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Home My WebLink About19338-z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COJv~PLETION OF THE WORK AUTHORIZED) N~- ~, ~.."z,-- ~ 9 3 :~ ~, Z Date ............................................ Permission is hereby granted rD; . ...z~,...~,...../..~ ~ ................ pursuant to application dated ........................................ , 19.¢~.~., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 1 TOWN OF SOUTHOLD BUlL, DING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y.' 11971 ~pprovcd .... , ....... )isapproved a/c ............................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD O¥ HEALTH 3 SETS OP PLANS SURVEY ........ , ............. .......... NOTIFY{ CALL AUG I fi1990 Bi. DO, DEPT. TOWN OF SOUTHOLO Date : . a. Tiffs applica}ion must be completely filled in by typewriter erin ink and submitted to the Building lhspector, with ts of plans, accurate plot plan tO~,gcale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,~relationship to adjoining premises or public streets , areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of th. is appli- ~tion. c. The ~vork 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 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 hr.~ve been granted by ~e Building Inspector. ' AP~PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the dlding Zone Ordinance of the Town of S~'uthold, Suffolk County, New York, and other applicable Laxvs, Ordinances or 'gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. te applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. Pud~e Cor. p. , (Signature o~ hpplicant, or name, if a corporation) -- · P.O; Box 1465 Southold, NY 1.19.7.1 ' (Mailing address of applicant) itc whether applicant is owner, lessee; agent, a~chitect, engineer, general contractor, electrician, plumber or builder· Ow.n.e r ' ne of owner of prenkises ...... ~.. PtidRe Corn. . ,: n e a orlates e pplicant is a corporation; 'signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....................... Plumber's License No Other Trade's License No .... ~ ..... Si ..... ~__0 ,ocarina of/and on which proposed work will be done: Cox Lane Industrial Park 'Unit ¥~ ,~' · ' 22355 ts' .R. qa.d..4.8 g h N.Y. ' Court utc oRue, oust Num bet Street, ' ' Hamlet ounty Tax Map No I000 Section 8.4 ' ' BlOck .1 . Lot 26 t , abd'vis~on .................................... Map No ............... Lot ............... · Eilcd (Name) ,~tc c,';isting us~ and occupancy or prgmi~s and in tended use and t,. ,... ,--,,, Occupancy of proposed construction: A. Existing use and occupancy ....... bJq~/.at, lguc~.ur.e.. ' ~q~i~.~l.~..t~l~.~!~;a~ei>;~,~4~t/[. ..... . Bo ]'nt6nded u$~ and occupancy ............................. Nature'of work (check which applicab e): New Building Addilion Alteration RTepai.r .............. R~moval .! ............. Demolition ........ ; ..... Swimming pool ............ ennxs Court .... [./ .... Accessory Building ~/~~ . ......... ~~Fenee~'"'/... Other Work ............ Estimated Cost ....... Fe,~.,~.-.pwDO...:. .. .......... : ........ ,, . "~ (to,l~ paid on ill,rig this application) If dwelling nmnber of dwelling units! Number of dwelling units each floor If garnet number of cars ' If business, commercial or mixed occ0pancy, spccify nature and extent of each type of Use .................... Dimensions of existing structures if a!ny: Front Rear Depth Height ............... Number eT Stories ......... : Frg~ll ..... i'i'iii ............ i ......... Depth H~ight ...................... Dimensions of same structure with al{erations or additions . Rear ............................................ Number of Stories Dimensions ' ' Front Rear ........ of entire new construction: ............................ · Depth .. .... Height Number of Stories , ' · Size of lot: Front Rear ' ~' " Depth Date of Purchase :' ' Name of Former Owner ' ' ' Zone or use district in which premises are situated ' ' ' Does proposed construction violate afiy zonine law ordinance or regulation: .............. · - ' 'pre ~Vill lot be regraded ............. : ............... 1Vill excess fill be removed ~';dr~ ~5;e's; "~'~; ii . No. Name of Oxvner of premises . ppOg~, f:p.rp: " Address .l}qx..14.65 Soul:hold Pl,,-,ne No.. 765-1850 Name of Architect ........................... Address ................... Phone No ................. Name of Contractor ·. ~r~y. fion~:I:rucl:lon Address Bos 1145 Soul:hold Phone No.. ]~.Sr.l~SO. ' . .Is this property located !within 300 feet of a tidal wel:land? *YES .... ~If yes, Southold Town Trhstees Permit may be required. PLOT DIAGRAM Locate clearly and distlnctly.all buildings, whether existing or proposed, and. indicate all set-hack dimensions from perry lines. Give street and block number or description according to deed, and shqw street names and indicate whether flor or comer lot. ' ' - / d' ~'y , ............. (Name of individual signing ~'o~ntrac'ti '" )"A ..... being duly sworn, deposes ~d, says that he is the applicant 'e named. ' the ......................... I ~ (Contractor, agent, corporate officer, etc.) fid owner or owners, ~d is duly autlmr zed to peFform or have performed the said work and to m~e and file this cation: that all statements contained in tiffs application arc true to the best of his kno~vledge and belief; and that thc, : will be perlbm~ed In the m~ner set fort ~ m the application filed therewith. m to before me this ' ] ' · NO. 487950~ i r~ t ' ... ' TOWN OF SOUTHiSLD BUlL, DING DF. PARTMENT TOWN HALL · ,'cOUTHOLD. N.Y. 1'1971 , ~ TEL.: 765-1802 xa,ni,cd. ~ ~1 ~ iO.