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HomeMy WebLinkAbout12768-z I~OR,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12~6~ Z Permission is hereby granted to: ..... .c~.~:.~,....~.z~....~.,.. ...:..~......' .~.~z-~....~.~a ................. ... .~. .~.L./. .~ ~. .. .. ~z. ~e~.,. .. . .~. . .., ~... . . . / < :-So ~o ..... g'~..~.Z/,~.~.~ .F.....~.~.....~..~. ~.. z.c.~....~Z~..a<zz, z~....z~.z~ ............... ........ ~.~.~:-.~.....~.~....~.f~ ........... :... .......................... ,z.... ................................. at premises located at ....,,~...~-[...,..~/'C~/~. · ./..z~ ...... *~-.,,~./,-.~/-~-..~,'. ....................................... ...................................................................................................... County Tax Map No. 1000 Section ...~.~.~ ......... Block ..... .Q..~.. ....... Lot No...O...Q./.' ........... pursuant to application dated ....A,.~C2. I/~./-'.~......~.~.. ....... , 19..~...~., and approved by the Building Inspector. Fee $.../.. ,..~........~.~..~.. Building Inspector Rev. 6/30/80 ~W YO~ STATE DEPArTmeNT OF ~.).;VI?DN~IENTAL CONSERWlTION Regulatot'y Affairs ~tt ~ .... Stony ~:o~w ~ ~'~1794 ........ - '-(516) 751-7900 Mctober 27. 1983 Mr. George W. Gillman III 83 Roeckel Ave Valley Stream N.Y. 11580 ] 0- 83-1224 RE: Dear Mr. Roeckel: A review ham been made of your proposal to: construct a one family dwelling~instalL a sanitary system and place to raise grade, Town of Southo~a, lot with Suffolk Co. Tax Map No, 1000-~6-2-1 west side of ~iddler Lane> north of intersection with Meadow Lane between lands now or former]y of Ke]im and Regens Internat~l Corp~ near Greenport New York State Department of Environmental Conservation has found the xxx parcel project to be: xxx Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than 100' in length constructed prior to September 20, 19~7. Landward of 10' coatour elevation above mean sea level om a gradual, nat- '' ural slope. Landward of topographical crest of bluff, cliff or dune ~n excess of 10 feet in elevation above mean sea level. --- ..... . Therefore, ~o permit ander Article 25 (Tidal Wetlands of the C~nservation Law) is required at this tima since the current proposal is beyond State m-ndated Jurisdiction pursuant to this act. H~wever, any additional work or medifications to the project may require a permit. It is your responsibility ~o ~otify this office, in writing, if such additiunal work of modificatioms are c~templated. Very truly yours ,/ - Daniel Regional Supervisor of Regulatory Affairs DJL:l~f~ca ,83 Roe0kel Avenue Valley Stream,N.Y. May 17~985 11 580 Town of Southold .Town Hall Building Dept. Southold, N.Y. ;Dear Sirs: My wife and I are constructing our new residence at 595 Fiddler ]~ane,Greenport. We have a building per~it issued for these premises, permit #12768~. ~i It is my understandiug that a six month eitension of the ~ iD~.~it e×pivation date can be 0btainedo~I here~y request such an extension, : Please advise me if this request is a~pro~ed and if there :Thank you for your consideration in this . is ~ny fee required. m~tt~er. TOWN OF $OUTHOLD BUILDING DF. PARTM~[NT TOWN CLBRK'S O~:PlC£ SOUTHOLD, H. Y. pproveo ...~.~.~ ............................. ~ ........ - .................................. .~ ~ ~ ~l ~ ~ ~ ,' " (Building Inspector) ~~ APPLICATION FOR BUILDING P~RMIT ......................... , INSTRU~IONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building ' Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot p an show ng location of lot and of bud ngs on premises, relationship to adjoining premises or public streets o, areas, and giving a detailed descripti.on of layout ofproperty must be drawn on the d agrom 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 far inspection throughout the work. e. No building shall be occupied ar used in Whole or in part far any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depcrt~ent far the issuance of o 8uddl.ng Permit pursuant to the Building Zone Ordinance af the Town of $outhold, Suffolk ,.aunty, New York, and other apphcable Laws, Ordinances or Regulations, for the construct on of buildings, additions or alterations, or/f~' rem. oval or dema~.ition, as herei.n describ, ed. The app cant agrees to comply with all applicable laws, ordinances, b, un'l~Jf~g coae, housing cc~e, and r~gutat~ons, and to ~ (Sianature~O~-opol cant, or lmsr'ne, T a corporation) ................... (Address of applicant) J \ ~1~ D I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... ....................................................................................................................................... .......................... ............. If applicant is a comorote, signature of duly authorized officer· (Name and title of corporate officer) Electrician's License No. Location of land or; ..vh;-h ~roposed work will be don~.