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HomeMy WebLinkAbout24188-z 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.....JUNE................13............................ 19..9.7...... 24188 Z Permission Is hereby granted to; .......CEIR.T...W..&..KAREN..L.ANG.................................... PEI..RQX,..I.QR3......................... Q UICHDOWE...Z1435.,............................................ to ....ERECT..A..FENCE...AS...APPLIED...EOR......................................I................ .................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................... . ............................... at premises located at..................3.50......KENN.Y.S...RA..........................................SQIJTHQLR............ .................................................................................I................. ........I...................... County Tax Map No. ....4,7..3.Q.Q.9....... Sectio{ ..05.4.......'....... Block ....O.QQ;�......... Lot No. 033................ pursuant to applicatlon dated ...MAY..................2.7......................... 19.....4.7....... and approved by the Building Inspector. Fee $....... .�oA....,. ............................C.. �.F.t �..................�.• Building Insp ctor Rev. 6/30/80 No K4 SEDC JnH uNt `/jR� �j i JPS Ss`AD� Leh C� i NClc HA2 dA� '.S l �nJ 7z5 ititl 7lceev T �i4fC�/ vJ /� 1 j 3s �� �7 L! 'I �i IMAKI) 111..61.1❑ . . . . . . . . . . . . . . . ..:.....,.. FORM NO. I 3 SETS OF PLANS . . . . . . . . . . . . . . . MAY ��� TOWN OF SOITTHOLD SURVCY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CIIRCR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . fl-De. SOUTHOLD, N-Y. 11971 ?(iWM OFSC; i TCL: 705-1802 NOTIFY:4� 7 CALL ./.65: .7�6/. . . . . 1[ncunirx'tl. ...��......, 19.� / MAIL TO: . . . . . . . . . . . . . . . . . . . . App . ..... , 19.... Permit M). ............. Uiaappd a/c ................................... .................................... ...................................................... .. (Ihnilding nspnecLor) APPLICATION FOR BUILUTNC PERMIT' `" CQj� ! Date. . . . . . . . . , 19 .t INS'T'RUCTIONS a. 'Ibis application must be copletely Gilled in by Lypo,riter or in ink incl submitted to the iurilding Inspector wit 3 sets of: plans, accurate plot plan to scale. Fee acconling to schedule. b. Plot plan showing location of lot and of buildirys on premises, relationship to adjoining premises or Ixrblic streets or areas, and giviog a detailed cleacription of layout of property rust be dumm on the diagram wlniodn is part of this application. c. 'lire work covered by this application may not be eammnced before issuance of Building Permit. d. Ippon approval of this application, Lie Building inspector will issue a Building Permit to the applicant. Such permit: shall be kept on (lie Irrenises available for inspection througlnont the work. P. No Ixuil.ding rxuall be occupied or ured is wluole or in part for any purpose wl;atever until a Certificate of Occupancy Pial.]