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HomeMy WebLinkAbout19921-zI~ORBf NO. ft ?OWN OF SOUTJ'IOLD BUILDING D£PARTM£NT TOWN HALL SOUTHOLD, N. ¥, BUILDING PERMIT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 1 c)921 Z C~,e~ ............. ~ .............. , 19...~../ Permission is hereby granted to: ............. .... at promises I~at~ at,. ........ ~~ ..... co..~ T~ ~ ,o. ~oo0 ~t,o. ...... /...~ ........ e,~k ....... ~ ........ ~o,,o ....... .~..~.~.. ~.~a~t to o~,,~t,o~ .t~ ...~_~ ........ ~.~ ....... , ,~..~ ~ o~pr~ ~ t~. Building Insp~tor. Rev. 6/30/80 Olof S. Nelson 44 Patterson Avenue Greenwich, Connecticut 06830 9th, April 1991 Mr. Kirt Horten Town of Southold Building Department Town Hall Fishers Island, NY 11971 Dear Mr. Horten: RE: Fishers Island Block 39 Lot 14 Referring to our telephone conversation the other week, please find enclosed an application to build a gate across our driveway. The gate will be approximately 10 feet wide plus about 5 feet on either side of the gate for an overall total of approximately 20 feet and 4 feet high. I hope to build this before the summer, and therefore, would appreciate your response as soon as possible. Thank you in advance for your help. If you would like to get in touch with me, please call (203) 661 4203 during the day. I am looking forward to hearing from you. Sincerely, Copy of this letter and the original Permit Application resigned the 15th day of May 1991 in the presence of Leslie MS Sweet, a Notary Public in the County of Fairfield, State of Connecticut, Town of Greenwich. LESLIE H.~. SWEET 8worn to a *d S ,,.smbed before FOeM NO. 1 TOWN OF SOUTHOLD BUILDING OEpARTM£NT TOWN HALL -~OUT;LtQU3. N..Yo 1.1.'37 TEL.: 765, 1802 Examlncd ................. 19,,. Disapproved 3/c ......... (Btdld[ng [n:pector) APPLICATION FOR BUILDING PERMIT BOARD 0¢ flEAL~ll ......... ] S£T$ OF PLA~S SURVEY ................... CIIEcK CALL ................... HAIL TO: MAY 2 Date .Apt. il..i..i9.9.1 ..... IN~"TRUCTIONS a. Tiffs application must be completely filled in by typewriter or ia ink ~znd submitted to th~ Building. ~ets of p{.~.~, ~ecur:ltt plot plan to sca]~, l::e~ :c'caxiing to schedule. b. Plot plan sho~ving location of lot and of buildings on premises, relationship to adjoinin~ premises or public or area;, and giving a detailed description of ayout of property must be drawn on the diagram which i~ C. ~c work covered by t~s application may not ~e commenced befor~ ssuancefff Build~ Pe~it. ~. Upon approval of this application, the ~uildin~ Inspector will issued a Buildino Peril to th~ nppdeant. Such ihall bc kept on thc 9remises avaflabie for ~spcciion throu~out the work. · . No buiid~ shall be occupied or used in whole or ~n par~ for any purpos~ whatever until a Ce~ficata of sh~ll have be~n ~rantcd by ~c Bulldog inspector. ' APPLICATION IS HEREBY MADE to thc Build~g Dcpmment for the i~u~ca of a B~lding Pc~it Building Zoo: Ordinance of thc Town of Southold. Suffolk County. New Yor~, ~d other apgiicab ~ ~w~, Kc;ulations. for thc construction of bufldLngs, additions or ai/aralJons, or for removal or demoiiaon, as h~r~m describe: Th~ applicnn/ agrees to comply wtth nit a~plicn~le laws. ord nnnccs, bu~d~g codc, housin; coda. naa r~-,.I-[io-~ dm,; aut.onz.d msp~cto~ an prem~s and m bmldm~ for neca:sa~ mspectmns. ~ .... - . . ..., ........... State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or buiId=; Namc of owner of prcmises O]of S. Ne]son (ns on thc t~x roll or [~t~st deed) lfnppHcnnt is a corporation, signature of duly authorized officer. Buildcrk License No ...... ~../5. ............. Plmnbcr's License No Ekctrici~n'sLkcnscNo ............. ......... . Olhcr Trade's £1cen.,.e N.". Location of/and on which proposed work will bc done: N~lson House West Harbor Fishers Island, NY ., . Hamlet Count xT, mOO .............. : ..... -- ,,,,.,,,, Lot ....... ~y,;~,,~,,. ~ubdlvlslon ..................................... F. Hcd Map Lot (Name) ~. l~d ~ae ~::',9~cuv~ncx· · ... ~ ~.~. ,,,.... · · ! 3. Nature o/work (check which appllcablc): New Duddlng .......... Addific, n .......... AJteratlon Rcpmr .............. R~moval ..... Dcm0lRion ...... Sui~in: pool . Tennis Cour~ ..... · ........ .......... ~ence . .X ..... OCher ~o~k.. . . ....... ~CC . · · (La ha 9~zd on ~lin~ th,s i. Ifdwcll;n~. number o~dwcflin~ uni~ Nnmbcr o~dw~Hh~g unfls on c=ch ~oor ......... 6. If business, commcrcal or mixed occupancy, specify n3tura and extant of c3ch type o{ usc .............. . 7. Dhncns{ons of exist ng st~cmrcs, if3ay: Front ......- · ·. Rc3r ..........D~pth Number ar Sto~cs .... · ' · ............ ...................... Dimensions of same st~cturc with alterations or ~ddidons: Front ' ' ' Depth . ................. }Icier · - · ~. ............ Rear ...... . 8. i' : . onsoreati tlo.: Frontt .............Rear ..... Dc ..... ' ''' e it ............... Number af Sto~es ~ .......... pth 9. S&eaflct: F~ont . . ' ................ · ......... 10. D:tc of Purchase ...... · ..................... Depth .............. Docs proposed Consiruciion violate any zoning law, a 14 N~e of Owner of remk ...................... Will excessfillbcrcmo~ed from nr~k~ Ye " N~c o~Architc-* .................. Addm~ .... m,~n. N~ ' ' ' ' N~c dfc ntrne*~ ' ................... ~ · Addrcs~ . w . M ....... . ,er~y ~ocated vithin'3o0 fees of ~''f:%'V .... . ....... ~ ...... / ........... uxuax wetland? -YES.~. ~If yes, Southold Town Trustees Permit may be required. PLOT DIAG ~M Locatc cle~ly ~d dist~ctly ~I buHd~g~, whether'existing or proposed. ~d. indicate ~I set-back dh~ ..... ~rope~y Hncs. Giv: Street ~d block number or close, pt on aceord~g to deed, ~d show strect n~es and ~d~ca:c .ntenor or comer lot. See Enclosed Sulvey A gat~ approximately l0 feet wide to cross our driveway plus approximately 5 fe~t of fencing on either sid~ of the g~te - Overall approximately 20'feet and 4 feet high. State of Connecticut) ) County of Fairfield ) : Greenwich '~- ,T~O,~ ~RZ, ~ OII,N~'g Of' ...... ..'7'7T':~..... '~ .. ............ . (Name ofindividual Signing contract} . · · being duly sworn, deposes ~d ~ys that he is the applir:: e is tl,e .... ZD.C~ ~ to~.., ............... . (Contractor, agent, corporai¢ officer, cie?) ~ ...................... said OWner or owners. ~d is duly amhorizcd Io perform or have erfonned the said ~vork and (o m~c and file th 'P{iCadon: thai nil si~te,nents contaiued in (}lJ{ application are trt,e ~o fl,e best of his k~d~ledgc and belief; and lhai is: tek will be pcttbrm~d~in ~ lc m~ncr set forlh in Ibc application filed lltcrcwiih. ,om ~o bcl~re mc this " ...... ~ .... ............ day of. . ... 19~ NOI'~- ~oor~ D~s~ono~s ~re me~ured ~ U. ~, Ooas! ~nd ~ode~o .~urvey BLOCK $~ LOT I~