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Home My WebLink About21351-z FOu'av NO. ft 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) No_No. 21351Z Date ........... .~......~. ............... , 19.~...~. Permission is hereby granted to: ' ~. .... ....'~=.~.....']..~] ............................................... ...u~...T.~' ~ .................. ,.-,. ~ .......... , u~....t~ ................ ...... ...................... at premises located at .,.~.~../...~.......~......~...~....J~..~., ......... ~ .............. County Tax Map No. I000 Section ....~..~'~.....~.. ....... Block ,,...,,~.,,~.. ......... Lot No.....~.....~. ............. pursuant to application dated .... -- -.~.....!.,,~,. ..................... , 19.cJ..~., and approved by the Building Inspector. Rev. 6/30/80 Daniel N. Slatkin, M.D. Poet Office Box 701 Upton, New ¥o~k 11973 2415 Long Creek Drive Southold, NY 11971 July 21, 1994 Town of Southold Building Department Office of the Building Inspector Town Hall Southold, NY 11971 Re: Fence Building Permit No. 21351Z Dear Sirs: On April 20, 1993, Southold Town Building Permit #21351Z was issued to us for fencing aroundpart of the boundaryof our property (Map 1000, Section 52, Block 8, Lot 3) at 2415 Long Creek Drive in Southold. We began construction of the fence in the spring of 1993, and it is about 80% installed. However, the section to be completed is now a heelthhazardtous, as the area is overgrown withpoison ivy. Thus we will be unable to resume work on the fence until early spring 1995. Would you kindly grant us an extension of the permit until May 31, 1995. Yours truly, Daniel N. Slatkin Mara B. Slatkin Approved .~.-- ~., 19s~. Permit No. ~. ~.~...~. Disapproved ale ............................ ' " ' " --D "' (Building Inspector) APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CI1CCK .................... SEPTIC CALL MAIL TO: /4- 19 ?$ ' 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 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 In.spector will i~sued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspecti'on throfighout the work. e. No building shail 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 inspec, t~ns; ., .e ,.~ . , , . . ....... .~..~f,. ~..' -~ 6...~....~a: -- (Signature of applicant, or name, if a corporation) . ¢,o.,~. 7.%.u~.~ ~v.r. . it.~. z,~ ............ .... ~ ................ ~ ...... Uvl.~/~g a-cfcTr~§' 6f-~ppli~ant) ' State whether applicant is owner, lessee, agent, architect, engineer} generai 'contractor, electrician, plumber or builder. .... O~.**r ........ ' ......... ...... i .................... '... ........... . ........................... Name of owner of premises..~.4,;.~/, fl, SIO~..~. 1'.~. ..44. '..~.~..~...~.,. J[O~..~[~, .......... : .......... ' ........... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~ fl./.f.t// ........................ (Name an itle of corporate officer) .. Builder's License No .......................... Plumber's License No ......................... Electrician's License No. Othe~ Trade's License No ...................... 1. Location of land on which proposed work will be done ............................ : House Number Street Hamlet Conhty Tax Map No. 1000 Section .................. Block ~) ' Lot ,, ,, (Name) '-' ' ' ......... · ~cl,~ ,,f.r~ff4'~d,,;,~ ..... v/..: ,- ....... : ........ 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... | , .--.t ?.t ......... ~ .......... ......................... b. Intended use and occupancy ~ t 0~_ ,3. Nature of work (check which applicable): New Building : .......... Addition i .......... Alteration .... ~..;. Repair .............. Removal ...... ~ ....... Demolition . . · i . Other u,- ,. '/ on)......~.. ..q...... · (to ~e paid on filing this application) 5 If dwelling number of dwelling units ~ Number of dwelling u~its on each floor If garage number of cars ~ .............. 6. If business, commercial or mixed occupancy, specify nature and extent oLeac~ ~ype of use ........... ....... 7. Dimensions ol existine stmcthres, if any' Front 66,~ ~ Rear ~0 [4 ~e~.. De-,C(~J, 7-~3 Dimensions of shme structure with alterations or additions: Front ~.~ ~. ~ ~ , Depth .... ~ .... ~q~ ........ H~t ..... Sq~X~.' ........ ,.. Number 6f S3ofies ~ ' . '" 8. Dimensions of entire new ~: ~... - . ~ · ...... , ............ .......... u;strlct in winch premxses are situated ~{Ttd~,-'g I ........... *: ....... 12. Does proposed construction violate an,, zonin- la ...... ' ' . . -~ ............................ ' , .. a ~ w, ummance or regulation. ~l ........ ' · .. 13. Will lot be regraded,; .... N~ ..................... Will excess fill be removed from premises. ' 'Ye 14. N~e 0f Owner of prqn~ises~ao~[.a~ .~(~. Addres~ ~fi ~ot ~NYtt~*~ .... ;-~t_~, N~e of Architect ~Oa~ . --~ - ~. ,r~. ~...,.u~r.~. rnone mo~{g .<4tTqFPl;'. ...................... auuress ..... ~ .... ~ .....Phone No..:: r:: ..... r .... N~e of Contractor . ~e~ .................. Address ........... :.i · · · Phone No. - ' 15.' Is this property within 300 feet o~ ~ tidal wetland* *Yes [~'' ' .............. ~ *If yes, Southold Town Trustees ' -.*.~... No ....... . Permit may be required. ' '' PLOT DIAG~ Locate clearly ~d distinctIy'"~l bulldogs, whether existing or 'proposed, ~d~ i'ndicate ~1 set-back d~ensions from property ~nes. Give street ~d block number or description accord~g to deed, and sh w street (~tefior or corner lot. (f~e~,~ /~) . , . q n~es and in&cate whether coU r s.s ' .. ,. depo~e~ ~d say~ that~ the applicantP (Name of individua~signing contract) ~bove named. ~ v~. ...... n, that ail statements contained m fins apphcahon are t'rue to the best of~ cnowledge and belief; and that th~ ?rk will be perfomed in th~ m~ner set forth in the application filed therewith. ~wom to before me this ' ROSE H. DON,NELLY'. ~ ' ' /7~ Il' ~ ~ NO. 52'4624196 Suffolk Coun~ I (Signatur~f applic~ ·