HomeMy WebLinkAbout11347-z FOK~~ NO. ~
Town OF i~OQT%L~ ,i!
TOWN !HALL
SOUTHOLD, N~. Y.
BUILDING P~I~IT
(THIS PERMIT MUST BE KEPT ON THE PP, EMI$~S UNTIL EULL
COMPLETION OF THE WORK AUTHORIZED)
]~ 3 4 ? Z Dote .................... ,
Building 1~3spector.
hereby granted to:
Permission is
,o ..:~ ~......~.5o..'.'.......~a¢.~....i.~.c~..~ .....................................
~.~.~...~.~.,.~.,,.,..~....;~ :.... ~.~.~? ................ ~. z..z,.......~.~ .....
c°%~ T~× Map No. ~000 Section ,...:.~/....L. ~o~k ;..O..~::;.~...,iLot No. '.~,~.g ..........
pUi~suant to.: application dated ...~.~...~..X~.;....:..,Lv....,....,. ,9~..~.,I~ond approved by the
Inspector
COMMENTS
FOUNDRTION (~st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
qODE
FINAL
~00~.
lBO!
lO0~ /
Scale: 1'' = 25'
6' stockade fence
length = 88'
already installed
pch
gar
Appelgate
house
Proposed construction
i-st choice. 6' stockade fence~
from point A to point O.
2-nd choice. 6' stockade fence
from point A to point B and ~
4' stockade from point B to ~%~
point C. v
oded area
ppelgate property
60'
nbr's house
(approx.size
shape)
2 car
garage
black top
driveway &
g
area
design
of driv{
Wunneweta Road
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
0 TEL.: 765-1803
Examined .~..~Z ..... ,19 ~
^pproveut~.e~.. :'.f. ..... , ... erm "'.5~ ....... ~ 9
Disapproved ap6 ......................... /.,/ ......... / ~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Application No..//.-?. 5./-'..~. ........
Date , .~. AU4~ · · 20 ....... , 19 8:1..
INSTRUCTIONS
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 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 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 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, 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)
..~5~.~....79~h.55r~,.~..Y,C,.,~.Y,lO021.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nmne of owner of premises . . .H..a??X . ~.n.d..C...t.~}.~.e...Aplq.1. ~. g.~.~.o' ........................................
(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.. :,~ .............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
.... 3,900..Wu~r~.e. we'ta..Road.,..Cugchogu.e.,.. No Y. ...............................................
House Number Street Hamlet
County Tax Map No. 1000 Section ... ~1.11 ........... Block .06 ............... Lot 0.22 ...............
Subdivision .... N. assatz .][?oirxt .Cltzh .Pro~ex-g~.asFiled Map No. .@0g ......... Lot .~/+2 ...........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...ctwel2LJ~ng .........................................................
b. Intended use and occupancy . .~r~9.~..~ :. ,s.'~QO.a.d.~...~.e.rl.Q~. ........................................
3. Nature of work (check which applicable
Repair .............. Removal .............
~' ~ ac/ (Description)
4. Estimated Cost $500.00
....................
(to be paid on filing this application)
5. If dwelling, number of dwelling units.. ~
I~ garage, number of cars ............
6. If business, commercial or mixed occupa:
7. Dimensions of existing structures, if any:
I-[eight ............... Number of S1
Dimensions of same structure with aitera
Depth ...................... Heig~
8. Dimensions of entire new construction: I
Height ............... Number of S1
........... Number of dwelling units on each floor ................
:y, specify nature and extent of each type of use .....................
Front ............... Rear .............. Depth ...............
aries ........................................................
:ions or additions: Front ................. Rear ..................
! ...................... Number of Stories ......................
rant ............... Rear ............... Depth ...............
aries ........................................................
9. Size of lot: Front .10O.' ................... Rear. lO0! ................ Depth . 295 ! ................
10. Date of Purchase .198.0. ......................... Name of Former Owner .............................
11. Zone or use district in which premises at situated ....... .A .............................................
12. Does proposed construction violate any oninglaw, ordinance or regulation: ................................
13. Will lot be regraded .............................. Will excess fill be removed from premises: - Y~s_ No
14. Name of Owner of premises ~a.r.r.y/¢.] a~re ...... Address .1.56~. '79' 8.~..I~r/. ·. Phone No.2.~.2. .7...~./4. .~.~. ~.~..
Name of Architect ............ App.]:. ~ga.~ .... Address ................... Phone No ................
Name of Contractor ........................ Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildinl , whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number r description according to deed, and show street names and indicate whether
interior or corner lot.
see attached survey
STATE OF NEW Y. OR.,Ig, .,// o o
.......... -...Hgr~.Y..~pP. leg~a..~q .................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing cant] tct)
above named.
0wne
He is the ................................................................................... ~ .......
lontractor, agent, corporate officer, etc.)
of saki owner or owners, and is duly autho~
application; that all statements contained in
work will be performed in the manner set
Sworn to before me this
........ <~. ~.. J .day of...~.
