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Home My WebLink About26681-zPERMIT NO. TOWN 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) 26681 Z e JULY 27, 2000 Permission is hereby granted to: for : STEPHEN MOEC~K 1525 AQUAVI'EW AVE EAST MARION,NY 11939 CONSTRUCTION OF A NEW SINGT.E FAMILY DWELLING WITH COVERED FRONT PORCH AND COVERED SIDE PORCH AS APPLIED FOR. ,/ at premises located at ,,' 1460 HILLCREST DR County Tax Map No. 473889 Section 013 pursuant to applica~tion dated JUNE Building Inspector. Fee $ . 61.8o Rev. 2/19/98 ORIENT Block 0002 Lot No. 008.024 1, 2000 and approved by the Authorize~Signatu~~e ORIGINAL STATE OF NEW YORK ) ) COUNTY OF SUFFOLK ) SS.: /~/~ ,~ ,~,,~ .~ ~/(~,,,-/./~-, being duly sworn, deposes and says: That deponent is over the age of 18 years, and resides at That on the 2_,¢ day of ~ ~ / )2000 deponent, being the ~engineer, licensed by the State of New York, hereby states that ~];rhe accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR). Architect/Engineer Sworn to before me this zooo 2~J,-~/day of /t'lo.-~/ i999. Notary Public BRIAN R REILLY Nolaqf Public, State of New York No. 01 RE5039554 Qualified in Suffolk County . ~-a~olmlssion Expires February 21, 20 o_.L./ cc: applicant II FOUNDAT ION ( 2ND ) " II [I ir II ROUCH FRAME & II J[ 1[ I[ PLUMBING II II ' ' II INSULATION PER N. Y. STATE ENERGY II II II II 11 II II ~1. IIII II ........ ][ ....... II II II II ~ II II II II II II II II II II II II II ADDITIONAL COMMENTS: STATE OF NEW YORK ) ) COUNTY OF SUFFOLK ) SS.: ,,7"/~ ¢ ,~¢,~ .~- ~,/f:~/,.,/~f,.-, being duly sworn, deposes and says: That deponent is over the age of 18 years, and resides at Thatonthe 2.'¢dayof ,'~1,~? .~2~¢Odeponent, beingthe ~engineer, licensed by the State of New York, hereby states that accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR). Ar'~hitect/Engineer Sworn to before me this 2.,4,¥/day of /-dc,.. ~ -i 999., Notary Public BRIAN R REILLY NO~"F Public, State of New York No. 0~ RE5039534 Qualified in Suffolk County Cor~mi'ssion Expires February 21, 20.0/'_ cc: applicant I TOWN_OF SOUTIqOLD · FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197 ! TEL: 765-1802 BOABD .......... S TS Of , NS ..'5. ............. SURVEY ........................ caEcz . ..... ............. SEPTIC FORM ................ NOTIFY: MAIL TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................ , 20 .... a. 'Ibis application rmmt be e~npletely filled in by typewriter or in ink and submitted to the Suilding Inspector wi 3 sets of plans, ~:curate plot plan to scale. Fee according to schedule. b. Plot plan shoaing location of lot and of buildings on premises, relationship to ~djoining premises or public · streots or areas, and giving a detailed description of layout of property mast be drawn on the diagran which is part of this application. :c. The ~ork covered by this application my not be cc~neoced before issuance of Building Permit. ~d, Upan approval of this application, the Building Inspector will issue a l~ilding Pemit to the applicant. Such permit shall be.kept on the lm-=mises 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. APPLICATI(~; IS H/I~BY ~ to the Building l)epara,,~ut for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the To~n of Soathold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatiocm, for the construction of buildings, additions or alterations, or for r~uoval or demolition, as herein described. The applicant agrees to o'~ly with all applicable l~as, ordij~es,~lding code, housing code, and regulations, and to admit authorized inspectors on pr~nlses and in ~i~~spections. (SignatUre of dpplicant, or naue, if a corporation) (Mailing ~ldress of applicant) State ~mther applicant is owner, lessee, agent, architect, engineer,' general contractor, electrician, pltmber or builder ....... ........................................................................................ of o e, of pr ses .... .... .m.O.?..c.f.. ............................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builders License No .......................... Plt~nbers License No .......................... Electrici~n.~ License No ...................... Other Trato's License No ..................... I. I~cation of land on which proposed work will be done .............................................................. Nouse Nt~ber Street Hanlet County Tax mp No. I000 Section /3 Block ~ f2 lot ~, W '~- Subdi, ision .~.~.P..?f..~./~.C~..~.~..~...~.~../r~.~.~S..~.~..c-.