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HomeMy WebLinkAbout15170-zTO%VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER,AlT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF' THE WORK AUTHORIZED) N©. 15170 Z County Tax Map No ,000 Sect,on . ~.....~.. Block. ..... .~...~w.. ........ Lot No ..... t.3.,..I pursuant to apphcat,on dated .,. ~ ~,~,~T~ , ~ .... , ]9.~..~, ond approved by the Budding Inspector Rev 6/30~BO FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: RODERICK VAN TUYL, P,C. LICEN~D LAND ~URVEYO~'~ GREENPORT NEW YO~K SUFFOLK CO HEAL'fH DEPT APP.RovA~. H 5 NO THE WATER SUPPL V AND SEWAOE DiSPOSAl SYSTEMS FOR THIS RESIDENCE WILt CONFORM TO THE STANDARDS OF TH: SUFFOLK CO DEP~ OF HEALfH ~RV[CES APPLICANT SUFFOLK COUNTY SERVICES FOR CONSTRUCTION ONlY DATE OEPT OF HEALT{ APPROVAL OF h S REF NO APPROVED SUFFOLK CO TAX MAP DESJONATION DIST SECT BLOCK PCL OWNERS ~DDRES~ DEED L p ' TEST HOLE "] S'rA,~AP SEAL F . FIUTHFILD OFFICE ,OF I~plLDINB INSPECTOR ~ Y~P,L'J Date September 8, 1986 Mr. A. Barton Cass Commissioner ofPubhcWorks Suffolk County Yaphank Ave, Yaphank, N. Y In accordance with Section 239K of the General Municipal Law of the consohdated Laws of the State of New York, thru is to notify the Commis- sioner of Pubhc Works of the County of Suffolk that .....C..:.....B..e,[.?.~,...].n...d...,.J.. c/o 930 01e Ju!.e. Lane, Matt~tuck, NY 11952 has applied to the Town of Southold for a permit to construct 2 buddings h. o d 1000-55-02-18.1 as shown on the attached plot plan, submitted in triplicate, dated ................ ..~.N.~=v ...!.2.,....1. ~..~.z~ ........... and titled .....J..qh.~L.P.,..,.F~.~.fl.].$k:L..&..£.~:.~.$ e r We shall withhold further ochon on this application for ten days or as otherwise provided in the aforementioned Section 239K. 10/1/86-APPROVED-to the Town of Southold purst%~nt to Section 239K of the General Municipal Law very truly subject to the stated conditions: As per revisions & comments in red. A Permit is required pursuant to Section 136 of the Highway Law. S.C. DEPT. OF PUBLIC WORKS A. BARTON CASS, CO~SIONER cT ~o~_~t CHIEF ENGINEER Building Inspector Town of Southold, N. Y. Kowal ski , Berry, Jr. TOWN OF' -~DUTHOLD OFFIOE OF BUILDINB INE~PECTOR TOWN OLERK'S OFFICE Mr. A. Barton Cass Commissioner of Public Works Suffolk County Yaphank Ave, Yaphank, N. Y. Date September 8, 1986 I~or S~r: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this Is to notify the Commis- sioner of Public Works of the County of Suffolk that .....C..:.....B..e..r...r.y......a..n...d....J... ................. has apphed to the Town of Southold for a permit to construct 2 buildings ~ ~e~.t`b~.td~.f.~.~.E~.~.(~.s.~.~.u..t.~.h..~.]~(~T..~..w..n.~.~...f.~.s...~.?.~.~.~ o ] d as shown on the attached plot plan, submitted in triplicate, dated ................ ............................................ and titled .............................. .; ........ .~ ................. We shall withhold further action on this apphcation for ten days or as otherwise provlded in the aforementioned Section 239K Very truly yours, Building Inspector Town of Southold, N. Y. Kowalsk~, Examined _~ .t~.~. Approved . .~...O~'. Dtsapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.. 765-1802 "-- , 19~{' Permit No Received ........... ,19... (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date August 2 19 86 INSTRUCTIONS a TI-as apphcatmn must be completely filled m by Wpewnter or m ink and submltted to the Bufldmg Inspector, wzth 3 sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relattonsh~p to adjoining premises or pubhc streets or areas, and g~vmg a detmled descnphon of layout of property must be drawn on the d~agram whmh ~s part of thts appli; canon. c. The work covered by ttus apphcanon may not be commenced before ~ssuance of Building Permit. d. Upon approval of thru apphcat~on, the Budding Inspector will ~ssued a Budding Permit to the apphcant Such permit shall be kept on the premmes available for mspectmn throughout the work. e. No buildmg shall be occupied or used ~n whole or m part for any purpose whatever unt~l a Certfficate of Occupancy shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmldmg Permit pursuant to the Budding Zone