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HomeMy WebLinkAbout1831 . . JI'OBllI"NO:' a' " . .. '"~''' . . '. . . .,.;... iI t { .. .. .~ ,"', '&.' 4 '.' . .... .~. . .; j / TOWN OF SOUTHOLD BUILDING DEPARTMENt TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPP.ROVAL File No. .................................................................. Dote ... .... .......~ll!...~.y... ... ..!..~..........., 19.'J..?J To .Q:t.?~I:!..~.f....(~.~.?...E.-:.~..~:..:.'.!..~.~.~:}:.. ..yv ........~.J.....~.~......'Y).~~.~..J..!.~....~................... .........?^-.H:.....I.f~.!.?......../:o!.:r;...!1.].~.~......... PLEASE TAKE NOTICE that your application doted ..........~.~.';-:..'f.....!..?................., 19.~}. for permit to construct ...!.!.Q!I..'..!.I..!?~...:.~.~~h~L ~r~m~ses located ot....../f.f.......$:!)..!t./y9.. ...Ay..C................................................... Street p~ '- ~ /oj' <;.. tv 1 . J"'.....c:> Lt;ct4d SOUNU AUI; PC" <... 0 "-.J I (...,. tV. Y. Mop ........................................ Block ........................................ Lot ................................................ is rtt'II1U~ L___...'t~ ~~... disapproved an the following grounds .....L~.~::~..f.f.~.~.!.!f:.~l....f:~.P..t( .. ,~~..~.4?.!.....(~4)..............~.g.J...4ib....~.~.....}P..~..................................... ... "..' ... ................ ,................................................................................................................................................................... ,.................................................................................'................................................................................. jJoTE..: W-4. A~C' /.0'-[;),,,,,;; 10.'-<- PA"r:~.. WITk A""L.'c..."or.l f\l{~ It'""""1 P~..Q,"'r. (rec."'i'T Or V'<I:"~VL,- "'Pt::~I-- rOf""~S CNC-I-::>'L') N"-",L../'''r'''' _..!~~..t.Z~ Building Inspe~t~';;"" I /Y. I. / o TOWN OF SOUTH OLD BUILDING DEPARTMENT . . TOWN CLERK'S OFFICE U . 0. . SOUTHOLD, N. Y. Examined .F....../...'!........, 19.?-!. . Approved ..................~19........ Permit No. .................................... ~:~~~~~~.~~~..~.~.~..::::::::.~:::::::::l~::::.:...=:......:~:~~~:::::::~L ~o ~ FORM NO. 1 a Appl icatian No. ................................ .T:..................... ... .iB~jidi~g..I.~~;;~. t~~i................................. APPLICATION FOR BUILDING PERMIT , , July 17th 73 Date ................................................, 19............ INSTRUCTIONS a. This application must be completely filled in by typewriter OC in ink and submitted in triplicate to the Building Inspector, with 3 sets of plo(1s, accurate plot plan to scale. Fee according to schedule. b. piot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets a. areas, aAd giving a detailed descriptioA of layout of property must be drawn an the diagram which is part of this application. c. T.he work covered by this application may not be call)menced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept an the premises available far inspection throughout the work. e. No building shall be occupied or used in whole or in po rt 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 Southald, Suffolk County, New York, and ather applicable Lows, Ordinances or Regulations, far the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations, and to admit authorized inspectors an premises and in buildings for necessary inspections. ....~:..~;:;.,................... (Signature of applicant, or name, if a corporation) 67 West }~in Street, East Islip,N.Y.ll730 .................................................,................................................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................."