{..-- Filed Map No.. '..7.~../..~. ...... lot .2..~_.. .......... 2. State existing tree and occapaney of premises and intended use and eeeupancy of proposed construction: - ~Z~ ~ / z-- o / ~t/' G- /-07' .......................... a. Existing use and occupancy ................................................... b. Intended use and oncupaney ............ r ............................................................... Nmture of work (d~eck which applicable): New tkJilding..........w'" Addition .......... Alteration .......... Repair ............ Renoval ............. Demolition ............ Oflmr Work .................................. .(Description) Estimated Cost . .~...~.O/..~....: ............ fee .............................................. (to be paid on filing this application) If &~lling, r~N~er of d~elling ~mits ...[. ....... N~,nber of &~elling trolls on each floor ..~ ....... If garage, ntmi~er of cars ... If DJsiness, ccrarercial or mi~ed occ~rpancy, specify nature and extent of ead~ type of use ..... ~ ............ Dimensions of existing strnetnres, if any: Front ....... ...¢77'....... Rear ..... ..~...'~... Depth .....~-;~/... ........ tleight .............. ~ ...... Nml~er of Stories ...... ~ ......... Dimensions of SaTe strtmture with alterations or additions: Front .... ~..:C] ..... Rear .... ..<'L~..[ ...... Depth ................. <... Belght ....... ..-~..- ......... ht3nber of Stories ....,-';~...] ...... Dimensioos of entire new construction: Front ..-~..~ / '/ ~?, d ('-irma, .'70 ........ Rear .. '~fi..: .iff. ...... Depth .......... ' ..... ' ......................... Nt~r~)er of ~torles". ......... ;~. ~. ....... Size of lot: Front .../~.:.o?~. ........ Rear .?./..~.7.,.'.7.~. ........ Depth ~"~' g~(./r~,~ ) Zone or use district in which preralses are s~tuated ....... .,~f.~.O ................................................ Does proposed construction violate any zoning la~, ordinance or regulation: .. ~ .................. Will lot be regrnded ..../~.~. .............. Will excess fill be rem~ed from pn~nises: ~IES .......................... ~ ,e~/;/f/0/~ .................... Nsme o[ Architect .................................... Address .............................. Pt~ne No ............... Name of Cxmtractor ................................... A~dress ............................... H~me No.. Is Ehis property within 3GO feet of a tidal ~tlaix]? ;r ~ .......... ~. ......... PI,OT DIAGRAM [~cate clearly amd distinctly all Imildings, whetimr ex, sting or proposed, and indicate all set-back dimensions property lines. G~ve street and blnek ntml~r or description according to deed, and show street hanes am] ~ndicate ~ether interior or corner lot. TA'IE Glt 1~ SS CIIN lY (I7 ....................... .... .~.i.T-..Jf~.F.../~..~...~. .... .~..O. ~..C../~ ..................... being duly soon,, deposes and ,says that he i.s tl~ applicant Name of individual, signing contract) bore ia t,,e ... O..W.. ................................................................. (contractor, agent, corporate officer, etc.) f ..~. xd .o~er or owners, ar~l xs &fly authort~=d to perform or have perfor~d tim said ~ork m~.l to make and file this ppl.~catlm~; that al1. statements contatned tn th~s application are true to the best of his knowledge ami beliefi and hat the ~ork will be perfonred in tim maturer set forth in the application filed therewith. ~rn to before me this ...... /d-~.'. ..... day o f ~,,.'7~c5.~ ......... }.2.0...0~.... Notary 15~1ic ..... LINDA J; COOP] ~ Notarv Public, State of New York No. 4822563, Sul~olk County - Term Expires December 3% ~ HILL cREST DRivE NOR~~~TH ! ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA TION ~z0'~'.~7'~77~09 OF TIlE NEVi YORK STATE EDUCA ~'E~j ~_ ~CTION 7BOg-SUnDrY/SION 2, ALL The /ocolJons of we/Is end cesspools shown hereon ore from field observo/Jons ond or from dolo oblcllned from o/hers. AREA = 40.000 scl. ft. SURVEY OF PROPERTY A T ORIENT TO.WN OF SOUTHOLD SUFFOLK COUNTY, N K 1000.- 13 - 02 - 8.24 SCALE.. 1" = 40' FEB. 5, 1998 NO TE~ L 0 T NUMBERS REFER TO ' SUBDIVISION "MAP OF HILL CREST ESTATES, SECTION I" FILED AUG, 15, 1985 FILE NO. 7218 I om fomil/or with lhe STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will ob/de by /he condillons se/ forth /herein and on /he permit to con$trucl. SUFFOLK COUNTY DEPARTMENT OF HEALTH sERVI~ PERMIT FOR APPROVAL OF CONSTRUCTION FOR SINGLE FAI~/!LY KF.,SIDENCE ONLY jEXCAVATION INSPECTION REQUIRED I FOR SANITARY SYST,~M J BY HEALTH.D~E.P~