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Home My WebLink About14916-z 1~0~ NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOW~ HALt. SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o H916 Z Date Permission is hereby gronted .~..~...~.~..~ ...... ~..... ................. ~..~..~....% ................................................ ~~...~:~.,...!.:..t.~...~ ........ .~~.....~:..,....~.~......~....~..~, ~ , ..... ~....~~' ...... ,~ ........................... ~ ............ ~ ............ ] ...... ot premises ~ted ~t .[. ..................................... .... ~.~.~....~.~ ............................................................................................................ Co~ ,o~ ~op ~o. ~000 sec~o~ ..... l.t.t ............ ~k .... .~..~. ......... ~ot ~o ..... 1.~ ............. Building Inspector. ~ee ,..;.L...d......~ approved by the Building Inspector Rev. 6/30/80 Examined.. , .'~. c~.~..~... Approved.....-~. ~.~.c~.. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19~..(P. ., 19~.(,. Permit No. !.~.~ !.b..~... Disapproved a/c ..................................... BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This 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- 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 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ?.ep.e?..C9.mp..ap..y ........... i ......... (Signature of applicant, or name, if a corporation) P.O. Box 476, Natt±tuek, N.Y.11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,, plumber or builder. Agent P~ter Izzo Name of owner of premises .......................................................................... (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. 508 Plumber's License No ......................... Electrician's License No ....................... Other Trade's License N(} ...................... 1. Location of land on which proposed work will be done .................................................. 1435 Vanston Road C~tchouge House Number Street Hamlet County Tax Map No. 1000 Section ..... (i/. .......... Block ...... z~. .......... Lot ..... ./,~.. '. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occuphncy of proposed construction: a. Existing use and occupancy ....... .S.~.ng.l.e..F.an..i. ly...D~.e.l.t.i.ng ........................................ ~ ' · "Same /...k4 /~ " b. Ifltended use ~pd occ.9pancy' . .......... ./....~d~..'..'~.. fe~,.~z~ ........................ ": ............. ,.' property lines. Give street and block number or description according to deed, and she, interior or corner lot. 3. Nature of work (check which applicable): New Building ..... ~ ..... Addition ... [ ........ Alieration .......... Repair_ ...... '. ....... Removal .............. Demolition .......... . ....Other Work'.F.e.n. qe...' ....... ~ (Description) 4 E ti ted Cost $1,282'.00 Fe $25 00 ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number 'of dwelling units on each floor ................ If garage number of cars ' ,' 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ....... Depth ............... Height ............... Number of Stories ..................... ! ............................ Dimensions of same structure with alterations or additions: Front ............ i ..... Rear .................. Depth ...................... Height ...................... Number ofiStories ...................... · 8. Dimensions of entire new construction: Front ............... Rear ........ , ....... Depth ............... Height Number of Stories 9. Size of lot: Front ...................... Rear .............. iDepth 10. Date of Purchase ............................. Name of Former Owner .~ .................... ........ 11. Zone or use district in which premises are situated ............ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... i ............................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Nan~e of Owner of premises Peter Izzo Address 1435 Vanston Rdi, Phone No734-7195 Name of Architect. AAdd~;~Ss~ .~ } pPhho°nn~ NNo° 47? Name of Contractor '~v~{r~'~'$~l~'~'&~fi~; 'C61 ..... 7202g$ 476; '~¢ 2" 298' 7 ........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from i street names and indicate whether STATE OF NEW YORK, COUNTY OF ........ S.S ........... L. 5. n.d.a..E.: .N..e.r.c.u.r. J:o. ..................... being duly sworn, depo 150 /001 ;es and says that he is the applicant (Name of individual signing contract) above named· He is the ....... A. ge. ri. t. .............................................. : ......................... (Contractor, agent, corporate officer, etc.), of said owner or owners, and is duly authorized to perform or have performed the .s~id work and to make and file this application; that all statements contained in this application are true to the best of he. 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 Notary Public ............... County ~ J O ~ ,J !Signature. , of:applicant)