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HomeMy WebLinkAbout24183-z24~85 ~ FO~M NO,3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .,...~,LI~E ................ 1.2 ............................ 19,.9.Z Permission Is hereby granted to: ....... ~E~EB...&.,.O[E[BkIDEL.~[k,~ ............................... ....... 3.58P..,~,~.[.L.L, WA~[B...~.VE .................................... ....... ~J~HQGLIE..,[.L~:5., ............................................ to ....... EEE~..,~...EF'NC, E...~../~EP..L.[.ED..EOJ~ ................................................................................. at premises located at ............... .~ 5.SO...,..~.[~J,W,~tZE;B...~.~E. ............................. .~U.[~HO/~iUE ......... CountyTax Map No....~Z~.~ ...... Section ..~.Z. ............. Black ....O.O.Q~ ......... Lot No. Oi~ ................ pursuant to application dated ...~.~. ................. 2.Q ......................... 19.....~.Z ...... and approved bythe Building Inspector. Fee $ ....... .~. ~,,,~,0. ..... Rev. 6/30/80 LO T 69.._ I LOT 68 '~ LOT 67 LOT 66 LOT 65 LOT64 LOT 63 ~ LOT 6~ FILE NO 1280 F/I ED MAY 12, TM.#=/O00 - 1.57-I-RI/5 GUARANTEED TO LOT 109 N 49° 01' 20"E 195. 77' FENCE '~ STOC-K-AS'E' F~ T--- '" ~'~ Wl/~ ~EN~--~--~ CORNER S 05' E25' LOT 108 LOT J ~RN ~- J ..... 1077( I L CHAIN I LOT IO~ TM~1000-137-1-14 - RESIOENC~ I , i ~ 540 F ~ FENCE 7' ~ LOT 105 jJ / N I g S~OCK~OE N JVo°~ ' ~ END FENCE S 49"01' 20"W LOT 102 ,~,,Iy t~ lh~ pe~ for ~ ~ ~ay 183. 99' J",.~ TRACK AVE. SURVEY OF LOTS 105-108 /nc/. IN HAP of SECTION TWO-PROPERTY of M.S. HAND SI TUA TE CU TCHOGUE, TOWN OF SOUTHOLD SUFFOLK CO., N.Y. SURVEYED 17 AUGUST~ 1996 SCALE I'~ 40' A REA = 66~ 668. 21 S F or L3009 Acre SURVEYED BY: STANLEY J. ISAKSEN, UR. PO. BOX 294 NE W SUFFOLK N. ~, 11956 PETER DELL GERTRUDE J DELL FIDELITY NATIONAL TITLE INS CO. TI TL E 2016821 TOWN OF SOUTHOLD Unoulh~,riz~,'l ~lteratlon or u~clili~n to survey is a vlol~ticn of Section 2'209 ~he N~w '~'or~ 5IQIo Education Law, not be considered lo be a valid lrue ¢ ~-' ' copy, 96 R 606 FORH NO. I TOI,~I OF SOUTHOLD BUILDING DEPARTI'~S. NT TOI~H HALL SOUTiIOLD, N.Y. 1197 I TEL: Y65- I802 BOARD OF BEAI.3~ ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOP, ti ................... nOTIFY: C ALL ................ ~. ,AiL ..... ........ ./.x. ................ APPLICATION FOR BUILDING PERHIT Date ................ ,19 .... INSTRUCTIONS a. lhis application r~qt be c~pl.etely filled in hy typ~rlter or in i~ ~ ~itt~ to fl~e ~ildi~ lns~ctor with 3 ~ts of plus, aemrate plot pl~ to scale. F~ ~rdi~ to b. Plot pl~ i~i~ l~tim of lot ~ of ~ildi~s m ~ms, relationship to ~jolni~ ~i~s or ~blic st~ts or areas, a~ glvi~ a &tail~ &mriptim of l~,t of pm~rty mst ~ dr~ ~ the di~ ~id~ is ~rt of ,~is ~licati~. c. ~ ~rk c~ ~ this ~licati~,~ ~t ~ ~ ~fore issue of ~ildi~ Pemit. d. U~ ~al of this a~licati~, the ~ildi~ Ins~tor ~ill is~ a ~ilding Pe~t to the a~lica~t. ~t ~lall ~ ~pt ~ tim ~s ~ail~le for in~ti~ theft the ~rk. e. ~ ~ildi~ ~all ~ ~i~ or u~ in ~le or in ~rt for ~ ~ ~at~er ~til a ~rtlficate of ~ ~all h~e ~ ~t~ ~ t~ ~ildi~ Ins~tor. ~.I~ IS ~Y ~ to t~ ~ildi~ ~r~nt' for ~e issue of a ~ilding Pemlt ~nt to the ~11~ ~ ~i~e of ~ T~ of ~t~ld, a~ffolk ~q, ~ Yo~, ~ other a~lic~le 1~, ~i~es or ~l~i~s, for t~ ~st~ti~ of ~ildi~s, ~iti~s or alterati~s, or ~ ~al or d~liti~, as ~reln ~scri~. ~e a~licent a~s to ~ly with all 'a~licable l~s, ordi~es, ~ilding ~e, Imsi~ c~e, re.latins, a~ to ~it ~fl~ri~ in--tots ~ ~i~s a~ m ~ld~ for ~mcen~ ms~t [Si~ture o~ ~lic~t, ~ ~, if a co~ratim) (mil. i~ ~dress of a~lic~C) // State ~t~r a~lic~t is ~r, les~, ~nt, amhlt~t, ~i~r, ~ral c~tractor, electrician, plier or beilder. .... ............. .................................. : ........ :, FEE: ~ BY: If ~lic~t ~ a ~rat[~, ~l~t~e of ~ly ~ri~l oEflcer. NOTIFY BUILDING DEPARTM[NT Builders License No .......................... Plt~b~rs License No .................... .... . . Electricians License No ...................... 765-1802 9 AMTO 4 pM FOR T~E FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSt~LATtON 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. 4. list i,unt~l Cost ...... j ........ f~ .............................................. If garage, t~mimr of ear8 ...... j ................................ 6. If 1~si~ms~, ~reial or mi~l~ ~aqmt~, ~lmeif7 imlure alii extent of each ty~ o~ use ...................... 7. l)inenai~m of ~isti~ stnmture]a, i[ any: 1 rm~t..~e .......... ~ar ............... ~pth ... II. 7~m or um district in d~ich praises are .it~mt~l .............................................................. 12. ~ms pro.mi c~mstnmtim vlola~:e any mating 1~, onli~mlme or regulati~: ........................ i · .m of C~tractor ........... '. ~, ..................... ~klreaa ............................... lllo~ ~) ............... 15, Is this p~rty wifldn ~ f~tjo~ a riehl ~mLlat~l? * ~ .......... ~ .......... PI,OT DIM;RAH l~ate clearly m~ dlsti~tly all ~ildii~a, ~mther axial:lng or prol~l, a~ i~xlicate all aet-I~k dln~naiona