The URL can be used to link to this page

Home My WebLink About16479-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PRF_MISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~---. ~ ~ . '~. ...................... .~..~.~.~.!.~ .............. '.~ .............................. .......... LT~'~'""'. '~""- . ot premises Iocoted ot ...~,.[.~.'.~.~......~...~....~....~.~....~.:....~ .... County Tax Map No. I000 Section ...... ..O...~..~ ...... Block ....... ..~....1 ........ Lot No ...... ..~...~. ........... pursuant to application dated .~.~....L?...~. ....... , 19..~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Approve~.~..~-,3,., 19g.?. Permit No. [.~..~..~.~.k Disapproved a/c ................................ /CD) ,. (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... 'row~ O~,'~OUmOLO Date ...S.?.p.~..2.3.., ...... , 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 building shall be occupied or used in whole or in part 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 tho construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, hou.sing code, and regulations, and to · 'Mmit authorized inspectors on premises and in building for necessary inspections. //~ ~ u.~~ (Signature of applicant, or name, if a corporation) Garrett A. Strang, R.A. ?. ,9, .~.o.x...~ .4.% 2. ,..s.o.u..~b.o.~.4..~.e~ .¥.or.k. ~..~ .9.7. !. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................... &r¢l~i~ec.% .............................................................. Name of owner of premises ...M.r... i~...M.r.s.....P.e.~. 9.r' .~a..c.q.u?.s. ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duiy authorized officer. (Name and title of corporate officer) Builder's License No .... .Ng.[ . S..e.l.e,c..'9.e.d. ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No Location oflandon which proposed work willbedone .................................................. I/1 ~ 5~ ~y~ ~4 ........ '...~9~hq~¢, House Number Street Hamlet County Tax Map No. 1000 Section ....... 8.8 ......... Block ..... .0.1 ........... Lot .... (18 ............. Subdivision ..................................... Fi!ed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy,~o£proposed construction: a. Existing use and occupancy Re .s idenc.e with ltoCp;'Q;q~j*t?~.%o,,R. b. Intended use and occupancy ............. $ CP,~ .................................................. 3. Nature of work (cheek whit pplicable). New Building .......... Addmon .... x .... Alteration .......... , Repair .............. Removal .............. Demolition .............. Other Work .............. (Description) 10,000 O0 Fee " 4 Estimated Cost : .......... ~ i ';' (to be paid on filing this application) of dwelling units on e Number of dwelling units on each floor ................ 5. If dwelling, number ............... number of cars ; ' ' ..... If garage, · · · ............................................................... 6. If business, 0ommer~c~ial 9r mi~ed occupancy, specify nature and extent of each type of use .................... 7. Dimensions'6f ~xlsti~tstruct res, if any: Front .... 8 0 ' u,,~ B O' Depth ...4.0.'. '~ . ~ ~ ' ~. Number of Stories ............ Hei ht . 2.2. one .................. g ..... .......... Dimerj~ojubahs~e structurel with alterat:ons or additions. Front ................. Rear ............. De~ '~..U.~,..~.... ~; ,i .... i ....Height ..... 3.2. '. ............. Number of Stories ........ q.n.~ .......... .. 8. Dim.enslon~s~.of 61tti~gla0W construction. Front ............... Rear ............... Depth ............ 9; Slz~oflot: Ieront ~.~.~.~.~? · ' ., . ...., ............. ~ear .................................... ' ' Name of Former Owner ~o~7~:.cl T~[~r.y. 10 Dat~ of Purchase ; · · Zone or use district in which ipremises are situated.,.~.- . .................. 11, 12. Does proposed construction Violate any zoning law, : .np. 1 3. Will lot be regraded ...... + .............. 14. Name of Owner of premises ;..~, ,a?,clu, .~,a ....... ~ .... g A..t. hil.,nt Garre~t A. Stran~ Not selected Name of Contractor ...... , ·.., ............. ordinance or regulation: ....... r~ ....................... .... Will excess fill be removed from premises: Yes Nc Address Southold ' ...PhoneNo. 7,~,7,~0,~ a%'G&'fd ........... Address ... Phone No. 765-5455 Address Phone No ' ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro, property lines. Give street and bldck number or description according to deed, and show street names and indicate whethe: interior or corner lot. SEE ATTACHED STATE OF NEW YORK, ' S.$ 2OUNTY OF ....... Su£fo lk.. Garrett A. Strahg being duly sworn deposes and says that he is the appliea: (Name of individual signing contract) d~ove named. , I Architect te is the ....................................................................................... (Contractor, agent, corporate officer, etc.) ,. ff said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ~pplication; that all statements icontained in this application are true to the best of his knowledge and belief; and that~ york will be performed in the manner set forth in the application filed therewith· worn to before me this · TA , PUBLIC..t.',t¢ o New YO~ U 4otary Pubhc, ....... ~C}...~, P.~,. u~0~ .......... Co nty ~Jel fled i~ Solfolk ~Qo~tY (Signature of appliq~