HomeMy WebLinkAbout24622-z FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,NX,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
JANUARY 29 98
24622 Date.............................................................. 19...........
Z
Permission Is hereby granted to:
ROBERT H KRUDOP
...........................................
349 PENNYS RD
..................................................................................
RIVERHEAD,NY 11901
...................................................................................
CONSTRUCT AN AGRICULTURAL BUILDING AS APPLIED FOR.
to
.............V ...............? ......I...................................(SIS. ...�.. ......................................
........................................................................ .................................................
REPLACES BP #22672
...............................
1500 MARYS RD MATTITUCK
at premises located at............................. ........
.................................................................................................................................I..............................
4726d9 114 0005 001
County Tax Map No. .......................... Section ........................ Block ........................ Lot No. ....,...................
pursuant to application dated ,,,,APRIL 13 19................ and approved by the
Building Inspector.
50.00
Fee$. .......................
..........................................
Building Inspector
Rev. 6/30/80 ///
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED) /
Date /.. .................................... 19. i7
Np 22672 Z
Permission Is hereby grante o:
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at premises located at................1`�® /�1....� �...... ...................................
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County Tax Map No. 1000 Sectlon ......v1 �......... Block.....dl .......... Lot No. ...0/.................
pursuant to application dated ......... �............ �... and approved by the
Building Inspector.
v&
Fee$... .. ..:.............. r4
Building Inspector
Rev. 6/30/80
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A.� BUILD NdiPERMIT
(THIS PEOMIT MUST,BE KE E�REMISES UNTIL FULL
p - COIVTI. 66 O H. K AUTHORIZER)
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e .Permission Is hereby'grante o
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C un Tax Map No. 1000 Section .,�/,.� . ..;....,, Bloch. .. Lo
purs nttoapplication dated ......... � ••••
..........,, 19... and approved -Oyme v>=
Building Inspector:
Feef....... .
Building Inspector
Reb. 6/30/80
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ROBERT H. KRUDOP
/y RFD#2, Box 583
SGh /17.471C O� !/��� Riverhead, New York 1141
SE N6
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FIELD INSPECTION REPORT —�IDATE 11 COMMENTS
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ADDITIONAL COMMENTS:
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FORM } SETSOFPL\YS
TOWN OF SOUTHOLD SURVEY
, , , ,
4j BUILDING DEPARTMENT CHECK
. . . . . . . . . . . .
I MR 2 0192 x,°r p TOWN HALL SEPTIC FORM . . . .. . . . . . . . . .
SOUTHOLD, N.Y. 11971
Bt PG.OFP1; TEL.: 765-1802 ND71 Fy ; y !6a w��✓
La._YOlfNOFSOUT_H01_ p CALL
EXaminZC. . . . .-- . ., 19 ./,? '6 MAIL TO : . . . . . . .
Approved . . . A . . . . . . 19/.J. Permit No. _ . . . . . . . . . .
Disapproved a/c ��/ q •
nspector)
APPLICATION FOR BUILDING PERMIT y
Dates/.! � . . �
•INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stieets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e.. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspe�y'�n�s.
(Signature of applicant, ornam oration).
(Mailing address of applicant)
State whether applican is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . A(41'!. , , , , , , , , , , • -
. . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed_)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
I. Location of land on which proposed work will be done. �.'. : . .CD2�t �GT70/`.
. .�4 . . . . . . ... . . . . . . . . . . . . . .:
House Number //Street Hamlet
County Tax Map No. 1000 Section . . . :��7. . . . . . . . . . . Block . . . 0S. . . . . . : . . . Lot . . . e e�. . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No .- . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
(Name) .
1 State existing use and occupancy of premises and intendeduse and occupancy o£-proposed construction:
a. Existing use and occupancy L- • , - , . , . . , - • , , , , , , , • • . . . . . .
b. Intended use and occupancy . . ./�/ �/L/L U� �� :
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . , . . . . . . , . Alteration
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . Other Work .
A (Description)
4. Estimated Cost . . . . . ,
. . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
' (to be paid on filing this application)
5. If dwelling,number of dwellingunits . . . . . . . . . . . . . . . Number of dwelling units on each
If garage, number of cars . . . , ,' floor . . . . . . . . , . , , , , ,
6. If business, commercial or mixed occupancy, specify nature and extent of•each type of use . . •
7. Dimensions of ex#sting structure's, if any: Front . . . . : • , • ' . • ' • ' '
Height .- a?! , , , , , , , , Number of Stories . . Rear, �P. . . . . . . . . Depth .,3�.,��, , ,
p th alterations or additions: Front . . . .
Dimensions of same structure wi y{), , , ;G�!^ c dear .
Depth . . Height . . . . . . Number of Stories . . •
8. Dimensions of entire new constriction: Front . . . �, Rear . . . 3v2 . . . . , . . Depth 3,� ,
.Height . . . a . . . . , . Number of Stories 2
9. Size of lot: Front EX°eRoo>G.G�21/�Gca. eFSio�#ear . 3 SSU 'fo' Depth ,3. ' Jr
p -%993 •
11. Zone or use district in which re ' ' ' ' ' Name of Former Owner . . . . . . .
10. Date of Purchase . . . E�, . , ,
}Wises are situated , ,�,: A62i.ucrueE
12. Does proposed construction vi l to any, zoning law, ordinance or regulation: .iY�?,
13. Will lot be regraded . . , , , , , Will excess fill be r moved fr inpr���m��i es: Yes No
Name of Architect p �� /��t'da' Address 35`9. nnysf!'Q( Yione FIo c 0
14. Name of Owner of remises ,
Address . . . . . . . . . . . . . . . . . . . Phone No. ?aZ,Colpo
Name of Contractor . ;SE<J , Address . Phone No. ,
15. Is this property within 3p0 feet of a tidal wetland? *Yes, . . . . . . No. X . . . . .
If yes, Southold Tbwn Trustees Permit may be required. ,
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
N ,l
- A9
N rl 10
TATE OF NEW
1
.S.S
OUNNTTY OF . . . . . . .'. /. . ,/. . . . .
8 • • • • • • • • . , . . . , , , being duly sworn, deposes and says that he is the applicant
rove named,
(Name of individual signing ontract)
elsthe . . . . . , . �".,. :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
sal owner r owners, and is duly athorize to perform or have performed the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
Drk will be performed in the manner set,forth in the application filed therewith.
vom to ore me is
. . . . . .'. . .day of. . ' / � . . . 19 )
rtary Pub
. . . . . � . . County
I MITAROTONDO
p o.Oo State 1689 rl't
5`j0 �. . . . . . . . . . . . . . . . . . . .
No.01 M14761689 . .
, ,;n. . .
,
ualified In Suffolk ou ><y ' ' '
Commis®Ion expires (Signa re of applicant)
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SITUATE
It CM FD.
WO.O l �'L MA T T/TUCK, TOWN OF SOU THOL D
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Z GQ SUFFOLK COUNTY, NY
9
SCM FD.
P' S6
Rz91, URVEYED FOR ROBERT H. KRUDOP
—CM FD.
E27
S1.3'
SURVEYED 15 OCTOBER,/993
SCALE . /" = 50'
AREA = 70525'Acres
CM FD. = Concrete Monument Found
GUARANTEED TO SURVEYED BY
ROBERT H. KRUDOP ANTHONY W. LEWANDOWSK/
TI CDR TITLE GUARANTEE CO.
TOWN OF SOUTHOLD
try�$L0 LA NO glo
*NDRVEYOR
SOUTHOLD, N.Y.
93 R 522