~l\I\l:i\l..1\9.n!;l:Ill:!;9.l:A................................................................................................................ Name of owner of premises .........;(~?..tXN!!!'!...................... ................................................ ................................................ If applicant is a corporate, signature of duly authorized officer. .....~...~..................f.~M.,.......... (Name and title of corporate officer) Charles Touseul1 B 'ld 'L' N ~ - UI er 5 Icense o. .................................................... Plumber's License No. ........::::::.................................. Electrician's License No. ..........::::.~............................ Other Trade's License No. ..........::::.~.............................. 'il, --) 7- 1-"':.t. ~, \::~. P, 1. Location of land on which proposed work will be done. 00p N?: ...........................:............. Lot No. ..... .....,.............. Street and Number ........... ..}?9... ?~\!!!!!..AX~p.!!~. ............................... .)'~!';!?!:.~!';.. ..!-'!~~. .I!?~~...J!~;!!l.. .................. Municipality 2. State existing use and occupancy of premises and in!cnded use and occupancy of proposed construction: a. Exisiting use and occupancy ........0n.A..1lJ;.QX'Y...bw!!:..Q/)."...{11l".Uy...4~1.".U.:i..1).g,... ................................................ b. Intended use and occupancy ........~~...~~.~~r...~~~~~.~~i?..:...~~~.~.~.~.~~~.~...~.~.~~~..~~~~.~~~~.~........................ 6. 7. Nature af work (checkt'\:h applicable): New Building ...........(j Additian ..~.~.E!.......... Alteration ................. Repair .................. Re~al .................. Demolition.................... Other Work ................................................ (Description) Estimated Cost ...........J.?!.???:.::::.................. ........ ...Fee .....n~.!.7.::................................. ....... ..... ... .... ..... ................ (to be paid on filing this application) If dwelling, number of dwelling units ......."",,...............Number of dwelling units on each floor .......::::................. I f garage, number of cars .......:'::'::-...................... ......... ..... ....... ...................................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use .......::::::............... D. . f' t' t t 'f F t 26' R 26' 0 th 30. '6' ImenSlons 0 eXls 1"95 rue ures, I any: ron ............................ ear ................................ ep .................... Height ........................ Number of Stories .....~!HL.................................................................................................... Dimensions of same structure with alterations or additions: Front ......&nU....2li..'.Q...... Rear ...:F.,.~!L............ Depth .........!t7..,.~!!............. Height .........~Q....'.Q.........Number of Stories .......~~~................... Dimensions of entire new construction: Front ...........~~.~.~Q............... Rear ....~..~!.~.~~.. Depth ...~?....'.~........ Height .................... Number of Stories .....sm!!l.......................................................................................................... Size of lot: Front ...................~a.'.................~.............. Rear ...........(l.~.'.......................... Depth ...l.:lO.~..................... Date of Purchase ........:...............................................Name of Former Owner ...................................................... Z d. t . t . h' h . . t d "A" one or use IS r1C In W Ie premises are SltUQ e ................................................................................................... Does proposed construction violate any zoning low, ordinance or regulation: .~~................................................... 3. 4. 5. 