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Home My WebLink About15689-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PBRAIrr (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) permi~sion is hereby granted to: ~ premi~e~ I~cated a R~v. 6/30/8O OUNDATIO.~ { 1st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: [)l~a ppro'~ ed FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 , 19~ 7 Permit No 1 ~'-.~,~ ~ ~:2 (Braiding Inspector) APPLICATION KOR BUILDING PERMIT IN STRUCTIO NS a Tins appbcatmn must be completely filled in by typewriter or ~n ink and submitted to the Bmld~ng Inspector,, qcts ot plans, accurate plot plan to scale Fee according to schedule. b Plot plan showing location of lot and of buddings on prermses, relationship to adjmnmg premises or pubhc · ,,r ~,reas, and g~vmg a detzuled description of layout of property must be drawn on the dmgram which ~s part of th~s catlon c The work covered by tl-as apphcatlon may not be commenced before issuance of Building Permit d Upon approval of fins apphcat[on, the Bmldlng Inspector will issued a Budding Permit to the apphcant Such l qhall be kept on the premises avadable for respect[on throughout the work. e No budding shall be occupied or used ~n whole or m part for any purpose whatever until a Cerhficate of Occu hall ba~e been granted by the, Bmld~ng Lnspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmldlng Permit pursuant Bu~Idmg Zone Ordmance of the Town of Southold, Suffolk County, New York, and other apphcabte Laws, Ordma~ Regulat~ons, for the construction of bmldmgs, add~tions or alterations, or for removal or demolmon, as hereto desc The apr)hcant agrees to comply wtth all apphcable laws, ordinances, building code, housing code, and regulat~e',s, · ad mtt au t;~onzed ~nspectors on premises and in bmldmg for necessary mspec~s ~ {[ f) (Signature of aptShcant, or name, if acm porat~on (Marling address of apphcant) State whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or b} (as on the tax roll or latest deed) It apphcant ~s a corporation, s~gnature of duly authorized officer (Name and title of'c;r~or'ai; ;~l~;r') ...... Bmlder's L~cense No Plmnbcr's L~cense No .. Llcctrtcmn's License No ....... Other Frade's License NO I oc,,t~on ol land on which proposed work will be done I louse N'um bet Street Fax Map No lOOOSect~on (Name)-- Hamlet .Block ....Lot [a Fded Map No ~.~' ~a~{ rot '-~ M ~tc eMsnng use and occupancy of premises and intended use and occupancy of proposed construchon a Ex:sting use and occupancy b lntended use and occupancy 3 ~~hich applicable) · ~PaX~r~'Jc~'-"'~*"~-.'~l Removal . 4 ~ [~ dwdhng, nm~be~ of d~elhn~ umts. // New Budding . .u'.. Addition · .. Demolition Alteratmn Other Work (Descnpt~c (to be paid on flhng this apphcat)on) ....... Number of dwelhng umts on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use Dm~ensmns of existmg structures, if any Front ....... Rear ..... Depth ?tetght Number of Stones ................ Dm~ensions of same structure with alter;/hons or additions' Front ...... Rear Depth . Height ............. Number of Stones D~mens~ons of entire new construchon Front .~,~l~ ... Rear ..... ~.~ . Depth 38' lqmaht "~ Number nf.qtnm~q (· S~ze of lot Front ~-~¢mSll ' "Re= ..... I.'!.~.,~.i1.-.... Depth .t'~[~,~'~ . · . Name of Former Owner0 ~.~o~.hu- lib.,l~t.r~.. Date of Purchase Zone or use district in which premises are situated ..... ~ ........ Does proposed constructmn violate any zoning law, ordinance or regulahon Will lot be regraded . '~. ,~,~r. .......... Will excess fill be removed from premises Yes Name of Architect ........ Address ............ Phone No Name of Contractor .................. Address .............. Phone No.. PLOT DIAGRAM Locate clearly and d~stinctly all buddings, whether existing or proposed, and, lndicate all set-back dunenslons property lines Give street and block number or description according to deed, and show street names and mdmate wh interior or corner lot ~ F \ FL OF NEW YOF..['(, S S t OUNTY OF ~,..l~F~[~ ,-- , -.-'C,.,,,.,. ~..,, v,.,~t. ......... being duly swo~, deposes and says that he is the (Ne m~:~" 'of ~hdividual mgmng contract) (Contractor, agent, corporate officer, etc ) ,.I ~d owner or owners, ~ is duly authorized to perform or have perfomed the said work and to m~e and fii q ph~at~on, that all statements contaned ~ this application am tree to the best ofh~s ~owledge and behef, and th ~ ork will bc performed ~n the m~ner set forth in the application filed therewith St~orn to before me flus ~ day or ',~ta~, Pubhc, T~ ~'~//C ........ County ~ .... ~-/ No 52- 8928125 Quahhed m Suffolk County (Signature of app; SURLY FOR TIMOTHY ~FO~ cOU~ D~A~T~ENT OF HEALTH SERVICE5 JULY Z9~1985 ~ AT LA~LL D4TE dUNE ~7,1985 ~WN ~ SOUTHOLD SC~L[ ~" =IOO' SUFFOLK COUNTY, NEW ~RK NOTE ffi · MONUMENT AREA : 2 310 ACRES m · ~[' LOT ~ "MINOR SUBDIVISION OF ~DEN w~NG,PROFE~IONAL ENGINEER AND ~ND SURVEYOR N YS UCENSE NO RICHARO ~ DONNALEE RELYEA" ~ = STAKE HOWARD W YOUNG~ LAND S~V[YOR i I. used for water dlst;ibuting ~tem; plplng shall be of t/Pea K_ or C only, OCCUPANCY OR USE ,iS UN~WFUL WITHOUT CERTIFICATE OF OCCUPANCY -~ PLUMBER ~ T/FICA T/ON ON LEAD CONTENT BEFOR£ )CCUPANCY J ~30LDEP~SED, IN WATER su~rLY, s?sr~-~ cA~or. -~xC~O =/~o o~ ~ ~Ao. -,~ AT ,/ REAR ELEVATION ~EFT SIDE ELEV~ATION'~ RIGHT SIDE ELEVIATION J ~ALE I/8% '" FRONT ELEVATION SCALE I/4": I' DATE APPROVED BY DOOR SCHEDULE 1~'L Z/' 'WIN DOW SCHEDULE DIN'~TTE ·'KITCHEN V BAR' ir BEDROOM closet 4lNG ROOM LIVING ROOM BAT H BE walk in c loser BEDROOM ,, )ROOM ii DATE bedroom cab elevations T-r,~t ZA L 0 109° DINETTE II BEDROOM 129x14° ! ,__.S_TO R~(~E DINING ROOM 3' x12~ '"~' 1 2° x 156 BEDROOM 12°x12° BEDROOM I 16x DRE~ ;ET MASTER BEDROOM x 1'6° DATESCALE tAPPROVEDBY iZc 2, q ¢2;2' - ........ 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