Ordmance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulatmns, for the construchon of buddings, add,hens or alteratmns, or for removal or demohtmn, as herem described. The apphcant agrees to comply w~th all apphcable laws, ordinances, budding code, housing code, and regulatmns, and to admit authorized ~nspectors on premises and m budding for necessa~ i~pect~on~, /A i ,O/~ ............... J-(S~gnature of apphcant, or name, ff a corporatmn) (Mmhng address of apphcant) State whether apphcant 2s owner, lessee, agent, archztect, en~neer, general contractor, electncmn, plumber or budder. ...... co~o~eP Nameofownerofprem~ses .Chest..er B. erry, Or. qOO JQbP .P...~ow. alsK~ ................. (as on the tax roi1 or latest deed) If apphcant is a corporatxon, s~gnature of duly authorized officer (Name and t~tle of corporate officer) Braider's License No. Plumber's L~cense No G~o. ~?ry Electnczan's L~cense No R. Re] Other Trade's L~cense No Locatmn of land on which proposed work wzll be done ...... q.6.o..z.s."' ...... ..... ...... House Number Street Hamlet County Tax Map No 1000 SecUon 5 5 Block . 2 ..... Lot . ).8 ..1 2 Sub&wsmn .. Fded Map No Lot ....... (N'ame) State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction a Ex~st~ng use and occupancy vacant land.~"B.-.!'~ Gene. r.al. Business Zone ...... b Intended use and occupancy .Bujld~.n9 .#2...- .c.omm.erq!a. 1/bus.].nfl{s.:gf~.ic.es.. ............. 3. Nature of work (check which apphcable). New Budding X X .... Addition .. Alteration Repair ........ Removal ...... Demolmon ...... Other Work .......... (Description) 4. Estimated Cost ....................... Fee .......................... ' (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... Number of dwelling units on each floor - 0 - If garage, number of cars ............................................ 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use . B 7.1..p.r..o ~fe s .s. l~ .o.n.a.l~ r on~ 'a'c'~;or OT 7, Dimensions of existing structures, if any. Front ............. Rear ............. ~ept~ .......... Height ......... Number of Stones ............................. Dunenslons of same structure with alterations or additions Front ..... Rear Depth ............ Height ................ Number of Stones ................ -- $. Dimensions of entire new construction Front ........ Rear ......... Depth ............ Height ...... Number of Stones 9 Size of lot Front .......... Rear ............. Depth ............. 10. Date of Purchase ............. Name of Former Owner ...................... 11 Zone or use district m which premises are situated, B-, ] .Goner.al Bu.s.i~es_s, ...................... 12 Does proposed construction violate any zoning law, ordinance or regulation' . ......... 13. Will lot be regraded .................... Will excess fill be removed from premises· Yes N, 14. Name of Owner of prem~ses .l{0wal~g~ & Be~'.r.~Address ...[,latl;l:l.tqqk ...PhoneNo. 2.9~-.59fi~ .... Name of Architect .................. Address .......... Phone No ............ Name of Contractor .0wna.r.s ......... Address ......... Phone No ........... 15. Is this property located wlthln 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permzt maybe required. PLOW DIAGRAM Locate clearly and d~stmctly all buildings, whether exmtmg or proposed, and ~ndlcate all set-back dimenmons fro~ property hnes. Give street and block number or descnpt~on according to deed, and show street names and indicate wheth( mtenor or coruer lot See attached site plan, Planning Board approved August resolution of / /1984. See attached architect's building and floor plans. Building S~ze and Style same as Building #1 3, 1984, STATE OF NEW YORK, COUNTY OF S. U F F.Q l~ Ii . S S ...... OOH~ P.. I~OWALS~I. (Name of individual sigmng contract) above named being duly sworn, deposes and says that he is the apphc; Hem the ...... Co.-Qwner ....... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file t application, that all statements contmned in fins apphcahon are true to the best ofh~s knowledge and belief, and that work will be performed in the manner set forth m the apphcation filed therewith. Sworn to before me this ............. dayof Au§ust 19 86 Notary Pubhc .......................... County ~ -=. ......... / (Signature of apphc.