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Home My WebLink About20467-z noun NO. i 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 20467 N _ Z Date ..~rl 199 ° Permission is hereby granted to: ls'c~.... .....ol 9.......f.S~4r......... Q.. at premises located at ..3:3.9.6._... ..........~~/e. ef;...0 b . County Tax Map No. 1000 Section Block Lot No......~r..3......... pursuant to application dated ...c.`5/...................................... 190; and approved by the Building Inspector. ' X25. o v ce, Fee . . uildi Inspector Rev. 6/30/80 _ y~yay~ t~ t ea-, _y'.-y sgr-~•-M1s3 arrfi ti" Acg'Ta.~P N~ cli rp\ maul / I \ / a J / I i \ w~ ~ ~ J I ~ m~ui ra ~ ~ 3 - °tia ~ \ N ci N N N .H N J ° Sc~~po \ N J N 01 i / ESN? za S vii ,yJ 5~ .I0 t IV fur V, Q~ S N 0 r ~ pry,. Q 4z) ~3 3b i `Oi~ Z V oQ~ au 40 fox o3mWO'z" > ° = f z> 0o~i~ V N 1114 ~ - 3 was r H< i z ° z a z a 00 ° V = s m m i v= F : 8 , Imo- ~ F-w r 3. Nature of work (check which applicable): New Building Addition Alteration Repair • • • • • • • Removal Demolition Other Work i . S. 6--p cC (Description) 4. Estimated Cost . . m ?'.CQ C7 Fee 62.5..C1 !?c (to be paid on - mg 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 occupancy, specify nature and extent of each type of use arii S 7, Dimensions of existing structures, if any: Front Rear . Depth . Height . ...............NumbcrofStorics................................... Dimensions of same structure with alterations or additions: Front • • . . • . Depth Rear.................. Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories . 9. Size of lot: Front Rear...................... Depth 10. Date of Purchase Name ofFormer Owner 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded " " " " " " Will excess 611 be removed from premises: Yes No 14. Name of Owner of premises WLa Address Phone NoC~ Name of Architect , Address Phone No. Name of Contractor . ••••••••••....Address Phone No. 15. Is this property within 300 feet of a tidal wetland? * *If Yes, Southold Town Trustees Permit may be required. No......... 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. Ap Q ED AS NOTED DATE: '-B.P # OT 0 BY: ~c NOTIFY B ILDIN DE DEPAR TAT 765-1802 to AM TO A PM FOR THE FOLLOWING INSPECTIONS: I. FOLINDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET " THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS TATE OF NEW YORK OUNTY OF ~L S.S C~II ! S(. ?~/~GG< -_ZK . • • , . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) )ove named. e is the . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ,plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner set forth in the application filed therewith. vom to before me this ..~.......td o 19 Q .Z ~tary Public, n r . . ROBERTI NOTARYPU9its ' MN .4725089, (Signature of applicant) tm Expires Me y 8}$ e2-- OWN '~°~g BOARD OF HEALTH t FORM NO.1 3 SETS 0 LAMS MAR 3 q TOWN OF SOUTHOLD SURVEY . R BUILDING DEPARTMENT CIIECK . ac7 - , . , . , , BLDG, F1"TOWN HALL SEPTIC FORtl TOWN OF 8, UTypLSOUTHOLD, N.Y. 11971 TEL.: 765-1802 NDT IFY ; i CALL 119P . L•xamincd, , MAIL TO: Approved 199.?Permit No. . Disapproved a/c . . . . . a~ ( uil(im spcctor) APPLICATION FOR BUILDING PERMIT 3 - Date , 19.,7-7 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 krill 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 hall 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 ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ,egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. -he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. e/ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) f 9~j )tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (~?cr~A/v ~ . Jame of owner of premises . (as on the talc roll or latest deed) f ap licant is a rporation, signatu _ of duly authorized officer. • (Name and title of corporat officer) Builder's License No . • . Plumber's License No. I' Electrician's License No. . Other Trade's License No. ......F fs Locatio o l don which Sf proposed work will be done: house Number / Street Hamlet County Tax Map No. 1000 Section Block Lot 4 . Subdivision Filed Map No.' Lot . (Name) State existing use and occupancy of lremises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . b. Intended use and occupancy tltn S„', ;"i«a~:,y~sAsis&I i .,1 111.1111, IT. Sa` ~h E" jh0(`O~ 6AA Sa N ~ ~0ttae<\9 oD of 0 01 w. % 0 4 ~)3 m G) ° (n Ln - es 2 N 6aD a5 AO 5 6A6$ Pat ? ;c. Plea ww w 7z~ h~~ ,p,t mow. ZG {JQ FR p4RN ' m ~ YI m N ~ z f i s3e ~ m m 2100\ I N.85°48'40"W. 208.08' now or formerly) W r~ W - John Simicich , Jr. o.`r` now or formerly Oq ; ;I W o David R. d Jane( SO STarwood ENO ~ssDssso W ° 03 o o gvEN~E REVlsions YOUR' YOUNG & YOUNG YORK 400 OSTRAN DER AVE )STRANDER AVENUE RIVERHEAD, NEW YORK HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ALOEN W YOUNG HOWARD W YOUNG nvevoT A MEEI1 CO TAXM MAIN_MI2NSOURCE OF WAT_R' MANIC _PUSUC_ nrvoesugvEVOq"r+ N LFF CO TNRMM OHTL 5[[ TIONJ MUJCN I LOT.R/OI vs P~ R. r N THEM ARE FO DWELLUMS WITHIN 100 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON. SURVEY FOR: N THEWATER SUPPLY ARE) SEWAGE DISMAL SYSTEM FOR TH13 RESIDENCE 'II'll°ry," AIIIIIIIA JOHN SIMICICH, Jr. WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT NCH, Jr. 41 It. OF NFw ` OFHULTH SpNICEf. I . T Al. .oqn .ruq I[wn..n APPLICANT A. j1'µU W. Y ov O OJON SIM MISTCH ADDRESS t t.Ox E. N.11 -,IA F JOT , O MAT ERI E SINI TEL EF RR ,"A, AT MATTITUCK MAT ITU P II L MAT IT NI U INL NOTE: 9 I MONUMENT a= STAKE I. TOWN of SOUTHOLD 9UFF LP UNTT TPI LL A INC. N OR RE+ LOT I, MINOR SUBDIVISION "JOHN SIMICICH,JR" Rx"Fxr' HOLD T COP F YlP BT T P 1.111 All I oP11 II SUFFOLK CO, N Y. CO, N Y, BY G D 41 A,AE PE MTIE LOfJTKINCEWFIL(W),SEPTIC TAHK(ST)& CESSPOOLS(CIA) MH HHEREON SCALE' FATE DATE NO LI1E FNpI FIFL00ESETWTIONS MOOR DATA OETAVEO FROM OTHERS TI 11 1AFIT I., w"ws I"= 100' D DEC 12, 1989 9- 1024 IDY Fosl I.IA