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HomeMy WebLinkAbout24598-z24598 Z FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Perml~n ~ hereby granted ....... ~.E.,EE~CE,,CO,.,£~/CI~ODZ.I.O~Z~ ............... ....... EO,,,BOX,.,4Z6 .......................................................... ....... ~A~.I.~C~N¥,,,~l.~52 ...................................... t~R~C~4~CK~D~E~E~N~E~N~H~A~8~D~E~E~C~N~ ........ ~C.EL..,D~.,~ND...~..~L.[E~..~Q~ ................................................................................. at premises located at .................. ~Q.....~VE~EE$~...E~ ................................... ~ [ ~U~K ......... CounlyTaxMop No...,.4~5@~ ...... Section ..,[~0 ............. Block ....OOO~ ......... Lot No. G~GG~ .... pursuant to application dated ...~E~E~B~R ........ ~ ......................... 19..,,.~ .....and approved bythe Building Inspector. Fee $ ........ 3; 5 ,, 0.0 ..... Rev. 6/30/80 BLDG. OEP TOWN (DF S(~OLD, Examined ....~ Approved . TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN ,ItALL SOUTIIOLD, N.Y. 11971 TEL,: 765-18D2 iI~,;~RD OF Itl:ALT.II · .... ... .3 SETS OF SURVEY ...... ~ ........ ~ . hO~ , DY HAIL EzS. , .................. ., 19... Permit .......... Disapproved a/c ' ' ' APPIZICATION FOR BUILDING PERMIT ' · ate ~ INSTRUCTIONS a. Tiffs ~pplication must be completely filled in by typewriter or in ink cud submitted sets of plans, accurate plot plan to scale· Fee according to schedule. b. Plot plan showing location of lot and Of buildings on premises, relati or are~, and gi'~ing a detailed description of layout of property must be dra cation· c. The work covered by this application may not be eomm6need before is d. [Ipon approval of this application, the Building Inspector will issued a i 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 purp shall have been granted by the Building Inspector. : APPLICATION IS HEREBY MADE to the Building Department for the i Building Zone Ordinance of the Town of Southold, Suffolk County, New Yc Regulations, for the construction of.buildings, additions or alterations, or fm Thc applicant agrees to comply with all applicable laws, ordinances, buildin admit authorized inspectors on premises and in building for necessary i.nsl)ecti .... ' -- t6Signature · 6¢ ~ship to adj0inifig i~remise~ or public street, 'n on the dlfigtam which is b~Irt of this appli. uanee of Bmldmg Pemtt. , uflding Pe~tf to th~ appficaht. Such pemit ,se wliatever fir[Il a Ce~ificaie of Occup~cy } :, ., ,;~ ': . ': , mance of a Bmldmg Pem~t pumu~nt to ae k, ~d oth~'a~p~ca~l~ ~w~, Ord~mces or removal ~r demolition, as here~ described. :ode, h~ugtng e0, de,~nd regulaQons, and ' . , ' 'f ' ;, '7' .. ' of applicant, of name, ff a cOrporat~pn) State whether applic)v4 is owner, lessee~rchitect, engineer, general ~ntra6toh electrician, plumbei' or builder· ir aDplica~"t ;iS/a eor, rr~atiou,)ionature o r d ul~v authorized o rficer., ~ . Builder's License No .......................... 1 FOUNDA?ION ,. 'I~VO REOUIR[D FOR POURED CONCRETE 2. ROUGH - FRAMING & Iq,UMBING . Plumber s L~ccnsc No. 3~ INSULATION · 'a ' · 4.. FINAL * CONS?RUCTION MUST E|ectrJc; n s L;ccuse No ....................... BE COMPLETE FOR C.O.. other ALL CONSTRUCTION SHALL MEET Trade's t ~ .... /~ -- // .... ~ ~,., .~' j... ' DESIG~ OR CONSTRUCTION ERROFiS [louse Number Street I l,']mlet Couhty~ T.~X ~a'b ~o. ~000 Socdon "....: .........mock ........ :... Lot ..... ' ........ (Name) ,, ',; Stale exist/ug Use and occupancy of premises aud inlcndcd usc and oecupaucy, of proposed construction: .3. Nature orwo,k (c, heck which applicable): New Buildin'g .......... Addi!tion .......... Alterat~.n__. ...... Repair .............. Removal ..... ,;,.,.... Demolition .... ; $ .... Oilier Work .~ .... 4. Estimated Cost ....... 4 ...... ~ ........... Fee j ........... ~ ~ ](to be paid on filing this nppl. ication) 5. If dwelling, number of dwdling units ............... Nmnber of dwelling units on each floor .............. ,. If garage, number of c~rs ....................................... [ ............................... 6. If busincss~ colnlil'ercja] of mixed OCCHp~H~cy, specify nature ~nd extent of e~ch typ~ of use ..... 1. Dt hens OhS ot ex~stmg structures, if any: Front ............... Rear . .~ ............ Depth ............. lleight ............... Number of Stories ....................... ~ ............................... Dimensions 'of shine stmctm e with alterations or additions: Front ....... ~ .......... Rear ................ Depth .... ~ .................. lleigbt .......... : ........ ,.. Nmn'ber of Stories .... : ......'..;. ~ ...... 8. Dimensionsofenfimnewconstmclion:Front ............ ... Rear ..~ ............ ' ' Deptl~ ........ ]leight ........... N~mber of Stories [ ' ~ ' .... 10. I ateoflurclmse ................ ~mmofl'or ~e O , e' -~:~ ~' ',~ · 12. Does proposed construction vio ate any zoning law, ordim ce or re ~u at ~h" ~ . - ~..~ ........ Name of Arclfitect , ., ' . Address ~, , . ........ ~p~ 15~' Is this prope,rty within, 300 feet of a tidal wetlandV *M~;&;~f~t~r~lhl~F~~ ' '. ' ' . *If yes, Southold Town Trustees Permzt may be reqp~:e~; ........... ,,~,,~.~*~T ,, , I LOT DIAG RAM ..... .~., ............. ~ '~ b ~ Locate dearly and d~stmctly all bmldtngs w mt mr existing or,~roposec, afl~}ffd4e{~e~'ll:~'t~h'[k d)nens ors fro ,,,.merty hnes. Gtve,~?geband, block number or descnptmn according,to deed, afitJ~s~ow street names an~ ir d cate wheth~ TATE OF NEW Y-OB.J~., ,~ ...... . . · - · ~ being duly swmn, deposes and says tllat lie ~s~the apphcant (Name of individual sigsing contract) mporam officer, dc.) ' ' said owner .or owner~, and is chdy authorized to perform or bare perfou]md th~ said wink andto make- Amd file', r iluf"~" ' plicafion: that all slatements (gq~ained is this application are, hue to the best of!his knowled~m and'belief; find tliat the ~H: will be performed in the man--et'forth in the a ¢ ~lication filed therewith. ~ ' ~ ............. ~ ..... ellfi~ in Surf Oun ' , · TIE=86.82' ~ R=26.$8 A=40.02' WA VECREST LANE XN 75' 00' $0" E ~5'97'R = 1292.69' A=90.05' FD CM LOT 45 LOT 44 I I METAL ANTENNA // / '\ V/J MULITPLE GU)' WIRES \ \ \ \ BOATS \ & MOWERS STORED IN THIS AREA LOT 45 Fo cM S 75' 41 ' 00" W 105. 94' FO CM N/F LUTZ FM# .4682 FILED AUG. $, 1966 TM 1000-100-0.5-02.5 MAP SURVEY OF LOT 44 IN OF SUBDIV/S/ON OF SALTAIR£ SITUATE SURVEYED 28 OCT., 199;7 SCALE I "=$0' AREA= 22,$70.5.42 SF OR 0.514 ACRES ESTATES unovth,.r~:~,J .:lto~-.tlo, or oaamo,, ~o m~A TTITUCK, ,urvcy b ,~ viol~llon of Section 7209 o¢ SUFFOLK the New York State Educalion Law. TOWN OF SOUTHOLD N.Y. ¢op~ ~f t}~t~'survey mc~p not [~eo6n9 the Lond ~urv,:y~rs embossed seal shall ~ot be considered to be a valid true copy. COUNTY, GUARANTEED TO CRYSELLEN BOUZIOTIS TOWN OF SOUTHOLD SURVEYED FOR CRYSELLEN BOUZIOTIS SURVEYED BY (.~uar~ntees ~nd~cotecl here on s~l~Jl[ rul~ Chh' to tile perso~ for whom lhe sur~e~ STANLEY J. ISAKSEN, JR. i~ prepored, and on h~s behaH la Ih~ P.O. BOX 294 filtq cern;thy, ,, NEW SUFFOLK, NY 119~6