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Home My WebLink About23001-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......................?.T............................ 19. 3 NG 23001. Z Permission Is hereby granted to: I� �9N� ...... ..., 'L.. .��....................... �?1..... ..... .�..................................... .../1/ ...., /.................. �./ to ` ,,.,...fS !............. ...�-........ ..��.... / ... .. ��✓ ............�✓,n .... .............��........,� +�� 5��.��=�5 i.✓ . 0 P� .,..... ....... f. ..:..................................................................................................... .............................................................................................................................................................. .............................................................�y4,� � v .......................................................................... �o � .....,.,.f? :....................................................... at premises located at................................. . ..1...�' �.. ..��.... ............................... County Tax Map No. 1000 Section ......��.�.......... Block........SrC!............. Lot No. ....�/............... 4 p pursuant to appiicatlon dated ..... ll.yrti(J!................................ 19.../.. .... and approved by the Building Inspector, � i Fee $...rP� .:........... ...... .... ... ...... ............................... Buiiding Inspector Rev. 6/30/80 F-EF t► ANFVE(;TION R17UUR'E DATr COMMLNIS --r ---- -----^ --- ------ ^---= ------ ---------------------------->--- G II ii � 17OUNDAI'l ON ( I ST) II 0 I R —°------- ------------ x LUUNDA'IiON UNIT) --- — '"_- -- —_-- -------------- I II III ROUG11 LRAM. b PLUMT1INC II I I INSULATION PRR N_ T . STATE ENERGY II CODE II 1 it II I II II I II n _ F INAT, it _ ADDITIONAL COMMENTS: _-- — _--- ------------------- ------ ---- ` 1. n � I-� O ti D r + SAMUELS STEELMAN ARC 780 P02 AUG 31 195 09:49 _ 1J1�t AIG ( J F=ui:afW6i r4rr14*HRc2QVV, a :n . ��.+'G.HiNcti Pool 4s'I c��a4 ix�fE��" � � 3 oy1 - :SUFFOLK CAMAN 101R13-tMEWT OF NFXIM SEHYIU'f:u rT' FOR APPROVAL Cf t"x1E-3%l RUO PON OF W10.LL. F.4PnO ?'".IuWljf:a My JUDra vrh B y: �3T L O �''-1z� . faR o-95-_oag8 ..� Chucked By: T'S ' APP Date: nar3lr 7tiF+� YEARS F1�r�t uaTE AripRavA - PLEASE NOTE Sheet Title: It is the Opp lifant'a responsibility to :131T E maintain adequate sanitary distance PLAN all Water supply and pewter dis osal faclitties. P EASE N TE .�. Minimum distance b e� Well Sheet Nc and cesspwi is to he 15 10611 <'! •; Elaanl>J S��IAZ`I!IL '•�l 'r, 114ja X + SAMUELS STEELMAN RRC 780 P03 AUG 31 '95 09:50 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER MANAGEMENT COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 852-2100 wwxwxxxl`ww»wxxx*ww+ewwxxwRww»»»witxwwwwwwwwwwwww»w4Rx*xwwwwkxwh*ww wkw w .kwwiixx*wwww DANIEL W. 6 JACQUELINE MURRAY 21 PROSPECT PLACE RIVERHEAD NY 11901 CASH RECEIPT wwxxxwwww»wwxx Date Received: 05/26/95 Receipt #: 13435-P-8860•-10033 Hdre£ No: R10-95-0078 Fee: $:330.00 Received From: JACQUELINE MURRAY Amount Paid: 5330.00 Check Number: 3716336 Project Name: RESIDENCE @ S/E/C KING 6 FIFTH STREETS Location: S/E/C KING 6 FIFTH STREETS AUG 1 f99.5 BOARD OF HEALTH . . . . . . . . . FORM NO. 1 — 3 SETS OF PLANS . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CI1ECK . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORli .. . