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Home My WebLink About19858-z I~OB~ NO. ~ TOWN O~ SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 19858 Z Dote .......... ~. .................................... , Permission is hereby grantedt~ _ __ ................. at premises located at ..... . .~...2.~.......:... _C~..~ ...... ~..~ ............................................. ¢ou.~ Tox Mop No, mOO ~c.o. ..... ,/,.~.g. ...... B,ock ...... ~ .......... Lot No ..... .~.'...~. .... pursuant to application dated ....... ~'..,/,~.. .................................... , 19..Z/..., Building Inspector. and approved by the Rev. 6/30/80 BOARD OF HEALTIt ......... FORMNO.! 3 SETS OF PLA:IS .......... TOWN OF SOU/HOLD Sugv£Y ................... BUILDING DEPAETMENT CI[£cK .................... TOWN HALL S£PTIC FOR:I .............. SOUTHOLD, N.Y. 11971 TEL.: 765-1802 xamined .......... 9 .~/ Pproved .... , 19 · Permit No ........ isapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT · Date '~ ....... , 19. INSTRUCTIONS ' a. ~s application must be completely filled in by Wpewfiter or in ink and submitted to the Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show~g location of lot and of build~gs on premises, relationship to adjoining premises or pubEc streets ~ re~s, and giv~g a detaled description of layout of property must be drawn on the diagram which is pa~ of this appE- % The work covered by t~s application may not be c'bmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Pe~it to the applicant. Such pe~it 11 be kept on the premises available for inspection throughout the work. e. No building shaI1 be occupied or used in whole or in p~t for any purpose whatever until a Certificate of Occup~cy Il have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bulldog Depmment for tke issuance of a B~Iding Pe~it pursuant to the Iding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appEcable ~ws, Ord~ces or ?ati?.ns, for the construction of buqd~gs, additions or alterations, or for remova ' ' · · -.?m~fan.t a~ees, to comply with aH apphcable laws, ordinances~ildino c~a~~5~m°nLas heye~ described. m autnonzea mspecto~ on premises and ~ bulldi,-~ r~ _[: [ :~ ~ff ........ spOue, anu regtuatlons, and to -. .............. ~ (gl]nature of applicant, or name, if a corporation) (Maflin~ address of applicaat) te whether applicaat is owner, lessee, a~ent, architect, engineer, ~eneral contractor, electrician, plumber or builder. · ne of owner orpremlses ~*J ~ e ~ m~ C: k -~ , , - ........... h.~..~..~. ~ ' ( s on the t~ roll or latest deed) >plicant is a corporation, signa[u?e o,[s tul i ut :orizcd officer..' x mu ann nile oI co¢orate o[~cer,) .., , Builder's License No ~ ~ ~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ..... ocation of kind on which proposed work will be done ....... ouse Number Street ........... Hamlet tbdivJsion ......... Filed Ma o. (Name) .............. Lot ............... ate existing use and occupancy of premise~ and intended use a~d occupancy of proposed construction: Intended use and occupancy ..................... ,~..... ~. .. % .. . . CALL 1'IA [ L TO: 3. Nature of work (check which appilicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemoVal .......... Demolition I .... ' ............. Other Work~) .~. ~. ~. i'". 4. Estimated Cost . . i v ,,) (Description) 5. I,fdwelling, number of dwelling uiits (to be paid on filing thisapplication) · ligarage, number of ears . . [ .. .............. Number of dwelling units on each floor ...... ' 6. If business, commercial or,,;-. , I . ...... --- ....,,ca 9ccupancy, specify nature a ~d extent of each ty ~e of u~e . . 7. wunensmns et extstmg structures, · U ,~.2 .... I ..... : .............. Hmght ....... N any: Front .............. ~,ear ........ Depth · . · - ,,,,ht:r ol atones . · ........... Dtmenslons of same structure wit alto~-,-:- ' ' '~ ~.' .' ................................... ........ ...... -~ .... auuns or aamtmns: Front ~. ' ' ' