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HomeMy WebLinkAboutWICK, DEBORAFIELD REPORT -- POLICE DEPT., TOWN OF SOUTHOLD, Cantral Complaint No. Hamlet of Occ. -- ._~)~ ~.~ ~_.¢~ Sector Incident Or Crime Grid No. Day of Occurrenc, Date of Occ. Time of Occ. Date of Name Complainant D,O,B. Address Phone Place of O,ccurrence Time Out Time In Foul~ded [~ Cleared By Arrest J ~: O~ ~ Exc~tionally Cleare~ PDT8 2 - Continu~ion Re~ At~ach~ ~ Yes Re~rting Officer Shield No, Superior J. DEMPSEY ~ebruary 25, 1986 Mr, Curt Horton Soutbold Town Bldg. Sen [-,sin __oad 8outho] d, N.Y. 11!71 Dsar ~gurt, With re~ard to ~our recene i~sr~'ct~.o~ of ~ob o'~f °tit!water -oer~it ~13740, the from ~r~a,! ~la~s submi.~ted were 1- house was flippe~ 2- ore car f. ara~'e, z~ot two 3- ream' deck added 38~ x 10' IY iFou need any additional p~i'ormation, ~?!ease ].et me know. i% an !~-s. TOWN OF SOUTHOLD, COMM~i,IT~ h~IELD INS[rElaTION , FOUNDATION ( 1 st) FOUNDATION 2. ROUGH FRAME & (2nd) PLUMBING ±NSULATION PER N Y STATE ENERGY ~ODE FINAL -1 ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ,isapproved a/c ' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .,~qh. 1 1985 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relatiop~ship to adjoining premises or public streets areas, and giving a detailed descrit>tion of layout of property must be drawn on the diagram which is part of this appli- tion. ' 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 issued a Building Permit to the applicant. Such permit all 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 all 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 ]ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~e applicant 'agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to !mit autho~zed inspectors on premises .and in building for necessary inspections. John k, Dempsev~ Inc. (Signature of applicant, or name, if a corporation) -PO Box 5, C~tcho~ue .?.:.y.....l19~x5 (Mailing address of applicant) ate whether applicant is owner, kssee, agent, architect, engineer, general contractor, electrician, plumber or builder. general contractor ine of owner of premises . . .S,t,e.y.%n.._~....a~ .Deborah L. Wick ' (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. ~, · crmrtr~m corporal/e off, er)\ Builder's License No .......................... Plumber's License No. Ceorge ?"artinek Electrician's License No. C.O. E]ectric Other Trade's License No ...................... Location of land on which proposed work will be done. T,otffE, Blum Z±tt ...................... e_t_ 8ubdiv±sion ......................... Cu~ehof, u.e:.?~y. $0M#1000-105-1 p/o ~9 House Num bet Street · ' ................................ ~ Hamlet County Tax Map No.! I000 section 1 05 Block 1 .................................... Lot r;/o 1 9 Subdivision .b]l~ra '~ ' t . ..~;L. &O3. J- ........... Filed Map No. 2 (Nmne) .......... · ............. Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy va cant ] and b. Intended use and occupancy ...... on e. ,f. am i;1.v · d ~.el 7! irz~r ~3. Nature'~f work (check which applicable): New Building . .X...' ..... Ad'amon Alteration ........ ;... Repair Removal ............................ Demolition Other Work. .... "'~! ~ ~' .-ds (Description) 4. Estimated Cost 11.00.,.(200 ............................ Fee '" (to be paid on filing thig application) 5. If dwelling, number of dwelling units... ~ ........... Number of dwelling units on each floor ................ If garage, number of cars ... 2. .bua._q.t:a~ .............. ? .......................................... 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 ............... tteight Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions ofentire new construction: Front .. 4e. ' Rear 42 ' Depth 40 ' Iteight . 2.4. '. .... ~ ...... Number of Stories . .2 ............. 9. Size oflot: Front .~.52.' ................. Rear...9~.t~, ........... ~.° ' 7,' ';~ ' ~_ ................... 0. Date of murchase ..~./~.5 . ~q'~/_n'~;~.F.o...~.]_.~,_....f. ,~e~,tn 1. Zone or use district in which premises are situated ..... r~..aicl'er;tia~ ................................... 2. Does proposed construction violate any zoning law, ordinance or regulation: n q 3. ~¥illlot~be~regrade~ ....n.q.~.~[)...~,~...25' ......... Will exc,?,ss fiJ! be r.enmved from premises. × Yes .... '~,7 -~. ~ame o~uwnerolpremises ...-.... :. ,~-'~-. Addres~ w. oree~c Ave .... ' ........ ' ............. Oh't' d"- ............ rnone No { i'~ame olArcnlrecr ..... ; A-~ .... rio(.,ue ~,, , ' ............... .................. rnone No ............... Name of Contractor .......................... Address ................. .. Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back d~m~ns.o.;s from roperty lines. Give street and block number or deschption according to deed, and show street nmnes and indicate whether ~terior or corner lot. Survey attached ATE OF NEW YORK, UNTY OF ......... . .................... being duly sworn, deposes and says that lle is the applicant (Name of individual signing contract) :.ve named. is the ...................... ~. en.e2ga]..eomZw..aeto.~ ................. (Contractor, agent, corporate officer, etc ) ............................ said owner or owners, and is dt,lv authorized to perform or na~ e performed the said work and to glake and file this lication; that all statements contained fl~ this application are true to the best of his knowledge and belief; and that the 'k w~l be performed in thc m~ner set forth in the application filed therewith. m~ to before me this .day of. ~~ ....... , 19 ~ .... . ......... ~'Sig~ture of a¢~lic~t)