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Home My WebLink About16287-zTOWN 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) NO_ 1~287 z Permission is hereby granted to: .a'.~..~..~,,,~:.........~.~ ............. ~.~..,~,,,~....~.,~,.....L~.~.~.....~. ...... ........ ............................. ............. . :'. ':~'~;::';;~ ..... :C';;-: ........ ~w:'"~ ........ ~~ ........... at premises Iocatea at .o.~'..~1 ............... .,..~ .......... ~1.....~.......~....: ...................... ~~ Count~ Ta~ Map No. ,000 Section ...... /..~..~.. ...... B,ock ....... .~.~.. ..... Lot No ..... ..~....G.. .......... pursuant to application dated ..... .,.~.:~......~...~. ..................... , ond approved by the /1 Building Inspector. Fee .................... Building Inspector Rev. 6/30/80 Examined...~..~.., 19~.~. Approved .... ~,~.., 19~2 Permit No. [.~..~.~.V.~::~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS . ...... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BtJlLDIMI3DEPARTMENT SEPTIC FORM ............. : 'i'OWN HALL NOTIFY $OUTHOLD, N.Y. 1197'1 TEL,: 765-1802 CALL ................ MAIL TO: Date . .4u.l.y..2.7.,. ......... 198.7.. INSTRUCTIONS a. This application must be completely filled in by typewriter 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 shall be kept on the premises available for inspection throughout the work. e. No build'rog shall be occupied or used in whole or in part for any purpose whatever until ~ 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 de!13oli~tion, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildinsqode, hoBs~g"c~V~, aj~cl regulations, and to admit authorized insr)ectors on premises and in building for necessary ins.',,~'-~Pe~~ (~n t~licant, or name, if a .corporation) .... O O*O :...... ............ (-19/ailing add ress of applicant) ~lh'te whether applicant',is,,0w~er, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises Harry G. & Janet L. Hohn (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No... NA.. * .................. Plumber's License No. NA Electrician's License No. NA. P .................. * To be installed by the owner directly. Other Trade's License No. NA .* ................. 1. Location of land on which proposed work will be done .................................................. House Number Street Ha]filet County Tax Map No. 1000 Section ..... J.~.6 .......... Block . . .0.5 .............. Lot. ~ .0.6 ............... Mattituck (Map of Property of (Name) ~)21 2. State existing use and occupancy 9f premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... pri,za~;e,.~:e~.A4qr~e.e. ....... ........................................ b. Intended use and occupancy .fe~¢~. ', ' '~ · 3. Nature of work (check which applicable): New Building . ......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work. F.e.n.e.e ......... (Description) 4. Estimated Cost ............$450'00 ~ ......................... Fee ...................................... i " (to be paid on filing this application) 5. If dwelling, number of dweilingiunits · · .1. ........... Number of dwelling units on each floor..1 .............. If garage, number of cars ...................................................................... 6. If business, commercial or mixe!d occupancy, specify nature and extent of each t'ype of'use . NA .................. 7. Dimensions of existing structures, if any: Front .... ZI~; ......... Rear .2.8.!. .......... Depth . 48' Height Nurober of Stories 2 ' " ' ~ ~ Dimensions'of same structure with alterations or additions: Front . .N.A . ,~t~ea/' ....· . Depth ...... ~ ~ .~?~. ...... L.. Height ...................... Number-6fS~oo~ ...................... Dimensions of entire new construction: Front 140' fence Rear . Depth biA Height .4 .f.t.: .h.t. gh. .... Number of Stories ........................... ~._,~. ....., .................. 9. Size of lot: Front ..... 50. .... ......, ......i Rear· .1.0.8..., ........ ~_.~.-~.. T)epth .3.9.4. .................. ·. Name of Former Owner ............................. 10. Date of Purchase .... 10/24/.~fi ............... Bellznger 11. Zone or use district in which pf~mises arc situate, d ..................................................... 12. Does proposed construction rio,late any zoning law, ordinance or regulation: bio , 13. Will lot be regraded .N.q ..... ! .................... Will excess fill be removed from premises: Yes No 14. Name~f~wner~fpremise~a.r.r.y..G.:.&..J.a.n.e.t..L.:.H.~dressP..e.qqn.~.q.B.a.y. Blvd. PhoneNo. 298-4210 Name of Architect biA ! . Address Phone No. Name of Contractor biA ~ .... Address .... : .............. Phone No. 15. Is this property locatedlwithin 300 feet of a tidal wetland? *Yes ..... Nobl~.., · If yes, Southold Town TrCstees Permit may be required, , PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all s~t-back dimensions from property lines. Give street and blockl number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, . COUNTY OF..New .Yozk ....... I S.S Harry G. Hohn I (Name of individual signing contract) above named. See Attached Documefit I am requesting a p~rmit to erect a 4 ft. high'~fence close to-She south property linelof my property, ItiwilL,go from the end of the existing fence o~ m~ neighbor to the south and along the southerly property li~e..to within 4 or 5 ft. of the property line marke~ on Peconig, B,ay Boulevard. The placement' arid l~ngth of the fence is shown in the attached document in red. The fence would be }'_stockade fence with the f~nished side facing south to the outsid~ ~of the property, NOTI~ ~/LO~NG O~PARTM~ AT FOLLOWtNf~ t~ .,P~CTIONS, B~) CO~ :' [~"~'~; FOB C.O. ALL CO~'~F,~ ~K:'~ON sH~L MEET being duly swor~{~ Owner He is the ..................... ! .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this apphcatmn ttha/t all statements con~amed m this apphcatmn are trile to the best of hm knowledge and belief; and that the il ' i' rset rthln h 1' work w' 1 be pe l~ormed in the mann~ fo ' t e app ~cation filed therewith. Swgm to before me this . .' ........ 2.7.t.~:,, ~ ...... day of...J.u, ly. ............... 19 .8.7. oP. N tary ubhc .................................. County Notar~ Public State of N~W Yeffi .... ~. ,/. ,~7:. -.~, ........ .. - t ~ (Signature of apphcant) . ~,,ali:i~d in Kings Coun~ /] -- (Sign ' ~mm ~' R.o.~, N/o/F N/O/ F M,~TTITUCK, CLU 0 yAC:HT .. '