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Home My WebLink About21905-zFOUMDAT~'ON .~(~ FOUleD ' (2ndl ROUGH FRAME & INSULATION PER'N. Y. STATE ENERGy CODE FIMAL '. ADDITIONA'L C_O.M~E~ITS: FORM NO.3 TOWN OF $OUTHOLD BUll.DING DEPAR'"/MENT TOWN HALL SOUTHOLD, N.Y. N_o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ......... i.....~ ............................... 21905 Z Permission Is hereby granted to: ...~.:.~.~,...~.~...~: ....................... .... ~ .....,~.~.~,~...... ~,. ~ ~ ................... .... ~~..~..?...~,.....~.~.~. ............ . to....~(~.~..-s......~....~~...~ ....... ~ ....... ~J...~....~...2; Z).~..~2~ ......... ~ ........ ~/../...~.....,~,~. .......................................................... .../ ~.~,~.:....,,..~.~ .......... ~.,.'...z..-..~..~..~.~.~.~//~.~.~.~../....-...~ .......................... ."~....~..~-~ ....... ~ ................................ ~ ......... , ............... ~. ............ ~. ............................................. at premises located at ............ :..~.......~....~.. .......... ~....~ ......... ~../...,~.. ........................................... Coun/yTax Map No. 1000 Section ......??....'~... ........... Block ....... ..~,..~,. ........... Lot No ........ ./....~,.. ............. pursuant ,o application dated ................ .~../.~... ............................ 19.....~...,~......, and approved by the Building Inspector. Fee $...',~7,~,,',.,,~,,, ........ Rev. 6/30/80 Albert J. Krupsld, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 24, 1994 Thornton Smith 44 Brookside Drive Plandome, NY 11030 Re: ~CTM #123-6-15 Dear Mr. Smith, The following action was taken by the Board of Trustees at their regular meeting of March 24, 1994. RESOLVED that the Southold Town Board of Trustees approve the request for a waiver to construct approx. 22' 10 1/2" X 9'6" addition to existing kitchen as per plans dated 1/15/94. If you have any questions, please call our office. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK~'djh New York State Department of Environmental Conservati Buildin_~ 540j_~-}SU.7NsYk_St~l~gBrook, New York 11790*2356 Dear Based on the information you O. Jorllng Date: '~0~/,- ~2. ~-'~, /¢7. '~'~¢ sloner Re: l.q T ?.),?,. -. ::d.,~'D.'.tic ~'C-/7>7 t~,~,,o -/~ 5 - (o ../$~ have submitted, the New York State Department of Environmental Conservation has determined that: -- · ' . ,0 ' '.(,.~ :- ,,' .-,,,.:' . -<-:, ~ ~. - ~ ' , r ..... ' "/ / -"/ ~ ~ /~' Therefore, in accordance with the current Tidal Wetlands Land Use Reg~!ations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal 'wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any ~edimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands Jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale be.~um. Please be further advised that this letter does not relieve you-of tke responsibility of obtaining any necessary permits or approvals from other agencies. cc: Very truly yours, Deputy Regional Permit Administrator 44 Brookside Drive Plandome, NY 11030 Jan. 28, 1994 Mr. GaIy Fish Building Inspector Town of Southold Main Road Southold, NY 11971 Dear Mr. Fish: Confirming our recent telephone conversation I enclose herewith an Application for Building Permit, three sets of plans, and a check in the amount of $75.00 in connection with a proposed alteration to my home on Camp Mineola Road East in Mattituck. I trust that you will find these papers in order and will be able to issue to me a Building Permit. If you have any questions, I can be reached at 516-627-8799. I look forward to your action on this matter. Yours very truly, encl. Thornton E. Smith, P.E. 44 Brookside Drive Plandome, NY 11030 Jun. 10, 1994 Mr. Gary Fish Building Inspector Town of Southold Main Road Southold, NY 11971 Dear Mr. Fish: In connection with the Application for Building Permit which I submitted to you with my letter of Jan 28, 1994, I enclose herewith copies of a letter from the Board of Town Trustees dated Mar. 24, 1994, and a letter from the New York State Department of Environmental Conservation dated May 26, 1994. I would appreciate your action in issuing a Building Permit for this work. We expect to undertake this work in the fall. Yours very truly, Thornton E. Smith, P.E. end. ~,, ~ ' ' "' FORM NO. 1 !:"" , ': TOWN OF$OUTHOLD i~'*~ FEB 2 - 99,'!j, ,, BUILDING DEPARTMENT ~..~ ...... '~,?. ,~r,'~, ~ · SOUTHOLD, N.Y. 11971 TOWN O~",S~a3~i"~O ;,~,;-L'- _ TEL: 76~1803 ,=m,.., . . . .7/2.,: .... ','.. ,, BOARD OF HEALTH ......... 