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Home My WebLink About13969-zF1ELD INS['ECTION FOUNDATION (1st) FOUNDATION 2. COMMENTS ROUGH FRAME & FLUMBING (2nd) INSULATION ?ER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: FOF~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13969 Z Permission is hereby granted to: ~,~. ...~.~.~ ......................... .~.: ............. ~~ ~._. / .~. ........................................... ~. ......... /...~...V../ ..... o, ~,,~,o~o~ o~ .~.~ ..~.. ......... ~~ ...... County Tax Map No. 1000 Section ........ L.I...-] ....... Block ........ .~ .......... Lot No .....[..~..:.J ......... pursuant to application dated ........... ..~..~..[.~. ................... , 19..~..~.[.'~, and approved by the Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/80 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .~?.~. ~- ,19 .~.f Approved i .~.~.~[ i;, 19~..~. Permit No..J. -~. ~.~..'~. · Disapproved a/c ..................................... ............................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date .... 1~I~¥..17.,. ,l.9..~ 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 hall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 7he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary i~.c~tions;/T) 2// ' ~ame, if a corporation) .o.u ho;t. cl,. N...Y. ...... (Mailing address of applicant)- :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Oene~,al Con~;~act;o~' ~lame of owner of premises Lil Max Ltd. (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~.b~ ..... 7/~.3/Obr ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... $, ~ ~ Location of land on which proposed work will be done.....~ l~ll~.8~; J~tileOO.~ ........................... ........................................................ ~eW..Stlffolk,. N...Y .................. House Number Street Hamlet County Tax Map NO. 1000 Section ...... I .t..~ ....... Block ....... ~. ......... Lot ..... [.q.'. 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 ........... Re S'O!a.l~.21;l~; .............................................. b. Intended use and occupancy .......... .R.o..s .~.u.v.a..n.t....~V.]. 9 3. Nature of work (check which applicable): New Building .......... 'Addition .......... Alteration .X ........ Repair .............. Kemoval ............ Demolition{ .............. Other Work ............... ~I ~ ~ ~1~ ' i (Description) 4. Estimated Cost .~.13,,0Q0. Fee ........ ~i '~ (to be paid on filing this application) 5. If dwelling, number of d~velling units ............... 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 . ]~.o.s.t} .a.u.~.a.B.g ....... 7. Dimensions of existing structuies, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dimensions of same structure with alterations or additions: Front I~OZ'..Dval~,&ng s... Rear ................. Depth ................... i... Height ...................... Number of Stories ..................... --~ 8. Dimensions of entire new construction: Front PeI' I)~awin~s Rear Depth Helgh~ Number of Stories 9. Sizeoflot: Front ..................... Rear ...................... Depth ...................... 10. Date of Purchase ....19/.~. ................... Name of Former Owner . P..~9.5.1.3-. 9~..R.o. ggi.@ .......... 11. Zone or use district in which premises are situated ...... I~'08 ~-~o. ~ g ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...NO .......................... 13. Will lot be regraded ..... I~orlo .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . l~il .Iflax .Ltfl~ ..... Address .7.2~. ~1.85. $.t;~.eo$.. Phone No. 73k-.666k.. Name of Architect .. ~..~0~..S~l?{arlg ......... Address . .~gU.~.h.(~-~l ........ Phone No. 7.~.~.'.~.. Name of Contractor .~ ....... ~. Address ~. ~:l, glclv.o.qc~. ~t!~ Phone No. 7.6.5-.9293 ..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, couNTy OF.. SB~.fQlk.. S.S .................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing cohtract) above named. He is the . ~ ............................................................................ [ . (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 this application; that all statements contained jn this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .......... ;1.7.'~1~ ......... day o:f ..... ~Y ............. 19 .~.~{ Notary Public ............. "~ ,} 2 ~ .... C°unty~~.~ HOTARY P~I_IC, State of ~ew Yo~ ' ' (Signature of applicant) No, ~707878, Suffolk Tern [x~es ~rch 30. ~ NOTED BY: 765 1802 9 AM TO 4 PM FOR THE 1'. FOUNnATION - TWO REQUIRED ~( 2. ROUGH FRAMING,. PLUMBING /\ 4, FIN r'iA ~ Cq ,:'fTm,,.J,~TI3N MUST ,/%,, ~ I ~ ~ ~ Il ~~: . / ~ ' GARRE Main Road :TT A. STRANG architect P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 PROJECT ~IgDATESCALEA '~aDRAWN~$./By 'TN ~ ~" It~"~ ~*' ~: .:/4 ,~l! L REVISED