HomeMy WebLinkAbout25615-zFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
COMPLE ION Or NOR AU IZ O
(T~IS PERMIT MUST BE KEPT ON THE PRAISES
~ D~o MARCH
PERMIT.NO. ~~Z
Permission ms hereby grant,to:
JOHN ~ CREGEEN
195 GR~VE
SOUTHOLB
UNTIL FULL
17~ 1999
for :
CONSTRUCTION OF A SINGLE FAMILY
LOFT AREA & NON-HABITABLE ATTIC
ING WITH 12' X 20' 2ND FLOOR
ATT. 2 CAR GARAGE AS APPLIED FOR.
at premises located at
BROOK
County Tax Map No. 473889
079
pursuant to application Led MARCH
3
Building Inspector.
Fee $ 1~009.40
Rev. 2/19/98
ORIGINAL
SOUTHOLD
Lot No. 016.005
~nd approved by the
~ized Si~
I'~ ~t VOI~ NO. i
NAR ~,8 1999 i~;;! TONNOF SOUTHOLD
TOWN OF SOt},T,~OL D , , SOO~OLD, ~.Y. 1197 I
~L: 765- 1802
' ~/~Buitding Inspector)
APPLICATION FOR BUILDINC PEP, HIT
BOARD OF HEALTH ...............
3 SETS OF PLANS ......... ' ......
SURVEY .............
SEPTIC PORH. ............... ...
C~L 2 ¢.~'~. .....
~IL TO:..~ ......
'Date ................ ,19 ....
INSTRUCTIONS
a. 1his application ~ust be ca~pletely filled in by type~iter or in ink asd sul~itted to the Building Inspector
3 ~ts of pl~, ~wa~ plot pl~ W ~le. F~ ~i~ to ~le.
'. b. ~oC-pl~ ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, ~lati~ip to ~joini~ pr~s or ~lic
s~ta or ~e~, ~ gi~ a ~1~ ~ripti~ of l~t of ~ ~t ~ ~ ~ ~ di~ ~i~ is ~rt of
;~is~li~ti~.
c. ~ ~ ~ ~ ~is ~li~ti~ ~ mt ~ ~i~ ~fo~ isle of ~ildi~ ~t.
d. ~ ~ of ~is ~li~ti~, ~ ~ildi~ ~ctor ~11 i~ a ~ildi~ ~t to t~ ~li~t.
e. ~ ~ildi~ ~1 ~ ~i~ or ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~rtifica~e of
~ ~1 ~ ~ ~ ~ ~ ~ldi~ ~ter.
~I~ I5 ~i ~ to ~ ~ildi~ ~o~e~t ~r ~ is~ of a ~ildi~ ~t ~t to t~
~ldi~ ~ ~i~ of ~ ~ of h~ld, Y~lk ~ ~ Yo~, ~ o~r ~li~le ~, ~i~s or
~ati~, for ~ ~ti~ of ~iMi~ ~iti~ or ~terati~, or for ~ or ~liti~, ~ ~in
~ri~. ~ ~li~t ~s w ~Y ~ ~1 ~li~le ~, ~i~s, ~ildi~ ~ ~i~ ~, ~
~lati~, ~ to ~it m~ri~ i~t~s ~ ~s ~ in ~ildi~ for ~s~ i~ti~.
.... ......
~' ~.C. ...................
(Si~ of ~li~t~ or ~ if a co.ratio)
.... ~.~...~.~ L..~,.~.. z~.l ......
(~ili~ ~ress of
State d~etler at,licit is O~er, lessee, agent, architect, e~i~r,' ~seral co~tracter, electricias, ph~ber or builde~
...~.~.~ ................ . ........................................................................................
.J ...... ~.~¢.e..~.~.. ...........
sa~ of o~er of praises ... 9..~.~ ...............................................
(as on the tax roll or latest deed)
If applic~t is a carporatio~, signature of duly authorized officer.
(l~e asd title of corporate officer)
/.Y. o 7 / 1¥2~ .
Buildera License No ..... , ..................
Plu~bera ~Lieense No .....
Blectriciass License No ..................... ·
Other Trade's License No .....................
!. hmatica of land ca ~hlch proposed ~o~k will be done ..............................................................
...... ..~../.?.. ............................. ..~ .... a: .............................. .~ ..............
House ~'~r Street l~nlet
S~i,~a~ca ../¢.~.0p.~...¢.o..0.~ ........... ~led t~ No..q0.$..¢.~. ...... ~t ..~ .........
· . .'(~) "
2. State existing use and occupancy of premises and intended use and oeorlmney of proposed ~construetzon:
a. Existing use and occapa~T ......................................... ; .......... ". ................ ~ .......
: .
b. ~_~ ~ ~d ~ ..... '~'Z"' ..... - ................... .......
3. Nat.re of ~ork (check ~hich applicable): ~ ~ilding ..... Addition .~,, ..~,~., ...hlterat.i.~ .:.. ...... ..
Repair liemoval I Demolition Other tlork
,(Description)
4. Estimated Cost . . t ......... ; ......... fee ..............................................
(to be paid on filing this application)
If ~arage, nunl)er of cars ....................................