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 p 19 TEL.: 765-1802 VDT I r-Y ; 9O Jtn i CALL . . . . . . . . . . . . . . . . . Examined . . . . . Q .`.pp. CS,..� hfA I L TO Approved . . . . . 7J4. . . . . . , 19 ( Permit No. . 3G?O/i� . . . . . . . _ . . . . . . . . . . . Disapproved ale .////. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y"" mg I Spector) APPLICATION FOR BUILDING PERMIT Date . . . . Z.`I'. . . . . . . .. 19 �) INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 issued a Building Permit to the applicant. Such permit. hall be kept on the premises available For inspection throughout the work. e. No building shall be occupied or used,in whole or in part for any purpose whatever until a Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the iuilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections.��g . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) F �!F? !fX�iG . (Mailing address of applicant) hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. f} C-� . . . . . . . . . . . . . . . . . ./... . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . Jame of owner of premises . .a fl��U . . . , v �./� . A. .10. .� . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . .. (Name and title of corporate officer) Builder's License No. . . . . . . 777 . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . : . . . . . . . . . . . . . . . . 1995 Electrician's License No. . . . . . . . . . . . . . . . . Other Trade's License No. . . . . I . . . . . . . . . . . . . . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .!� . Bll '?�K . - . . %/9. 5,a.. House Number // ✓. . Sttrreet �p Hamlet ,/. County Tax Map No. 1000 Section . . . / . . . . . . . . Block . . . . CJ. . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Nance) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . v ��- . /. � ��/. . . . 1� . . . . . . :',T: s: :! . . . . . . . . a,q 3. Nature of work (check which applicable): New Building . . .Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . D �©O (Description) 4. Estimated Cost . . .. . . . . . . i. . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on Filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . Rear . . . . ... . . . . . . . Depth . . . . . . . . . . . . . Height . . . . . . . . . . . . . . Number of Stories . . . . . .'—. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dunensions of same structure with alterations or additions: Front . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . —. . . . . . . . . . . . . . . . . Height . . . . . . . . .. . . . . . . . . . . . Number of Stories . . . . . . .r'. . . . . . . . ., 8. Dimensions of entire new construction: Front . . . .la GJ. FT Rear . . . ./ (o /'. . Depth . . . .3 .acs .1.' Height . .';T� . 7 . . Number of Stoo_des . . . . . . . Z ¢¢ 9. Size of lot: Front34? < .�a.�.'. . F(. �. Rear . .�3o < lr.Z. 7. . Depth . /p©tBV. . . . . 10. Date of Purchase . . . . . . '. . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . .+. . . . . . 11. Zone or use district in which premises are situated . . . . . .— ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate an zoning law, ordinance or regulation: . . : .!vim. . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded y . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ' 4.�: §ddress ?11"#90.5'!'x? .' : . . . Phone No.41k. zee e?. Name of Architect '5'A 4i rl Z4. !N5 5m . . . . . . . Address ✓ ✓ AWRP. Phone No. . .Y3-P. A? 9Z 4 Name of Contractor . . . . . . . . . =. . