HomeMy WebLinkAbout26166-zFORM NO. 3
TOWN OF EOUTMOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
26166 Z Date NOVEMBER 18r 1999
Permission is
hereby granted to:
SUSAN OIESTAD
230 FIRST STREET
CUTCHOGUE~NY 11935
for :
CONSTRUCTION OF A SECOND STORY ADDITION & ALTERATIONS FOR AN
EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 230 FIRST ST CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0007 Lot No. 006.001
pursuant to application dated AUGUST 31 99 and approved by the
Building Inspector.
Fee $ 184.00
· ~'~ature
~"Au~thorize S'g
Rev. 2/19/98
COPY
FORM NO. 3
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)
PERMIT NO. 26166 Z Date NOVEMBER 18~ 1999
Permission is hereby granted to:
SUSAN OIESTAD
230 FIRST STREET
CUTCHOGUE~NY 11935
for :
CONSTRUCTION OF A SECOND STORY ADDITION & ALTERATIONS FOR AN
EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 230 FIRST ST
County Tax Map No. 473889 Section 103 Block
pursuant to application dated AUGUST 31 1999
CUTCHOGUE
0007 Lot No. 006.001
and approved by the
Building Inspector.
Fee $ 184.00
Authorized Signature
Rev. 2/19/98
ORIGINAL
CONI'4ENTS
.D INSPECTION REPORT ==DATE ~ ~ _ .........................
.~ , j~ ............................................... m~ ~,
· ' ....... ~I ........ ......................................... ~ ~.,
'IDAT ION (2ND) It
PLUMBING II
II
STATE ENERGY
cor~
FINAL
.-- A~n][~Ot~AL COm~m _tzr~__si ............. .~ ..........
FIRS T S TREE T
N/F KOWALSKI
¼
N/F YOUSIK
N 4-#" 51' JO' E
CONC. W/
CONC. STOOP-
WOOD
RES.
TM 1000-105-07-06
N 44' 51' JO" E
20J. 16'
TM 1000-105-07-05
185. 70'
Lg PK
NAIL
ASPHALT OVER
f~
N/F- CHEN
TM 1000-103-07-05
,TM 1000-103-07-06
G~arantees indicated here on shall r~
only to the person for whom the survey
is prepared, and on h~% behalf to the
title compcm'/, Oovermentat Agency,
SURVEY OF
DESCRIBED PROPERTY
SITUATE
CU TCHOGUE,
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. K
lending i~s~Jt~tlon, if listed hereo~, and
to the assignees of the lending [nsfitutiO~.URVEYED FOR SUSAN O/ESTAD
Guarantees are not transferable to
additional institutions or subsequent owner~,
SURVEYED 6 AUG. 1999
SCALE 1"=40,
AREA= 28,190.271 SF
OR
0.647 ACRES
GUARANTEED TO
SUSAN OIESTAD
FIDELITY NATIONAL TITLE INS. CO.
UNITED MORTAOE CO.
TOWN OF SOUTHOLD
Unauthorized alteratlon or addltlon to this
survey i~ a vlol=tion of Section 7209 of
the New York State Education Law.
Copies of this survey map not bearin'e
the Land Surveyors embossed seal shall
not be considered to be a valid true
SURVEYED BY
STANLEY'
P.O.
5
1'1956
99R821
copy.
TOWN OF SOUTHOLD BUi
SOUT~OLD, N.Y.
TEL: 765-]802
FORI'I~0. I
~I~i OF SOuTUOLD.
LDING DRPARTHENT
TOI, RI HALL
11971
Dis~l~oved a/c ..................................
'~' ")~PLICATION ~OR BUILDING PERHIT
INSTRUCTIONS
BOARD OF EEALTN ...............
3 SETS OF PLAtlS ......... '. .....
SURVEY ........................
Clt~CK .........................
SEPTIC FOP, H ...................
C,LL
~*i,. To: ~...~.q.~...~.d.L~.. '
....... ~~.e~_ .....
............
a. This applicatic~ must be c~le~ely filled in by typewriter or in ink and sul~itted to the Building Inspector
3 sets of plans, accurate plot plau to scale. Fee according to schedule, . .....
b. Plot plan sho~ location of lo~ and of buil~!~ on pr~ises, relatloash~p to edjoim.n~ pre~.~.s.o.r pubhc
streets or areas, ami §ivin~ a de~iled d~ ~scription of layont of pmporty mint be dra~ on the d~a~rm ,,~hzcn ss part or
this application.
c. 1be wrk covered by this application my not be cc~enced before isstumce oi ~ilding Pemit.
d. Upon approval of this applicati.d~, lt~ lhildi~ Inspector ~ill issue a Buildi~ Pemit to the applicast. Such
pemit droll be.kept on ~ pm~ises available for inspection throt~honc the ~rk.
e. No Imildi~ shall be occupied or~ used in daole or in part for any. purpose ~iaatever tmtil a Certificate of
Occupancy shall have been granted by the ltuild~ I~pec~rr.
