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Home My WebLink About9553-Z FORM NO. 2 r r F I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. l I BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ,J COMPLETION OF THE WORK AUTHORIZED) N° 9553 Z Date 19. f7.. Permission is hereby granted to: k haal..&..:r'r ncZs....La1% 8..... „Snthrap..5t LynI=Q&...... K, Y............................... to Lt~ il~ :1..ac1 i i ican..& . al tna:ntSran.. c s~..axi•s •inf..dweJ.ling at premises located at ...............................................I!=...611f f zak 144Y, pursuant to application dated jiav..... $.5 19..V.7.., and approved by the Building Inspector. Fee $...1.5.,;0.......... Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~ 192-1 Application No. j Approved 19.:.. Permit No.. l... Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19./.7..... INSTRUCTIONS a. This application must be completely filled in by typewriter oe 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 application. 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, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature applicor name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises A C......f cfJ/! ca.S..... Ea. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ....SC'/f Plumber's License No. Electrician's License No. ...5.~1 Other Trade's License No I. Location of land on which proposed work will be done. Map No.: Lot No......................... Street and Number ,5 v j C D Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisitin use and occupancy .................../..`/a.zl!:~/....... C' / ez l C?~ ,C b. Intended use and occupancy .X.Z....... 3. Nature of work (check which applicable): New Building Addition x........ Alteration .x........,... Repair Removal Demolition,.................... Other Work (Description) 4. Estimated Cost ...,Fee .......Z5 (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 oNe 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use N~ 7. Dimensions of existing structures, if any: Front Rear 3~...4~................. Depth .~9............. Height Number of Stories .....o.? Dimensions of same structure with alterations or additions: Front Rear Depth Height ............................Number of Stories 8. Dimensions of entire new construction: Front y . Rear A.9.~............ Depth ...e 9............... Height a.U........ Number of Stories 10/,-Z,/ Depth ~p O/ 6 9. Size of lot: Front Rear 10. Date of Purchase ~f ~!e...zv7 ..........................Name of Former Owner -kA;CT~ . 11. Zone or use district in which premises are situated ....X./ 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded .....N.4 Will excess fill be removed from premises: ( ) Yes M No 14. Name of Owner of premises /t.~~AeL...~: AeG rQeS....... Address .9.411Nlice 5/- Phone No. .C~.uDeooK, N~ Name of Architect Address .....................&E! 4.. - Phone No....................... Name of Contractor Address Phone No....................... PLOT DIAGRAM Locate clearly and distinctly all buildi 80IM4 Od'E fit --~1~ £(icaP frpm. . i property lines. Give street and block nur whether interior or corner lot. _ " IPeaFGD oZ ~T R7~ ~ FOu.vORFjaA~ fRPt h0 ~O ~b i r i VI j C _ /Fro J ID,I s I OLD Fa UlU DAT,ON 1 ~ GycJeN i~, i r0 T 1-7 51-ATE OF NEW YOg t COUNTY OF ...S.P.F...011<......... I S.S OR" 1A.Y.1ill%R.e'....~:. l~P ........................................being duly sworn, deposes and says that he is the opplicarn (Name of individual signing contract) _ above named. He is the ...~EUN.e(?..:.~O.l?lffJG.lO.~z (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 statements 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 this 1.5 of 19.. Notary Public, 1. ` oun ure of applicant) 4 ilk ~w y_~r gd M ~ Z< tl ~ V' 1 p ~ u.~' fx..~.n {ru'd >.+'i,°"• =~5,•'°.~+e.. 3..~N'Yat'/y'',---;,,, ,.r, .tyat,"" BUlLOli -bo!rirt eNT 1QWN a.WI 0MC 1 NMOLD, N. Y. W Examined ~s 3 IN 19....... Application No................................ Approved 1972.. Permit No... `S . . 