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Home My WebLink About13460-z FOulW NO. S 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? 1346~ Z Permission is hereby granted to: ...... ........ d...~ ....... ~.~,:.~....,,~..~ ........ ....... L~..~.....~~....~...~...~...LV~ .................. ~...~Z ............................. ~ ................ ~, .................... County Tax Mop No. 1000 Section ..~'.~..~.. .......... Block ....(~...~... ........ Lot No. ~,~uont to o~,~o,on ~oted ...... Z~..~...~......Z. .................... , ~: .~..C4., o~ o~pro~ed by t~e Building Inspector. Building Inspector Rev. 6/30/80 FIELD INSPE~TIO~ COMMENTS FOUNDATION (1st) FOUNDATION (2nd) FRAME & PLUMBING iNSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: FORM NO, 3 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLERK'SOFFICE SOUTHOLD, N~. NOTICE OF DISAPPROVAL .. a~.6..~. &.~m:..~./.. ~ ...... · .~..~.~ .:.Y..~v~..~. ~5..~ ....... PLEASE TAKE NOTICE that your application dated ... fo,' peru, it to ~O~~5~ ~a. ~(.~./~.[/~ 7'. ...... at County Tax Mar No. 1000 Section ...(~ ..... Block .. is returned herewith and disapproved on the following grounds. ~ ~a~m~'...ff~/~. ~. .<~. ~a(~.~xr ..... 5~.. ad~.~.... ~<.. ~., .......... Building Inspector RV 1/80 B ZONE (~LS) 6115/83 ZONE~ B ZONE (EL8) 6/15/83 ZONE C COASTAL APPLY O~ COASTAL BASE FLOOD ELEVATIO[ APPLY OI",ILY LANDWARD OF SHORELINE SHOWN ON THIS FOB~M NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ............................................................................................ ........ ................. ............ f'-'~ .,.,:?'o.,~:: ~1.~- :" ~ ..... .~.~ .......... Date ........... ......................... , ...... INSTRUCTIONS o. This application must be completely filled in by typewriter o¢ 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 end of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout ofproperty must be drown on the diagram which is port 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 o 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 port for any purpose whatever until o Certificate of Occupancy shell hove been granted by the Building Inspector. Application No ................................. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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 oil applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in~ buildings for necessa~ry inspecti~j~s~ , ? ................. ........ 296 Summit Avenue .............. M.a. ~..n. ~...¥..e.~.n...o.~.,... ~....%..0. ~A ~ .............................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumb r ~buiider. Ap. plicant is the .g, eneral contractor. Name of owner of pram ses VINCENZA ANNUNZIATA If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........... ~./...A. .................................. Plumber's License No. N/A Electrician's License No .... ,N,/,,.A, .................................. Other Trade's License No. N/A 1. Location of land on which proposed work will be done. Map No.: 139 Lot No. A Street and Number ...... .~.~.c~h..~7..~..~.T..w~.....~.~.~...g.a..m.j?....~..~.~)..~..~..~.a.~.~g~.~.~.~.~.~.~ ........................ /. ........ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Vacant land b. Intended use and occupancy Q.n...e.r,f..a..~..i.~.3..,r..e..s..i..d...e..n. ce ................... 3. Nature of work (check which[ applicable): New Building, ....X. ............. Addition .................. Alteration ................ , Repair .................. Removal j .................. Demolition .................... Other Work ~ , (Description) 4. Estimated Cost $35,000 ~ , (to be paid on filing this application) 5. If dwelling, number of dwelli:ng units ........ .4. .................. Number of dwelling units on e~'~h floor ....... .2. ................... If garage, number of cars lq/_A .......... ;6. if business, commercial or :mixed occupancy, specify nature end extent of each type of use lq/A ' N/A .N.../A . N/A 7. Dimensions of existing structqres, if any: Front ........................... Rear ............................. Depth .................... Height. .,.... .. .. .. ..... ., .. ..Iq / A Number of Stories ..........................lq/A : ............ ; .................................... ; ................................... Dimensions of same structur~ with alterations or additions: Front ........ i~/,%. .................... Rear ..... N.../..A. ................ Depth ..... ~..,/..A.. ................... Height ..... .N./..A. ................ Number of Stories ...,N,./.A. .................... 40' 2" ............................ Depth ........................ 8. Dimensions of entire new construction: Front .................................... Rear 40 ' 2" 26 ' 2" Height 28' 3" Numbe~ of Stories 2 9. Size of lot: Front 226'. . Rear 276' Depth 226' 10. Date of Purchase ...... 2-./.,~.~./..~..4 ................................. Name of Former Owner .....P...e..t..e...r.....K..r...e.,h. ............................ 11. Zone or use district in which iprem sas are situated .`~A..~.'~..~.e..s..i...d..e.'n...t..i...a..~.~"a~n.d'.~..A~.~...r..i..c...u'.~.~.t.~.~ ..................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..1~¢~ ................................................. 13. Wdl lot be regraded . ....... ; ................... Will excess fill be removed from pr_amuse% (,) Yes (X) No · J. . 6 Dummz~ ye. k~ .... f~ .......f~r~;:~: V~ncenza Annunzzata Ad4 .... ~.VernonlN9 ~.~ 14 ....... ,, ....... ~ ............ l ........................................................................................... No ....................... Name df Architect ...R.,o...b..e..'.r..t....N..:..,.D...e..r..?..n..d...e. ................... Address :~.9,~,..~.i}.~L,,tfiT~...A~.eP. hone No ....................... Nome of Contractor ..... .A..n...t.,h...o..n...y....A...n..u..,n..z..'.z..a..t...a. ........... i,. Address .M..t......V...e..r...n..o..n..$..N...Y.... Phone No ....................... ,~::%~(x,~¢~ C.~zm'x~, '5~'~ ~5-~ aC) PLOT DIAGRAM Locate cleorJy and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number 'or description according to deed, and show street names and indicate whether interior or corne[ lot. 'SEE ANNEXED. SURVEY STATE OF NEW YORK, · S S COUNTY OF .. ~.U.~E. QkE ........... ~ · ............................... .A..N...T..H...O.,N...Y.....A..N..N...U.,N...Z..I..A...T..A.. ...................... being duly sworn, deposes and says that he is the appliconl · (Name of individual signing contract) above named. He is the .............. .G..e...n, 9-r..a...1.,,.C,..°,~..t.,r...a..c..t..,°..r. ........................................................................................................................ ] (Contractor, agent, corporate officer, etc.) of said owner or owners, end is duly authorized to perform or have performed the said work and to make and file this applic, ation; that all statements contained ir{ this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this , ~ - ' , ..... £~.%..'~..Z.?.... day of ....... .~.~...~-..'-1 ....................... , 197...~Jf',. otor¥ Pub,o,.- ......... ....... Coun,¥ ............................ ~ -- ~,~- ~uffolk Cou.ty ~Expll'esUarnl ~,~ (~ ~,~ t <2>