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Home My WebLink About23094-zFORM TOWN OF SOUIHOLD BUILDZNG DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] ' / Date ........ ~ ..................................... 23054 Z A ' TaxMa No 1000 Section ../,.,..~...~--~ ~lock ......... ./..~) rLotNo ~....~... L,;ounW p ............... ~ ..... .-. .................................................. pursuant to application dated ........................ ~.../..~....., 19..~.~, and approved by the Building Inspector. ~// Fee $ ....................... Bulldl Rev, 6/30/80 Albert J. Kmpsld, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 31, 1995 ARTHUR HAF, DVM 144 Brown Street Mineola, NY 11501 Re: sCTM #103-10-25 Dear Dr. Haf, The following action was taken by the Board of Trustees at their regular meeting of August 31, 1995: RESOLVED that the Southold Town Board of Trustees approve the Waiver to place a split rail fence along the east and south side of property as per survey dated Aug. 9, 1995. If you have any questions, please call our office. Albert J. Krupski, Jr. President, Board of Trustees AJK:djh cc. CAC Bldg. Dept. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 1, 1995 Dr. Arthur Haf 144 Brown Street Mineola, N.Y. 11501 Re: Premises @ 1020 Strohson Rd. Cutchogue, N.Y. Suff. Co. Tax Map #1000-103-10-25 Dear Dr. Hal: In order to issue a Building Permit for your proposed construction for buildings located on lots adjacent to tidal water bodies, we will need a waiver of jurisdiction or a permit from the Southold Town Trustees. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. GJF:gar Phone number: Gary J. Fish, Building Inspector TRUSTEES: 516-765-1892. S~ROH$oN N. 5.05,~0, E. ROAD I00.00', (MuD .Examined Approved FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTII ~3 SETS OF PLANS .......... ~.aSURV£Y ~,CIIECK ......... SEPTIC FORH .............. CALL ................... HAIL, TO; Disapp, roved, a/c ...................................... ' ".'"i ................ ,d i ko Ins't;/dt;;i'.'" · A~4.1CATION FOR BUILDING PERMIT Date...7..'-..(.6( ......... 19 .{;4.~'~ 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 showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'eets or areas, and giving a detailed description of layout of property mu~t be drawn on tile diagram which is part of this appli- cation. c. Tile work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, tile Building lnspdctor will issued a Building Permit to tile applicant. Such permit shall 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 wbatever.until a Certificatd of Occupancy shall have been granted by tile Building Inspector. APPLICATION IS tlEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tile Building Zoue Ordinance of the Town of Southold, Suffolk County, New ¥/ork, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tile applicant agrees to comply with all applicable laws, ordinances~ building,code, Ja~using cod~, a,~d regulations, and to admit authorized inspectors on premises and in bn. ilding for necessary inspec~ -- (Signature of applicant, or [~amle, if a corporatiou) .T:q:. ..... ? ;(. .... ... (Mailing address of app~licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. NJ,ne of owner of premises .. A../~.T'.t4..~. ~ ...... ~.~ .'fi. ................................................ (as on tbe tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nalne and title of corporate officer) Builder's License No .............. .¥,I~ ~ ~AIS.,~~' ar~ Plmnber's License No ..... '.'.' .... :~:.j6b..:~. ~q~Ho,6~' "~"~?,~ ~C"; Electrician's License No ....................... Other Trade's License No ...................... Location of land oil which proposed work will be done ................................. : ................ ' . .1o 4 , k ..... . ................. ...... ' Cot,nty Tax Map No. 1000 Section ...;...~ .~....J.O..'~.. Block ..... tf'~.~.. ! .0..:..'. Lot .... ~'~...%5 ...... Subdivision ........ . ................... ' ......... '. Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and iutended use and occupancy of proposed construction: a. Existing nsc and occupancy .... ' ......... . .~3'~...~. .................................................. b. Intended use and occupancy ............. . .¢~.. f. ~ .' ............................................... 3. Nature of work (check winch~app icab e)'. New Building , ~ .......4ddition . ........ . Alteration ... ~..; ..... Repair .............. Re!noval ..... Demolition ...: ......... Other Work ~...b'p..t .e.. ~ ~ .... 4. Estimated Cost I 9.O~.. ' ~..~..?,/ (Description) I (to be paid on fllt ~g this application) 5. If dwelling, namber of dwellii!g units .............. Number 0f dwelliug units o, each floor.., ............. I£ garage number of cars : 6. If business, commercial or mi.ked occupancy, specify nature and extent of.each type of use ..................... 7. Dimensions of existing stmctulres, if auy: Front ...... 2.-.~ ...... Rear ..... ~.. ..... Depth . .~.i~ ........... Ileight l:~ NQmber of Stories ' Dimensions of shine structure Mth alterations or additions: Front ................. Rear .................. Depth ' i tteight ' Number of Stories 8. D' ofeutire uew con~tmchon: Front .............. : Rear ............... Depth ............... tine Islous i , Height Nu)nber of Stories 10. Date of Purchase, ....~..V.~ ..... /.q,~.S.. ........ Na/BeofFonnerOwmr ./~c-,cff. a~.[.. ................ 11. Zoue or use district in which premises are situated, .~..~,~ ¢(~e~a.e..~e.. .... ' Will 10t be regraded . .., .... i ...... /L/~ ........... Will excess fill be removed' fr~m premises: Yes No 14. Name of Owner ofprenuses . ~ ..... /:4,O. ~ .... .... Address ................... Phone No .............. Name of Contractor ....... ~..e. ~f. . . "' ........... Address ........... P ~one No ............ 15. l.s tbJ. s property within] 300 feet of a tidal wetlaod? *Yes..."~. .... No ......... *If yes, SoutholdiTown Trustees Permit may be required. · I PLOT DIAGRAM Locate clearly and distinctly al buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc~c number or description according to deed, aud show street names antl indicate whether interior or corner lot, STATE OF NEW YORK, ..... ]~.~t~Zd.,<9~.. ~.: .~ ........ . ......... being duly sworn, deposes and says that he Is tile applicant (Name of individual slgni~'contract) ' above named. i (Contractor, agent, torpor, ate officer, etc.) of said owner or owners, and is duiy autl~orize, d to perform ot have ~erformed the said work and tom,a, ke and file this application; that all statements font;al,ed {ii thmapplication are irue to the best of his knowledge and belief; and that the work will be performed in the mm, m~r set forth in tile application filed therewith. Sworn to before me this I ............... · ' .., Notal~ Public, . County ' , . ,. ...... / (Siguature of apphcant) STROHSON N. $.05,,~0, E. ROAD /00. 00'