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Home My WebLink About11648-zTOWN OF $OUTHQI~D ~ BUILDING DBPARTMENT.~ TOWN HALL SOUTHOLD' N~ Y. (THIS PERMIT MUST BE KEPT ON TH,E pREMISES UNTIL F COMPLETION OF THE WORK AUTHORIZED) i' N°. 11~48 Z JLL Permission is hereby granted to: ...... ~..~......~-~.~..~;~:.~... ~. ..... ............... ~o ...... ~~..~e ............................................ ~....~ ................. ~ ....................................... ................................................................................ ......... ~o~ ~o~ ~o~ ~o. ~0oo s~o~ ........... : ~ .~ ............ ~o~ ~o. ~ ........... pa~s~ont tb opplicotion dot~ .... /~ .... 19, dpprov~ by the Building I sector. Rev. 6/30/80 nspecto~ FIELD INSFECTION FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING (1st) (2n,d) INSULATION FER N, Y. STATE ENERGY ~,ODE COMMENTS FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUT'HOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ,/~...// ...... ,19 7~..M'/ ^pp,o,.ed ...... l¢7.¥Perm,t isapprovcd a c. ' '. ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No ............. Date .~...~. .... , 19~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan qmwing location of lot and of buildings on premises, relationship to adjoining p~mises or publlc str6 or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part o¢this ap carton. c. The work covered by this application may not be commenced before issuance of Building Pe~it. ~. Upon apprc.'al of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such pe~ shall be kept ou the premises available for inspection ~kroughout the work. e. No build/ag shall be occnpicd or used in whole or in pan for any purpose whatever unt~ a Certificate of Oceupar shall bare been granted by the Building Inspector. APPLICATION tS HEREBY MA DE to the Building Department for th~ issuance of a Building Pe~it pursuant to Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, fur the construction of buildings, additions or alterations, or for removal or demolition, as herein descdb Tt:e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, ~d regulations, ~d admit authorized inspectors ou premises and in buildings for necessaw inspections. ~~ /~ ~ /¢~,3 ~(s~Signature~fapplicant,°r~e,?ac°rp°rati°n)~ --~ ' / ~'~ ~-~'¢ ~ ~,~~~ .......... ~ //7~ ¢/(Mailing address or applicant) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electficlan, plumber o~' build ..... O~c~ ..................................................................... (as on the tax roll or blest deed) If applicant is a'corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....~.e,-~ .~. ................ Plumber's License No ......................... r:lactr cmus License No.' ...................... Other Trade's License No ...................... 1. Location of land on which proposed work will,be done ....................... ~..~ ..... - .............. · 0... D.. ................ b. o. ................ House Number (/~' Street Hamlet County Tax Map No. ~000 Section .............. Block .... ~-. '" '.... LOt....z/.~.. .......... Subdivision ,.k~I~(~O.F./Yl ............. ~,.~ .~.O-.~.,g Filed Map No. .-. ~'..'i ./q-.'7.4. .... Lot .... ~. ....... (Name) - 2. State existing use and occupancy of premises acd inteuded usq, and occupanclr:of proposed conktruction: a. Existing use and occupancy ............................ - ....... , ..................... . - ,b_. Intended use and occupancy ...-,,~,:~:;~/C .~/~... /~_ ¢' ' ,4/r-'O ":?(~'%~:~:~:; :':--. ,~Y ,:-..~.,' "'.'~i "-.-,',..,, .~., ......... -:...~-. ..... ,., ,.:: ...:--- ,-. -....-..',-....-.. ~ ~,....:.-:,,.~. ~,.:;i7,:.,<~.:,;,,..:,.> .,. ,.....-:. ~--' ,.. % ..q.Nature of work (check whicb?pplicable): New Building .......... Addition .......... Alteration ........ Repair .............. R~;mo al .............. D.,moht,on ...... Other",York/~..~.//~..~.