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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