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TOWN OF$OUTHC~L ,}
BUILDING DEPAR'rM}~T
TOW~ H~LL ~:
SOUTHOLD, ~ Y. ~
(THIS PERMIT MUST BE KEPT ON THE PREM!SI
COMPLETION OF THE WORK AUTHORIZEDY ~
Z Date ....... ~ ....
Bbilding Iqspector.
UNTIL FULL
Re~. i~/30(80
Permission is hereby grOnted t,o:~__
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·
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to ...; ......... ~ ................................................... ] ...................... ,.;,?.?: ................. ~ ...........................
~...~..'~.<~. ~ ~ .... ~ .~ . ~ ......
· ",'",... .......................................... .. ~¢ ..../..~.~~, X~.~
........ ~ .....................................................
pursuant to application d~ted .~.~.~.:; ......... , 19; ~nd 0pprovod by the
February 23, 1982
Mr. Edward Hinderman
Building Inspectors Office
Town of Southold
Town Hall
Southold, New York 11971
Dear Mr. Hinderman:
Enclosed please find the Building Permit for the
fencing of the entire perimeter of our property as per the survey
(in triplicate) attached, per our discussion earlier this afternoon.
If you have any questions or need any clarification,
please do not hesitate to call me at my office - 212-929-8082.
Thank you for your attention to this matter.
Best wishes.
Sincerely,L.
Phil Marco
PHIL MARCO INC. ONE HUNDRED FOUR FIFTH AVENUE NEW YORK, NEW YORK 10011 (212) 929-$082
FIELD INSPECTION ~
FOUNDATION (1st)
FOUNDATION (2nd)
COMMENTS
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
'~ ';''"' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL.: 765-1802
Apl, roved ~-..~... ?.~.~. ...... 19~..c~. Permit No.//D77.~..
D sapproveda/c ....... ......': ........ .:/ ....... .../
Application No. /./. .'~7. ?'.~. .......
APPLICATION FOR BUILDING PERMIT
Date.Feb~uarg..23 .... ,1~2
INST RUCTIONS
a. This application most be completely filled in by typewriter or in ink and submi~tted in triplicate to the Buildi
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 stre~
or' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apt:
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upoo approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or nsed in whole or in part for any purpose whatever until a Certificate of Occupan
shall bare been granted by the Building Inspector.
APPLICATION 1S IIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town ~f Southoid, 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 describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regnlations, and
admit authorized inspectors on p,'emiscs and in buildings for necessary i!.mpt~ctim~s.
. ......
(Signature of applican¥, or name, if a corporation)
P...Q,. ~P.X. 3B3.,..~?~c.c~nic.,...New. Jf.c:rk. 1.1958
(Mailing address of applicant)
State whether applicant is o~vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build.
OWNER ................................ ' .......................
N,'une of owner of premises .P..a.t.r.i.q .i.a..P.h .i.l.l.~p..s..M.a.r.c. 9 ............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No...$e~£ ...................
Plmnber's Licenss No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location of land on which proposed work will be done ................................................
4170 Indian Neck Lane Peconic, New York 119.58
House Number Street Hamlet
~'7 o ~ ~/~-~
County Tax Map No. !000 Section . . .-PrV/9.8... ....... Block .-'~].1. Lot~_,24.'- ~-~..~. .....
Subdivision ..................................... Filed Map No ............... Lot ..............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . .one. £arail.y..x'es.i. de]neo .with..eigri~.ultur.a. 1. farmland, .........
b. Intended nsc and occupancy .s..a.m.e..w..i.t.h..~e¢¢.e..eo¢,l.asura..of. po_.azime;t.~3]; ......... - ...........
roperty lines. Give street and bloc!~
~terior or corner lot.
' Demolidon Other Work
Repair Rcmpval
. (Description)
". ..... £ $6 000 90 ~', $15
(to be paid on filing this application)
If dwelling, number of dwelling, units ............... Number of dwelling units on each floor ................
If garage number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
' Depth
Dhnensions of existing stmctur~es if any: Front , Rear
lteight ............... Number o f Stories ..........................................
Dimensions of same structure with alterations or additions: Front ................. Rear ....
I)epth ' Height Number of Stories
Dimensions of entire new construction: Front ............... Rear ............... Depth .
Height ........... Nurab~r of Stories ........................................
same as suryey atta~]%ed pth
Size of lot: Front .................................................. De ........
Date o~f Purchase . 6.2.9. ~ 81..~ ..... Name of Fornler Owner P~iql$O r.cl KU ~.l./.Wir~i.f, red
Zone or use district in which p~emises are situatedh, t~.s.i.d..e.n.t.%a. 1...&..A.g .r i.c.u. 1. ~.u.r.a.1., i: .... B. $.l}.a.~ql ......
Does proposed construction vialate any zoning law, ordinance or regulation: ................................
Will lot be regraded ........ [..' .................. 'Will excess fill be removed from premises: Yes No
~ .... ~,¢c~,no~,~e,~,nlseqPatricia P Marco ~a,~,,~P.O. Box 383 Peco~to,C~j,.,734-6889
Name of Architect ......... . ................ ... Address ................... Phone No ................
' Address Phone No
Narne of Contractor
PLOT DIAGRAM _ SEE ATTACHED SURVEY
Locate clearly and distinctly a/] buildings, whether existing or proposed, and. indicate all set-back dimensions from
number or description according to deed, and show street names and indicate whether
I'ATE OF NEW YORK,
OUNTY OF '
S.S
worn to before me this
..................... day ..... ,19..
otary Public, . . County
·. Pattie.ia ·Phillips..Ma~co ................... being duly sworn, deposes and says that he is the applicant
(Nanie of indMduaI sigping contract)
>ove named.
Owner
e is the '
(Contractor, agent, corporate officer, etc.)
f said owner or owners, mid is drily authorized to perform or have performed the said work and to make and file this
~plication; that all statements con!airier in this application ar% true to the best of his knowledge and belief; and that the
'ork will he performed in the mm~n'er set forth hi the application filed therewith.