3 SETS OF PLANS SURVEY CilEcK ' SEPTIC NOT Z p~ 1 A,-L ;;;'7 ............. .......... Disapproved a/c .............. , ..................... : ~ ~ tor) · , ' ~¢¥qZ? , .... BUILDING PERMIT ' . ...~, ~. : .,19 a. T~s application m~t be completely filled ~ by ~pewdter or ,:sets of plans, accurate plot pl~ to scale. Fee acco~ing to sdhedule. b. Hot pl~ show~g location of lot ~d of buUd~ on p~m~s, rela~onship to adjo~ing premiss or pubic streets or ~eas, and giv~g a dot,led d~cdpQon 0f ~yout of pmpe~ m~t be d~wn on ~e di~ which is pag of ~is app~- c. The work covered by ~s application may not be commen~d d. Upon approval of ~s app~cation, the Bu~d~ Inspector wffi i~u~ a BuQd~ Pe~it to the app~c~t. Such pe~it sh~ be kept on thc premises av~able for ~specaon ~rou~out shal~' No buUd~ shall be occupied or ~d in whole or ~ p~ for ~y pu~o~ whatever ~t~ a Ce~ific~te of Occup~cy have been 8r~ted by ~e B~d~8 ~spector. APPLICATION IS H~RBBY M~ to ~e Build~8 Dep~ment for ~e ~ce of a B~ldin8 Pe~it pumuant to the Buildin8 Zone Ordnance of the To~ of Southold, Suffolk Co~W, New York, ~d o~er applicable ~ws, Ord~ces or Resulations, for the constmcQon of buUd~, additions or ~terations, or for remov~ or demoliQon, as he~ described. The.app~cant. asrees, to.complyf with. ~ appUcable. .: .laws' o~c~,, . bu~d~8, c~e, ho~= code,_.~nd .re=~-fions= , to a~it authonzed mspec.om on prew~s ~nd m bu~dm~ for ne~ msp~O~' ._ . ...... .... (Sisnature of applicant, or name, if a corporation) (M~8 address of applic~t) State whe~er app]ic~t is owner,.]e~ee, asent, ~c~tect, en~eer, ~ne~ cont~ctor, electricia~ pl~ber or buUder. O.~R . , N~eofownerofp~emises ~.~.~ ~ ~/~ (as on thc t~ roll or latest deed) If applicant is a corporation, sisnature of duly authorized officer. (Name and title of corporate officOr) 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 ................................................. . 2. qO.. ~.k'. Z House Number Street Hamlet , / Z,5 Block . .' 6. Lot .: fi.a-. County Tax Map No. 1000 Section .............................................. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constrpction: a Existing use and occupancy ~-F$.l,0~.~/,¢ ~.. :~' '' b Intended use and occupancy 3. Nature ofwork.(check which app cable): New Building .......... Addition .......... Alteratim~ Repair Removal Demolition Other Work 4 Estimated Cost Fee '~ Z ~ (Description) i~ (to be paid on filing this application) 5 If dwelling number of dwelling units /. Number of dwelling units on each floor If garage, number of cars !~. ' 6. If business, commercial or mixed olccupancy, specify nature and extent of each ,type of use ........... 7 Dimensions of existing structures if any: Front Rear ' ' Depth Height Number of Stories : Dimenmons of same structure with]alterations or additions: Front .......... ~ ....... Rear ............... Depth i Height ~ Number 0( Stories 8 Dimensions of entire new construciion: Front Rear '~', ' Depth Height Number of Stories '" ' - 9. Sizeoflot: Front ............. ! ......... Rear ...................... Depth .................... 10. Date of Purchase ./.q. ?l .--. :A/I LL .............. Name of Former Owner . b(/.J ~LE/,.. $, .-5'4¢//.77~. ......... 1 1 Zone or use district in which premises are situated 1 2. Does proposed construction violet{ any zoning law, ordinance or regulation: ./4/.Q ....... ; .................. 13. Will lot be regraded .. A~O. ..... j ................. Will excess fill be removed from premises: Yes 14. Name of Owner of premises T'.//O/~.TOYY/:;fl/lf/F./~iddress .//~ ~[~.0.14'.~,, ..... Phone Name of Architect ............ i ............... Address ................... Phone No ................ Name of Contractor .... , ...... I. Address · Phon~ No .5. Is this property within 30Q fe~t of a tidal wetland? ~Yes.,...... No..,....... *If yes, Southold Town Trustees Permit may be 'required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ',TATE OF NEW YORK, :OUNTY ..... ..... .~'~O/~/~. F~. ~. ~.$~t/]7.~.. i ................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore named. [e is the ... O. 'W/g'~../~'...' ......... :.~ ............................................................... * (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contain{d in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner se forth in the application filed therewith. worn to before me this day of ,. ; 'otary Public, .................. County RII'~ ' k ................................. ~ ~ublt~, s~a~ o~ (Signature of applicant) ~oe fled in Nassau Counly Z 9'~±