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Home My WebLink About9303-Z FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 9303 Z Date ..........JUne '14 .................. 197? .................. ..,. Permission is hereby granted to: Edward Sawicki ................................................................................ Mattituck N,Y, ................................................................................ ................................................................................ Build new accessory storage building to ............................................................................................................................................................ ................................................................................................................................................................. Maratooka & Sunset Road at premises located at .......................... Mattituck ................................................................................................................................................................ ................................................................................................................................................................. pursuant to application dated ................ 3A Yy ........1 ..............., 1977..., and approved by the Building Inspector. 10:00 Fee $....:.................. ......... .. ........... . .. ... .. ........ ............. Building Inspector x Aed oa 1 t)n5-if- FORK NO. I ` TOWN OF SOUTHOLD BUILDING DEPARTMENT Q►,/ TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. C ... .. . .........Examined �.. ..... ., 19 Application No. � .................. Approved ............ ... ........, 19. .. Permit No. .J> .......................... r Disapproveda/c ..... ...........:.... ....................: .................: ............ .... ..........................................:....................................... .... ............... ........... h S ...................... ... ......... 9.....p............... ......................... EBuiIdIn Ins ector) APPLICATION FOR BUILDING PERMIT Date ....... ............... ..C.............. 19. /...... INSTRUCTIONS o c� a. This application must be completely filled in by typewriter or in irk and submitted in triplicate 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 ON areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of this application2O c. The work covered by this application may not be commenced before issuance of Building Permit. -4' d. Upon approval of this application, the Building Inspector will issue 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 orr '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;0housinde, and regulations, and to? admit authorized inspectors on premises and in buildings for nary inspections.............. .... ...... .... . ........................... (Signature of applicant, or ame f a corporation) � o . . ... ...................... .... ... .. ............................ . ..... . . . . (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 5 Name of owner of premises ......:� ...... ................................................................................... If applicant is a corporate, signature of duly authorized officer. .................. .......:............p.............................. (Name and title of car or e officer) Builder's License .No. .................................................... Plumber's License No. ....................:........................... ' r Electrician's License No. ............................................ OtherTrade's License No. .............................................. 1. Location of land on whi proposed w rk wi I be donea o.: ............... ....... ..... .. ..... No. ...... �\` ........... Street and Number ... . .. .......... .. . .G` ....... ........ ... .. .......... Municipality 2. State existing use and occupancy of pr isejad., intended use and.occupancy of proposed construction: a. Exisiting use and occupancy ....... ////..... . ......................... , ......................... b. Intended use and occupancy ................. ......... .....�c�. ................... . ............:........ ...... ' t N ' 3. Nature of work (check which applicable): New 8ui|dih�. —^~---- Addition .................. Alteration ............ Reooir ----.-- �on�ovo| ------ Dan�oktion.----,.—. Othor \�ork —.--..—.-------_.-- ,— � . ' (Description) � 0 c� 4. Estimated Cost —_--��'-.------_—.-'--..��e — .......................................................................... ' (to be paid on filing this application) 5. If dwelling,, number of dwelling units ............................Number ofdwelling undo.on each floor ............................ |fgarage, numberofcors ............................... -----------'---'—�----~^~-^------'------.---- 6. If business, commercial or mixed occupancy, specify 'notUrb and—extent of each type of use --------.-- 7. Dimensions ofexisting structures, if any: Front ............................ Rear ................................ Depth --^---- Height ......................... Number of Stories ----_------------_--.-.----_'.------.--.------. Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ---------.Nunnbor of Stories ................................ / �� O. Dimensions of entire new construction: Front --�*—_—.—.--.-- Rear --^^-----_- Depth -------- Height ......... Number of Stories --.---.-_.----_-.--.------------------.---.—. 9. Size of lot: Front ...... ......................................... Rear ........................................... Depth - ................... lO. Date of Purchase ---.--------.-------..Noma of Former Owner ........................................................ ll. Zone or use district in which premises are situated ------------'-----.------_-----.------ l2. Does proposed construction violate any zoning |ovv ordinance or regulation: ........................................................ 13. Will lot be regraded ............................ Will excess fill be removed from prmnnseo: ( ) Yes No 14. Name of Owner of premises -..^.............................................. Address ................................ Phoneho. ...................... Nonnoof Architect .............................................................. Address ---^--.—..--......�.Phone No ...................... Nome of Contractor --------------------' Address ................................ Phonw No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block nunnbe, or description according to deed, and show street names and indicate whether interior orcorner lot. STATE NE ., . . ~�°° . ---- and says that hais the applicant of �iin�dividual signing contract) above named. Heis the ---------- --------'------------------------'------. -- ([ontroc�nr ogant corporota offce� etc } of said owner or owners, and is duly authorized to performhave performed the soid r� ond to makend file this application; that all contained i thisr to the best r oaxer; and thor the work will be perfor i the m1anneX set forth in the application 4iled therewith. Sworn to before me this .................... � oyof .— l9.��. � Notary Pub|ip| ---..—.. County . .='. ..---' /��Moh2re of applicant) ` .