8. Will lot be regraded ....P..Q.................... Will excess fill be removed from premises: ( ) Yes () No Nome of Owner of premises ..;J:~~!!..~y.~............................. Address ~!~o~.~~.~N'~;~1'1'9fJ1one No. .Z~!t.7;?!t.?6.... Nome of Architect .............::::::::......................................... Address .........-:::..:.................. Phone No. .....::.7............. Nome of Contractor ...~~!!~~..~~~!!~~~~~~~..~.':'.~.~.~....... Address .~.?.~'i~.~~t.'-,/.~.irnJ'hone No. .~~.~.7?~.?0..... PLOT DIAGRAM E.Is p, . . Locate clearly and distinctly 011 buildings, whether existing ar proposed, and indicate 011 set-bock dimensions f-"" property lines. Give street and block number or description according to deed, and show street names and inc'co'e whether interior or corner lot. 9. 10. . 11. 12. 13. 14. j1' I ,L,.x s ~ Uhf) I3Fl9-cf, , " -a ~' ::;: ~ ~ .~ ~ .t:: ~ - .......- fc '10' ~ r"- /71E;f.e "Ffl:; 511~Jrr ~ - ... I I . 77,J."'.s' , LJ:,IIr1. bPi:N Pt9"7'G!f ~ ~ r~,~. I$T p..e;;#lr ~ I .... !f 1- , /1/ ~~/--'} ,"' <:C-.~ ~' ~ .~ ~ SounD ;1VI:' STATE OF NEW YORK, lss COUNTY OF ................................f . ........C.h~..J.!!!!L'!:~~~!!!~nA..!?..~!!J\::g!;~~~~..9~~!!!;...,9.'?.q.'...being duly sworn, deposes and says that he is \'.0 c: p'e", (Name of individual signing contract) . above named. He is the .. ....... ..C;;~mt,1:1111t,9.J:................... ............ ................ .......................................................... ...... .............. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rr.j~'.2 cnJ "2 this applicotion; that all statements contained in this application are true to the best of his knowledge orJ l:o',(-'.. 'cc thaT the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........../f'!..... ~~Of ...........~...................., 191~... Ocane;;.~e~on Corp. Notary Public, ~.,...... . ..'!.If....I,{/..i!..:-::.M..'county ~;...... ....... ...........;............,..Pre.s.. ,/ rJElY:J Mry[" (Signature of applicant) .NOT.!l.RY P;-,bLiC, Stdte Cf r;F,', v:. ;~:) ,. Sufii ~ L~ - , . 'er-n Cj' '", ,,,- "" " ", '/'.;) 'C'-:::',F' i .,. , , , , ,.~_.""-'...,.,..",.,...._---"'"-~.-"_. " n ->"'."."-'~~'---""""'_'''''''''''~ON""'''''_' RECEIPT TOWN of SOUTHOLD SUFFOLK COUNTY, NEW YOR ~...... ........... .................i!:.'?......., 1~ -G - ... ....... ..f:........... $ ..!.:.~.7...<:.::!!............. Rec~ 0\ .Q...........~.:;:2'.;;;:;;;............ .....;;:;,~ ~ . L OS __ A . .< ~...:.::::/.(............................. .....DO LA ...... ... ........ ........................:z:r'.....,....................... F /..6"'J I ................................................................................ or .... ............... . ............................ ......... ..... Nfl 1159B Distribution: Fund Code Amount ~~ ~ .......~....... By.. ...... ..... .............../........... ...... Titl ...~..... ............... ~....11.~ ..._~^~~..,-_._,~ ~-... ~ ~ , \;: \I ~ ~ ~ ~ IV ~ .;,:: ---- --- 1..1 SOliN" LYNAM, JAMES 380 Sound Avenue pe.oni., N.Y. 11958 , . ~ BEll C 1/ , -- ---._----- r -/0 "l T 11'1 - /(I<</titl:l[r - ':'T I ,,;., ~ toe .. I" ",.EN POil'CH 'lil 'U'. o~! : I t'r rltllH6 ~.. ~;-------- L. '-'" /8 .z, . III 1\1 It#. ............--.-. "..., S8' SOUND ,4lvl: . \0 \,0 SClIlC I". 2.0' . ~ ~ .... ...., ~ . . . . . ~, j I -r I ; I 1 : i ! Ii I i i I \:: I':: , '- "< ~ .. l< I' i; II II ~ Ii .... H P il if ,I t' i! 01 II /lrr, GIIIFH,"e II .J-. IL I 7 l( 4 OooP I l- I' j '_,'::~~"':J1!#' ""f ; . ~o' -~ 1 , a"", , ~' P1CT""" i' PICTIJIH. '''Ii ..,. cITlIAI$UII/ SHELL. \ --= =-= -:- ""7 :::.-:.-:: --- 61(27 POk<tI E:MSTING. "'OoT,"" .... Df (. Ie' fN l"l$r~ ;Y'L"~.r""" ....... '",,,-,' 1...1 iliN ~ ^ lU''''' ~ _':........ i;;.' - -- , J EXI.5TNV~ I r- -1 , PC" '. "'~' f H...... l~.'L"! , ',_!d. I r I.? 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