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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$. ....................... .......................................... Building Inspector Rev. 6/30/80 /// FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / Date /.. .................................... 19. i7 Np 22672 Z Permission Is hereby grante o: . .....���t s ....................................... ..� ... ys �. . ..................- ........... ........ .......... .lir. s..........e6/ ..................-� <:-....................................................................................... .................................................................................................................................................................. ................................................ ............................... ...................................................................... ..�� ................ at premises located at................1`�® /�1....� �...... ................................... ......................................................................../�..i`7".,T � ............................. County Tax Map No. 1000 Sectlon ......v1 �......... Block.....dl .......... Lot No. ...0/................. pursuant to application dated ......... �............ �... and approved by the Building Inspector. v& Fee$... .. ..:.............. r4 Building Inspector Rev. 6/30/80 e;y �m4 ;v,wrr9fram+-+.avwvSl,�?ypgM1"%Rei"hT"�;�..'��v1°�tik� ,"'eft"fpn�+?f0.Vn''•"iAk'� rr,��.umt�'�a`s; ;w�"�.arc',�"*::�•,�,Tr3,;%45✓r,w"'ahxta'"l',�xiX�i!"', �. '"K'± p 1 FORM NO 3 , , .TONM OF bpUTHOL4^' BUILDING DPARTMFP# ;TOWN kALL _ . $OUTHOLD,XY. a ,J - A.� BUILD NdiPERMIT (THIS PEOMIT MUST,BE KE E�REMISES UNTIL FULL p - COIVTI. 66 O H. K AUTHORIZER) �q 19. ° 7y-7 hfN.... f y� / 7 - e .Permission Is hereby'grante o . .9....,r ... '' ..... .: . .................... ,: ...................................... .. .... ..� i / " at pre Ises to ted b ....... ...... ....!✓�w4�,^.�,,j. ...,..;^r^' . Y ......,,. . ......... ........ .... .. . ........... r No. . : ✓ ...... ....... C un Tax Map No. 1000 Section .,�/,.� . ..;....,, Bloch. .. Lo purs nttoapplication dated ......... � •••• ..........,, 19... and approved -Oyme v>= Building Inspector: Feef....... . Building Inspector Reb. 6/30/80 Hi`., ';53sr�it�a•�wr.u�t:�t Wi�:�^��''�ibelwl"Jt.tds�aUtyh�:L�'d"��td���� ���.�� • � �u r^s•.•� � c;s. r ��t as�ah..kKa.0-i:� i , i , r r r , � r .- �UPANGY OR - F2 L 7 i.2 32 I � 5rD OCC" °^ -- --; -US �S-UNLA-UNLAWFUL nrp ornsMo�o - = - --- DATE ' - - - - Trggv3}�t�#��CfggRT/IfICA - FEE:-SV = - - - - --------- O�CLlPA3�C 8 LL -- NOTipF_8U DEP.AR7N9ENLAI -- - - - , ---- -- - __ 765-1802 9 TO 4 PM FOR THE - r `FOLLO WNG I NS-- - - - - - -- - -- - -� --- - ------ ---- --- -1•--FOUNDATt _ TWO REQUIRED P.IERSTERTUMAT - -- - -- FOR'POUR CONCRETE �slDiREi3 - -- — — — — - - — -- - -- - 2-ftOliGH- G &- IN - -- --- ,-------- INSULATION ' - - - - 4. FINAL - N$TRUCTION MUST - --- ---- - --- - - - -. - - `- - $F_COM FOR-&0.----- - - - - -- - - - - - = - - -- - - �-� - - =- -- A - - -- - LL CONSTR - - -- -- - - -T ENTS-GFS-T#E#Y-.- --- - - - i STATE CONS UCTION_ 8i ENERGY - 1 - - - -- - - -' --- - RT RESPONSIBLE;FOR DESIGN-O ' i I ,CODES. N i j 32` 14CK _ r ------------ Syyy_ r Ll Ffl 4- f wl� RQBERT ]M�DW —tRRMY2=h�adNe Y+rk .¢�21Gvcrv.e� ��q P�ar//ys ,S�o /19�R1'S .Qom ,4�v� /Yy /��� �.�nrvck/ ly.Y• 1/952_ Go/yST2c1CT/a ��� 151 QUMM7Y / .,I 6o x !p CC4 x I(o PUSTs . /-0 40 O4 �! G u 6 CeA X /a /.0* #D 1/ X8 x %oo 'CYR. oo ,t oUD SiA,,N/& T-/// ?W. 2x/.; C•C.q- 69-f6 io /(V 01. caX6 Fi2 - 800pirafm PcarZs . � �5/Oca, AXG —/a *elk 5'7VD,b1N& /G 0,C, --/x? - cax 'Roof [ocr Fcoo,e 9 /� "X 9s m���eoc.am f16�LF..If �•i'dca. //�s 'F rs L; 4 c � �X(o D•<- 7-0644 rt sPAH s 2f ,t o' � r i , vZY6 �F• �x,,� _ ccA , � , ca�rs/ Dd o.� p��YiN6S GC 5E� f1GomGgNY�yG D tLk,liN6 3f?AIYIIYIJ . 5z>_ n uG EnT.lix .Q v, r o FOOT7Nlc /Svo /yi�ls,�j ROBERT H. KRUDOP /y RFD#2, Box 583 SGh /17.471C O� !/��� Riverhead, New York 1141 SE N6 r 4� FIELD INSPECTION REPORT —�IDATE 11 COMMENTS II II � II ii II II II H FOUNDATION ( 1ST) II 11 11� FOUNDATION (2ND) ------------------- if _____________ ii n to li II n u — u n ROUGH FRAME 6 ` o PLUMBING I u , INSULATION PER N. Y. �� y STATE ENERGYif CODE it it 1 II II t\ �� II �j II FINAL ADDITIONAL COMMENTS: r� H ri 0 z d ra ro H m , _ . OARD OH .. .. ... . 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) I { 4' TY 54 -.84 CM SET �K C��N OF S�FF� � LAND o o �- m � z 0 0 750 37 44 E c!1 N CM SET r-2 7, C— CM FD C> Z --L tV kz Q TM-#1000-114-05-01 w w D FD. 34.1 3 0 RY 62.6 1 woo° -t� s ti Q, gAE r D � IZD w GARAGE 20.8 616 QQ ORIyE SP NAL1 V A ` `OQ V O MAP OF 0 o h6 Qp� DE n k9SCR/BED PROPERTY SITUATE It CM FD. WO.O l �'L MA T T/TUCK, TOWN OF SOU THOL D �p Top Broken 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