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Home My WebLink About12041-z TOWN OF sOU~HOIzD · BUILD'Ne DEPA.TM"Ni TOWN ~HALL . SOUTHOLD,, N. Y~ BUILDING PERMIT (THIS PEP. MIT MUST BE KEPT ON THE PP, EMIs~ UNTIL NULL COMPLETION OF THE WORK AUTHORIZED) : N.° ]20~1 Z permission is hereby grant~ to:/ ........ ,o .................................................................. ~...~, ................ ; ............. , .......................... .................., , ............................ ~ .. C~n~ Tox Map No. 1000 $ectmn ....................... ; ~l~k .~..... ............... ~ot No..; ....... .............. pUre'ant tb application dat~ ~C~C<~:~-'~' ~ i~and ~-mv~b the ............................... ...~ ~ ~ Pp Y 8uil41ng I~sp~tor. ,/o~ * ...... ~, ...... 1~,~.~..,.,._,~.............. FIELD INSPECTION . 1. FOUNDATION ( 1 st) FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE (2nd) FINAL ADDITIONAL COMMENTS: COMMENTS Approved . ./(*~.~J...~...~:..~.. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Application No. /.. ~ ........... Disapproved a/c ........ ~ ..... ~ .... ../~ ...... . ? (Building Inspector) APPLICATION FOR BUILDING PERI, IT Date .R. .4. :..., 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 Southold, 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, ordinancgs, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neces, sa~y inspections. ~ t~ / ...... (Signatu e~f applicant, or ~trne, if a corporation) 72-61 ll3th STREET, FOREST HILLS, NY .......................................... fi~5 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER Name of owner of premises . .V.I.N.C..~.N.T.. G. :..C.A..S.A..A.N.D...5.O.~.N..N..C.A.$ .A ..................................... (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...O.W.N.E .R..W.I. [[...B,U. ~ .L .D ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. 1840 THE STRAND EAST MARION, NY House Number Street Hamlet 30 2 58 County Tax Map No. 1000 Section .................. Block .................. Lot ................... Subdivision ..... P.E.B..B.L.E..B..E.A.C.H....:.o,.< <~..s. ........ Filed Map No. 6266 Lot 115 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ONE FAMILY HOUSE a. Existing use and occupancy ................................ ...................................... b. lntended use and occupancy SAME (ADDING A FENCE) o o 10. 11. 12. 13. 14. Nature of work (check which afiplicable): New Building .......... Addition...F.EN CE . ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... : (Description) .$500 , $±5 oo Estimated Cost ...................................... Fee . ' (to be paid on filing this application) If dwelling, number of dwelling hnits ............... 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 ..................... r)imensions 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 ...................... r)imensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ...................... Rear ...................... Depth ...................... Date of Purchase ............................. Name of Former Owner ............................. Zone or use district in which pr6mises are situated ........................................... Does p'roposed construction vioiate 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 ................ Locate cleariy and distinctly alii property lines. Give street and block interior or corner lot. SEE ATT~ (PROPOSED PLOT DIAGRAM buildings, whether existing or proposed, and, indicate ail set-back dimensions from number or description according to deed, and show street names and indicate whether ,CHED SURVEY MAP FENCE SHOWN IN RED) STATE OF NEW./,.V..QRK, ')/ y.~ ~ S COUNTY OF., ~, ~ .~/,<., ,~' .... bf.[ ~O~.-.~...~..e~zo~i'./t- %0fO4bJ ~)~'~/~ being duly sworn, deposes ~d says that he is the applicant (Name of individual si~ing contract) above named. He is the ..... ~ ......... ~ ................................................................... (Contractor, agent, corporate officer, etc.) of s~d owner or owners, ~d is dul~ authorized to perform or have perfomed the said work and to m~e and file ~is application;~that ~1 statements cont~ned ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ne~ set forth ~ the application filed therewith Swom. to~emethis ~,. _ ~. , ~m!~alo~ ~xp~es M~h 90, 1984 ,/ IIEALTH DEPARTMENT-DATA FOR ~.FPROVAL TO CONSTRUCT ADDRESS SUBDIVISION MAP FILED IN THE OFFICE OF THE CL~RK OF BUFFOLK COUNTY SURVEY FOR VINCENT d. CASA 8~ JOANN CASA LOT 115, "MAP OF PEI~BLE BEACH FARMS" AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY~ NEW YORK MAR. I0, 1981 DATE: DEC. I1~ 1980 SCALE: I": 40' NO. 80'625 N DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION Of FENCES GUARANTEED TO~ AM, ERIC-.4N 7'/7'/..E I/VSUR,4NC~ BOW~R'Y 54V/tVE$ 8,4N~ ! YOUNG a YOUNG Rt,y, ERH[aD,' ~IEW YORK ALDEN W*YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR H.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.YS. LICENSE N0.45893