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Home My WebLink About18893-z:I~LD I~,S, ~ ~OJ ~ FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) e INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: H ..,43 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y, NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 188~3 Z Date .......... .~'~ .0~..,.~ ....... ~...~ ............. , Permission is hereby granted to~ ~ i~ .~.~...~..~ ~.~ ........ .~.~......~.:¥.:......~..~..~.~....~... ~o ..~~.........o~......~.~.'~.....~.~...~.~ ...... --OT ...... ~ .............. ~ ................ ;"':"~' ............... ~' ............. ~ ................ ": ........ ~ ................. at premises located at ...~.~,~..0......,.,~(~..~ ........... ~.~ ............... ~ii~'~ ...... i'"'i ......... i'~'"'i'"?ii ............ i ....... i ....... iiiii ........ i'iiiiiiiii ............................... County Tax Map No. 1000 Section .... /....-~.../. ........... Block ...... ..(~.....~. ....... Lot No .......~....~ ............ pursuant to application dated ...... ~.f~.....~..[...~. ................, 19.~...C)..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN Of SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.; 765-1802 E,,anilned. .... 197. O (B g'i jt;;i ........ A PLIC^T,O Fo. BUILDING PE.mV BOARD OF HEALTH 3 SETS OF PLANS SURVEY CtlECK SEPTIC FORH ........... NOTIFY~ CALL MAIL TO: Date ................ 19 NOTIFY BUILDING DEPARTMENT AT · 788-1e0~ g AM TO 4 PM FO~ THE 1. FOUNOATION - TWO REQUIRED 4. FINAL - CONSTRUCTION MUST ALL CONSTmffiTION IHALL MEET THE REQUIRilMENTt OF TIlE N.Y. 8TATI ~ON81RUCTIO~ & ~EN~Y Gore. NOT mPONSI~! FOR tlouse Number Street, · · · .. ..... Hamlet c .,yra N ,000s ti · ou .': ap o. ec on .............. BlOck ............ ('7 ...... Lot ......... / Subdivision ..................................... Eiled Map No. (Name) .............. Lot ............... State e" · xmstmg nsc and occupancy of premises and intended use and occupancy of proposed construction: b lmended Use and occupancy I' ( ~ 1. 'Location of land on which proposed work will be done, Builder's License No ...... [~.~.~. ...... OCGUPANCY OR ~ mumber's License No .................. USE IS, UNLAWFUL WITHOUT CERTIFICATE mectrician's Lice.se No .................. OF'OCCUPANCY Off1 r Tad ' L'e N r e s icense o ..................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building lhspector, with 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 premise~ or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par[ of fids 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 Pcrmit to the applic~t. 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 ~:emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to' admit ~uthgriz_ed inspectors on premises and in building for necessrary inspectjons~. t gnature ot hpplicant, or name, if~ corpo'rat~o'n) ' (Mailing address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If/"2pp%icant is a Corporation, sJgnatur)%of dnly authorize~l of Bcer. (Na(rne and title of corpora~ officer) "' ' Tennis Court ......... ~ccessory Building .......... Fence .... j .~.(}th~?"~l~.l~l~ . $~/1 , . . 4.. Estimated Cost ..... I ?.05! ........................ Fee .......... -,(to be pa~ $. If dwelling, number of dwelling ,~nits ............... Number of dwelling units on each floor .............. If garage, number of cars ............................................................... specify nature and extent of each type of use i ...... 6. If business, commercial or mixed occupancy, .................. ' Depth 7 Dimensions of existing structures if any: Front . . Rear ......... Height Number of Stories · · Dimensions of same structure wRh alterations or additions: Front ................. Rear ............... Depth .................... ~.. Height ...................... Number of Stories ................... Depth 8. Dimensions of entire new ¢onstrnetion: Front ............... Rear ........................... Height ' Number of Stories 9. Size of lot: Front ...................... Rear ...................... Depth ................... lO. 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: ........................ 'x:/' .... 13. Will lot be regraded ......... ' ................... Will excess fill be removed from premis.~es: . Yes~7~,' No. " A'~d ress Phone No 14. Name of Owner of premises ....................................................... Name of Architect .. O .......... { ............ Address ................... Phone No ................. Name of Contractor . ][. ~c.-~%.~"'~..~(x, .' .¢~. .... Address ................... Phone No ..... ~ ...... i .... 15.Is this property located withzn [00 feet of a tidal wetland? ~YES .... NO .... · If yes Southold Town Trustees Permit may be required. · PLOT DIAGRAM Locate clearly and distinctly ali 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 comer lot. to c_e rs' HELEN IL DE VOE ' NOTABY PUBLIC. Sam o! New YMk Ne, 4707878. Suffolk Ceuntya/ Term [xplres March 3~, 19_ ~ S~vom to before me this ........ /.o,.. ...... ..c& ....... Notary Public ..... 7~... ~';...~.'...~..~.. ....... County of said owner or owners, and is drily authorized to pe,rform or have performed the said work and to make and file this application: that ail statements cofftaiued in this applica, tion are true to the best of his knowledge and belief; and that the Work will be performed in tile manger set forth in tile application filed therewith. ; ~, .~,.~.~'~:flg~ir;g~dt y sxvom deposes and says that he is tile applicant - (Contractor, agent, corporate officer, etc.)