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Home My WebLink About22790-zFORM NO.$ BUILDING DI~PADTMENT TOWN HAU. $OUTHOLD, N.Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~7~o z '~°'~ .......... ~'"'"~ ....................... hereby granted toj/'~{~, -- ~-~ ...l.//~....~.~....,~...~.~.. ........ ~~...~~., .~ .~...~ ....... _ Coun~/TaxMopNo. 1000 Section ............ ***~***,(.,., Block .......... .***~**, ......... ' Lot No. ...,/***,.?**. .............. 19....?..~.....*.., and approved by the pursuant to application dated ................... ~~..~'..~.. ....... f Building inspector, Rev. 6/30/80 Lic. No. 2592H1 - 589-1705 (~POSAI TO (~2...¢ ,~ ~:,~ .,...07~.'~/~0 e'7~.l~ ~ 0 Employed. ho.o .¢.77b _. ....... GROUND PLAN~ 4.1o , This proposal when signed by the Customer and when accepted and signed by an Officer of Craftsman Fence Co., shall become the Contract between the part es. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Customers must furnish, at the r own expense, all necessary permits surveys which must clearly show property lines, and any extras not otherwise provided for or included in the proposal. Craftsman Fence Co. shall not be responsible for the location of property lines or boundaries or the accuracy of any survey furnished by the Customer. All property lines are to be cleared, properly graded by Customer at Customer's sole expense. Craftsman Fence Co. shall not be responsible for damage to under- ground lines or landscaping. Title to the persona property and any and all equipment at any time added shall be and remain the property of the Seller, whereas f the Buyer fa Is.to~d scharge his part of this agreement, the Seller has the right to remove all merchandise installed with- out the consent 9{ the BISyerJ and that the Seller has no responsibility upon removal from this action. ") 1,5, I/ . CRAFTSMA~,I FENCE CO. Officer ~ ~,,'~, BOARD OF HEALTH ........ ,, FORMNO. 1 /3 SETS OF PL,~,~S .... . . . . ~. ,, TOWN OF SOUTHOLD .../SURVEY ................. '~' ~A¥' I 0199~" :;, BUILDING DEPARTMENT -- /CHECK .~ ..... ..,...,.... '~" ~ ~ TOWN HALL SEFTIC ORH . ~ ................. ~ ? SOUTHOLD, N.Y. 11971 approved... 7~ . .~9~S Permit No 7:~.~':~ZZ. .... Disapproved. a/c ..................... .~ ...... i ..... '. /I ~~g Ins Date .................... INSTRUCTIONS ~ a. T~s application must be completely filled in by ~pewdter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. ~e~ccording to schedule. b. Plot plan showing location of lot and of bulldogs on premises,~elationship to adjoining premises or pubic st~eet~ or areas, and giv~g a det~led description of layout of property must be drawn on the diagram which is part of this appli cation. c. The work covered b~~ t~s application may not be commenced before issuance of Budding Pemit. d. Upon approval of this application, the Building Inspector will i~sued a Bu~dh~g Pe~it to the app~cant. Such permi~ shall be kept on the premises avagable for inspection throughout the work. e. No building shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate of Occupy% shall have been granted by the Building Inspector. ; APPLICATION IS HEREBY MADE to the Build~g Dep~ment for tbe issuance of a B~lding Pemit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other app~cable Laws, Ord~ces or Regulations, for the construction of bu~Id~gs, aOditions or alterations, or for removal or demolition, as here~ deschbe& The applicant agrees to comply with all applicable~ laws, ordinances, building code, housing code, and regulations, and to admit authohzed inspecto~ on premises and i~ buildh~g for necessa~ inspections. -- ''' ~i~;~~t, or ha;e, ir a corporation) (Mailing address of applicant) State xvbetber applicant is oxvner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. , Name of owner of premises ....... . .-'~..