APPLICATICU IS ~ ~ ~o the lhildi~ Del~b..~nC for the iseua~ce of a lhildi~ Pemit pursuant to the
Build/~ Z~e Ordinance of the To~ of $au~hold, S~f£olk County, ~ York, and other appticable La~, Ordinances'or
P~/~lacions,~for the const-mction of lmildi~s, additions or alterations, or for r~val or demolition, as herein
descr~ibed. ~ applica~ a/~se~ ~o _~.ly with all all01icable la~,~ordin~c~s, buildi~ cede, ho~i~ .~de, and
m~ulatioos, and ~o ~',~it authorized inspectors on premises ami in Imildi~ for necessary inspections.
.................
( ~b-~'gnature of applle~at, or name, ~f a corporation)
(liailin~ ~ress of apphc~t)
State ~/~ether ~licant zs o~ner, less~, agent, arahitect, engineer, ~ral ~t~ctor, el~tricz~, pl~r or ~zld
............ .... .............................................................
(~ ~ ~ t~ mll or latest ~) ,
If ~limt is a ~rat~, siam of ~y ~ri~ offi~r.
(~ ~ title of ~mte offi~)
Buildera License No ....................
Plu~era Lic~,~e 1/o ..................
Electrici~as License 1/o ................ .. . · ..
Other Trade', Lice~e Nv ..................... ~R~-..~..-~-~-- .~:-~ [/~J~'~" ' "~''~''
I. Locatio~ of land on ~hich proposed york ~ill be done ........... ~. ................
· G ..................... .............
............ ~,a::~. ............... ,..,., ..... , ........ ,W.. ..... C.~: ~.
l]ouse Nt~ber Street__ t~ lla~et ~/
~ty ~= ~ ~. ~'~,~ .../~ .... ~ ..~.;z ....... ~,...a~=..~
' Fil~ ~ ~ .......... ~t ....
(~)
........ .... .. ....
a. ~s~ ~ ~ ~ ..... ' ............................. ~"~ .....
b. ~~~ .................................................
~,~ ~. .0.~. c. .... ~ ............... ,~ ..... .,~.~...' .................
. (to ~ ~id ~ ~11t~ this a~lt~ti~)
,
I~ ~11i~, ~r of ~11/~ ~its ....... ~r of ~11iug ~its ~ e~ H~r ... ~ .........
/.'
I~ ~r~, ~r of ~rs .... ~ ..............................
If ~i~ss, ~rcial or ~ ~, ~i~ ~e ~ ~ten~ o~ e~ ~ of ~ ......................
................ ~ ......
Dl~ of ~ st~ ~h[ al~er~i~ or ~ltl~S: ~ . ~.~. ~ .... ~ar ..~..~ .....
~pth .. ~.~. ........ ~i~[ ..~.~ ........... ~r of Stories ..~ ..........
Di~i~ of ~ti~ ~ ~i~: ~ .. ~.t~ ...... ~ar ..... ~. ~ .... ~p~ .~. ~ ....
~' ..~.~.
~,~ o~ ,o~ ~...~ ~C..~ ...... ~...L~. ............ ~, .. .....
~ or ~ dis~ric~ iu ~i~ i~s a~ si~t~ ... , .................................
~ill lo~ ~ ~ .... ~.~! ........ ~tll
~, o~ ~ ~ ~, ...... . ..................... ~,, ......... ~...~..~.. ~ ~ .... ~.~.'.~
~ o~ ~it~t ..... ~ress , ............... ~ ~ ...............
.~..~5(~... ~,,,, .......... ~ ........ ~.~ ~...~
5. Is ~is p~ ~in ~ f~t
' PLOT
[
~ ~r~ li~s. ~i~ s~ ~ b~ ~r ~ ~rip~i~ ~i~ to ~, ~ ~ s~t ~s ~ i~i~te
~r in~erior or ~r lo~.
.... ~.~.~..U:~..~- ............................ ~i~ ~.l~ ~, ~o~s ~ ~. ~, ~ ~. ~ .~,
~ of i~ivi~ si~i~ ~tract)
i,.,,~.. ........... 'i~,~;~' ~;;;;'o';;i;;;i'~,~.>" '
~ ~d ~r or ~rs, ~ ib ~ly ~t ~ri~ to ~rfom or h~ ~rfo~ ~m ~id md ~ to ~ ~ file this
~li~ti~; ~t all stat~nts.c~taiM in ~is s~li~ti~ a~ t~ to ~ ~st of his ~1~ ~ ~li~ij ~
lint ~ ~ will ~ ~rfo~ m tim m~r ~t forth in ~e a~li~ti~ fil~ ~.
' i
~m to ~fo~ ~ ~xs ~
(Signature' of ^pplioaut)