~McP No.~.'l~.T..~...j4~mj-'~.~-~j~'~'.- State existlng use and occupancy of premises and i~tended use and ~cupar. cy of proposed canst~ction: ~. fxisiting use and ~cupancy ......................................................................................................... b. Intended use ~nd ~cupancy .,..~.~.~[~..~-.-'-~-'"~'~"[~'~~'"': .............................. 3. Nature of work (check which opplicable): New Building ........... Addition .................. Alteration ............... Repair .................. Removal ....... ~ ......... Demolition .................... Other Work ................................................ . .... ~[~,~ .~ '?~.~. . , ~ c~O (Description) -.~ ~- , . .- ~ee .....~:.....4.~..;%....:.....:...i ........................................ 4. Estimated Cost .~. ~.r,,~,l ................................... (to be paid on filing this application) 5. If dwelling, number of dweIling units ....... .e ........ Number of dwelling units on each floor ...~ ................. If garage, number of c.~rs ...... '..~., .~. .... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....~.-..;[.~..[ ............ 7. Dimensions of existing structures, if any: Front ................... ~ ........ Rear ...~ .................. Depth .....~,~ ........... Height ...... q.'T....;J.,'. ...... Number of Stories ...................... ;...' .......................................... ............................................ Dimensions of same structure With alterations or additions: Front ................................... Rear ...~ .............. '~h---~-~'-"--' .. He'oht ....Nt mber of Stones ........~. .........¥ ...... ...... ' ~. O~mensio~s of ent,re n~,~ ~ons.u~,ion: ~ront ..~.~, .......................... ....... .............. ............... fro" I-teia~ .............. Number:o S des ............................................'i"i, ....................................... Z'""i .............. ~. Size of !o,: eron~ ...~.,.4,.~.~.~r ......................................................................... f ....... ~ - ~..., Date of Purchase .~. ~..~ ~ ~ , ~me of,Former, Owner .~f;~;~(I,~/~.. ~..~'~.1~,.,~ .......... ~o ............. ~ .............................. : ~..,.&~....~. . . . 1 ]. ,[[one or use district in which premises ore situated ..,.[,.f~ ....................... .~,,~ .......................................... 12. D¢-s. proposed, construc~tion violate any zoning Iow, ordinance or regulation: ~..~f..,.O ............................................ ~, w~, ,at ~e regraded ,.~.~..S ............ ., Wi' ~?ce..~'~ ~ ,~,ov~d f~o~ ~.~I~Y.Y~, ~.~/~, ome of .................. ...... ,. ............. Name of Controctor~"i~'~V~.. I~{.~l~,a~.~, .............. :... Address ................................ Phone No PLOT DIAGRAM' Locate clearly and dmbnctly all buddings, whether ex~stmg or proposed, a d indicate oil set-back dimensions fret pro~erty lines. ~ive street and block number or description according to deed, and show street names and ]ndlcot whether interior or corner lot. STATE OF NEW YORK, [",,,~,~_..[;~'I~'GCUN'J~- CF,.../:~..: ........................ ,...~.~_~.., ....... ................................. ~r'~'- '~ "~' I" ' (Nome of individual signing contract) above n~med. oemg. duly sworn, dec'es end s~ys that he is the applicc: (Contractor, agent, corporate officer, etc.} of said owr:~r or owners, and is duly authorized to perform or have performed the said work and to make and fi .......... i ~- ' th,s app:,co~,cn; thor au. sroremen.s con.a,n~ ,,..-.qT Z~E-~ ' l'--ti-/~ed therewith Swom to before methis q. c~ // ~ /f/ ~ / ......... ~ ........ ~o ...... ~ .......... ~ ........... . .......... , ....... .... ............ ~ ~EREN'IOE TAVEL~ Nota~ Public, State of New York N,o. 30-47~ ~5~ ' Qualified in Nassau County · Commission Expi/es ~rch 30, [9~4