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HomeMy WebLinkAbout26388-zFORM NO. 3 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) PERMIT NO. 26388 Z Date MARCH 13~ 2000 Permission is hereby granted to: PATRICK LONIESKI 315 GREEN WAY CUTCHOGUE~NY 11935 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE~ FRONT STOOP & REAR DECK AS APPLIED FOR. at premises located at 315 GREEN WAY County Tax Map No. 473889 Section 109 pursuant to application dated FEBRUARY Building Inspector. CUTCHOGUE Block 0005 Lot No. 014.023 23, 2000 and approved by the Fee $ 759.80 Authori~ S lgnatfre Rev. 2/19/98 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 a-~ day of .¢~-/~,~/k.-7 / ,1999, deponent, being the architectJengineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR). Sworn to before me this C~-~ day of 19-99.-,~ 00 O Notary Public ~j~ LAURA HOGAN NOTARY PUBLIC, State of New York No, 500961t Qualified m Suffolk Coun~ ~ ~ cc: applicant FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION ( IST) FOUNDATION (2ND) ADDITIONAL CO!~NTS: TONN OF SO1JTItOLD BUILDING DEPARTHENT TO~I ItALL $OUTHOLD, N.Y, 11971 TEL: 765- 1802 Disapproved a/c .................................. (Building In~i/e~tor) (/ SEPTIC FORtt ................... NOTIFY: CALL '. ........ HAIL TO: .................... APPLICATION FOR BUIlDInG PERHIT INSTRUCTIONS a. 'Ibis application ~st be c~apletely filled in by t~e~riCer or in ink and anl~irted to the Building Inspector w 3 sets of plans, accurate plot pIan [o ~cale. Fee ~ording to schedule. b. Plot plan sho~ng location of lot and of buildings (aa premises, relationship ro adjoining prem/ses or public streets or area~, and giving a detailed de~criptiee of layou~ of property m~r. be dr~x~ on the dingran ~/aich is pa~t of this applicatico. c. 'lhe ~ork covered by this application my not he em~enced before issuance of Building Pemit. d. Upon approval of this application, the Buildinglnspector ~ill issue a Bu/lding Pemit to the applicant. Such pemit shall be kept on the preaisee a~ailable for inspectioe throughout ~he ~ork. e. NO building shall be occupied or used in ~/~ole or in part for any purpo~ ~harever ~mcil a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICa'I IS I~llEBY [[a2[E to the Building Deparr~nt for ~ ism of a ~ildi~ Pe~t ~t to t~ ~ildi~ ~ Ordim of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~li~le ~s, ~imes or ~lati~, for ~ mt~ti~ of ~ildi~ ~iri~ or alteraci~ or for ~al or ~litim, ~ ~in ~ri~. ~ applier ~s to ~ly ~ ~1 a~li~le l~s, o~,.~i~i~, ~i~ c~, ~ ~ili~ ~m~f State wt~ett~er applicant is owner, l~esaee, agent, architect, engineer,' general cootrantor, electrician, plumber or build{ ............................ ......................................................................... · lq,~ae of owner of premises ........... ~.; ........................................................... ' .... If arq)Ii siguature of duly anChorised officer. ........ ............................ (Nam amd title of corporate officer) Builders License No .......................... Plumbers License Ro .......................... Other Trade's License No ..................... I. l~catice of laml ce ~/fich propoand ~ork w/II be do~ .............. ttomse h~ber Street ocunt~J Tax Map blO. 'OQO Se~tlon ..1...~.. ........ .Block ...0.~.~. ......... LOt .l..~..~.~..~.. ..... 2. Stare existing nse and occelmocy of pre~i~es ~d inteeded u~. ~ed occ~an~ of proposed coa~tmction: a' Existing use and occulmac-7 ~ i--~.~f-- ..~- ~.. ' ........ b. lnterfled use and occupancy ......... . -. P~ture of ~ork (check ~id~ ap~ licable): ~ir . ~,~1 ~litt~ Otl~r Est i~mt~ ~st , f~ ................ (to ~ ~id ~ fili~ this a~li~ti~) If ~11~, ~r of ~lla~]~m~ .......... l~r of ~lltng ~tts ~ ea~ ~r ................ If ~r~e~ ~r of ~rs ..... ~...~ If ~i~8s, ~mial or ~ ~, ~i~ ~ure ~ ~ten~ o~ eada ~ o~ ~ ..... I~i~t ........................ [. ~r of 8~rles .............. ~pth .......... .......... .................... ~r of Stories ............... ......... ~ar ......... ~p~ ............. t~i~t ......... [ ~r of 8tortes 2. s ~ ~tt~ icl te ~ ~1~ 1~, o~i~e ~ ~la~i~: .................. . · .. .....~ ....... PLOT BIAU~ { ~a~e clearly ~ dtsCi~ly ~ I ~ildl~, ~r ~isci~ or ~, ~ i~i~ce all ~-~ di~nsi~s ~r interior or ~r lot. ......... ~ o[ i~ivial si~iug cmtract) , (~trsctor, ~nt, cp~rate ogficer, etc.) No. 01B06020932 Qua,fled In Suffolk CouP-. Term Expires March ~, 20 0 R= 946.6~' LOT ........ ,, ~ SURVEY OF LOT 2~ "FA~WA Y FARMS Well ,¢¢.~..s 15d4' L= 172.65' GREEN well A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, 1000- 109- 05- 14.23 Scale: 1" = 40' NOV. 6, 1996 well The Iocetions of wells ond cesspools shown hereon ore .from field observations ond or from doto obteieed from others. CER ~ rcr~D 0~/08197 TO' CRAZY CHINAMAN CORP. COMMONWEAL TH LAND TITLE ~VS'URANCE COMPANY TH~ BANK OF NEW YORK ANY AL ]'ERA TION OR ~)DITION TO TI~ $t. IRVEY IS A VIOLA TF.~ OF ~EPTTON '1~09 OF THE NEtF YORK STATE EDUCATION LA ~IONS k~R_~O~ ~F. vAt. e FOR T~S ~ ~ co~$ r~q~:OF ~ ~v~, :$AI~ MAI~> OR COPIE$~F. AR THE ~ BF--AL OF THE -~.IR OR AOOII~I_LY TO CO~PL. Y mTH ~I-A~.. ~ TER~ OR- qR.5