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
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