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Home My WebLink About23757-z FORK NO. s 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) N° 23'757 Z Date ..... .�.�........................ 19l� Permission is hereby granted�to• / C, Q... ... ............. ..... . ......... ..... ..Al`yr......... . I .... ........... s 12 �...... Oat premis located at ..........'?i. .........................:...... .... ................................................................... �s�..... . ...... . ...................... ..................................................................... . . . ............... ..................................................... County Tax Map No. 1000 Section ......//.,I........ Block ..........t/........... Lot No. ..... pursuant to application dated ................W"....4�'T.. ................., 19 ..(� and approved by the Building Inspector. Fee $.../...r�...`�'' Buildin I t r I\ Rev. 6/30/80 4 It151'Iilfl ION ItICI'OIt'I. DA'I'lt ct VUII1JIl Ai'ION ( IST)FOUNDATION (2ND) I . v� .. -. _. ..._.. ..___._. . - - - - - �. Rf)UI:II I�RANN. F II zn .�_.____�__�_.y_;__•---env--rvv� •____.__-•_ __�___._�._.__ _. - . . ____ -_---_--_-__—...__- N - ._ ... I INSIN.A'l'ION l'ICit N. Y . CONIC 1'INAT. • AUIiI'I'i(ft{A I. CONNICN'IY;: 0 8 IN T ' G _ tl .y + BOARD OF HE AI,TI1 . . . . . . . .:..:. .....__ FORM NO. 1 l SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOTITHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMIS ITT CHECK . . . . . .'. . . . . . . . . . . . . . . . . . . { h TOWN HALL SI',PTIC FORM . . . . . . . . . . . . . . . . . . . SOU1'I101.1), N-Y. 11971 TRI.: 765-- 1802 NOTIFY, 92 C0/"/�1/ GALT. c . . . i• ... . ,l MAIL TO: . . . . . . . . . . . . . . . . . . . . Apprm"I. (/....., 19 i'ennit No L.,...... .............................. ..... Di.r1PPr(mnl a/q .......................... ......... ?(C.A,r ............ .. .. ATOI( Ito 1LDImc. PERM 1'I' I NST'RUCr IONS a. 'ibis alopl icat iat roost lip (-aigtl el ely fit lod i11 by Iypetri it or or in init ntxl std rniI tet) Iv Ilio Tktil ding; Iospeot or tri 3 Se I.S or plan.^., ac(atra Lo plot Plan to scale. Fete according to schctlole. b. Plot plan r.Itnei ng local iat of lot anti of Inti ldings at It,anises, rot nt inoship to adjoining prrn,ires or lnibl is ,.qt rep Ir or nrens, aril Riving n detai lecl (lorc-riptioo of laycx it of property nest Ile draemt cit tlx: rliriunn which is 1>.arI of this applicnlicnt. c•. The tntrk c(rwrecl by this afFpl icatiorr, arty riol. lm cotimo m ltefore issnmx-e or Tkti Iditip Permit . d. Illxnt jppraval or IIIit; appl icnl itn t, Ill" lli ti ldinj; Insln+cl or will ismte a Ikti I(Iilip Petmil to the appl icrnd . such permit shall lip kept at Lite premises available for inspecticnt lhroop)lott the work. e. No Inti I(IinrF stall be. orvilpinl or cared in wlxrle or in part for arry poopost, whatever until a Q,rliricalo of (kstq>,vx-y shall have been granlecl b)' the roilding inspector. APVIAGA'I'ION IS Iff-UT]TY TW)R.Lcr 11te- foilding Deportrmnl. for the issuance of a Iktilrling Permit pormtrnd In the @tilding 7sn,e Orditmtxe of the Tams of btn,thold, Suffolk (knurly, Nplq York, aryl olher applicable I;Mr, Otditxntcos tit Rvi"Olaliats, for lite ctmstroctico of lxdldings, mklificnts or alter at.iats, or for ratxrval or denttlit.ion, as l,elein (lenc•rilxvl. 