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HomeMy WebLinkAbout15698-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PIP. MIT (THIS PERMIT MUST BE KEPT ON THE PREMI COMPLETION OF THE WORK AUTHORIZED) FULL Permission is hereby granted to: at premises located at Building Impector/ ~,,,...U...~......~.L · ~ Rev. 6/30/8O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15698 Z Perrmssron is hereby granted to: County Tox Map No. ,I000 Section ...... c~...~....~..~. .. Block ........ ..~....~. ..... Lot No ..... ].....~. ........ pursuant to application dated .... ~..~~.....)....0. .......... , 19..~....~., and approved by the Budding Inspector. uildmg Inspector Rev. 6/30/80 OUNDATION { 1st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION ?ER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Examined .~. · · .~"~, .~. ~., 19 Approved ~ .n~a~'~...~.~-"~ , 19' Disapproved a/c ........ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL.: 765-1803 Permit No I t~-.l~.q.51 ~. ........ 7fi (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date ............ , 19... INSTRUCTIONS a. Tins apphcation must be completely filled m by typewriter or in ~nk and submitted to rite Budding Inspector, w~th 2 sets of plans, accurate plot plan to ~cale Fee according to schedule b. Plot plan showing location iof lot and of buddings on premises, relahonsinp to adjoining premises or pubhc street- or areas, and gxvmg a detmled descnptmn of layout of property must be drawn on the dmgmm winch is part of tins app~ cation. c. The work covered by tins al0phcation may not be commenced before issuance of Building Permit d. Upon approval of tins apph~ahon, the Bml&ng Inspector w~!l issued a Budding Permit to the apphcant Such permt, shall be kept on the premises avadable for inspection throughout the work. e. No bmldmg shall be occupied or used ~n whole or m part for any purpose whatever until a Certfficate of Occupancy shall have been granted by the Builchng Inspector APPLICATION IS HEREBY MADE to the Braiding Department for the issuance of a Bml&ng Permit pursuant to the Bmldmg Zone Or&nance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the construchon of buddings, add,boris or alterahons, or for removal or demolition, as hereto described The apphcant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulahons, and to admit authorized inspectors on premises and m bmldmg for necessary ~nspecnons.£ ~ o, ,_ (Mailing address of apphcant) State whether apphcant ~s owner,I lessee, agent, arcintect, engineer, general contractor, electrician, plumber or bmlder ....... Name of owner of premises ~l~[ 0.'T.T t~, ~"~/~'b[O'~ ................................... (as on the tax roi1 or latest deed) If apphcant ~s a corpomtmn, s~gnature of duly authorized officer (Name and title of corporate officer) Builder's License No. Plumber's L~censeNo ....... Electncmn's L~cense No ,. r . Other Trade's License No ......... 1. Location of land on which proposed work wxll be done. House Number Street 2 County Tax Map No 1000Sectmn G-~$', O O. .. ](Name) Hamlet Block . .o qL.. ~ ~ ...... Lot . .I.~, Filed Map No. ~'~Pq.~.. Lot (~ . State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction a Exlstlng use and occupancy i~ ~,c~-e~&,~'~ .o~--7.1x.'~lPq ~,~OYeC[ .......... I b Intended use and occupancy . ~'~.~ ~ ~ c~'-vd;.'~tg. ~_'. .[ . mil7 t 3 Nature of work (checkwhl!h applicable) New Building ~.. . Addition ...... ~teratlon .... Repair ........ ~emoval . .... Demolition ........ Other Work (Descnp~n) 4. Estimated Cost *../~. O..C'CX Q O .......... Fee .................. ' (to be paid on filing this application) 5 If dwelling, number of dwelhng units ... I ...... 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. Dnnenmons of existing structures, if any. Front .. Rear ......... Depth ........ Height ......... Number of Stones ................................. Dunenmons of same structu[e with alterations or additions Front ......... Rear ......... Depth ........ [ .... He2ght .......... Number of Stories ................ , ! .~ t 9. t It Dimensions of entire new construction Front .. -F ~. . Rear . S ........... Depth . .4..(~ ...... Height .~ -~ { ..... Number of Stones . I .................................... 9. Sizeoflot Front .~.oq ~.~.~../~ . . Rear ~£(i(~.,Q, .......... Depth ,2~.~1.1~.~. ........ 10. Date of Purchase .~..¢,k~.~..~l.q~ .... Nag~eqfF. onnerOwnerl~eOe._~.~e~.d&t~t ........ I 1 Zone or use district in which premises are situated. 0 [~qa~gga~*.,.t,~ ................... 12. Does proposed construction violate any zoning law ordinance or regulahon .~¢S ................ 13 Will lot be regraded .~ o'. ........ Will exces~ fill be r~er~oved from premises' Yes 14 Name of Owner of premlses,~ [,.k-. OlT lq ~q~lt.O.~. Address .dJ~'~t ~l~e_~ ~J ,'~(, · Phone Nc(~'t0~..6.'~~. Name of Architect ................... Address ............ Phone No Name of Contractor .C2WN..~/? - ~ 0. Wiq~. ..... Address . P.m¢ ......... Phone No 15. Is this property located within 300 feet of a t~dal wetland? *Yes ..... No .~.., · If yes, Southold Town ITrustees Permit may be required. PLOT DIAGRA~ Locate clearly and distmctl.y all bmldmgs, whether exlstmg or proposed, and. indicate all set-back dunensions fro property hnes. Give street and block number or description according to deed, an~ show street names and indicate wheth mtenor or corner lot. -8. STATE OF NEW YORK, S S COUNTY OF ...... (Name of individual ~igmng contract) above named .... being duly sworn, deposes and says that he is the apphcm He is the ...... (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file application, that all statements contained m this application are true to the best of his knowledge and belief; and that ti work will be performed in the manner set forth m the apphcatlon filed therewith. Sworn to before me this ........ /.q ....... day' of ....... ,19 Notary Public ...... ~ ...... County _,_ la~ 47078 8. S~flelk Coudy Tram Exl~res Mamh 30,19..-2,.,./ I i Catapono now ~or formerly $olvatore I~ Jeanne I ~ o ' " 78~0' ~o, ,oI ~ - ~= Lot 9 ~ ~ I Area: 21448 sf J , ,,_ o ' Lot 8 N 85°35 50 ~, 0 ~ 16 70' ~ ~ o. = , pROPOS ~ ~ .... ~--- .ous~ ~j -. .. , SU~Y FOR ELLIOTT RAYNOR ~UFFOLK COUNTY DEPARTMENT OF H~LTH ~ PART OF LOT 9,"SOUTH AT SOUTHOLD DATE SEPT. 2, 1986 FOR APPROVAL OF CONSTRUCTION ONLY ~N ~ SOUTHOLD SCALE I"= 4o' SUFFO~ COUNTY, NEW ~RK NO 86-979 DATE -- HS REF, NO, ,,, DEPARTMENT F~ APPR~ C~STRUC T , YOUNG YOUNG ~vE.<,o, NEW ~RK NOTE l= MONUMENT ~ = ~AKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN WYOUNG~PROFESSIONAL ENGINEER SUFFOLK CQ, QN ~ULY [4~ 1~64 AS FiLE NO, ~96 AND ~ND SURVEYOR N Y.S UCENSE NO IZ845 HOWARD W YOUNG, LAND SURVEYOR ME ~ fl[~ ~TI~I ~ O~ DATA OITNKD F~ OTHERS nov/ )r {ormerl¥ Saivatore ~ Jeanne i ' I I , L0~ I01 ~ Area = 21448 sf I o Lot 8 N 8~.55'50"E. o RIGHT OF WAYff ~o' ~ --l~ Lot il ~' Z ~ , }l. / ,Z~~ ~~ ,.' ~'~ ' ~o~ , , E ,r,>3rds fo SU~ FOR SUFFOLK COUN~ DEPARTMENT OF H~m $~E~C~ ELLIOTT ~ PART OF LOT 9,"SOUTH HARBOR HOMES" AT SOUTHOLD O~E SEPT, 2, 1986 FO~ AP~OV~ OF CONSTEUCTION /fly: ,,,..o, DArE (~ ~ (~ SUFFO~ COUNTY, NEW ~RK NO 8e-eTs APPEOVED N~UTH~IZ[O ALTERATION OR AODITION ~ ' MCOPIE$ ~ ~m$ ~VEY NOT ~AR~G THE LAND H[~ DEPARTMENT-DATA F~ A~R~ ~ C~STRUCT aND ~ HIS ~LF ~ THE TIT~E C~Y, aOV~N- ~'~"~// NOTE a= MONUMENT ~ = ~AKE ~ ~ RIVER~AD~ NE~ YORK SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ~OEN W ~UNG, PROFE~IONAL ENGINEER SUFFOLK CO, ON ~ULY 14~1~ AS FILE NO. ~96 AND ~ND SURVEYOR N Y.S, MCENSE NO IZ845 HOWARO W, YOUNG~ LAND SURVEYOR , ,(:;C5?ANC¥ OR ~lTHOLff CEffi'EICKI'E OF OCCU?~NC¥ ~J~PROVED A~ NOTED 7]¸ c