~.P~ (Description/~r~. /5: 4 Estimated Cost ...'7 ............. Fee .... '. ~ ......... -~ ...... (to be paid on filing this application) b fd Iii its N d lli it h fl ac. Ifdwclli,qg, mnn ere we llgtlll ............... umbcrof we ngun soneac oor .............. If garage number of cars . ~. If business, commercial or mixed occupancy, specify ~,ature and extent of eact~ type of use .... ~ ............. f i ti F '~ R D pth 7. Dimensions o exs ngstructares, ifanv:, rent . ...... ear ..... ........,'"--' e ~ ........... Height .... Ndmber of Stories Dimensions of same structure:witli, alterations or additions: Front ....... .¢-.; ....... Rear... ~ ........... Depth "--" Itei~t Number of Stories 8. Dimensions of ent~re~e'}v conStruction: Front ..... '~' .~Re_..,~ ~,.-.: ..... Depth Height ........ .fl~'.... Number of Stories ........ ~ .... ~./u~ ¢.?-,-. ~?( ~ .'~'~.a~ ............ 9. Size of lot: Front ' ': ..... )'1 ........ Rear ...................... Dep[l~ .................... 10. Dale. dfPurcliase J J 12,~J ,.~a]7'.¢...~.o~..,~ ..... Name of Fern,er Owner ... ~.~ ... ~.., ~ ...... Il. Zone or usa district in whicli premises are s~tuated... ~ ...................... ~, ...... ?.. ................ 12. Does proposed construction violate any zoning law, ordiaance or regulation: ..... ~..' ............ 13. Will lot be regraded ...... ~.. ~ ./~{?..'._..,.~.....~.~ .... Will excess fill.be removed from premises: .~-- Yes ~" 14. Name of Owner of premises ~Ll~.~0"~'l~ a.Q¢..~.4..,. Address ,~.~ t~lj~:~O~Pfi., .~t~.~.~ Phone No .F/-~&~-./-~. ~O_q Na ne or Architect . ~ .. , .~-~. 'P&' Address ' ~.~. ~ii ........ Phone N ..... "' ~" "'i '-' ' x.; , ,~ 2~.. . ;~ ......... ~ ..... 0 ............... Name of Contractor . ./. d4J./.,~.. ~..~.,f'./'(./~,¢t~.¢.~. Address ./~.,~'..,,~q/, ........ Phone No..~j2 .~. ~..~...~..~r. PLOT DIAGRAM Locat~ c/early ~d distinctly !~tl buildings, whether ex/sting or proposed, and. indicate a/l set-back dimensions fro~ property lines. Give street and blodk number or description according to deed, and show street names and indicate wheth[ ',nterior or corner lot. · .. .... ~t~..{4/~ ,~..: . g~'/~t~,/~. ............ being duly sworn, deposes and says that he is the applicon (Nan~c of indi~.'idual si~niag contract) ~bove named. is the ~ ' , (Contractor, ageut, corporate officer, etc.) said bwner or own'e~, and is d~dy, . autliofized to perform or have performed the said work and to m~e and file npplication; that all statements contained in this application are tree to the best of his knowledge and belief;gnd that th ~'ork will be performed in the manner set forth fl~ the application filed therewith. ?itle Be). S-653193 SURVEY READ I~G Survey made by Roderick Van Tuy1, P.C. dated January 25 1982 shows a 2 story frame house with porch on the Southeast Shed on the Northerly part of the premises. side . k 15 foot easement passes ~rem i s es. through the Westerly part of the RI3DERIP. K VAN TUYL, F~ONT STFIEE} AT MAiN GREENPORT, NEWYO~K 11944 PHON[ gJ7-0170 February 24, 1982 Estates DESCt[IPTION: Lot 8,"Belxedon ~ " Beginning at a monmnent set on the ~ortherly line of dipBodrome Drive at the southwesterly coraer of lot 7 and the southeasterly corner of lot 8, shown on "~p of Beixedon Estates", filed in the Su~ffolk County Clerk's Office as ~p #1472; r~ing thence along said northerly line of Hippodrome Drive, S. 60~ 20~ 40" We - 109.0 feet to ordinary high water mark of Hippodrome Creek; thence northwesterly along said high water mark, 115 £eet~ more or less~ to a point on the ~outherly line of lot 9 shown on said map, said point being No 77 58' 30" W. - 111.60 fee~ from the last described point; thence along said lot 9, No 48~ 40~ 40" E. - 177.0 feet to a monument set at the southwesterly c~rner of lot 6, shown on said map; thence along said lot 6, No 60 20' 40" E. - 19.0 feet to a monument and the northwesterly corneK of said lot 7 shown on said map; thence along said lot 7, S.29~ 39' 20" E. - 111.0 feet to the point of beginning. Subject to an easement 15 feet in width across the premises. RVT/mg To = Harold Brown, Esq, 75 Prospect Street Hualtington, New York 11743 RODERIC~ V~ T