................... ~. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ L Size of lot: Front .......... , ........... Rear ...................... Depth ...................... ). Date of Purchase ........... .................. Name of Former Owner ............................. I. Zone or use district in which promises are situated ..................................................... !. Does proposed construction rio!ate any zoning law, ordinance or regulation: ................................ ~. Will lot be regraded ........ ~ ................... Will excess fill be removed from premises: Yes No [. NameofOwnerofpremises ~..C~i~.~,~. l. ~ .,~.'v,.~. .p' Address ~,~.q . ~i-.~..O."l .i?L. ?,9. . ehone No. ~ ! .'. : I i ~. :~. , . . . Nmne of Architect .......... r ................ '.Address ................. Phone No .... ~i Name of Contractor . .~ ~:/4-.~.'~' . ~?a~,4to r-~....~... Address . ~ ~,o.~& t-4~.,4~..~.. Phone No .............. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions fron~ :operty lines. Give street and block!number or description according to deed and show street names and indicate whether terior or corner lot. TATE OF NEW ¥~, OU ~..x~. rxS_. .NT~~ .f~._S' .~./'"~ ' being duly sworn, deposes and says that he is the applicant (Name of individual sig~)ing contract) ')ore named. (Contractor ghent, corporate officer, etc.) f said owner or owners, and is duly authohzed to perform or have performed the said work and to m~e and file ~is 9plication; that ~1 statements con~alned in this application are true to the best of his knowledge and belief; ~d that the ,ork will be perfo~ed in the m~n~r set forth in the application filed therewith. worn to before me this : ~o. 52-8125850, Sgffolk C0~. (Signature of apphc~t) , . lerm ~ptres March 30, 1~ FORM NO. I I C ~, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined .... .~-,: .~..t...-2T7.., 19.,.~''~ ' ~ Application No.. (. (, .~. ~-~. ~.... Approved /~2~"("-, ~--, 19 ~ .c~.~ermit No/ / c~ ~--~-~ Disapproved ate ...... · ·....~.~.~ ..................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~-'~ .t-4.~.,. ~'~ 19~t INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apt 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 issue a Building Permit to the applicant. Such pern 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 Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Penni/. pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for remOVal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or mune, if a corporation) (Mailing adfi;e's~ of applicant) ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Bui,der'sLioe seNo....? ..... 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 t Street t Hamlet County Tax Map No. 1000 Section . .FY. ~ .......... Block ................ Lot ........... Subdivision Filed Map No. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. Existing use and occupancy b. Intended use and occupancy .......... : ............................... Nature of work (check which applicable): New Building. ......... Addition ........ Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work. ~..~ or, ~i ~... (Description) $ ........... ; (to be paid on filing this application) If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ................ If garage, number of cars ..... i ................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... ;.. Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ....................................................... Size of lot: Front ...........i ........... Rear ...................... Depth ....................... Date of Purchase ........... [ .................. Name of Former Owner ............................ Zone or use district in which premises are situated .................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be re~raded . . ; ............ Will excess fill be removed from premises Yes No Name of Architect .......... : ................. Address ................... Phone No ................ Name of Contractor ..~ ~4.~.~.. ~,~dlr ~ e,,4~....~. Address . ~ Oo.~& t-~-.~.~.. Phone No ................ PLOT DIAGRAM Locate clearly and distinctly allI buildings, whether existing or proposed, and, indicate all set-back dimensions from :operty lines. Give street and block!number or description according to deed, and show street names and indicate whether .terior or corner lot. TATEOFNEW~, .~/ ~b~oo ........... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore named. e is the ...................... ~ ....................................................... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly anthorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true .to the best of his knowledge and belief; and that the ,ork will be performed in the manner set forth in the application filed therewith. worn to before me this i !£oj~afy Public .... x. ~ .... .~,-n]/~. ~ County ~. ,riff / (Signature of applicant) June 1~u, '~981 Mr, ~. Ii~'s. Camillo Cisterlno 324 C~smDiir, Place, Dea~ ~r. & ~t~s. Ciste~ino: Flease D~ advised that we ~ay not iuaue %he Bull.~Sng Permit for a f~,nc~, t,~ y~u until J[~a~'s, ]~oeback and Company c~taing ~ Ho~. Ir~prover~pt License with 2]ou~oJt~ ~:'u;~. ?h9 f~e is $19.00 per year. ¢ ~,9 ~9.5135in.~. ~j.,~,.:.lcario.', for ~.D~ to give the~. Have tbg.'r~ .z,).~plet.~ ~R.~%~ ant~ rac%~zn ~o ~s so we may issue permit. Th~nk vou. CWH:Jd Enclosure