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Home My WebLink About14510-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEI~MIT (THIS PEP, MIT MUST BI= KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 14~10 Z Permission is hereb/granted to: .~.,~.~...~.,.~.~...~.~..%~:sl~ ~. ....G~.....~..~. ............................................. .... H. Atr~.~o..c..k......-...~.;~.. ....... ..~.~.~~o..~..=.~s..~z..~ ....... C~......~.~ .......... 0, ~m,~, ,~,ed ~, ..~.~.~..~.b~.. ~....%.~..~o ......................... ...................................... ~. ..................................................................... ~m~o....=.~:~.. County Tax Map No. 1000 Section ...~}.~....~.. ....... Block .... .~....~.. ........ Lot No...,0....~...(~...:..I ...... pursuant to application dated ~.0..~. ~..,..Z...~. ....................... , 19~..~nd approved by the Building Inspector. ~e * ....... :~.%=:.... ~=~° ° ~ { ~'~C~ ............. , Building Irss~ctor ............... Rev, 6/30/80 FIELD IN~PECT~ION FOUNDATION (1st) FOUNDATION (2nd/ ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY 4 o FINAL ADDITIONAL COMMENTS: gO~~ SURV£¥ FOR AT $OUTHOI. O TOWN OF ~OUTHO£D SUFFOLK COUNT~ SCALE' I"~ 30' ~/0/F SURVEY FOR CHARLES URIBE' TOWN OF SUFFOLK COUHTY, SCALE' I"~ 30' ' eUA~ANTEED TO LAND Approved . .~. t' ~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 1 ~... Permit No.. ?..~.~.?;.~...~ , TOWN OF~OU-mOLO~ Received ........... , 9... APPLICATION FOR BUILDING PERMIT Date Nov. 20 198.5. INSTRUCTIONS a. Tkis 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 thronghout 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 Btflding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit attthorized inspectors on premises and in btfilding for necessa~ inspections. Wickham, Wickham & Brossler, P.C. · ' ' ~t:b~:h&¥W J~bi:' Ch',ifil§' U~ib~,' OWh&l" ': ...... t~gnarure ot apphcanr, or name, wa corporatwn) Box. 1424,. Mattituck,. N.Y. 11952 ................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................. Attorney. for. owner ................................................ Name of owner of premises ....... CHARLES. IJRIBE ...................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ~5/ z/~ Location of land on which proposed work will be done.., i~]:g .Co. rs~er. }lo.b2uc. t. Av~.. ar~& Ko.rr~ Md,... $.o.t~tko2.d.. .......... _ _~.~>~>Hobar.t. Road .................................... $onl:hold ........................ House Number Street Hamlet County Tax Map No. I000 Section ..dg .............. Block ..... ~t ............ Lot..i.0. j. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... Single .family. .residence ,and .gar:age. .............................. b. Intended use and occupancy .... Same, .with .awimming..llC~o.l ~ .fqnqe..a.n.d..d.e. qk. ;..s.h.e.d..t.q .b.c..r.e.m. qv.e.d...... ~] ~epair ............. '.~ Removal .............. Demolition .. ~N ......... Other Work ............. ,t! - :;¢ ~ ' '1~ : i .... ,~.~, (Description) 4 l~ltgstimated Cost $20[i~00~ . Fee ?~./.~. ?. ~ ~"~-. ~ ' (to be paid on filing this application) 5.~..If d~llttt~f~)~[4~':'dwellin~ units ...1 ........... 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. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure ~ith alterations or additions: Front ................. Rear .................. Depth .................. ~ Height Number of St ties 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Nu~nber of Stories ........................................................ Size of lot: Front ...110 .... i ............ Rear .... 141 ............... Depth .... 180 .~veI;oge ....... Date of Purchase ...June .28i, ·1984 ............. Name of Former Owner . .Charle~ .l~¢ycr .............. Zone or use district in which premises are situated A Does proposed construction violate any zoning law, ordinance or regulation: ...Ne ........................... Will lot be regraded 2,Io ..... ~ .................... Will excess fill be removed from premises: X~ No ' Name of Owner of premises Ch~las. ~iba ....... Addresstg§. gob~l;1;, gqt, $o~tl;bpl~one No ................ Name of Architect .Maur:tce[.Bruel; .... Address, il W 42 St~ NYC 1003~hana 1qn212-787-7241 Name of Contractor .Ne±aah 'i .................. Address ................... Phone Nog ~¢:-I~,~$DQ .... 10. 11. 12. 13. 14. 'i l,ocate clearly and distinctly al property lines. Give street and bloc} interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether Please lsat attached sketch. STATE OF NEW YORK, COUNTY OF. ,S .U~.F9.1.k ......... .................. Abigail .A,i.Wickham ............. being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named . He is the ..................... i ...... Ai;~oxney .................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to [amffmmax~ttm~lae~ik~ltiik~x~ta make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the~ work will be performed in the mannsr set forth ~n the application filed therewith·, based upon the representat±ons Sworn to before me this of th!e owner. N tary Public, ~ .,{~. '..~..~ ................. County ROUGH - FINAL ' LL coN~U~' OF THE N. - ~ATE CON~U~oNSIDL~