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Home My WebLink About22269-zFORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] 22269 Z D_,~ AUGUST 16, ........... u*~ .............................................................. 19 94 Permission It hereby granted to: I~UR~C~ JgZO P.O. BOX 42 CEDAR (~ROVE, N.J. 07009-0042 BOARD OF TRUST~ES JOLY 22, 1994 at premises located at .......... .8..!.0...~.L. ~....L.~ ............................. .C...I~.. ~..~....0.~ ~,...~....Y..~ ............................ 35 5 25 CountyTax Map No. 1000 Section ......................... Block .......................... LofNo ............................. pursuant to application dated ............ .A,~.C.?.?.~...!.: ............................ 19.....~ ....... and approved by the Building Inspector, Fee $. ,'-~.. ~... Cz;~.Z)~ Rev. 6/30/80 Albert J. Krupski, President John ttolzapfel, 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 July 22, 1994 Mr. Mauriee Jezo 62 Maple Lane East Marion, NY 11939 Re: SCTM 035-5-25 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Dear Mr. Jezo, The following action was taken by the Board of Trustees at their regular meeting of July 21, 1994: RESOLVED that the Southold Town Board of Trustees grant an Amendment to Permit 352 fo~ 2 6' X 20' floating docks instead of '1 - 6' X 35' floating dock, and a waiver for 4' high fence along southern & northern part of lot. If you have any questions please call our office. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh 1 t99/[ i:' 'B N.Y. TowNLDG. DEPT. . SOUTHOLD, 11971 , _~ OFSOUTHOL 9~ ~, .~.~.~. 7Dj TEL.: 765-180:2 ^ppro ed ......... No. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOAKD OF HEKLTH ......... 3 SETS OF PLANS .......... SURVEY .................... CIIECK ............. ....... Disapproved a/c ..................................... (Buildiffg In~_pZfor) APPLICATION FOR BUILDING PERMIT 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 streets .or areas, and giving a detailed description of layout of property must 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 by 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 applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections_./..~/ff~///' / -- (Sign ature of applican~n~ corporation) (Mailing address of applicant) Builder's License No ......... .'q'~ .............. Plumber's License No ........ .~'./~. ............. Electrician's License No ....... J/.. ~. ............ Other Trade's License No ........ .~,4 ........... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~r~..tJ;~.l~..~ "~.~.'r~z..O. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~P~0~ ~S ~0~ ............................... ............ (Name and title of co,orate officer) NDT~F~ BU~L~G DEPARTM~AT 7654802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~WO REQUIRED FO~{ POURED CONCRETE FRAMING & PLUM~ING 4, FINAL CONSTRUCTION MUST- ~a COMPLETE FOR ALL CONSTRUCTION SHALL l. . STATE Location of land on whmh proposed work will be don'e ......... ~:,~. ~[~N~ .OE. ~..N.Y, ............. ..... ", ........................................ b'ff c g ciio ltouse Number ' Street Connty Tax Map No. 1000 Section .. ...... ~t~ ........ Block ....... ~ ......... Lot ..... ~..~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .g. .~. .g4c~.~. . ~.0. ]~. '~ ~' ~r, ~ ~: ~ , "~ .................. :L''' t,''~,' '~'",?)~' t,t&, ' ......... LoT b. Intended use and occupancy ......................... ~,.., ~ . 3. Nature of work (check which ~pplicable): New Building ........ Addition ...; " ~: ;~t ....... Alt~fahon .... .... Repair .............. Rem'oval .............. Demolition ............. Other Work t~'.~'~..ek~. .... ' ! , - .... ~O:~T$ttg~Z$ ~ ~DescnpUon) 4. Estimated Cost .~.~.~. ~.~./~.g4'.~)...,(.~*/~.t,.e.o~t~. .... Fee .......................................... ,~ (to be paid on fi i'fi~ this application) 5. If dwelling, number of dwelling units ..../ .......... Number of dwelling units on each floor.. ~ ........... If garage number of cars i 6. If business, commercial or m~xgd occupancy, specify nature and extent of each type of use ....~. .............. 7. Dimensions of existing structures, if any: Front ................ Rear ... ~ ......... Depth ...~. ........... ight ~ m.b · He ............ Nu er of Stones ....... .~. .................................... . ........ with " Dimensions of same stmct'ure alterations or additions: Front .....~:. .......... Rear ....~ ............ Depth i Height Number of Stories 8. Dimensions of entire new construction: Front ....... ~. ...... Rear ....... ~ ...... Depth . ..~. ........... Height ....... ~ ...... Number of Stories ...... ~ ................................................ Size of lot: Front ...... ~. ~..i~ ........... Rear ........ /~.: ........ Depth . .I. 4 P. ~. ............... Date of Purchase ....... ~37it~..,.t(..I.q 7..~'.. ........ Name of Former Owner . .~g-.~v/,(. ~..g. 7~7'~. .......... Zone or use district in which premises are situated .... I~£..q Cl>E. O:.T.~'~ ................ Does proposed construction vidlate any zoning law ordinance or regulation: ~.~. Will lot beregraded........:.........i .~.~........Willexcessfillberemovedfrompremises: Yes .No Name of Owner of premises /~.,g/.r-4~ .~'.~-.o...' Address ~'q.~.o~ ~z, -- .. Phone No.2t~t. ~{t .~e~.Z.. Name of Architect . ~..,q- ~,~lrt~ ~,~l>~'c~ ~,;~' }.4 .~,' ,~ ~ · ..... i'. ;,~' ......................... ~'t o~.~] .......... rhone No. 2/'~.6..~.~..~.'.~?--.7.. rqame o~ contractor ....... ~..ra. ........... ; :'..'. Address .............. ,,c.... Phone No ............... Is this property within 300 feet of a tidal wetland? *Yes..l~..... If yes, Southold ~Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly al! 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. %%. 10. I1. 12. 13. 14. I5. STATE OF NFcX:,~YO~/! / ~ S COU, N~Y OF ~. ~.~/.k(.~. ' (Name of individual signihg contract) above named. I He is the ' ..~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perfom or have perfomed the said work and to m~e and file this application; that all statements contained ~ this application are true [o the best of his ~owledge and belief; and that the work wHl be perfo~ed in the m~ner; set forth in the application filed therewith. Swom to before me this~ a~~~~' ~ ......... ~: · . .d 19 . C~IRE L N~W Publl~ Stere of Ne~ Y~ ,,~ . . ~ ~ No. 487950E ~// ............. · ......... Qu~}lfl~ in Surfak ~u~ ~[~ ,~ ~at~ of applicant)