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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)