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Home My WebLink About15169-zTO~VN 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) Ne 15169 Z Permmslon ~s hereby granted to' .~.~...,S.....~~......'~.... ~~....~.,...ff..,....t..,,.,~. ~./ ..... ~ ...~ ....... ~.....~ ..... ~.. . ~..,..~....~~ ................ = ................ :. ................ ~ ............. ~, ~,,~,,~, ~,,~ ,, ~.¢...~...~...~.. a ~.~./S~.~..~,......%3~ pursuant to apphcatJon dated ... ~'~l'~'~'''~. I ......... 19.q~.(-~, and approved by the Budding Inspector Building Inspector Rev. :.~. iON DATE rlELD .~,S, FOUNDATION FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: N GRANGE ROAD NOTE · =MONUMENT MAP OF SUSOIVISION FILED IN THE OFFICE OF THE CLERK OF 8UFF,.CO. ON dULY 14, 1864 AS MAP NO. 4096 / / / SURVEY FOR JOHN S BUFFA 8~ HENRY P. FRIEOMAN LOT NO_ I OF "SOU~H HARBOR HOMES" SOUTHOLD--, GUARANTEED TO TOWN OF SOUTHOLD FOREMO~TABSTRACTINC CHICAGO TITLE I NSURJt~CF. CO. SUFF CO, N Y SCALE I"= 40' APR. 2_0, 1982 YOUNG ~ YOUNG PROFE$SIONC~.----'~NGINE. x.~A'q AND LAND SURVIEYO~t, N Y.~. LIC. NO 12845 EIVIERHEAD, T ·OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. D~sopproved a/c ........................................................... ................................ (Buddmg Inspector) Apphcat~on No APPLICATION FOR BUILDING PERMIT [ w~ OF ~oO~ou) INSTRUCTIONS a This apphcahon must be completely fdled m by typewriter or in ~nk and submitted in duphcate to the Buddmg Inspector. b Plot plan showing location of lot and of buildmgs on premmes, relahonsh~p to adio~nmg premmes or pubhc streets or areas, and gwJng a detaded description of layout of property must be drawn on the diagram which ~s part of th~s apphcahon c The work covered by th~s apphcahon may not be commenced before ~ssuance of BuHdmg Permit d Upon approval of this apphcahon, the Bulldmg Inspector wdl ~ssue a Building Permit to the apphcant Such permit shall be kept on the premmes available for Jnspectzon throughout the progress of the work e No budding shall be occupied or used ,n whole or m part for any purpose whatever until a Cerhficate of Occupancy shall have been granted by the Buddmg Inspector APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Buddmg Permit pursuant to the Buddmg Zone Ordnance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordnances or Regulations, for the construchon of buddmgs, add,hans or alterahons, or for removal or demolmon, as hereto described The applicant agrees to comply w~th all apphcable laws, ordinances, buddmg code, housmg code, and regulahons (S~gnature of opphcont, or nome, ~f a corporation) P:O..Box 105.4.. .S.o.u.l~¥to%c (Address of apphcont) State whether applicant ~s owner, lessee, agent, architect, engmeer, general contractor, eJectrtcion, plumber or budder ,p.(;.n. p F a 1 C o. n.t.r ~.p..t..o, r ........ Nome of owner of premises . J.o.,h.n .S, B,uff. a. ?n..d. Henr~ P. Frzedman ... If opphcant is a corporate, s~gnature of duly authorized officer (Name and t,tle of corporate officer) ~ -/-~ 1 Locahon of land on which proposed work wdl be done Map No ~4096 ' Lot No 2 Street and Number .S..o..u.~h. p.~.b, pF..~o.m..e..s....~..0, g~.~.~,e' Rd.....a~.cL.~B~yv;m~ .~., ........ .SqUt. hn].f[ . . Mun,c~pahty 2 State existmg use and occupancy of prem,ses and ~ntended use and occupancy of proposed construchon a Existing use and occupancy .......... .P.r~..v. Rt..e 1 .~aD.z.~y .h.o.m..e ..................................... b Intended use and occupancy Same (wzth closed zn porch Repal r Removal Estimated Cost 102Oq. 0,OO, dr.. 3 Nature of work (check which appllcable) New Building Addmon X Alteration . . Demoht~on Other Work (Describe) 4 .. Fee (to be pa,d 'on' f,'l,n~ t~,s oppi',~at,on) · Number of dwelhng umts on each floor ... 5 If dwelhng, number of dwellmg umts If garage, number of cars ................. D~mens~ons of same structure with alterations or oddmons Front Depth ........... Height . . . Number of Stories . 8 Dlmerj~,nJ, of ~lre new construction Front ............. Rear Height .. Number of Stones ................... 9~ '~ze'~ lot Front Z~.0,5.9. Rear 1,89.1,1, Depth 10~-Oate of Purchase ~-:20.782 Name of Former Owner 11 Zone or use &strict ~n which premises are mtuated ..... 12 Does proposed construction wolate any zonmg law~ ordinance or reflulat~on~ ~enry P. Frzed-man 13 Name of Owner of premmes]ghn ~, 1~t~£~ e.~¢ Address Sour:haiti Name of Arch,tect Penny Lumber Address DzmmnporZ Name of Contracto~eorg.e..S, ~aqe~ Address M~,D, Box lOS~ If busmess, commercial or m~xed occupancy, specify nature and extent of each h/pe of use D~menmons of exmtmg structures, ~f any Front ....... Rear ........... Depth Height ............ Number of Stones ................................................... Rear Depth .. Phone No · Phone No 47Z-0400 Sau~hall~nod',k:No 7~-Z722 PLOT DIAGRAM Locate clearly and dmt~nctly all buddmgs, whether exmtmg or proposed, and red,cate all set-back d~menmons fro~ property hnes Gwe street and block number or description accordmg to deed, and show street names and red,cat whether mtenor or corner lot Buzld over exzstzng rear patxo and enlarge to 13-6" X29-4" STATE OF NEW YORK, COUNTY OF bemg duly sworn, deposes and says that he ~s the apphca, (Nam~ of individual signing application) above named He ~s the ............................................. (Contractor, agent, corporate officer, ~tc ) of sa~d owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and f~ thru apphcat~on, that alt statements contained in th~s apphcat,on are,,fl'ue to the best of h~s knowledge and belief, ar that the work will be performed m the manner set forth ~n the apphcc~o~ filed therewith m Sworn to before me this ~. ~-' 1;o'~ // //,~