The URL can be used to link to this page

Home My WebLink About13431-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COJ~PLETION OF TIlE WORK AUTHORIZED) N? 13431 Z Date Il Permission is hereby granted to: .......... ................. ..... @ ........................ ..~..,~,~....~ .................... ...~~.~.....~.:~.:...!.!..~..~'.. ..... ct premises located at ............................................................................................................................ County Tax Map No. 1000 Section .... 1....(~....3....~ ..... Block ~-~'~ Lot No. l~,~ pursuant to application dated ..._~.~~....~...0.. ............. , 19.~....~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ~,2r CONCh. [:?AMO~,4 E L I~OR~ NO, 1 TOWN OF $OUTHOLD BUiLDiNG DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. Disapproved a/c ............................................................................................. Application No ................................. (Building Inspector) APPLICATION FOR BUiLDiNG PERMIT Date September 10, 84 INSTRUCTIONS o. This application must be completely filled in by typewriter or! in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram 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 for inspection throughout the work. e. No building shall be occupied or used in whole or in pa rt 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. By (Signature of applicant, or name, if a corporation) 28785 Main Road ...c..u...t..c...h..o. ,.' ................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises RFL PROPERTIES If applicant is a corporate, signature of duly authorized officer. N/A (Name and title of corporate officer) Builder's License No ....... N./.A ....................................... Plumber's License No. N/A Electrician's License No.N~,A, ....................................... Other Trade's License No...~I./.A ............................... S~ffolk County Tax Sf~ction 102, Block 5 Location of land on which proposed work will be done. Map No.: ...p..$..s...~..,.....1..0..Q.0..,../. ........ Lot No....2...2. ................. Street and Number 28785 Main Road, Cutchogue, Town of So~thold Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ g...~..!...q .................................................................................................... b. Intended use and occupancy ..... ~ ....... .~'~...i ....... ...-~..~ 3. Nature of work (check whict~ applicable): New Building .................. Addition .................. Alteration .-..~ ....... :~ .... Repair .......... : ....... Removal ................... Demolitlan .................... Other Work Re~.lacement o£ 3t h±gh wood. an razl £ence with: gate, .............................................. (Description) ' ..... 4· Estimated Cost ..................... ] ....................................... Fee ........ ~.,3:..5..:.0...0; ............................................... , ......... (to be paid on filing this application) 5. If dwelling, number of dwelling units .b]/.~ ................... Number of dwelling units on each floor ..... ,~../~.. .............. If garage, number of cclrs i 6. If business, commercial or Imixed occupancy, specify nature and extent of each type of use ..~.~ ....................... 7.' Dimensions of ex'st'ng structdres, ,f any: Front ....... ..~.~7.. ............. ~. Rear ........ ~...~ ................. Depth ....~..~.. .......... Height I ........................ Number of Stories ....... ~ ...................................................... Dimensions of same structure with alterations or additions: Front ..]~/.~, ...........................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new coostruction: Front .....N./..A. ......................... Rear ............................ Depth ........................ Height .................... Numbei of Stories ..................................................................................................................... 9. Size bf lot: Front 50' ! Rear 50' Depth '100J 10. Date of Purchase Ju.qe 28z 3.984 ,, lU,~m, of Former Ow,her Cutcho~ue Free L±bra=y 11. Zone or use district in which ,'premises are situated ...........~...Z../. ...... ~....~ ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ...... ~.o....i ............. Will excess fill be removed from p. remis~s ( ) Yes ( ) No ~ 2 7 5 Ma3-n oad ameofO ne of rems RFL PROPERTIES ~u~cho ue ~Y 734-6807 ]4. N w r p es .................................................... Address ............... c/.....;. ........ Phone No ....................... Nome of Architect N/A .............................................................. Address ................................ Phone No ....................... Name of Contractor ....N/A .................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly alt buildings whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and bldck number or description according to deed, and show street names and indicate whether interior or corner lot. (SEE ATTACHED SURVEY) STATE OF NEW YORK, ~ ~ COUNTY OF .~I].F. EO~I¢ ............... Ri'~ha'rd F. Lark ................... ........................................ [ ...................................... being duly sworn, deposes and says that~~ (Name of individual sign,lng contract) He is the Partner , (Contrac¢or, agent, corporate officer, etc.) of sflJd o~ner or owners, ~nd Js dul~ authorized to perform or hflve performed the said work find ¢o make ~nd file this application; tha¢ ~1~ stflCe~enCs[ contained in this application are true to Che best of his know~edge and belief; and tha~ the work will be performed in the manner set forth in ~he application filed t~rewffh. Sworn to before me this ~ // ....... ..... o, ........ ............... , Notary Public,. ............. ~,~.9~...~ .................. County ............... ~~_..~/~~... ,~ ~ ' ~ ~ ; /, ~ (Signat~plicant) / ~ ~ - //v/~,, ~ NOTABY PUBLIC, State of New Yor~ ~ " No. 52-1000858 Suffolk County ..~ Commiss}on Exp{res Merch ~0, 19'~