HomeMy WebLinkAbout25279-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. 25279 Z
Date OCTOBER 23, 1998
Permission is hereby granted to:
FRANCIS W EVERETT
2315 GABRIELLA CT
MATTITUCK~N¥ 11952
for :
CONSTRUCTION OF A FENCE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 108
pursuant to application dated SEPTEMBER
Building Inspector.
2315 GABRIELLA CT
MATTITUCK
Block 0004 Lot No. 007.051
8 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
YORR NO. I
TO~I OF SOUTttOLD
BUILDING DEPARTt4ENT
TO~/~I HALL
SOUTflOLD, N.Y. 1]97l
TEL: 765-1802
Disapproved afc .................................. '
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY . . .~,,....~ ................
c~c~ . .~.~..o.? ................
SEPTIC FORH .....
CALL ..............
HAIL TO: ....................
APPLICATION FOR BUILDING PERHIT
INSTRUCTIONS
a. 'ibis application ~ast be ea~pletely filled in by typewriter or in ink and su~itted to the Building Inspector
3 sets of plass, sceurate plot plan to scale. Fee aeeordlng to scbe~le.
b. Plot plan sho~ing leeation of lot and of buildings on premises, relationship to edjoioing premises or peblie
streets or areas, and giving a detailed description of layout of property r~st be dr~ on the dingr~a ~hich is part of
this applic~tiou.
e. 'lbe ~ork covered by this application my not be ece~esced before issuonee of lhilding Pemit.
d. Upon approval of this appllontion, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept an the premises asail~ble for inspection thronghont the
e. ~o building shall be occupied or used in ~hole or in part for any perpese ~hatever until a Certificate of
~ccup~ey shall have been granted by the Building Inspector.
APPLICATI(~ IS ~ PArlE to the l~ailding Depar~ent for the issuance of a Buildlng Penait pursuant to the
~uilding Zone Ordinasce of the To~n of S~thold, Suffolk County, ~ York, and other applicable L~s, Ordinances or
Regulations, for the construction of Imildings, additions or alterations, or for re~val or de~olltian, as herein
described. ~as applicant agrees to conply with all applicable la~s, ordinances, building code, housing cede, and
regulations, and to ~it aathorized inspectors on praises and in buildi% for n~cessary/i~l~ee~
(Signa'lba~e of al~licant, or natae, if a corporation)
State ~bether applicant ~ffo~ne~, 1;~see~ agent, architect, engineer, general contrsctor, oleet~iclan, plm~er or bull&
............................ I ....................................................................
(as on the tax roll or latest deed) /
Ii= applicant is a corporation, signature of duly anttorized officer.
.................. ..............................
(Nane aed title of corporate office})
Builders License No ................
Ph~bers License Ilo ..........................
Electricians License No ......................
Other Trade's Licen~ ~ .....................
I. I~catiou o~ lond on ~taich proposed ~ork will be done ..............................................................
House /~aber [ff Street I4~ .t
· ....
County Tax igap~o~ 1000~ Seet~a.,/.~./~. ~. ~ ~lock ................ t ~ .... ~
U (~e)
2. State existing use and occupancy of ,pfe~'se~asd in£e~.rj~ed use asd2~ancy- o~ proposed construction:
I0.
II.
12.
13.
14.
15.
Nature of work (check ~lfich app~hcable): ~ lhildiug .......... Mditton ........ Mteratmo ......... .~
Repair ............ ~,~,ral ............. Den~lition ............ Other h~ork ...... . .C~.. ~ ....
.¢~.... ~Description)
Estimated Cost fee ..........................
(to be paid on filing this application)
nails / Ncraber of da*ailing onits on ead~ floor ../....
7~ee or uee district in ~aich
Does proposed construction vioh
lot be regraded ... ~
~ill
~s of~r o[ ~s .~
~ of ~dt~t ..............
~ of ~r~tor .............
Is ~ds p~ ~Ufin ~ f~l
*~, ~~
occupm~cy, specify nature ami extent of each typo of uae ......................
~s if m,'. ~ont 5 ~.1 Rear ~5~- Z r~pth Z/~,
· k~bar o~ S~ories ....... ~ ............
;h alterati~s or ~itions: ~C ............ ~ar .............. .~
.tt~: ~t ................ ~ar ............... ~p~ ............:/~/~
~r of Stories .....................
lot: ~t ........... ~ ........ ~ar .................... ~pth ....................
~dm~ . ~ .... ~ of Po~r ~r . .. ~. .
~t~ a~ ~t~ ..... /.~ .................................................
te ~ ~lng 1~ o~ or m~latt~: ... ~ ............
........... . .. ... . .... ~ress ............................... ~ ~ ...............
I~cate clearly and distinctly a]
frae property lines, give street and
whether interior or corner lot.
ov a,,~--a"~T/ fid I,
COJN[Y (IF ...~.~.~.[..~..
(
..........
of iMivi~l si~ing c~tract)
~,
the ..................
(~tractor, a~nt,
~id ~r or ~rs,
a~Hcatlon; ~at all stat~ts
PLOT DIAGRAH
1 buildings, x~heflmr existing or proposed, and indicate all eet-back dlmaesions
block nt~ber or d~scrlptlon according to deed, and aho~ street nones and indicate
rparate officer, etc.)
thorlged to perfom or haw perfomed the nald work m~l to rake a~ file
~ in ~is a~lication are t~ to U~e ~st of his ~1~ and ~l. lef~
that the m~ will ~ ~rfo~l tn the,rotator ~t forth in tim a~ticati~ film t~fl~.
PLOT AREA = 40,011 i S.F.
FIRST FLOOR AREA = :E S.F.
SECOND FLOOR AREA = :b S,F.
GARAGE FLOOR AREA = ± S.F.
, 0
R = 25.00'__~/~
L 39,69'
0
~ <¢ ~ : ~.~% ~GABRIELLA COURT
T40'40"E 100.3 ~.o ~ m,,~ p 398.19'
N34'42'50"W 146.03~ -~ ~- N38'31'50"W
10,45'
.u~¢o.. co...~ ..~ ... o,...,ooo .~o..,o..~.o../o .o~ .., BURTON
,o,. BEHRENDT
LOOATION: MATTITUC~ ENGINEERS
.... . SURVEYORS
SURVEYED: MARCH 21, 1987 PREPARED: NOVEMBER. 1996 244 EAST MAIN ST.
~BIFI[B T~: FRANCIS W. A CATHY EVERETT U.C. 6/19/97 PATCHOGUE. N.Y. 11772
~WYERS TITLE INSURANCE CORP. FINAL 8/28/97
FIRST WEST MORTGAGE BANKERS, LTD, (5t O) 47~--0349
SCALE: 1" = 50.00' FlEE NO; ~7--~59--5 FAX