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