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HomeMy WebLinkAbout14460-Z lOHlt N0. f TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 I I1 TOWN HALL SOUTHOLD, N. Y. ~/v L~ N6 7 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 14 4 60 Z Date ~...~C.~ 19.fr.'...5~- Permission is hereby granted to: Za~.f„..S.r ~ ...s .~.~..~..t....................... ro .......fir ,...~~`~.:...G~~r~...a:~..../~~t:~.~~,..~~.~.'ZC of premises located of ......~~......~L"'~%........ . County Tax Map No. 1000 Section ............r.......... Block ......~r.S,,........ Lot No.......~ purwant to opplicotion doted ......~.,,,~!X.~'.......fie 19~/....~ ohd approved by the Building Inspector. Fee 5~~~~P...d.. Building i or Rev. 6/30/80 ` TOWN OF SOUTHOLD 6~~`_- ~'!!l BUILDING OEPARTP~iENT TGaI~ SOUTHCLG, PLY. 11971 (,ae~ TEL.: 7G5-1202 „R Sg~ Examined ..°l....., 19 Application No . ~j / Approved . 19 Permit No..~. ~•~•u•GZ D Disapproved a/c ~ DEC - 91985 I f U . {,,..~.~L~rN•~~n~.~.f3'•., BLDG. DEPT. TOWN OF SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Datz . ~ C.~.:°~i ~ 9 ~ 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build Inspector, with 3 sets of plans, accurate plot plan to scale. Fce according to schedule. b. Plot Man s:;o~.ving location of lot and of buildings on premises, relationship to adjoining premises or public stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc-al of this application, the Building Inspector will issue a Building Permit to the applicant. Such. per 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 Occ:tpar shall have been granted by the Building inspector. APPLICATION IS HEREBY h1ADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ Tl:c applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name,- a corporation) (Mailing address of applicant) State whether applnicant is owner, lessee, agent, arc!;itect, engit:eer, general contractor, electrician, plumber or in;iid .:3_"fl \;une of owner of premises ~ D (as cn the tax tn1l or latest deed) If~a,pplicant is a corporation, signature of duly authorized officer. ..-~-~-~G. . (Nam and ti z of corporate off Builder's License No. ~:~b Plwnbez's License N-o' . Electrician's License No.' ..9.d y ~ . Other Trade's License ?v'o . . 1. Location of land on which proposed work will be done. . . . - House Number / Street 55 Hamlet County Tax hlap No. ':000 Section ( Block .....P`~ Lot ...J- Subdivision Filed \lap No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy • • p• •p !J l~R~iC-tflsL ~t2elG~[GC ~[CG[J6~-.?'Cc>% ~ycurT~-~ . ,0 _ _ • i X'. ~ ~ R hair R~ .[opal . . , Damo::.:on Oti:er'ir'ork . n d . s~.r'r/<dl~ (Description) . r/ p~ v (to be paid on filing this application) 1. If/wellin'~, number of dwelling units NumU~r of dwellin, units on e..ch floor . I garagc,numbcrofcars i. If business, commercial or mixed occupancy, specify rature and extent of each type of use . r Dimensions of existing stn[ctures, if any: Front Rear Depth . Height ...............Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth ......................Height ......................Number of Stories . i. Dimensions of entire new construction: Front Rear ...............Depth . Height ...............ivumberofStories....................................................,,... Size of lo[: Front Rear Depth , . . Date of Purchase Iv`ame of Forn~er Owner ; . 1. Zoae or use dstrict in which premises are situated . Does proposed constructio[: violate any zoning law, ordi7ance or regulation : . 3. R'iU Jot be regraded Will excess fill be removed from premises: Yes Nc L. Name of Ov:ncr of premises ....................Address ...................Phone No.......... . Name of Arc]:i[eci ...........................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-back dimensions frotr roperty lines. Gice street and block number or description according to deed, and show street names and indicate whether acrior or corner lot. TATE OF NEtiV YORK, S.S • OjJNTY OF . • . • • • . • • being duly sworn, deposes and says that he is the applican (A`anie of individual signing contract) ~oee named. eisthe (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tlti ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth h: the application filed ti~erewith. worn to before me this n . otary Public, ~[~1r+!'^!..!~ ~!L .V dL... Count}• ~ HELEN K DE YCE \ ~~~~~~~o t101ARY PUBLIC, Sate of Na[ Yak . Tiii ~es7W h~ if 1 "i ~ ~ ~~i 41-31/,n 41~,gi~LO ~4-i_3~4 i. 4~-'O'lin 4r~~~~~~ 4~3rfcu 4~-3+FL" 9,~_GII 11~-q° 1. . ~ ' ~ ~ ~ I ~ ~ tiV~RHANGIIIG ~f~M ENT~~ I ~ ' - ~ r I ~ ~ I ~ ~ I ~ ~ ~ ~ I f ~ .n I ' ~ ~ _ ~ II ~ ~ II ~ II - 111 it I 1-iM~ oF'I OVE.tt}N NCr-FKSZZ~N.X~7GH HOU7E~ ~ }mod ~ , II _ - JI~... _ - ~I ~ II II ~I II II ~~f i ` ~~0~' ~ i/ - II .II 11 Sc~~tvNING~~~ ~ ~I \ I~ ~ II II IT II II I II _ ~ „ ~ - - - - - - cl i. I I II ' ~ ` .i I I ~ ~IT~- N G H11 I II Z ' ~ I ~``~~V.. T II TI TI lT I ~ II I ~ ~ J ~ , tZE.IJO tJNTER ~ < ~ f - i 1 ---r--,_ --1--- JIL \ .I ~Jluola~, z~_c,°nu~r~ll II it - N --H- N o,+ KP-pAI R. ~F'I- R ~\~'\~o;. ~i, I ,~ROSCbI p-31FvH II II II Iy 4{--.- - 1 ~ 1 ' a°~ I I I I I I i'I --I-~_-~ - - 12Ep?_AGE. wINfJO ~ ~ ` _J,_~ _ -tL_ ___~~L ____~1___T I _ ~y - WISH DOL'>1Z, ~ ~ ~~i~ \ ~ ___~I ____i_____~__~_____~_r._ - ~ yr,;~ . LLllll M'SQ11 ~ \ , \~%F\~"~~~\.\~"i/ ; '~5H113G i-~f7 P~f+TH SI1?I="~ _ If. _It___. --_'1T- _ ~ ~ ~ ~ s.~{ - 4.\ k~ Tb MA'~¢N HDUSP_ ~ I 11 I ~ N } - d ~ .w ~ y I 1 11 11 ~l li- _ ' i(t - h ~ I I I I f I I i I I I' 'T"--"~~ ~ ~ ~'Y K I T~ H F N ~o I I I I 1~ I I n I- _ - -1--- ~ u p1 'q \ ~I ~13 ~Ah+~IY AP~oVI=. i~`\ li ~ II - ---N s-~€ A ~ .N~ I ~ I I ~ It i, TI __--,7 _ ~t-- O ~ , "'Ti`ff J ~ ` _ 1 I I II ~ ~ ~ ~ ~ T' O.~ ' - 1 J--- - Z , r.,, I ~ II 11 guE=rc.T, Irr,u~tTp tt It n ~a~- - -r-`~~ ~ ~ ~ ~ It ~ - IT II II -"`V~ _ _ . - - _ IItI--III t v 4 ~ ~ ' ~ ~ "R.GM.oVE. WIN fi,PW9'. Iz l;.MnV~ ~9,AY WtNt~OW. I ~---t N ,P ~ tA. ' IfJ STALL 8'-p^ 5L1 n,E E<. ~ - ~IN 57AL4.. 8'" o" S{..IOE.fL I ~ p.Aµ i FZY' ~ ~ ~ G~NTER p.,ETW. NSW ~ ~ LJb1 SA~M~ - PORCH 'POSTS. CNo XRFX~~ LFto SG~EGM1lS~ ~ ~ µoT~: I ' 12~U5~,5LInP-fta FROM l` - OI.d7 ,5uN CLOOM (F ~ q~,aF F-Xl5T IN4 5AY WINnoW PLAµTt1{c, ppxE ' ' THF'-Y NAVE Pi~EN ~AV ED. ~ f Q - N 11 ^~pp~p .,e rt~ l~f +1 T ~~qg ('e / .f'9r r'f/~G©J~W~j~f4El~-.1 -\J eY4'.L~~ ~ OCCUPANCY ~ ~ D4TE:~~'/-y~J 6.P I ~ USE IS UN~:A~`FUL BY: ~>,r/ t FEE: B~oE4A TMENT YHF ~ ' 1'~ 1 N 161 4 R. P O M I i85-1602 9 A PM111 FGp " . A 1 E cOE.I DMtING INSPC~~ ~Er1lD4GE0 ~ I ty q FKRJ~~~ATIDN I ~ OF OCCUPANCY Fl,p ~r „!'DNC~KE-~~ I v ~F r rr i= FLUAr,BFNG 2 ~aK3~.~~~ I ~r 1 9 I~nt~.,1 ,_in ~ "J9fiT 4 FSdHy. i3 , ~ I~ AL ~CON~y~ u..f ~ , . ~ - THE REOUI~tt~Al,tl r + „i 7 I I STPTE CC1h:ETae0SlC rvLlPl a~ ; I,It-96Y Iii"1 CODES, NOT FiE$PC)Wtitf3LF. '~ORgDGS. 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