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Home My WebLink About10318-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PE~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 10318 Z Date JULY 16, 1979 Permission is hereby granted to: ANTHONY J & WF BONANNO 41 CHESTNUT ST GARDEN CITY, NY 11530 for : INSTALLATION OF FENCE. VOID PERMIT at premises located at 1630 SMITH RD County Tax ~ap No. 473889 Section 098 pursuant to application dated JULY Building Inspector to expire on JANUARY PECONIC Block 0003 Lot No. 022 16, 1979 and approved by the 16, 1981. Fee $ 15.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Examined... I'1., 17. . TEL.= 76 ,.0, Approved...~..'. }i~.' i i.,7'~- · Permit N°' I 0 ~j ~ '"J~ '. .......... Application No ................. Disapproved; .............. · .~,,.~. · (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .. ./~. · .~. .... ,1 ... INSTRUCTIONS a. This application must be completely filled in by typewriter' or in ink 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this 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 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 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, housing code, ~ad regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~.~//,,,7[..,,/,~2L, ....... (Signature of applican,f, or name,~if a corporation) · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporation, signature of dul~authorized o(;2c~rn. the tax roll or latest deed) (Name and title of corporate officer) Builder's License No ..... .~...?2T~...... ~ ..... Plumber's License No. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... /~. ~.'?. ~i .~ ........................................ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alterationr.~... Repair .............. Removal .............. Demolition .............. Other Work... (Description) 4. EstimatedCost.~..~<~.c~-'- Fee /~.5 ................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units .../ .......... Number of dwelling units on each floor .... /. .......... If garage, number of cars ....... ..~. .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7.;, Dimensions of existing structures, if any: Front ............... Rear ., ..: ......... Depth ............... Height ............... Number of Stories ...................... , .................................. Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction.: Front ............... Rear ............... Depth ............... Height ............... N1jlnber of Stories ....................................................... 9. Size of lot: Front ...,.C.~>... ~z.~...-,,-..:. · Rear ....... ~A~... ~/~Z..... Death ...... ~. c5.'~.. u h ~.~9 [ ' , 10. Date ofP rc ase ....... (~/p/A,,~'ff~....~..~..~. ....Name of Former Owner .. ~7~,.J~'~.n.-.F'ce. o ~ .... 11. Zone or use district in which l~remises are situate'd ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... c~4..°. ....................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ 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. indicate all set-back4timensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether t interior or coroer lot. STATE OF~.~.~ __ ~W~RltZ.~ t~ ~ ~ COUNTY~OF .C-. · .k%~..~;~. ~ .~ ~'~ ..... ~~...~Z.'.%~C': ~: '.'~: ...... berg duly sworn, deposes ~d says ~at he is ~e app~c~t (Name of~ndividu~ si~g con~act) above nmed. He is me ............. ~'~ ~ ............................................................. (Con,actor, agent, co,orate officer, etc.) of s~d ~Wner or ownem, ~d is duly auto, ed to perfom or have peffomed ~e said work ~d to m~ ~d appHcatign; ~at ~} statements cont~ed ~ ~ app~cation ~ Line to the best of ~s ~owledge ~d beSef; ~d that work w~be perfomed ~ ~e m~ner set fo~ ~ ~e app~cation filed' ~erewith. Sworn t~ befo~ me this ....... day of ...... , bl' . ..;. 2... - .... ~ ,~ 7~ X. County .~ } / .............. ./ ..............................