5. If Imsiness, cam~ercial or nd~d occupancy, specify nature and extent of each type of use ......................
7. Dimensions of existing stracturea, if any: Frost ................ Bear ............... Hepth ...... , ..........
Ileight ........... lxlmber of Stories ...........
Dimensions oi s~ne structure With alterations or additions: Front ............... Hear ...............
Depth ........... .... . .. .. Height ................ . .. . Nmber of Stories ............. . .
8. ~i~en~ion~ o~ satire na~ co~truction: l~o~t ................ ~ear .~.~.~. ...... HeO~h .. .
Height .~ .......
................ ~. N~ber of Storie~ ..............
~.si~ of ~ot.. ~,t ..& ................ ~ ...'..?~. ............ Heo~, ..~.~.. ....... ~ .....
I0. Bate of Purchase ...... . .... ~ of Fomer O~ner ...........................
ii. zo~ or ,~ ,iat~ict i, ~ch ~"~s s~t~ .~Z~.~.~.o~r....3. o.~r~...~ ..........................
12. Ooe~ proposed cor~troction violate ~my za~ing 1~, ordln~ce or re~ulattco: ...~.~ ................
~ o~ Architect ~At~14-..~ .I ~W'~'~'Z'~ .......... /Yo m,q,t,h/~/ /~/. 3~..~../n..~. ......
~ o~ ~tr~o~ ,~...~e~,:~r~.~..~. ............. . ~d=ss ~.:,., ..... : .......................
15. Is this property Within 300 feet o~ a tidal ~etland? * ~ .......... lq0 .~. ....
n PLOT DI A~P, AI~
l~cate clearly and distinctly all imildln~, ~/aer_her existing or proposed, and indicate all nat-back dimansioos
from proper~y lines. Give street and block nmi)er or description accouting to deed, and sbe~ street mines and indicate
~/ae~ber interior or corner lot.
~rA'IE OF N~ YO~(,
(IIINI'/OF ....................... :
.... ~.,J~a~ .... { ...................... ~i~ duly ~n,,
(~ of iflivla si~ing ~trac[)
He 18 the ..............................................................................
(~tr~tor, ~nt, co.rate officer, etc.)
of ~id ~r or ~rs, ~ is ~1~ ~t~ri~ to ~rfom or h~ ~r[o~ ~ ~id ~ ~ to m~ ~ file this
a~licati~; ~at all stat~nts c~ta[~ in ~is a~licati~ a~ t~ to ~ ~st of his ~1~ a~ ~lie[i a~
that ~ ~ ~ill ~ ~r[o~ lu 'tim m~r ~t [orth in ~ a~li~ti~ fil~
.... .... .......
... ...........
N~aw Public, State of N~Yo~
No. 49513M
Qualified in Suffdk ~unW ~ff
Commission ~pires May ~ 19 ~
I nm famlller.wtll~ I#e STANDARDS FOR APPROVAL
AND CON$'TRUCTION' OF S~aSURF~E SEWA6E
DISPOSAL SYSTEMS *FOR S~N~EE F~M~L Y RESIDENCES
a~d, w~~ aMde ~ I~e cond#loos, scl' fore I~erelfl
permit lo eonsl~Ucl.
The' Io~lllO~s' Of wells' en~- cesSA °°~S '' :
shown ,fiereon ~re ~from field .'eb~eJ~Vallons ,~
and ~r',from daNl' ObiOl~ed:frem :'elhers. ~ '
TO AN A~SUME~ DATUM.
' SUR:VE¥~- OF ~
N
LOT (~
DWELLIN~
/
SIJFFO~ 03URTY D~I~I't'd]SNT OF ~]~At,1~ SEE~CE$
LOT
VACANT
/ R = 285,00'
I om famlllor w/ih Ihe STANDARDS FOR APPROVAL
'AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
one wig o61de by /he conditions se/ forlh Ihereln ~lnd On /he
perm# Io col~strucl.
The locations of wells end cesspools
shOWn hereon ore from field observolions
ond or from dala obl~TJned from olhers.
ELEVATIONS ARE REFERENCED
TO AN ASSUMED DA TUM.
AR_FA = 40,844. sq. ft.
ANY ALTERATION OR AOmTION TO THIS SURVEY IS ,4 VIOLATION
OF SECTION 7E09 OF THE NEW YORK STA rE EDUCA WON LAW~
EXCEPT AB PER SECTION 7,20B-SU8OIVlSION E. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y~v/EFyoR
,,~4ID mAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURE
WHOSE SIGNATURE APPEARS HEREON.
'ADfllTIONALL Y TO COMPLY WITH SAID LAW THE TERM "AL TEREfl BY'
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZINff A COPY
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' AND
'BROUGHT' TO'DA TE° ARE NOT IN COMPLIANCE WITH THE LAW.
vACANT
opeN
SURVEY OF
LOT 5
"MAP OF REYDON COURT"
FILED SEPT. 17, 1987 MAP NO. 835
A T,BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 79 - 05- ,16.5
SCALE.. 1"= 40'
EC. 30, 1998
JAN. 7, 1999 (prop. hsd,
1230-~ ~REET
SOUTH~ 11971