. have been granted by Lie Ruildiag Inspector. APPLICATHRI IS UrRE11Y lVUr to the Iuullding Department (or the issuance of a Building Permit pursuant to Line Ihrilding 7xxm Onlinauce or the 'Town of Southold, Suffolk Cornty, New York, and other applicable laws, OrlinaWes or Regulations, for the canst.ruction of buildings, additives or alterations, or for removal or demolition, as herein described. Tire applicant agrees to comply with all applicable laws, ordinances, building code, housing code, an] regulations, aol to aknit nut prized inspectors om premises aryl in building for oec_essary inspections. ............... ....... ...................... (Siprature of applicanL, o ape, if a corporatio5) ©x/a83...C�fch�G��1 r--.Y 1135 (Mailing akiress of applicant) r State wlnellner applicant is owner, lessee, agent, architect, enpiaeer, generll contractor, electrician, plrmier or Wilder, pt v.vL'- Kmr of Owner of pmCook- 4 I ............................................................ A�AS.ND:6:E4. .. (as or Line tax roll or latest deed) DAT �b B.P.# If applicnnL is a corporation, signature of duly authorized officer. crdr 35'0y BY,19 - NOTiFY BUILDING OEPARTME T AT ....................................I............... 765.1802 9 AM TO 4 PM FOR THE (Nam mxl Litle of corporate officer) FOLLOWING INSPECTIONS: 1. FOUNDATION • TWO REQUIRED FOR POURED CONCRETE Builders License No. .. St ................ 2. ROUGH - FRAMING & PLUMBING 3. INSULATION Pludners License No. ......................... 4. FINAL - CONSTRUCTION MUST Electricians 1.1cense No. ..................... BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET ober Trnle's License No. .................... THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY I. Locnttion of: land on which , proposed work will be done_...... ........ CODES ••NOT--RESPONS4BL-5•-FOR ... .....31U /ose'vh6r!w �� DE"40 foNSTRUCTION ERRORS ! . .... ......................... ................................ Ikose Norber Streetcy 2 Hamlet Lkxxnly Tax Pbp No. K)OO Section ........ Block ........ ... L.Ot ....,3 ........ SulAivisior ...................................... Piled Map No. ............... Lot ............... (Nam) 2. Stale existing use aril occupancy of premises and interxleol use arx] occupancy of proposed amstructioo: a. Existirry; nse aril Occupancy ....5'W6fe ��/-1-�-u'%, ©w2llw6 ................. ...... �C, ..........7......../.j................. i. lnlcnloxl use arxd occup><nrncy .... sjocicnDE 7zCe �lU r./....4..X �..1•,..`;.QE— ................ 'I. N;Wlro 01` rock (deck witddl al,t)licilhlu): MeW Iluilding ........ . . tvkliIIon ... ... Alteration .. . ... .... Italia ir ........ .... bicnoval ....... IlanoI ILion ............ Other Ulric .:�'LGCRrr....... I...... ..."• (lkeacrIpl,ion) 0 �/Ow 00 4. INnAlllatal Cos.. .... ........ fee ....... .............. (lo Ix: paid On filing this application) 5. If thtel Iing, rxnier o1` (h-ie:lI Ing units ....... ..... Mnfer of A&AI Ing units On each floor .. ......... . . ... Ifgarage, Ixrdmr of cars .......�L. ..... .... ................ .. . g. If Wiliness, (annlercial or mixed gcv.o ancy, specify nature mxl extent: of each type of line......... . .... ....... . Ililwivil(ms oil existing BirolAUVen; If any: Vrwa .... .... ... ..... Mar . ....... ...... . Depth ........ . . .. .. ... IWight. ,Umber of Stories .. .................. .. Dillenaiors of stile strotAure eitwalr'erati(me or tuklil:fona: Front .. ... ..... ..... hear ..... .... ..... . floplh .................... HeigllLii.......I...I..I..... UAvj)er of Stories ... ............ it. Ilhlenshxa Oil entire rxcw (XXlaLllxa:i(m: Plant . ......... ...... Rear Dept 11 . .. .... ... .. . . 112 Wig: Mndar of Stories . .......... ..... ..... 9. Size of lot: Frrmt .............1,....... Iteur Depill 10. Mile of NIr(:hasm ................iL.... lass of Porner Owner .......... . .... ...................... .. . It. YAxa or use district in rArpdi proidses the sihated ............... ......... ............ ... ................ .. .. ... 12. l)as prolmsx:(1 c(mslrlx:thm violal:e any zoning law, ordinanu:e or regnlal.lon: .AP. ................. 11. Will lot la regrsxied ...(t.. ......... Will excess fill la restwed fron prallities: YES N) 14. Haien of Owner of premises ......',i.................... luklreun ............ ............... ... Mone N). ....... ....... Nine of Architect ...............�!.......... ...... ..... Address Hmra Ito. ...... . .. ..... Now of fkmlrarlor ..............�i .. ........I......... . Aklf'ess .. ..... . .. ....... ..............Hata NO. .......... . . .. 15. Is this property within 300 feet of a tidal rhclatxl'! :t YES .......... N0 ...fv�... Alla YICS, milll(bn 'Ixxm 'IRl1Slil1±s w1 urf ANY IAc I1FXillllticll. 1L01' DTAO1lAM Imat'e clearly suxl dialancl:ly all holldin8a, nether existing or propxaed, aql irxli(ata gill sec-back dh(renaions fams prolarly ]Ilan. Live street aril IIock lanber or (lescripLlcm according to deed,-mil sliow street runen mxl inlirnte ltlhelhL'r interior or. corrar lot. 1.1'54:gc(01 �to 1 6 file - s r eas�rxce ��m •{1Zox ON PR�EQ}y -1 �r 1 �f v1 p1 Ot OF 4)u5E OF lqo SQ '40 &.qs4 CoRiwEfZ Li 1 t co 71 6 { S�oc MDE ope+(&_6 Q -p Lm&i- C4 S (x' MM Y(MiK, (Xllilll'Y (Nr ... L.1............ S.o CO2 1 L/}.. .. .. ...... .. .... ......Icing duly sworn, del)Osea al)(l nays: 1111A he in the appl iranl (Now of bAividua) signing conlracL) 111XIve onsie'd, li Ik: is the ...C)W (Z.............� (Woll-aclor, agent, ('.orporate officer, etc.) of said Owner or owners, o1XI is duly iiulhorized to px!rfoon or have performed the said Work arxl to sn1(e antl file this application; that. all sLat-amnLa con gilled in This alrplication are tilt to the bc(rt: of his kngmledjge mXl belief; alxl Ihat. the Work Will Ile lerfoot"I in ling annoer sec forth in [lie application filed Herewith. :).xlru to before era this a:V....... ..(lily of ..... 19. ?.. (((((OJJJJJ Notary fhdill(: ... i .... JOYCE M.WILKINS (Signature of A)rlicun Ntate of Now York 1 otary Suffolk Courtly Term Expires June 12,19.51 i SUFFOLK CO. HEALTH©IaPT. APPft6"VA�I. r H. S. NO. C'�p, 1 / t STATEMENT OF INTENT } THE WATER SUPPLY AND SEWAGE DISPOSAL \ N1CIC THEOPFttLaS / SYSTEMS FOR THIS RESIDENCE WILL i 1 N/F LEVI NE �• f L CONFORM TO THE STANDARDS OF THE N.48 'so" 6 Sfac�t0 etice 353.2p SILWFOLK CO. DEPT. OF HEALTH SERVICES. ` (S) y s - oti' � L I: t _ tai SE ALE- 50 APPLICANT 1 �1U E (1 Z°` A ZF_A=37 834 SQ '- . House i til 7i .` FOLK cQvrvTY c?EPr. of r^iE/ELl'H N w -----,---- SERVICES — FOR A"R O V A L PC* PROp. DQ1 Vf �Ca�YZ . i § r 4- - CONSTRUCTION ONLY L1r WATE 2 L IME 11 P(2t? In DAM (� FY W. SMI — H. S. REF. NO. PROP S : ._ Wb -- APPROVED: °v 50% EXPAWS*K SUFFOLK CO. TAX MAP DESIGNATION: Q I$"T'. SECT. BLOCK PCL. 1 ..i1�T - _ f..__ .� j ;�. $� iQ'W �fAi�-F► O� ? 1300 OS 3 a3 40 OWNERS ADORE=: P.O. Box_Lgg3 x Yap.; ; curcH �aL:{E.t4 Lu / _ -- — F 5r` �2{1P0� 1L $A.NU TEi..73 0 + 091ED: L.6884 P. 2 t'T IE E - - N A slw:„r �oAM .�tv MAP OF P�" OPEUY __- 1 ......_ .._ .._ ray ! � VA �µ E t�S+1MY SLIT �.� - - MAP AMET40ED_TEST HOLE DATA_"22,.1994 ROAD C,t�• �7"��.�G.� s2owN TOWN OF S SmoY SILT 1.66T C}fi 1 4`5,C2 FEf Ta /� SU i?I /!S Q NIA Mtit7E � ?C Aa Sggyg`t� U /4 .+M_ }�}- BROWN FALE V00J 05 A SPY(O LOS t N1C11- TAEOPHILOS. -�D1� VAN TUYL,P.0. 2. t RE 10 ►r(EANL.. . _ 11 �+� TO — EFE __.._._.__._ LieIElM".0 "NO**VLrVCPRS 6*90~T 11 YORK .w