~' rrroved . /' ,' ....... , 19~...Permit isapproved ale .................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ........ : ............ ¢~1~c< ........... sr v c .:'::::::::: NOTIFY~ CALL Date ........ , 19. a. Tiffs applica'tion must be completely filled in by typexvriter or in ink and submitted to the Building lhspector, with 3 s 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 areas, and giving a detailed description of l~yout of property must be drawn on the diagram which is part of this appll- ion. ¢. 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 11 be kept on the premises available for inspection throughout the work." permit e. ,,No building shall be occupied or used in whole or in part for any purpose whatever untii a Certificate of Occupancy {1 hTe been granted by the Building Inspector. ' AP4PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the [ding Zone Ordinance of the Town of S~uthold, Suffolk County. New York, and other applicable Laws, Ordinances or :ulations, for the construction of buildings, additions or alterations, or for ::emoval or demolition, as herein described. ' applicant agrees to comply with all applicable laws, ordinances, building code, housina code, and regulations, and to dt authorized inspectors on premises and in building for necessary inspections. Pudge .C 9 r. p' (Signature " ' ............. ot apphcant, or name, ifa Corporanon) -' ' P.O; Box .1.465 S. outhqlc~,..N.7(. 11.9.71, .'. (Mailing address of applicant) ¢ whe'ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner e of owner of premises P.u.d,g.e .C.o.rp... (as on the tax roll or latest deed) pilcant [sa corporation, signature of duly authorized officer. Builder's License No ....................... I tuber s L~cense No ' ~lcctrician's License No ....................... ,,,,er ,ade's L cc.se No... Ce · cation of/and on which proposed work will bc done: Cox Lane Industrial Park 'Unit # ,~" 22355 County Road 48 .................................................. Dutcho~ue, NY .se Nu.,ber S,reet " ~nty Tax Map No 1000 Section 8.4; ' ' Block i 26 ' ' ' ............... ' .................. Lot ............... :: .,: ,division ' ..................................... Eilcd Map No. {Name) .............. Lot ............... c cMsting usc and occupancy of prcmi$6s and intended use .',nd ocanpanc . ,, Y of proposed Constrnctlon: -~) .-./.L,., 3."} Existing Use and occupancy ......... ~.~CcuQ~UC~...:. . ~l?,'t,,,o'~,.-, ~,, ~.~ ~, ..... Intended use and occupancy .......... ' ~;~ ..... ,', Nature'ofwork (check wh ch app cai: e)' New Build;n. ^ .... "7" .......... lfd welling, number of d~vetling units · ........ Number o£ dwelling units on each floor ................ If garage, number of cars ......... i ............................................... ' If business, commercial or mixed panty, spec nature and extent of each type of use ......... Dimensions of existing structures, if afiy: Front. n . .-. _ Hci ..... ~ ~ ..... - ....... ~xear ............... ~aeptn · ---~ ............... dumber et/Stories ....................................... ' ............ Dimensions of same structure with alt{rations or additions: Front .............. Rear Depth ................. l-;,,i,,~,, ., , ' ............... r~: ...... ~ . ' .... :"~" ...................... rqumber of Stones ....... · .,,,-~:n~lons o[ entire new construct oo Front .... -- - ~. ' ............ Hc~eht ........ ~Ju'~h~- ~,,. . , ......... -.ua~ .... ~ .......... ~epth ............. S~ze ~"'-' "' ' ............... - ...................... Date of P-- " ~ ................................. ~cptn ......... Z : ..... ........ ............. Name of Former Owner ........ ne or use district In whlch premises are situated Does proposed construction violate an zonin aw, ordinance or regulation: . ............................. Will lot be regraded .............. ..... Will excess fill be removed from premises: Yes .... No. Name of Owner of premises . 2PpOge. ~9.rp: .... ". .. Address .B. qx..1.4.6.5..S.o.u.t.h.o.l.d.. Phone No.. 76.5-1859 . · ............ -, .......... Name of Contractor .... ~r~ay. ~:on~t;ructton . Address iB.'o~ i<4X Southold ~h,.ne N,. ' Is this property load!ted ~ithin 300 feet of a tidal wetland? *YES .... NO..X. :If yes, Southold Town Tru. stees Permit may be required. ,. { PLOT DIAGRAM .ocat~ clea.r_l.y and distlnctly..al, J buildings, whether existing or proposed, and, indicate all set-back .dimensions from erty anes. ~/~ve street and block number or description according to deed, and show street names and indicate whether /or or comer lot. ' ' ~, · . _ I . (Namc of individual signing comract) ~' Y , P Y hat lie m th~ apphcant ~ (Contractor, agent, corporate officer, etc.) .................. I owner or owners, ~d is duly authorized to perform or have performed the said work and to m~e and file this ation: that all ~tatemcnt~ contained in~ thi~ application are true to the best ofhi~ knowledge and belief; and that the. .viii be perforated In the m~ner set forth in the application Qlcd therewith. to belbre me thi~