The URL can be used to link to this page

Home My WebLink About13242-z ~0~ NO. II TOWN 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) N? 132i2 Z Permission is hereby gronted~ ,,~...,~ _ .... ~,.~...*m ,....r,.L.L~...~ ............... ....... ...... ~.....~~./~ ............. ~.~ ................. ~ ~o.~~.....~...~..~.....' ".~......~ ...... ~...~....~ ....... at at ,~ ~ County Tax Map No. 1000 Section ...... ~....0.......~... .... Block .......... .~. ......... Lot No .......~.. ............... . ...~.!.~...~..~......./...~ ....................... , approved by 19..~..~, the pursuant to application dated Building Inspector. Fee $...~...~...L~... Rev. 6/30/80 ,amined pproved ... sapproved TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE ~OUTHO~D, N. Y. .......... , / q o ,e,m t No ...... ............ Application No ................................. (Buil~ling Inspector) APPLICATION FOR BUILDING PERMIT June 19 ' 19..8.?........ Date ................................................ , iNSTRUCTIONS a. This application must be completely filled in by typewriter art in ink and submitted in tripli~:ate to the Building ,,spector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing location of at and of buildings on pram ses, relationship to ad oining premises or public streets o~ -ecs. and giving a detailed description of layout ofproperty must be drawn on the d agram which is part of this app ication. c. The work covered by this application may not be commenced before issuance of Building Permit. d, Upon approval of this application, the Buildihg Inspector will issue a Building Permit to the applicant. Such permit ,all 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 ~all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Braiding Permit pursuant to ti3 ~iJding Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other applicable Laws, Ordinances or gu at OhS, for the construct on of build ngs, additions or alterations, or for removal or demolition, as herein described. he opplicant agrees to comply with a opp cab eaws, ord nonces, bui ding code, housing code, and regulations, and to Jmit authorized inspectors on premises and in buildings for necessary inspections. 685 Orchard St.,New Suffolk,NY f o k Ave. ,New Suffolka NY ................................... ................................. (Address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner ................................................. :one of owner of premises *..~.Q.~]~...~I~'.*.'~Q'~'''~0'~'~'*'~:'T~''NT''Q~'~)']~'''~Q't~ ........................... i ................................ ~ applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) N/A , Builder's License No .................................................... Plumber's License No ....... .N..~..A.. .................................. Other Trode's ' i ~. ................Tax Location of land or, which proposed work w,II be dane./Map No.: ..... .]:..0.2...-.,6...-.7. ................. ~ro~f~Yo~ ........................ Street and Number X~.X.~ .M. ain R.o..a.d, ..C~tcho.g.u. er..N...e.w York and #27908 . 2 7 9 2 0 Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: · ' ',~.qliD,~k./f~. ................... ........... ........................ a. Exisiting use and occupancy ...... .Q.~.~A.9.~...~.g.~,, ~J / Same ~ ~,~ XY~f-~ ~ b Intended use and occupancy .......... ] Nature of work (check whichj applicable): New Building,, ................. Addition .................. Alteration .......... Repair .................. ' Removal l .................. Demolition .................... Other Work .~...r..e.~?.j:.o...~.....o.~...~..e..~.?,.,e. ......... · ' (Description) 4,, Ebtirnoted Cost ....... ~C~ .......................... ~ O0 i (to be :paid on filing this application) 5 Ii dwelling, number of dwelling units . N../.A. ...... Number of dwelling units on each floe' ..... ~../.,'~. ................ If garage, number of cars ..... :....I~/.,~ ............................................................................................ .J .............................. 6. If business, commercial or jmixed occupancy, specify nature and extent of each type of uso ..b.~..~..J:.?:..e.~.~ ...... 7, Dimensions of existin~ structqres, if any: Front .....~../..~ ................. Rear ................................Depth ....... : ............ Height ........................ Number of Stories ........ ~ ...................................................................... ? ................................ N A Dimensions of same structur~ with alteroUon~ or odditlon~: Front ...... /. ............................ Reo~; ............................ Depth ..... ~ ........................... Height ............................Number of Stories ................................ 8 Dimensions of entire new cobs(ruction: Front 12' I~,,~, N~,A D,¢pth 6" Height' 5' NumbeF of Stories ..~./..~. .......................... ~. Size of lot: Front ......... I~!/.,~k ....................................... Rear .......................................... Depth'.~,, .............................. 1,3. Dote of Purchase June~ 1967 Name of Former Owner ....~.~..q~.~.,~.~..~I.~l, ....................... 1 I. Zone or'use disfrict in which[premises are situated Commercial B-1 No i2 Does proposed'construction violate any zoning law, ordinance or regulation: ........................................................ 3. Will lot be regroded ,...~.°...L.i .,,.~..~...~., W, ULoeX~ces~s~fjll ~b~r~rnoved~v.m Drem~ses:, ( A)~s ': (X) No ~ ....... ~ .... ~ ! and Joseph NolaL% ....... Addres~W...~£.~&..~. Phone, N0.~.~,..~.~fl .... · ~ Home of ~...~, ~,. ~, ..... ,~ ...... , ....................................... .... [If.A...: ........... ' .............................. PhoJ~ No ....................... Name of Architect ~ ....... Address ................................ , ~o PLOT DIAGRAM Locate clearly and distinctly ~ll but dings, whether existing or proposed, and indicate all set-r~ck dimensions from ~mp~*rty, ·lines. Give street and block number or description according to deed, and show street!~ames and indicate ,rte(her interior or corner lot. * A.J. Rysko (former owner of Nolan premises) SEE: ANNEXED SURVEY AND DIAGRAM STATE OF NEW YORK SS.: COUNTY OF SUFFOLK JOAN M. CRON, being dilly sworn, deposes and says thai~I she is the applicant abo~e named. She is the owner and is duly authorized to perform o~! have per- formed the said wqrk and to make and file'this application; that all statements contaizied in this application are true to the best! ,bf her knowledge and belief; and that the work will be performed in ~e manner set forth in the application filed therewith. ' Sworn to before me t~is 19th Josh Mary Cron ~ il ' d~ay olde, 1984.1/ / , · / -- i. z~ T ~ 0---~i~'"'~¢~/'y 0 ~, K ~ '"~-~ .... , JJ ~lJlJ~ [~lit~ ~ JJ~l~lt~ .... . S.S J JlJlJ _ ...... ,_ ' ....... ~.~..~.-k~D. ..................... being duly sworli~ '~J~)-~ and says that.~.~e is the applicon! (Hame of individual sl~nlng contractO ':hove named. , . de is the ......................o..~.g.~...... ......................................................................................................... ,~..~ .............................. i (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is ~uly authorized to perform or hove performed the smd work an.d to make and file :his application; that all statements contained In this application are true to the best of lt~cknowmage and belief; and :hat the work will be performed in)the manner set forth in the application filed therewith. :,worn to before me this ' · 19 day of Jbne . ) 9...B...4.. p,hm- Suffolk County Notm¥ ~.~-, . £DNA ~. HOUSTON ~OIARY ~UBLI~, State of ~ew N~ ~ No, 52~634478 (Signature of applicant) LAN ~