JUDITH T. TERRY
Iqotary Public, S~ate of New Yo~
NO. 52-0344963 Suffolk County
~ommisslon Expires March 30,
zed to perform or have performed the said work and to make and file this
his .application are true to the best of his knowledge and belief; and that the
in the application filed therewith.
..~2~nty ,~~ ,~~~II
cant)!
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: .,~% 1802
Examined ................ , 19... ~
Approved ...... ' ........... 19 . . . PernLit No... '~4"".'~ ,'
Dsa~ r red' ,/ ~1 ~ ' a
· po a/c ....... : ............ .~..L.. ~,t75./
· ...................
.dr ....... ........ ,
· Q,~ APPLICATION FOR BUILDING PERMIT
Application No ................
INSTRUCTIONS
a.. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to. scheduls.
b. Plot plan s!lowing 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 apg
cation·
c. The work covered by this ppplication may not be commenced before issuance of Building Permit.
d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant Such pern
shall be kept on the premises avadable for inspection thronghout the work.
e. No building shall be occnpied or used in whole or in part for any purpose whatever until a Certificate of Occupan
shall ],ave been granted by the Btfilding Inspector.
APPLICATION IS I IEP, EBY ,MADE to the Bnilding Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regular o ~s, for tl~e 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 regulations, and
admit authorized inspectors on premises and in buildings for necessary., inspections.
(Signatfife of applichnf, or nani~, if a corporation)
156 E 79 S~.;Now York, N.Y. 10021
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general,contractor, electrician, plumber or build
owl~or
Name of owner of premises . . . H.a.r:r'y. ltl..arid..G!.~tir.e..1~. A~P.P.q~-gg.~q ................
(as on.the tax roll or latest deed)
If applicant is a corporation, signature of duly anthorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done. 19.0.0..~[¢.nB.e.w¢2.a' ./~(~ .aC.,..N..a~.sAu,..P.t., ..........
· Cu.t;.qh o g'~.e. ........................... :. ....................................................
House Number 1900 Street Wunneweta rd tlamlet Nassau pt,
County Tax Map No. 1000 Section .................. Block .................. Lot. 3t42
Subdivision ..................................... Filed Map No ............... Lot ..............
(Name)
2. State existing use and occupancy of premises and intended usc and occupancy of proposed construction:
a. Existing use and Residence
occupancy ...................................................................
b. Intended use and Residence
occupancy ..................................................................
Nature of work (check which applicable
Repair .............. Removal ..
Estimated Cost . . .$250...,. . ........
,: New Building .......... Addition .......... Alte. ration ..........
· - · , fence
........... Dcmohhon .............. Other ~on< ..............
_/~/./. ~,~-- (Description).
.................. Fee ..................... .~ ..........
(to be paid on filing this applidation)
If dwelling, number of dwelling units .............. Nmnber of dwelling units on each floor ................
If garage, number of cars ..........................................................................
If business, commercial or mixed occupr ney, specify h~ture and extent of each type of use .....................
Dimensionsofexistingstmctures, ifany Front..59.'.'.........Rear ...5.9. ........ Depth.....2.5~.....:
Height .. ' Number ors
Dimensions of same structure with alter:
r)eptb ...................... Itei~
Dimensions of entire new construction:
Height ............... Number of S
~or
tions or additions: Front ................. Rear ................
tt ...................... Number of Stories ....................
~'ront ............... Rear ............... Depth .............
Size crier: Front .. 1.OO' ii ........... Rear .... 1..0 ,' .
). Dateo'fPurchase ~:~;t ................. Name bf Former Owner ~rctc
I. Zone or use district in which premises ar~ situated .......................... :
2. Does proposed construction violate any: on/ag law, or&fiance or regnlat~on ............................... .r
~. Will lot be regraded ............................ Will excess filI be removed from premises: Yes No,
1-.Name of Owner of premises .................... Address ................... Phone No ................
Name of Architect ........................... Address ...... '...; ......... Phone No ................
Name Of Contractor ......................... Address ................... Phone No ................
Locate clearly and distinctly ,'dl buildip, 1
roperty lines. Giv~;'~street and block nuxnber
eerier or corner lot.
see enclosed
I'ATE OF NEW YORK,
OUNTY OF ......... S.S
Harry W Appelgate
(Name ofindMdual signing coati
)eve named.
PLOT DIAGRAM
s, whether existing or proposed, an&indicate all set-back dimensions from,
)r description according to deed, and show street names and indicate whether
being duly sworn, deposes and says that he is the applicant
:t)
owner
e is the ............................. ,, ............................................................
, qContract6r, agent, corporate officer, etc.) . ,
f said owner or owner.? trod is duly authorized to perforlu or have performed the said work and to make and file this'
)plication; that all statvments contained in this application are true to fi~e best of his knowledge and belief; and that the
'ork will be performed in the manner set for$ h~ the application filed tl,erewith.
worn to before me this ~ .
otary Publig ......