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Home My WebLink About6092-zFOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~. Y. BUILDING PERMIT : (THIS PERMIT MUST BE KEPT ON THE PREMISE~ UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) N.° 6092 Z Permission is hereby granted to: .......... .~,~.e~.. ~e~.~e~, .................... : ................. .................. ~d~t~elO. ......................... ................. at premises located at ..]~J~..~eG~j~'~..~.~ff........,: ..................... ... ...................... : .................................. / ........................................... :. ...................... .fl~,e~L ............... ~' ............................... , ......................... pursuant to application dated ..................... .~....~.~.,...:,..~., 19.~..,'and approved by the Building Inspector. Fee $. j.~.n.Q.~. .......... Building Inspecto~x TOWN OF SOUTHOLD BUILDING DEPARTMENlf TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved ........ ~,~' .~.........:.../..., Disapproved a/c Application No, ~.'~..,.0.,.}.',..' .~.. ............. ~ (Building InspectO~ ' APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ~ a. This epplication must be completely filled in by typewriter or in ink and submitted m triplicete to the Building Inspector, wit 3 sets of plans, accurate plot plan to scate. Fee according to schedule, b. Plot plan showing location of lot and of buildings on premises, reletionshi~ to adjoining premises or public streets or arees, anc~ giving a detailed description of layout of property must be drawn on diagram which ~s pert of th~s applicetion. c. The work covered by tb~s application may not be commenced before issuance 6f Building Permit. d. Upon approval of this @pphcat~on, the Building Inspector wdl issue a Buildm§ Permit to the applicent, Such permit shell be kept on the premises available for inspecnon throughout the work. e. No building shah be occupied or used m whole or in part for any purpose whatever until a Certificate of Occupancy shal~ have been granted by the Building Inspector. APPLCATION S HEREBY MADE to the Building Department for the issuande of a Building Permit pursuant to the Building Zone Ord nonce of the Town of Southo d, Suffolk County, New York, and other appbcable Laws, Ordinances or Regulations, for the construction of buildings, add,t*ons or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, oral nonces, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. , (S~gnature of applicant, or name, if a corporation) Lee~on DA~lve, Southold, N. Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...................................................................... ' .................. ........................................................ If applicant is a corporate, signature of duly authorized officer. ~O (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ....... ! ............................................. Lot No ............. Street and Number .,..~?..~.....~....~..?.t..~.~.~..~..~.~.~.~..~."....~..". ...................: ........................................................................ ~(0 Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................... .R.~..~,..~..?~..~ .................. i ........................................................................ b. Intended use and occupancy ......................................................... .~ ........................................................................ o 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration .............. Repair ......................... Removal ......................... Demolition ........................ Other Work ....~.ffi~3~!~9~...~.~.~ !~ ....... IDescriptior Estimated Cost ............................................... Fee ................................................................................................ (to be paid on filing this application) If dwelling, number of dwelling units .................Number of dwelling units on each floor ...................................... If garage, number of cars ......................................................................................... t ............................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... Dimensions of existing structures, if any: Front .....................Rear ........................... Depth .................................. Neight ........................................................... Number of Stories ............................................................................ Dimensions of same structure with alterations or additions: Front .......................... Rear ........................................ Depth ............................................. Height ......................................... Number of Stories ....................................... Dimensions of entire new construction: Front ......................... Rear ............................ Depth ................................ Height ................................................. Number of Stories ........................................................................................ Size of lot: Front ...................................... Rear .......................................... Depth .................................................. [;)ate of Purchase ..................................... Name of Former Owner ........................................................................... Zone or use district in which premises are situated .................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation: .......................................................... Will lot be regraded ................................. Will excess fill be.removed from premises: [ ] Yes [ ] No Name of Owner of premises ................................................................................... ...~.....~.....~..%.....~..~... ............. (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor .................................................................................................................................................. (Address) (Phone No.) PLOT DIAGRAM Eocate clearly and distinctly all buildings, whether existing-or proposed, and indicate all set-back dimensi~ ms from property lines. Give street and block number or description according to deed, and show street names and indicat er interior or corner lot. This is application for p~% tO aons%ru~t new fence to replace one that t~s p~pe~y since 19~, ~d ~oh det~at~ ~0 t~ extent t~t it could no ~ ~r~. T~s new fence ~11 ~ t~ ~e ~te~ - 3/~ inch S. P~ne on 2x ~ ~d ~x~ posts, s~e heighth - ~ f~t - ~ ~ lo.riCh ~ o~ fence,- on west side of ho~e~ o~c ~uae ~ t~t of S~uel ~el, at.lng at a po~t 20~t~ the ~nt ~ (~eton ~ve) ~d continuing in a no~herly d~rection at l~st 6 inches ~side p~p~y line tO a pe~t 25 f~t ~ ~h ~a~ ~k (Con~ete with two right ~gle ~e~enalona ~th ~ea ~ f~m o~ ~e to f~ce-aee sketch. Will ~ p~at~ e~ to ~toh ~at~g fends on side of the house. ~e p~ae of t~a fence la ~nt t~ ~e~t~ea of ~d blowl~ ~n ~m the ~ah and a~lJoinin~ property, I Fr'~, d P~f STATE OF NEW YORK, ) SS COUNTY OF ...................................................... ) i I '~':; ; wheth- ..................................................................................... ' ..................... being duly sworn, deposes and says that he is the applicant ab, ~ve named. (Name of individual signing contract) He is the .............................................................................................................................. . ................................................................................... (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 applicat on; 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. ~ ~ .otar¥ Puh,c ...................................................................... ounty ...... ........................... ~ appl~cant ) FORM NO. ! TOWN 01: SOUTI.IOLD ! BUILDING DEPARTMEN~ TOWN CLERK'S OFFICE $OUTHOLD, N. Y. E×am ned ........ ....... Approved .......... .~...../.'. ......., 191.~..~.. Pemit No...'~2..0...~.~.~.~.~ ......... Disapproved e/c .......................................................................................... .. (Building inspector) Application No.... ,~'.i.~..?..~;~.. ........... APPLICATION FOR BUILDING PERMIT August J. 5 72 pate ................................................. 19 ............ INSTRUCTIONS a. This application must be completely filled m by tvpewriter or in ink and ~ubmitted 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 descripUon of layout of property must be drawn on diagram whi~:h is part of this application. c. The work covered by this application may not be commenced before issuance bf Building Permit. d. Upon approval of this application, the Building Inspector will issue a Buildin~ Permit to the applicant. Such permit shall be kept on the premises evadable 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 issuan~e~ of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold Suffolk County New York and other applicableiLaws Ordii~nces or Regulations for the construction of buildings, add~tmns or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housu~g code, and regulations and to admit authorized inspectors on premises and in buildings for necessary inspections, : (Signature of applicant, or name, if a corporation) Leeton Drive, Southo!d, N, Y, (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Jame~ W. Hertsch Name of owner of premises ...................................................................... ~ .......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ....... , ............................................. Lot No ............. Street and Number ....L..e..e..t.9.n....D...r,~.,v..e.~..~.°..u..t..h.,°.,3:~...?!;...~:. .................. : ........................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occbpancy of proposed construction: Residence a. Existing use and occupancy ........................................................... i ........................................................................ b. Intended use and occupancy ......................................................... ~ ........................................................................ 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration .............. Repair ............. , ............ Removal ......................... Demolition ........................ Other Work .,.~.~.~.[5.c..e...~.e..~ ?..e. ....... {Descriptior Estimated Cost ............................................... Fee ................................................................................................ {to be paid on filing this application) If dwelling, number of dwelling units .................Number of dwelling units on each floor ........................................ If garage, number of cars ............................................................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use .................................... 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 ........................................ [)imensions of entire new construction: Front .........................Rear ............................ Depth ................................. Height ................................................. Number of Stories ....................................................................................... Size of lot: Front ...................................... Rear .......................................... Depth ................................................. [)ate of Purchase ..................................... Name of Former Owner ........................................................................... Zone or use district in which premises are situated .................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation: ........................................................... Will lot be regraded .................................. Will excess fill be removed from premises: [ ] Yes [ ] No Name of Owner of premises .................................................................................... .~.....~.. ~.~....~.....'~..~..~... ............ (Address) (Phone No.) Name of Architect .................................................................................................................................................... (Address) (Phone No.) Name of Contractor ................................................................................................................................................ (Address) (Phone No.) PLOT DIAGRAM I.ocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensi, from property lines. Give ~reet and block number or description according to deed, and show street names and indicat er interior or corner lot. This is application for permit to construct new fence to re~lace one that was on this property since 19~, and which d~teriorabed to the extent that it could no lon be repairod. This new fence will be the same material ~ 3~ inch S. Pine TC Boards on 2~ 4 and 4x4 posts, same heighth - 5 feet - and same location as old fence,- on west side of house between our house and that of Samuel Markel, starting at a point 20 f~et from the front road (~eeton Drive) and continuing in a northerly d~rection at ].east 6 inches inside our property line to a point 25 feet from High Water Mark (Concrete Bulkhead) with two right angle extensions with gates running from our house to fence-see sketch. Will be painted white to match existing fences on opposi side of the house. The purpose of this fence is ~revent the accumulation of sand blowing in from the beach and adjoining property. Lt.'~'~r! >~. STATE OF NEW YORK, ) SS COUNTY OF ......................................................) 1~ ~':'~ ~'J~ .......................................................................................................... being duly sworn, deposes and says that he is the applicant ab, (Name of individual ~igning contract) He is the ................................................................................................................................................................................................ (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 applicat statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in set forth in the application filed therewith. (~ ~ ...................................... .................................................. ~ (Signature of applicant) ; wheth- e named, on; that all le manner