'llic appl ivaot. ngrees to rrxrply will, all nppl icable taws, orditmoc-es, Inti(ding (•illi, Iinn:irig c(xle, mill reindni ias, aril to minit- vollibrized ingpoclors on Inmtises ntxl iu ImildinB for tweasrnry 1 Ispocl ialn. ant. if if vorpor nl icm) (1•1gi I irip address of appl it-ant) State tdivOirr nloplic:mt: is malar, lessee, agont, rnrbilect, engitxror, general ca,tractor, electrician, pltoirer nr ltttildo ..C.e ...................................................................... �( l lYnr of (nater of prernls. ...1h �YhS:+`.T.. 11,x-ia,�)`�:�.t!1...WtL.h 17r :S ....... ... ... ................................... (as cot Ili± lax roll or Intent dotal) it ttlgd irant is n corpornt.ia,, signatore of duly not lx,rizod Of ricer_ ................................................... .- (Wrm aril title of corporate officer) IMril(lors license N.. ........ ................. Pludiars License No. ...... ................... Rleclriciens License No. .............. ....... Other Trltk,'s Licea.e No. .................... 1. lociticxn (if �I rnrxl an which Ppropor.al work will Ix' (kmenn.............. ............................................... y �. .....1 Y. `............ ....... �t..........1 t)tr: l ...Cif. .............................. Iknwe Nuttier Street IL->tnleL .f / c. + C(ntnl.y Tax Mnp No. 1(X10 Sectial .....1.�.)...... Bl wk . ... ...1.. ...... Int ......3.3.�. Stdxlivisiat ................................... ... F lnl Kip No. .. ...... . ...... Int ......... ...... (K-1m) 2. Slate exist-ing use anal ocopmty of proniseGr nmi interxlrcl use mil cxtc:ormocy of proposed coostruct.ion: n. Exist int, ors nrxl cx-cojvu y . .....:C-S .1 .'eA L.�........ ..... ....... ... ... ............................. b. Inutile( use aril MCI)Trtr,cy ...cRrdttts..,b.tc(-. .-t...!"34.An!;f,. I. N'nule of unto (clx!ck %Ali(h illjilicable); Moa Iklildinn . ..Y ... . . Addition .. . ... .. .. Alteration . . .. . .. . .. Upail .. ... .. Ituarrvtll �.. ... ... ... Iknr�lil.inn ... .. . .. . . .. Other Pkxk . . .. . . .... ... ..... .. . . . . . .. . . . .. . . �re... � �A- 0 (Ikescrdption) L n 4. Pial heisted (but ... �... . . .�`� fee ... .... ... .. . . . ..... . .. ... .. ... ... .. ... .. . .... (lo Ix: lie id or filing IItia applical'iOn) 'l. If tkA:lI h%, nodror of: thcll in units . . . .. ....... Molter of Wiling unlls oil ench floor .. . . . ... .. . . . ... Itliinage, nmixer of cat's ... .... . I .... . I. .. .. . .. . . .. . . . ... . ... 6. 11' Ioaitu:el, camercial or mixed occugmlx:y, specify Henna and extent of Cecil type of use..... ..... .. ..... . . . .. 7. lliueusions Of exito ing ulroctunea, if any; Front .. . . . . ... . .. . ... [tear . .. . . . .. . .. ... . IX:plll . .. ... ... . .. . . . . . INJI, . .. .. . . .. ........... ..II.. Mraixer Of Slorlus . . . . .. . . .. . .. ... .. .. .. 1)intent hies of Hume al rocture rilh ell Ural Inas or aukli Cions: Front: . . .. . . .... . .. .. hear . .. . ..... ..... . Deplb .. .. .. .... ...... .... III ... .. ......... .. . .. . Mmixer of Slor% .. . . .. . .. . ..... 8. Ilimt:nsiorn of Gd.11o 1x5! const Ioc('Ion: Irl(Nal .. . . .. . ... . . .... Real. .. .. .. . ....... . Depth .. . . .. . .. ... .. Ih:igltl. .... .... ............ ..1I.. 6Aalor of Stories . . . .... . .. ... .. . .. .. : 9. Size of Int ; hrcxa1 ..... .. ..: . . .... ... . Pear .. . .. . .. . ... .. .. .. .. Depth . . .. ... .... . . . . .... . � 10. 1411e Of Pinchnae Raw of Foun:rOwner .. . .. .. . .. . . ... .... . ... . ... .. . .... ..... . If. Zone or two discriel: in Well'i prenfluee are siumilml ........... ..... ..... ... .. . . . ... .. .. . ...... ....... . ... . . . . . . .. 12. floes lnopu;ed conn l moil loo violate any mining, lana, ordinflorCe ur' ICgulal ion; . .. .... ..... ....... . .... Il. Will Int be regraded ,....... .... Will exrecs fill Ix: rte,lcrved frill p[fill! YES, III 14. Mmas of Qan:r of preeisCe . .t..... . ... ..... ...... .... A kin!ns Iluxx tkl. .. . ... . ... .. Mme of ArWilecl ..... . ..... j.. . ..... ..... . .. ... . .. .. luklt CHa . .. ... . . . . . .. .. . .. . . ... . ..... . Viii: fill. Mme of (kolraclor .......... ................. ... 