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Home My WebLink About13608-z FORM NO. 1 ;: Or~'~.TOWN OF SOUTHO LD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Lift BLDG. DEPT. TOWN OF SOUTHOLD (Building Inspector) APPLICATION FOR BUILD,NG PERMIT Date...(.?/7~.7. -- .., Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 ~atl be kept on the premises available for inspection throughout the work. e~ No building shall be occupied or used in whole or in parr 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 heroin des~cribed. The applicant agrees to comply with all applicable laws, ordinances, building code, ~ousing code, and regulations, and to admit authorized inspe~ctom on premises and in building for necessary inspections. ~ ) ~ >~' ~- . ............... ~RELANn ~.S. L~NDS CA~ I ~GU. .... ~'~, l~ (Signature of applicant, or name, if a corporation) lqout~. 2 5~t~OX. lO,. E~st. No~wich, · ~. ~.. ·. (Mailing address of applicant) ! 17 3 2 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. \ .... .................. ............................................. '.: ............ Name of owner of premises .. lqr,. fi .Mrs .... Them. dore. ~letali0s.' ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name m~d title of corporate officer) 426 - Town of Southold Bu~der's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade% License No...7 9.6.8..g.I..S.u.f..f.o.l.k...Home Improvement Contractor' s License Location of land on which proposed work will be done .......... 7:... '.'.. '..' ............. ' ................. 16315 Main Road East Marion, N.Y. House Number Street Hamlet County Tax Map No. 1000 Section ..... 0.2..3 .......... Block ' '' P}' ............. Lot..0..1.2...2. ..... - ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Residence -'" '-" a. Existin~ use and occupancy ..................................................................... Same with. addition of deck b. Intended use and occupancy .................................................................... 3~ Nature of work (check which apphcable)'. New Building_. ......... . Addition .......... "ther WorkAlteratl0w°°d' ' '~'u e0K~.,n.g' Repair .............. Removal .............. Demolition ............. ~[ ............. · ;~'~ ! & RetGcation of existing hot tub. ~ q~--~ (Description) 4. EsUmatedCost ...$.2.¢,.5.70., .09 ........................ Fee .~..c:.'X ........ /'. .................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ....... : ........ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front...5 ~ ! ......... Rear .. 58.7 ......... Depth. 2.4...5 ! ........ Height ............... Number of Stories ..... 3 .................................................. Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ....................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .~7. '...axe..r: .... Rear ...4fi.'.. 9.v.e.r. :.. Depth .2.{ [..a.v.e.r.: .... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ...132...13.' ........... Rear.. 13.4, ~1.'~ ........... Depth .455...09: ............. 0. Date .of P~chase ... 5,/D.5/82 .................. Name of Former Owner Ral~cla. z z o. B&dg,..qO,. iIjlq,.. 1. Zone or use district in which premises are situated .... .A:I. .............................................. 2. Does proposed construction violate any zoning law, ordinance or regulation: .. Ko ........................ 3. Will lot be re-faded N~ ..... Wilt excess fill be removed from premises: Yes 4~ Name of Owner of premises M..r:..&...M.r.s. :T.: .M.e.t.a..lA,&ress . 1..6 .3.1.5...M.a.An...Rg.a.d' Phone No.5.1. 6. X'..4.7.7.r ~ .4.3.7.. Name of Architect ........................... Address .E..a.s.t..M..a.r.i.q .n ,.N.Y.. Phone No ................ I ' Name of Contractor . I~EJ4AI~ID..S.. LAN~ CAP.~G. Address .gQ u~t.e.. ~ ~%z-J~Q~: ~..0. Phone No5 ~.6~/. 922Z4 ~ 0 Q.. East Norw±¢h, NY 11732 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether ;tenor or comer lot. I'ATE OF NEW YORK, S.S OUNTY OF ................. ............ .G.e.r.a. 1..d. J3.].LUk-.I.P~I~A~.D. '. $..L.Q$ ~C.P.G.... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) )ore named. is the ................... CD. ntra.ctor ........................................................... (Contractor, agent, corporate office% etc.) said owner or owners, and is duly authorized to perform or have peYf0rmed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. ~vom to before me this No. (Signature of appl~cant) NOTE: DESIGN LAYOUT SCALE Sldeyard 11' ' UNDER STRU~ STEP: DE:TAlL UNrDERSTRUCTURE DETAIL I NOTE: RAi-L TO ENCLOSE POOL AREA AT A MINfMUM OF 4~'O.ABOVErGRAD'E el. 9N-3 RESIDENCE I;learyar'd 52' Existing Deck 4'gate I08-9 (Hot Tub k TO BE Ri T sill 100.0 sl.98-2 LINE OF SECOND STOI!.Y.ovERHANG, LINE OF FONDATION RESIDENCE el. '98-6 light post Pool el.98-2 NORTHERN BOULEVARD [Fr[ 25A),, EAS'T NOFWVlOH; NEW ~ ?32 5i~-922-4800; Sl'deyard 24* el, 88'4 existing drive' el, 99-2 JOB'No.': HOT TUB CRIB DETAIL ~o-F ~0 50 OPEN HANDRAIL/SCREEN DETAIL DRAWN CHECKED .BATE I~VifA~N SCALE '' CLOSED APP~V~) AS NOT.ED,~ 5 76%1802 9 AM TO 4JCM FOR THE FOLLOWING IN?ECTIONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - F~MING & PLUMBING 4. FINAL - CON'STRUCTION MUST BE COMPLETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR SHEET