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Home My WebLink About8746-z FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8746 Z Date ................... ~.~. ......... /~,~ ..............~:' ~ 19.. ~:.v.. Permission is hereby granted to: ~.:...~..a.y..~.. p..e..~..q.X..n.......&/g...~.~ ~..~.~....p~.~t:ar~ ~ ............... ~,?......,O..a.~.o...o.~...~.o...a..d.. ........... ~.t.,~.ngton ~ ~ at premises located at .~..0..~ ..... ,1.3..0. ..... ?...e..b..'9...~..e....~.e...a.g~..Z~.~~ ......................................................... ................................... .~...b:.~. St,. ~a.n..d ...... .E..a..~.L.~f~ ~.$..~.~.....~.,..Y..: ......................................... pursuant to application dated .......................,.T...~.]_..~. ..... .2..0. .............. , 19.?.~..., and approved by the Building Inspector. Fee $ .....~..~.'"'.~. ~.. ........ FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL ~ ~7 File No ................................................................... Date .................... L.Z...i_./ .................... , 19 ........ ~"'~'6' ...... ~~%~: ~ . //~/. ~ ~ ~o~c~,~o, ~o~ ~,,~.,o~... ........ :~:::~.....~.z ................. , ~_. ~, ~e~::':~ ...................... *'""~L ~z ~~ ....... ~:'~': ............... ~ .............. ~ ............................................................. ~ ........ :~..~....~..~ resumed h~r~w~h o~d ~s~B~ov~ o~ ih~ ~oll~ ~ou~ds .......... ~.....~ ................................ ..... ~'"~'~U'"~".~Z"'"~V'~"~";PL'""~'"~'~'"'"~';~"; ................... ........... ~?fi~,~'~V"~';~.'~"~ ....................................................................... Building Inspector i. or IZq FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ........... ...... :.C ...... ....... . D~pproved a/c ~ - ~............_~......_.~ ................................ ........................... APPLICATION FOR BUILDING PERMIT Application No...~.,..Z~.~ .............. Date ........ 'Ju'~.~"2 G' .......................... 19 ...... ~8. INSTRUCTIONS a. TMs application must be completely filled in by typewriter br in init and submitted in triplicate to the Building Inspector, with 3 set~ of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public streets ot areas, and giving a detailed description of layout ofproperty 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 SouthoJd, 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 of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Engineer Name of owner of premises ..................................................................... ]~1~ ~rl Kenneth ~. ~eegan ~ ~u~li:t½ 'g ..... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No. Electrician's License No ............................................. George Hartrnan Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No ....... ~j~j~.[~..~..6~.-~,~ No ....... ']:~30 .......... State existing use and occupancy of premises and intended use and occupancy of proposed construction' a. Exisiting use and occupancy .................................................................... ' .................................................... Vacant b, In~ended use and occupancy ....................................................................... ' ..................................................... Residence 3. Nature of work (check which applicable). New Budding .... .~ ........... Addition ................. Alteration ..... Repair ................. Removal .................Demolition ............ Other Work .............................................. ~....~... 7 ~ (Description) 4 Estimated Cost ...... $3§.i.000~.00 ............................... Fee .............. ~.......z .................................................. (to be p~d on fihng th~s apphcation) 5 ff dwelling, number of dwelhng umts ..... 1 ...................... Number of dwelhng umts on each flor ...~...[ ......... If garage, number of cars ....... ~..~ ............................................................................................................... 6. If business, commercial or mmxed occupancy, specify nature and extent of each ~pe of use ............ ~r~ ...... 7 D~me~s~ons of ex~stmg structures, if any. Front ..~, ~; ................ Rear ................................ Depth .................. Height ........................ Number of Stories ............................................................................................................ D~mens,ons of same structure wroth alteratmons or addmons. Front .................................. Rear ................... Depth ............................... Hemght ......................... Number of Stones ............................. 8 D~mensions of entire new construction' Front .......... ~ .................... Rear ...... 80+ ................ Depth ....88,'B ........ Height .....~.ff..'. ....... Number of Stories ....... ~ .......................................................................................................... 9 S~ze of lot. Front ..... .?.6~ ....................................... Rear ....... 68~ ........................... Depth ...~0~ ..................... 10. Date of Purchase ...........L0-~.-.~5 ........................... Name of Former Owner ........................................................ 11 Zone or use district in which premises are smtuated .......................................................................................... 12 Does proposed construction violate any zoning law, ordinance or regulation' . ................ ~ .................................. 13 Wmll lot be regraded ..... ~o ................. Will excess fill be removed from premises: ( ) Yes ( ) No 14 Name of Owner of premises ..~e~ne%b.&..~y..~eCa. n... Address .~6.8~t~e~.~one No. '~-'~'9"' Nome of ~r~. David de.B~ut~i-. ~. ~.. .......... Address ~f~d"Rd;' Phone No. Nomo of Contractor .............................................. A~ress ..~.9.~R.~R~ ......... Pho,~ No ....................... PLOT DIAG~M Locate clearly and d~stmctly all buddings, whether ex~sting or proposed, and red,cate all set-back dimensions from propc~y hnes G~ve street and block number or description according to deed, and show street names and indicate whether ,ntenor or corner lot-~ ~~'~ ~"~ L~_ CoT ~ I~o ~-~o~w o~ ~ ~~~-~~4~" ~ ........... ~o~ ~ ,~.~ _ ~ . . u~,''~' -, .., ............................... ~.~.~..~~ ............ ~,.~ ~ s~o~., de~o~ ~.~ ~ ~ h~ ,~ ~he ~,~ (Nome of individual s~gning contrac[) above name~ me ~ th~ .................... ~~ ............................................ ~..~ ..... ¥ ..................... : ................................................... ~ ~ agent, corp~. :,~ o.~ ) of sa~d owner or owners, end ~s duly authonzed to perform or have performed the sa~d work and to make and fd this apphcation; that all statements contained m this application are true to the b~st of his knowledge ~nd behef; thor the w~rk wdl b~ performed in the manner set fo~h in the ~pplication filed therewith Sworn to before me this .......... ~.~.~... o~ o, ...~ ........................ , ~t.7~. t~. ~ ~ [~ NOTARY PUBLIC, State ot New Yo~'k No 52-4244400 ~4Johf/ed tn Suffolk County II'errn ~ ~.ar~ ~04 Ag~ 7 NO YE: I -' MONUMENt' SUBDIVISION MAP FII~O IN TN~ OPPIC£ JUNE II, 1975 AS MAP NO. ~266 o..- 20.00_, ~ YOUNG & YOUNG 400 OSTRANDER AVENUE, RiVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUN(~ SURVEY FOR: MAP OF PEBBLE BEACH FAt?MS~,../~ · row. o,~ I r~r~ ~,C~-~ ~, / Y SUFFOLK,,, . .CO, N Y. l il 1111 K'IT [c~ R ~G 14T~ i 0 CKLLAIR ~UAM F D tO' OC, CEO'S.= FI~GT FL~. F-~M/¼O~ sgCO LJ~