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . No. . . � *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I , + 615&A N STATE OF - mN�EW�c RK, . . . S S COUNTY OFy� . e Sfj UE.L . . . . . . , . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. le is the . . . . . .ACf� c.r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ;wom to before me this /. . . . . . . . . . . . .day of. . . GSI . . . . . . . . . . . . . 19 �/ . dotary Publiq"� . 0 j4 j ounty All. UNAFOR0ICH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M985M SuFdkaya (Signature of applicant) Tom E*w SVL 3,19_p n � /�S ril6Te•NGE TO `' \I�' �� NEIc�H BOWN6r WELL CU CH O" E 9; SITE DATA ST12-EE T V v FLET y SCTM # 1000 - 117 - 8 - 1 o 0 8 63• 5'4' E \----J 100,88 PROPERTY: 60 King Street - - Haare lFO x l� ,Mar:h Pt ' ADDRESS New Suffolk, N.Y. 11956AIT _ r /� a. OWNER: Daniel & Jackie Murray i l FUruze �xF�NS �N 9 N _ r 21 - Prospect Place / i __ __ —I LEArHING� I�aaL __ o curcHoeu Riverhead, N.Y. 11901 / s�,.,"oAK° KING -SFT H.x g7 FT \ G r' we om Cole HARBOR Tel # (516) 727-8231 s7¢�ET K rc. paY�NG6 TO IJ ELL At 4 SITE: 0 7 Acres E :5C =T w I o 163 FEETpQ°g' ee 1 1 Y - - - - � iii AREA 30,557 s ft. I Ft+01�16 !-tocHlNal pcaL P -- -� 6.laTluca "+"h "n I - 12 F , , lH;vrH x'- t L q. i ' r ° 8 FT VIPMETErL _� P LHiNG NEW SUFFOLK 81TE; ZONING: R - 40 1 1 © Ij �� N .._ \� DONG� I NovHo � �O«� I © 1,J A✓I�� Z SURVEYOR: Roderick Van TuylW \ pzo osE �rwT1c Tr`NK J I E IDGIJ E i \ I.jIMON HOLE r Greenport, N.Y. 11944 \R - License # LS 25626 \ �( �� m � \ i \ A � Dated 6 / 23 / 874 ' iF rv.o�u^_� i`�•� � 1 `r vR1NENA�(\ . 1 ` % V/ NOTES: Elevations shown are 1 1, r \ I _ PA1 ■ . ■ based on National Geodetic --r Kor-eseD a L_ W Vertical Datum of 1929, and w�1.L - - -- Exi 1T1 I - r�w�o�N4s \ - mean sea level Public water + I % t �� ;P, er is not available within 500 ft cpr, iTe. PP.r11CItiG� .� of property The locations wells and w shown hereon are IF ols Pcatifrom field observations and F or data from data obtained LE Er.lo II,� from others. wce.,✓T ,� �Fy,� r� I HEALTH "I am familiar with the DEPARTMENT standards for approval and Zo, 6 O - - G N STATEMENT construction of subsurface = G \ m N,,F �prW�� z sewage disposal systems for single family residences and will abide by the conditions - • \\ 4'K r it set forth therein and on the C �EtD - permit to construct." �- -rwo 9y w.DE 1 11 - FK.aME IIS DILTY $r� SIGNED: % jos rn 1,1 I pl FlN. ,PLR , 'I z - =_- - Si L;T UrJDEG=GIeG�U,JD s.ND s # 70 i WwTzz uN6IC z - < . •< 13,6' TK+-EES To I�h�A!r-1 —- �� LPROr'Or�c-V e'UTI.IRE WELL Il-WL12 < z BAND � I � w • '� w I, 4 FT WGrH FE�IGE �� o T w • T4 H _-7 t r^a K. yr P- � JFDv6 EUISTING NEir. NPxR'4. o L-E � b---� � ,�C '.GH1NG aooL �0 IL---� v� 444 I � INSPECSIdR REQRIRED � �� o� o Tear W d U) �•i�p?'I, `+i�,i C 9v.i, : F a L r l r i d u'J;*Ui ? Project No: -I`A1r4dEo i �h v�-N EX • �'3. 5`�' 4�' � -- .- o�-- - -- -- ,oc.�i 4' - - ?1 Drawn By: LJT N'°j, JQL 06 to i, ?:? i R/r0 ,g5tl0078 \JI GXIgTINGr JEIC+1-Igc�c'6 �. i v 1 ly -71 I U � y Checked By: T S dC`rfrfr`2''t4 .ih."o _ IFfS": Date: 5/5/d 5 fel /`l IJ GP i2 T _.... . ,__ __.....,_..-_ qL+7 - - ---- �..J i Scale: AE_- sHOWr`+ PLEASE NOTE Sheet Title: � a STH It Is the applicant's responsibility to SITE maintain adequate sanitary distance between all water supply and sewn.,% PLAN disposal facilities. _ .. ._. . SITE PLAN PLEAHpjE Eandmceu m dist:a — e between well Sheet No: 20 sspoolto be 25 T0611 I ,' ' IaIJn"id3q 1 53:116 I i ., ,Oddilg