HomeMy WebLinkAbout22218-zFORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPAI~TMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 22218 Z
~,-, AII'LY 30,
D~. ............................................................... 19..,.9.~ ....
Permission Is hereby granted to:
l,l. RICHARDS FRAKER
P.O. BOX ]63
I~TTITUCK, NE~/ YORK 11952
tA CONSTRUCT A FENCg 4~ IN HEIGHT AS APPLIED FOR.
lq. I~ICPd~BS & JOAN Il. FII~3gJL
at premises located at ............ )0..!.S.. ~q~.LWOq..... ~.. .............. ,~, ~7.~.,~.C?..:.. ~.~. ?.~ ....................
CounlyTax Map No. 1000 Section .......... !.0..7. .......... Block ....... .6. ................. Lot No ....... ] .....................
Jim"/ 12, 199/,,
pursuant to application dated ..........................................................19 ................ and approved by the
Building Inspector,
Fee
~iJding ]nspec or
Rev, 6/30/80
', ~ ~ . ., ',,
'l
DISTRICT
1000
SECTION
107.00
~.BLOCK
06.00
LOT
001.000
SCHEDULE
(Description of Premi%es)
Re: Kimmins and .Kruse to Fraken .~, '
A
lyin~ ~d ~m~tn the Town of Southold, County of '$~ff~"~u~ ~ New
York, 'bounded and.described as.follows:
BEGINNING~at monumentiset-at the intersection of the westerly.
line of Knollwood'Lane with the'southerly line'of"said Knollwood Lane,
said intersection being at the.northerly terminus of said westerly
line and the easterly termlnus of said southerly line; from said point
of beginning ronning along said. westerly line of Knollwood Lane South
32 degrees 35 minutes 10 seconds East 100.00 feet; thence South'57 '
degrees 24 minutes'50 seconds West 247 feet more or less to ordinary
high water mark Of Mattituck .Creek;['~ence. Bortherly along said high
water..mark .120 feet more or less to said southerly line of Knollwood
Lane; thence ~long. said southerly llne of Kn~.llWood Lane tWO courses
as follows: (1) North 56 degregs 24 minutes.~50 seconds East 115 feet
more or less to a monument; and'(2) North 69 degrees 24 minutes 50
seconds E~st 96.0 feet to the pgin~ipf beginning.
.7:t {.
FORmNO. 1 -.. 3 SETg OF ?L,X~IS .........
TOWN OF SOUTHOLD ' SURVEY ..................
BUILDING DEPARTMENT '
SOUTHOLD, N.Y. ] ]~7]
.~. ,~,,/ TEL.: 765-180;3
Examined .. . .... 19~"
Approved .~ ~..'): .... ; 19¢~ermit No..~...~...~. ~. ~'
Disapproved a/c
(Build~g Inspo~6r)
APPLICATION FOR BUILDING'PERMIT
CALL .. .
HAIL TO:
INSTRUCTIONS
a. This ap~lication 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 't~ adjoining premises or public st?eets
or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appli-
cation.
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
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 whatever until a Certificate of Occupancy
shall have been granted l?y the Building Inspector.
APPLICATION IS HEREBY 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 appUcable Laws, Ordinances or
Regulations, for the construction of.buildings, additions or alterations, or for removal or demolition, as herein described.
The applieant agrees to comply with all appJJcable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ~ns~l~ctions. ~ .
(Signature of applicaht, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder.
Name of owner of premises
: (as on ~he tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.'
; (Name and title of corporate officer)
Builder's License No ................. ' ..........
Plumber's License No ....... ' ................ ·..
Electrician's License No.
Other Trade's License No.. ....................
Location of land on which proposed work will be'done ...................... ·
House Number : Street Hamlet
Connty Tax Map No. 1000 Section .1~ .~".~.. :.. Block ~.~ ~6 ' Lot.~ J.~f~. ......
Subdivision
· . . ....... (~; ~) ...... Filed Map No. Lot
Stale existhlg use and occupancy of premises and intended use and occupancy of proposed construction:
a.E i i ~_x.st.n~ Use and occupancy ~ .~f ~ .... - .... . .... .-<
b Intended Use and ~,i i~: ~x~"
· occupancy f . ,
'3. Nature of work (check whichlap,,lic L.. ' . '
. v amc): New Building ........ Addition Alte ' '
Repair .............. Re'novel ..... ' .......... ration .........
4. Estimated Cosl~..~..(~.(.-~.ff . . ' ~_ (Description)
' 'i .......................... Fee .......... . .
5 If d Ill i : (to be paid on filing this application)
· ifgWe ng, number ofdweIlin,g units ............... Number of dwelling units on each floor...
. arage, number of cars . .. ~ ..... . ............
6~Ifb i .' ' .... · .....
~ ify ...........
7' us ness, Commercial or m~.xed occupancy, spec nature and extent of.each e of
Di 'ex ti typ use ................
' H mensionsol is ngstmctu es, any: font ............... ear .............. De ......
eight ...... . .......... Number of Stories ..... ,.... . pt.h ........
Dim h '
D ensions of s me structure ~ ~th alterations or additions: Front .............. Rear .......
pth i H i~ht ...... ·
8 Di i · · · ,. · Number of Stories .....
· mens OhS of entire new consi~ction: Front ............. ' Rear .......... Depth ....... i .....
Height ............ ; · · N~ber of Stories ...................
·. Name of Fomer Owner .~ ~q~ ~/~ ....
11. Zone or u~'e district in which' pr ~mlses are situated ............
Does proposed construction vie .................................... ' .....
12 tare any zoning law, ordinance or regulation: ~..
13. Will 16t be regraded ....... '; .....................
..... . ............ Will excess fil~ be removed from premises: Yes No
14. N~eofOwnerofpremises~ ~. F&~
Nme of Architect ............ ~ .... Address ~:¢~* 3.g~ ~ ........ Phone NoVOn ~2~...
Nme of Contractor ........ ~ ................. Address .............. */ Phn M '
15.' 19 this property within I00 feet of a tidal wetland* *Yes~.?.'.' l~"~ne'~° ...........
· If yes, Southold Yown Trustees Permzt may be requmred. ..' ~o ........ ' ....
.... PLOT DIAG ~
Locate clearly ~d distinctly ~l build~gs, Whether existing or proposed, ~d, indicate ~l set-back d~ensions from
propegy ~nes. Give street ~d block mmber or desc~ption accord~g to deed, and show street nines and indicate whether
~teHor or corner lot.
. .
............. om~ amy ~l~r~, doO~dqays that he is the applicant
(Name of individual signing contract)
tbove named.
leisthe ' ' Ot~o~
' (Contractor agent corpo[atJ officer '
' , , etc.)
f s.a. id ow.ncr or owners, and is duly aitl'mrized to perform or l~ave performed the saki work and to'make and fil'e this
pplmation, that all statements contained in this application are true to the best of his know edge and belief and that the
'ork will be performed in the manner set forth in the application
worn to before me this .I filed therewith. '