3... Disapproved a/c 3 (Building Inspecto APPLICATION FOR BUILDING PERMIT low ~ o Date ~ 19.Z.7 N- INSTRUCTIONS fi G P 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 -I areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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. I 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 or6N 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, and regulations, and tqJ admit authorized inspectors on premises and in buildings for necessary inspections. W (Signatur app nt, or Home, if a corporation) (A~d'ress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .4r!&e.e ........................./y................................................................................................................................................ Name of owner of premises ...~r.i. ........Aqe.~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. 5,a OOP7- //7- Plumber's License No. .....A..°.N..~5 Electrician's License No. ....5. Other Trade's License No I. Location of land on which proposed work will be done. Map No.: Lot No......................... Street and Number . 13X ! ....ST...../.AZ!V. e Y.ffa e.r..i?!.1 SPY.TtfO. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..Jel........a~'4.(t?/X.e-:e... Qtne ................/...f !/n b. Intended use and occupancy ..!e~........... J m../. %m..../` Pll1 . F,9lAl y~.. J r~ N l,t _ 3. Nature of work (check which applicable): New Building Addition Alteration L!........,... Repair Removal Demolition..................... Other Work (Description) Fee ./...r 4. Estimated Cost 10......................................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...................Number of'clwelling units on each floor If garage, number of cars .I. MG 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...N° 7. Dimensions of existing structures, if any: Front 1P.Y Rear Depth z9........... Height Number of Stories .o.......................................................................................................... Dimensions of some structure with alterations or additions: Front Rear Depth Height ............................Number of Stories 8. Dimensions of entire new construction: Front .....rr/..!L Rear Depth ....11.............. Height 03.x........... Number all Stories r~' 9. Size of lot: Front ....../..oL:.a2Y Rear l..-*O~/-:..414...................... Depth ...14./..:.4(.6............... e., i y7~, ,,,,,,,,,,,,,,,,,,,,,,,,,,,Name of Former Owner rN.. rRG/C LJ. 10. Dote of Purchase ......../uN... 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: Ap 13. Will lot be regraded ....1.1.4 Will excess fill be removed from premises: ( ) Yes V) No 14. Name of Owner of premises !e~pe~ J. Ae ,tQe~........ Address ..ffA11..!t74 ' 5'• Phone No. -V-7:aZa`.r~.. Lyra A~ee~ic, i Name of Architect Address Phone No Nome of Contractor Address Phone No....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all s*M)ock dirnensior_u from property lines. Give street and block ntj, I Ar 1a..---:- ap whether interior or corner lot. X M4 O 31 S )EbaFeD f2p,)teho { ~ 6aur+Dalon/ ie yt s c_ - Y- ^~Fi:'9 ~ ~ Fell ~auNDA7'Oi?-' /-~Qploue ~aG -oee,*49re GlitbCenieuT 8.1ccA fovND. pv-r V,p New ET T2 tiSieN : v PeFee ' bFO~D aNe pp EV4 {QpvftATieM> 3 ~AeD en/ -t yl i STATE OF NEW YORK, f j COUNTY OF S.S ......14.e6e!:~: .................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .....~i./t?!2....: CaN/9c/2 (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 statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........../'t....... do of ,n - 19./.../. - f/ Notary Public, ...~LG~ c!!. myl { ,2tti~fy(/~-~~ (Signat of applicant) 1l~IlaFY r ~GL • . "e•.w °"Q CdNal 1 Ir - q, ~84A.ffra~ n~aa tAarcti ~0, 19,7 i1yI m I MIN 111111 11100 11 RON 1101' IMP, t. I ' ; I .tc• c!a.)r and di:finCll ' 1 rJf fJlnC„<nnn t f ri hr-.ry r' Y cll Lwldin~5, wLotrt,r C"i din :!reef and block 9 or proposed, and indicate all set- rtr er ,nfer,or o: cr bock dimensions from :ate gj ~ 1 t . o 3, v VZ ~i ~bcFeO ~ STcz~ ~ FouNi-W TaN (2AMehe ~I z°,{ /-~eploue k'cpFeD Fou.vDa7oN ~i! ` ,,'~.~ea,Lace GJitbCeMt,vT DLccF' f~,vo, fur Vp Neu1 EXTeroS.oN . v Peaer OF 0/, D o v~ FouuDRTisN• 1.i1 . GyeD¢N •o ~j , Scnte ,po : i STATE OF NE vim. . , t~ W YORK, /D/ ~o I r 1 2' 3' I'`4' 5' 7' 9' 10' 11' 12' 13' / /~L ~GAFTLIZS ~`1'/ all i i i s i /Q~GrT~IIY{ DX~S/J f1oc h " a 1 i a r X4 1'6~v 11 r 3' rIY 4ooR •~BS~,LL A74 lxoaR 9 r- I ~ ~ I~ J ~ i ~ I i J I ¦ lee, NEW ~ ~ ~ ~ ~ ~ 76.5 /