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Home My WebLink About24512-z FORM NO.3 i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SO4THOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date.....NOVEMBER...... 8........................... 19..97..... 24512 Z Permission is herepy granted to; ,.,,,,, LEO & GERALDINE OLSEN j ....... 21,1„SACKVILLE RD .............................. G,ARDEN„CITY,,NY„1,1530................................ to ,,,,,ERECT,,,A„FENCE,,,AS„APFL, ED„FOR„AND„TO„GONDjTI,QNS,,,QF,,,SO4(THO( ,Ta... QWN TR ,,USTEES..DATED..SEPTEMBER..29,,1997. ................. ... ............................................................................................................... ...................................................................................................................................... .............�.............. .1. ....•............................,...........•.........•..............................•................. .,. ............... at premises located at................3590.....MA I N,.RD,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,............. REENPORT......... ................................................................................................................................................................ County Tax Map No. ,,,,473889,,,., Section ...035.,...,,,,,,. Block ...,0004 . Lot No. 428.012 , pursuant to application dated ....NOVEMBER 6 ....................... 19 ....97 and approved by the Building Inspector, Fee S........ .5.:��..... /.............. . Iding Inspec Rev. 6/30180 .......... XWu _ 51� Board Of Southold Town Trustees i� - ;F PERMIT NO. 1-18-00 DATE: .9/29/97 I`t ISSUED TO . ... . ...LFOOLSFN • Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS: and in accordance with the t Resolution of The Board adopted at a meeting held on 9/44/97 w. F i: 19 97 , and in consideration of the sum of $150.00 paid by LEO OLSEN of , .-Greenport N. Y. and subject to the Terms and Conditions listed on the reverse side hereof of Southold Town Trustees authorizes and permits the following: RESOLVED, that the Board of Trustees approves the application of LEO OLSEN to remove locust trees and replace with others, place a 201 non-turf buffer along dock, remove top soil and fill with recycled concrete and top with stone or wooden Walkway, install driveways topped with stone, grade land, install a 61 Iii fence along rear of property, plant grass and landscape, install in new water line from main street to existing building, & repair tt retaining wall. Applicant will install a septic system, only when Health Dept. approves location of Septic system and places on survey, and will repair catwalk only when he places qd accurate dimensions of catwalk on survey along with dimensions are of shed. Located: 3590 Main Road, Greenport. to be subscribed by"a majority of the said Board as of this date. it .... 1% � 7 rAWMAME ONE a I cam OWL am TERMS and CONDITIONS The Permittee LEO OLSEN residing at 211 SackvillerRoad2 Garden City, NY 11530 N. Y., as part of the consideration for the issuance of the Permit does understand add prescribe to the fol- lowing: 1. That the said Board of Trustees' and the Town of Southold are ieleased from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of 'Ithe Town of Southold 2. That this Permit is valid for a period of 24 `mos, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as thei said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That .the work involved will be subject to the inspection and appioval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as, a result of the work herein authorized. G. That there shall be no interference with the right of the public to''i pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of thel Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Per l .truttee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee or the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. r r BOARD OF HEALTH . . . .. . . . . . . . . . . DR R n M R D FORM N0. 1 3 SETS . PLAN .. PLANS . . . . . . . . . . . . . . ... . • • • • LL55 LS Il V L5 TOWN OF SOUTf10LD SURVEY .. . BUILDING DEPARTMENT CHECK . . ".' NOV — 64W TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 01 TEL: 765-1802 NOTIFY: BLD .DEPT ,p CALL . . . . . . . . . .. ... .. . . Examined.. ..: Z 19.9 7 / MAII. TO: . . . . . . . . . . . . . . . . . . . . AP[R mom. f•== .., 19.�. / Permit No. �...... .................................... Disapproveda/c .................................. .................................... ..... ... .... . (Building In. to APPblCATION_1?O� B ' DTi�G PERMTI' _- -- . ..��jj Date. . . .... .�S . , 1991. 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 slowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection tbrouglout 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. APPLICATICW IS IIMM 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,. ding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for ssary inspections. (Signature of applicant, or name, if a corporation) r o2 I 1 Srlc�r��c RP®®,✓Gi `;.- ..................................... ...: . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................®.W.4.ek.........................................................,. 11p V AS•N0M........ . I � 17.,�//+�e ,AL. /nlz L.ceo...l....� 1�...�. 47gP_ B Name of owner of premises .....kv...O..... ....�..........Q........ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. NOTIFY BUILDING DEPART ENT AT 766-1802 B AM TO 4 PM FOR THE FOLLOWING 00PECTION& ...................................................... I . TWO REQUIRED (Nave and title of corporate officer) FW POUW 2._ROUQBAAMW A PLUMBING S. INSULM M Builders License No. ......................... 4. FINAL • CONSTRUCTION MUST Plumbers License No. ....... """"""" BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Electricians License No. ..................... THE REQUIREMENTS OF THE N.Y. other CONSTRUCTION & ENERGY Trade's License No. .................... 35 p ANO �I�SP NSIB E FQB I. location of land on which proposed work will be done............................: ...................... ........ 3-0.0 ........................! N,!�. ...?` ...P .`` ................................................ House Number Street Hamlet County Tax Map No 1000 Section .... ....... Block .... .. Lot PPPP ... }.. PP ......... Subdivision ... k P ..AsAf;............ I Filed Map No. ..J�1.� . Lot ...9....,..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: - a. Existing use and occupancy ............................................................................. b. Intended use and occupancy ............................................................................. N_ ..... Removal . I applicable): New Wilding ......... Addition .........,; 1L ration__.'i.,.!„(.,_,. ' ' ....... Oo. i........... ikinilil:ion ............ Other lkidc ....... :f Ge............... i.,:� 3. Nature of work (check uAuch ' Repair �"�� y ( PL >� 4. Estiuuted Cost ...., 00 !.,.......... fee ........ .... ........ (to be paid on filing Otis ppli . o 3f1.G3QJ(� 5. If ckaelling, ntinber of dwelling units ............ Mnber of d%mlling emits on each ................ Ifgarage, onber of cars ... L................................. 6. If Ixrsirress, commercial or milxed occupancy, specify nature and extent of each type of use.........,,,.../........... 7. Dinensiais of existing stru-Lgres, if any: Front...../.�..... Rear ............... Depth ... ......... Ileiglit ..........1P..........�.. Mnber of Stories ........ ............. Dimensions of sure structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Mnber of Stories ............... R. Dinensiois of entire new conal{rnotion: Font ................ Rear ............... Depth .............. 1)eil;)it .......................I,.. Mnber of Stories ..................... 9. Sire of lot: Front ..........1:.......... (Lear .................... Depth, .................... 10. Dale of 13rrcluise .... .1!?....... Mime of Former (Mier ......C�.e e m Av Sk`�' .............. ................. 11. Axne or use district in udrich premises are situated .......R'f.5................................................. 12. Does proposed camtruction violate any zoning tram, ordinance or regulation: ...IV.v................. 13. Will lot lie regraded .........',.,........... Will excess fill be removed from premises: YRS IID 14. Nares of Owner of premises .kl:g7.`I"'�i'e �iNenA?S.'��klress 2,�tS�+-"� ,d{ �t,Q1Q i 9/ 1933 prem ........ Ptxxie No.b.7 ........ Mane of Architect ...........J........................ Address .............................. Pixme No. ............. Nene of Contractor ........ 15. is this properly within 300. 11........................ Acklress .... Mone Ma. ............. feet of a tidal i,etlanl7 * Y1:4 ....C..... 1) .......... *IF YIiS, xxfllKxj) '1"m 'IRI1SIMS ITiINI'I' MAY Itis R1fIlMD. PLOT DIAGRAM lcic:ate clearly and distinctly ;all larildings, wliel'her existing or proposed, and indicate all set-back dimensions free properly line's. Give street and block "Aber or (kecripticm according to deed, and show street nares and indicate iiliedier interior or corner lot, /61) lJot th �I?o11Jf" —I_ � y GAS '_ f TAItITA019d 010110JI110 YilYO I Pili IMMOIJO i I r Cl MG�9t�.Llb�PlsA�71 t asp ddr=uI QMWAM . watioRl s SDVE OF NW Y(A2K, IrMa.IY?iil�i;, ' ... 1•:+i••_I t1y mo ` S` ,rf.................—being dulurn, depores arid says that he is Life applicant , Y.r r , l:i: 111113.+r1 -1 - - - -- - (N.n�IY¢(:;ad�i alxwe.l>med,-, .,. �,i?ri • ..� ` ...... _vet. '.1.. ... � � ...... Ikeis the ........ .:.................................................................. (Ccnitrrictor, agent,�'Icorporate officer, e(c.) of said comer or owners, nfKI is clutyl,aulhorirsxl to perform or haye lerforied the said work and to mike and file this application; that all stalerenls cooaired in this application are Lnie to (lie Best of hrs knowledge and Belief; and that Lifework will lx perfonted in 11e unnier set forth io the application filed therewith. Sworn to lief_Wre me this I'I cc�� y........day of: .�a�G�.... 191'2... Notary Public ...... .`..r2:"! KARENIC .ACKSON (Signature of Applicant.) Notary Publlf State of New York Oualdied Nassau County (ornmissilon Expires It I : x `or-000_ . 1.4 J 111 / Uri1., 26 .NUN -TuflF PI + . -1-o t ,