7uldress .. ... .. . .. .. .... . ....... . ... ...Mono NO. . .. . . . . .. ... I'). Ill lhis ploporly within NX) 14NA Of it lidsl Mi lhod? A WS .. .. . .. . . . NO .. .. ... . . . AIF Y16s, 6YIIII1XXll 'ICAm -ii IdlSlli?S Itil@11'I' NAY 14d Iti-Il lam. PIAT Il1AGIlAN l locale clearly and (list.incl lyInil IASIIdinga, 01011ker existingl of proposed, and indicate all eel-back ddaenaione Iunl properly lines. Give street aloud black txydaer or description according, In deedpan1 slxxa slreel' names alxl indicate kAtelher interior of corner lot:, APPROV D AS NOTED s3AT : �� ,,7 2 i3.p#a 37 7 sa, ,.' �,�r up 70 ✓ d3Y: NGFIFY R IILO NG DEP 7A7 f yitg 765-1802 9 AM TO 4 PM FOR THE ` FCll9.tBVI INSPF .71C9hIS: r , i, fOUNI'lAlI - lk ftl2�f'fl9alNEfi 7 (;ls P(ll.lfU D COWC -Ir r . F{ltlC,4l - t`RA ti qlV 4 f'n »rg.(tA7lf�9l=ld'd 4 f INA), 05 � slr; t�lt�11ETh Ft1FC C UNDERWRITERS CERTIFICA /I a:f'3NSTF'U.1f;1I0N SHALL MFF:T REQUIRED TOF RFOUIRFWNTS OF TfIE N-Y, a 1.aiE CONSTROCTION 8k ENERGY 4:011a NOT RESPONSIBLE FOR stns: lAr rP (, 17L',SIGN ON CONSTRUCTION ERRORS (MNINIY (Mr� ,c.�A.l4 . . t . MA k, ... . IJ ( �,rx`��. .. ... . . .".Ix:ing, duly tukn n, degosea and rays lilac lie in lbC nppl ictxll (Nam; of uxlivldual signing contract) allkrve fueled, 11bis lite .. .. .. .. . .. . . ... .". -!.Yll-e .. ... .. .. . ... ... ...... . ... ...... . .. . . .... ......... . . .. . ... ......... (Cont1 ac(or", agent codon uta officer, etc.) f oHaid oaaxar of twours, mil in dol; nnhorized to Ilerfona of have pel fonlred the fluid %A)Ilk and to n41ke and I ile Ihis application; llnal nil malcmrnon coninhwil in this npplical ion Hue Ilia to the 1)t1a1, of Ilia luxruledge mud Iu±tief; and that Iho kxuk will Ix: perloole l in jlle Itan er eel' fulth ill the applical ion filed Ihetcvrilh. tAAnn r Nnlary 1tb .":":.�!:............ ........... �. . . .. . /. . . .. ...... CLAIRE L.GL.EW (Sil,nmine of ApIdh"" Notary Public,State of NeI York No.4879505 Qualified In Suffolk County Commission Expires December 6,78 I %J IAJ --- a o FENCE 1.4'W. POST aRAI fENCE ren TO: 1ICAGO TITLE INSURANCE COMPANY .7- FAME cw�w� AY )RWEST MORTGAGE, Inc. l,YYi'Gw ! ' coop h ��PT,A►T OTS IOMAS J. WILLIIAMS, Jr. y �' IS.7•' Rio h .IZABETH R. WILLIAMS t� t 1 .. 'se, CONC. APRON — �ti(a� ? Men WIRE ENCLOSURE w L Lai Lj • '. o V a � Q W o� � ' CELLAR ENTRA14CE Q 42.3' LW i d r r--OIL FILL RAMP 1/2 Q > ASPHALT ^ W I STORY CHIMNEY 3 CONC. FRAME HOUSE dWALK r O M a cV .r is N • I V) BRICK I0 STOOP I J O 0 I tt55 I IS+��I ZND bl ul a 1 N S 88'22'36' W 437.56' WFOOD STAKE N SE'17'20" E SPE 100.00' ' 290.00, 224. 16 S 87'34'57" W NEW SUFFOLK AV E' NUE , I NEwJoseph A . Ingegno I ALTERATION OR ADDM �pF Y WY IS A VIOLATION OFON Land Surveyor )9 OF THE NEW YORK STATE 1 `v AW. 'HIS SURVEY MAP NOT BEARING JRVEYOR'SAL INKED SEAL OR SI PREPARED IN ACCORDANCE WrTH THE MINIMUM * Title Surveys Subdivisions - Site Plans - Construction 1 'EAI SHALL NOT BE CONSIDERED STANDARDS FOR TME SURVEYS AS ESTABLISHED 1� �G JD TRUE COPY. BY THE L,IALS. AND APPROVED AND ADOPTED INDICATED HEREON SHALL RUN FOR SUCH USE BY THE NEW YORK STATE LAND PHONE (516)727-2090 Fax (516)722-509 E PERSON FOR WHOM THE SURVEY TITLE ASSOCIATION. c' 1. AND ON HIS BEHALF TO THE NY, GOVERNMENTAL AGENCY AND OMCES LOCATED AT MAJUNG ADDRESS TRUTTON LISTED HEREON, AND THE EXISTANCE OF RIGHT OF WAYS N.Y.S. Lic. No. 49668 One Union Square P.O. Box 1931 GNEES OF THE LENDING INSTI- AND/OR EASEMENTS OF RECORD, IF New York 11 RANTEES ARE NOT TRANSFERABLE. ANY, NOT SHOWN ARE NOT GUARANTEED. Aquebogue, New York 11931 Riverhead..O I