[[0.~....~..O-.~-..~0.~.t~.~.0 ...................... ' ....., ................ (as on the tax roil orlatest deed) If applicant is a corporation, siguature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Phnnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be clone..I.~..~. Ilouse Number Street Itamlet Com, tyTa .,a o.,OOOSectio. .... ........ .......... '... .............. Subdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) 2. State existing use and oceupancy of premises and iutended use and occupancy of proposed constrnction: a. E ' tin° use and occupancy ~)rO.~.-%..t~.. b. Intended use and occupancy ....... '..'TV~...~.'O,~. ~.hr.e-<. ................................... Nature o~work (check which a~plicable). New Buildin; ' ,,epalr .............. Removal .............. Demolition Additi. on .......... Alteratio/l . . .: .~.~.' ~ ; .... Other Work 4. Estimated Cost ...... , 0l~ (Description) .... ...................... Fee ........... : ...................... Ifd g! it (to be paid on filing this application) 5. welling, number of dwellin un s ........ Number of dwelling uuits on each floor. Ifg ....... · arage, number of cars ..... ~ ............ . ............... If b ness, d ....................................................... 6. us/ commercial or mixe occupancy, specify nature and extent of.each e of use .... 7. Dimensions of existing structure}, ir any: Frout ....... typ ................. l-igl lb '' · ..... Rear .............. Depth .. le it ............... Nut er of Stories ............. Di f hn ti It .............................................. tensions o s ~e structure wi~ 1 a erations or additions: Front .......... Depth ..................... i' ' Height ...... , ......... . ................ Rear .......... · ....~_.,Number of Stories . .. '. ' ........ 8. Dimensions of entire new construction. Front . {aO.F.e.e.7~' ' r~-'~L'v'i~e /~0 r-..-~.-- ................ .Height . .. ............ Num~ ' ' .............. ~!. c-.~l .... Depth ....... · er of Stories ........... . ,. . ........ 9. Size of lot. Front . ~ . ' ............................. ..... ...~J, ...t., ......... Rear ,, .. · .......... 10. Date of Purchase .. //.~ ~' . ,,' ................ u e:p,m ........... I 1. " · ~ ................. r~ame of Former Owner . . .Vj.~'T.O..~... ~.~k/d~ ..... i' ' Zone or use district in which premises are situated .... ~.i~T. Jy~.,~t~ 12. Does proposed construction violalte an ..... :__, ...... ' ' · ............ · · .~ ................ ~ ..... · i ~, ~u,,.g mw, oralnance or regulation: ..... J:V~. ................ Name of Architect ......... I · ', : .............. Address ................ Name of Contractor..· ~Adq..'~.~.~ .......... Address :5..5 ~.~,,_~VVill¢ ' Phone Nc) ........... 15,' Is this property within 300 feet o.f a tidal 'wetland? c/v'~'~;~''' ..... -- · · '~ ....... · If yes, Southold T~wn Trustees Permit may be req~[g~[ ..... 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. I ?f;,'6-~8o2 9 TO 4 FOR THE FOLt-·OWING F:OR POu 4. F,N,,L CTION MU~T ALL 9. THE REQUI SHALL MEET ~TATE OF THE ~.~ CODEs, & E~ERGY DESIG~ OB FOR ERROR8 FATE OF NEW YORK, OUNTY OF ................. S.S : (Name or inoividual signing c~ntracti .......... being dtdy sw'orn, deposes and says that lie is the applicant )ore named. .~isthe. ,.. (C ag , cdr' ffi t~ ) ........................... . ontractor, ent porat¢ o cer, e . said owner or owners, and is duly antllorized to perform or have performed the said work aud to make and file this p/ication; that all statements contained lin this application tire true to the best of his knowledge and belief;and that the )rk will be performed in the manner set forth in the application filed therewith. ,'om to before me this " ' ? .... ~ Y 0 ~ .... ' Z'.'.~.~ ........ ,19 .<:fi..,~ i'tary Public ..... /,/~(-'~fc"q,. ~.. ... County