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Home My WebLink AboutKing FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................, 19........ Application No. ............................ Approved ........................................, 19........ Permit No. ............................ Disapproved aj c .............................................................................................. (Building Inspector) .s ;c/,J APPLICATION FOR BUIL.DING PERMIT r7 Uti/I: r/' ("t. Date ..........................................,................., 19..... .... ... INSTRUCTIONS a. This applicotion must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 drown on the diagram which is pmt of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approvol of this application, the Building Inspector will issue a Building Permit to the opplicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building sholl be occupied or used in whole or in part for ony purpose whatever until a Certificate of Occuponcy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sauthold, Suffolk County, New York, and other applicable Lows, 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 and regulations. ... .....is.i~~1f#~.!fi(J~.;,;.~:..if.~.~.~.;~~.;~.ti.;~.i........ ..................(10<;/.,.1... [(......................... . r {. :/.., . ....................... (Address of applicant) State whether applicant is owner, lessee, agentl architect, eng ineer, general contr9ctor, electrician, plumber or builder. ........................... (i.W.dl..,;, J?............................ ......................................................................... ................................................. Name of owner of premises .........Elv..r.Il.....E.....([!tIe:c....7.8.:............................... ..,........., If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: "'''''''''''''''''''''' Street and Number ... iY'/>.....8 r.!. k..T.c.... .1.5.:: "'... .r;Ii.? [/1I../:.(i..13. T..................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy .................6.!! iF...... Ccl.t!.8...J.L..................... ........................................................... I ntended use and occupancy ..............r; p/E...... (~i/,l!.!.r......................... .......................................................... a. b. 1 3. Nature of work (check which applicable): New Building ..=-.=-.-:::::::--ACfw,an .................. Alteration i............ . Repair .................. Removal.................. Demolition.................. Other Work (Describe) .............L.,..................... 4. Esti mated Cost ...... .... ....... ......................................... ..Fee ...... .... .... ................. ... .... ..................................... ............... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...~~~.~....Number of dwelling units on each floor ............................ I f garage, number of cars ................:.:::;:-..:::~-;......... .... ... .... ............. ........................................... ......... .... ....... .... .... 6. 7. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...':--:-:-~.............. Dimensions of existing structures, if any: Front ....~~~.:-.::~~........ Rear ................................ Depth .................... Height ...... .................. Number of Stories ...................... ............................. ................................ .... ... ...... .............. Dimensions of same structure with alterations or additions: Front ..:-:-.7:":7;-;::~-=7:-:.;:::;........ Rear ............._.......... . Depth ................................ Height ............................Number of Stories ................................ Dimensions of entire new construction: Front .................................... Rear ............................ Depth .................... Height .................... Number of Stories ................................................................................. ... ............................. Size of lot: Front ...:::.:.................... Reor ................................... Depth ................................ Date of Purchase ...........i.r.~.:.7...............................Nome of Former Owner ...F.i.~'.i:.(J....E...../J.:.1I..0................. Zone or use district in which premises are situated ...!1.EJI.{![ik.7...1.AL...:f'....!!C.,q.U:.//.i...T.//..r1.4.i................. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ Name of Owner of premises ........................................Address ............................................ Phone No. 8. 9. 10. 11. 12 13. Name of Architect ......................................................Address ............................................ Phone No. Name of Contractor ....................................................Address ............................................ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicote ail 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. "J 3 '/ .5 7" 7 SE7JJ4(!r FlO ,vI) l1i(!)(j III I FlitJl"1 #/(//4.' r. RFAl- F.Y7A7c 3~Fr S,E T 8,4 tlr / q,,' j i/ Ii .A ti- C t: Flilh Jlj'l tfh_<4lEJ'T 3 111. 0/1/ HieflY Pl!df'CliTr f}rJ1./7 { J5 o lI/EI\! 1 I.,J LiA..C J)]-}5U /1,0: :JJ J J'II.J I 11 .J' Ci;.C/vp L /A..E STATE OF NEW YOR" 1 S.S. COUNTY OF ..f . ...............! .................l~l~di~id~r.6~~~j.................being duly sworn, deposes and says that he is the applicant above named. He is the <'::(.~:<:S~:.h-:-::"................... ... .... ........... .... ... .... .... ... ........ ..... .... .... ... ............. .................................... . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all stGtements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me~hiS vt.D1...-- /, (, . ' ...............r...... day of .... ,.f .....Y.(:J..:..)...j'..................' 19"....... -?L-r4.-/ -: & j) Notary PUbliC,72:. t N;;A;;'\:~~~~S!~~~ Cou~j}1a-;l."fr<si~~:~r~;?~ai::,~t.;........................... No. S2-l>-,i:;U~: .~,,:a-'\' ~tt!..::J Commlss1vn LAi":rt:s ;;,,,;(.,1 ..u. 17 ,~ ~-<- PO<-d:.51' .:S ~ L'C' TOWN OF SOUTHOLD, NEW YORK APPUCATION FOR SPECIAL EXCEPTION ::c. .t~'~:'Z:'l:"!.;/P?'(' / , '. TO THE ZONING BOARD OF APPEALS, SOUTH m.D, N. Y. I, \'W'S ......n..{!x/?.....E..ff./A.::.:.C..,zlf. .. ...........of .m ...................a.?-:?!...!.f.........l.:L......m..'..m.. Nam,e street and Number .. ...........,......~?i!;;~L..m............................ Municipality .............&:.y......................... . ............................ State hereby apply to THE ZONING BO~D OF APPEAL S for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE ARTICLE '~ SECTION 3 Ci V SUBSECTION I \) THE SPECIAL EXCEPTION IS REQUESTED BECAUSE This is not an additional sign. A sign has been at this location for OVer 20 years, anQ has refered to Real Estate and Insurance for ten years. Over 75,'; of my prosD8cts come from Hestern Long Island, and hew YOl'1\: City. This sign assists them in finding my office that is lonated in Orient. STATE OF NEW YORK ) COUNTY OF ~ Jii..L1::~ ss Sworn to thi~ .................2................ day ~f ..~,.'::::::::.I.!::.::......, 19...4......f......... .....71u...r:....~_....; ...... / ..' ....~.~ Notary Public , MilDRED ~FMMl Y k ~ 1',1 Ie '3~e c1 neW of NOTARY FU.-~ '~ c, ,,~!!, caunt7Y ",""510iO'1 :"Ullv'" Yn No. ...."-.u, U v M,lld\ 30. l'~-"~,, Commlss\on lxp\res .........,::!~~i~O'4. ~ t/ "{t.., FORM ZB2 \ \ \ \ \. \ ,. \ '. June 21, 1966 Mr. Floyd F. King, Jr. Route 25 Orient, New York Re, Special Exception application Dear Mr. King: ~le Board of Appeals reviewed your application for a special exception in accordance with the Zoning Ordinance, Article III, Section 300, Subsection 10. The Board of Appeals is not inclined to permit the type of sign which you have requested, therefore I am returning your check in the amoqt of $5.00. If, however, you persist in having a public hearing the Board will be willing to have a hearing for you. Very sincerely, Robert w. Gillispie, Jr., Chairman Southold Town Board of Appeals /bd enc.