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Home My WebLink About20147-z I~OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILBING FEB~IT (THIS PEI~41T MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 20147 Z Permission is hereby granted to: .... ..... County Tax Map No. 1000 Section ...... .~..'~..~. .... Block ......... ..~,,,~...., Lot No......~...~..:...I ...... pursuant to application dated ...... ...~..~......,~..~. .................. , 19..~...I., and approved by the Building Inspector. Fee $...~....~../.z .~ Bul~l~ng Insl:mctor Rev. 6/30/80 DATE INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. Ia, ARRIS, Supe~vis0r Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 August 2, 1991 Mr. Philippe Maucotel 310 Duck Pond Road Cutchogue, N. Y. 11935 Dear Mr. Maucotel: Please submit a survey indicating where the fence will be built, the height, and the type of fence. Yours truly, V~ncent R. W~eczorek JUL P~6 1985 'h'~.h',T OF HfAL?H C C',¥ S'~ ~':U CT~O N ONLY LLING ONLY ~PROVAL TO CONSTRUCT 'AKE S.C. gEPT. OF SURVEY FOR PHI£LIP£ MAUCOTEI. AT CUTCHOGU~ DA'rE: TOWN OF SOUTHOID SCALE: SUFFOLK COUNTY, NEV/ YORK ' NO. JULY I0, 1985 I = 50' 85 - 619 g Ut~UTHOR1ZED ALTERATION OR ADDITION TO THIS YOUNG e, YOUNG RIVERHEAD, NEW YORK ALDEN W YOUNG., PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S~UC£NSE NO. 1284,5 HOWARD W* YOUNG., LAND SURVEYOR N.Y.$. LICENSE NO. 45893' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-t802 Approv~..-~r~-. ~..t"l., 19c~ .l. Permit No, ~l.o.l.cJ.~..~. Disapproved a/c ................................... (Building Inspector) APPLICATION FOB BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF ?LANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. a. Tttis application must be completely filled in by Wpewriter 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 o}' 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 cbmmenced 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 inspectipn 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 al/ applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecti~._~- ' -- . , (Si,nature of applicant, or name, ~ ~ ,,,~,~ration) (Mailing address of hpplicant) State whether applicant is owner, lessee, agent, architect, engineer, general conl~r~o~:~..' 'a.n8 ~.l~m~~.r or uilder. ................................................................ NOTIFY BUILDING O[':PAFITMENT AT Name of owner of premises ...{~ ,'t~. %~.C.'O.~.k. "?~- [-~. . . . .~.. .49. . [ . .k..r ?. ~. .~. . ',~. . .8.0.2. 9. . A. H J'.O. .4. ?.M. .F.O.}t. .T?,~ .... (as on the tax roll or lat~t'~[3~P.G., INSPECTIONS. · If applicant is a corporation, ?gnature of duly authorized officer. FOR POURED CONCRETE (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... 2, 'ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL CONSTRUCTION MUST SE 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 Other Trade's License No ...................... 1. Location of land on which proposed work will be done.....~.. ¢~)..Qr. ,¢~...C~.. Jb:?...~.....~..O.~f"~..~(7~ ......... .. . .\ .Q ................................................ . . .a .o. . ... House Number Street Hamlet County Tax Map No. 1000 Section ....'~.~. .......... Block ..."~ ............ Lot..~,~.O..,..~.I .... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~. ~.~.-, . · .*- M.~0..%4~?.. ~ b. Intended use and occunancv ~ P~__ C~P ~ ....... ' ' '' ' I. , ~ 3. Nature of work (c'heck which applic?le): New Building .......... Addition . · .' .... Al~eration~__~ ....... ,~ (Description) 4. Estimated Cost.. .~., .: ....... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling uniis ............... Number of dwelling units on each floor ............... 6. If business, commercial or mixed oe~cupancy, specify nature and extefit of each type of use'. ..................... 7. Dimensions of existing structures, if any: Front ............. ,.. Rear .............. Depth ..... ~. ......... Height ............... Numberiof Stories.. ~ ..................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stor/es ...................... 8. Dimensions of entire new construction: Front ................ Rear ............. Depth ..... Hight Number fStori ............ Size of lot: Front .............. ~ ....... Rear .' ' ' ' Depth ...................... 10. Date of Purchase .......... i .... ' ................... 11. Zone or use district in which premiges ar;'sit~;;~d ii" Name. ..°f Former. . Owner. . . ........................... ,. . .. '. 12. Does proposed .... construction wolate any zomng law, ordinance or regulation: . 13. Will lot be regraded ~ " ........ ~' ' ........... ~ ................ Will excess fill be removed'from premises: Yes No 14. Name of Owner of premises ..... i .............. Address ............. ; ..... Phone No .......... ,~ ..... Name of Architect ............ i .............. Address ................... Phone No ................ Name of Contractor ........... i .............. Address ................... Phone No ................ 15. Is this property within 300. feet of a tidal wetland? *~fes ........ No ......... · If yes, Southold To~n Trustees Permit may be required. · .. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate M1 set-back dimensions from property lines. Give street and block nm ~ber or descriptioh according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEWc,~ORK,' '. COVNT¥ OF.. ~' % '~ .~.~. ·. .~ .... ~ ~ ~.~(--~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) above named. ~) ~._~ lie is the ........................ ;'. .....~. ........................................ (Contractor agent corporate officer otc ) .............. 3f said Owner or owners, and is duly huthorized to perform or have performed the said work and to make and file this tpplication; that all statements containJed in this application are true to the best of his knowledge and belief; and that the ~vork will be performed in the manner s.~t forth in the application filed therewith. ~wom to before me this /~-~ ......... · ~.\ .?.~.~....~./day//9f,,. i:'" .... ~..~°k..~..~.., 19 .~.1. g - . 'II' . It01~ I. ~C0~ ~.; // ............................... \ .............. .N~. IA. It¥ PUllU~,, $tat~ ~f NY, ~/ . (Signa[ure of applicant) .~ 4125p80, ~ffo~ (~ou '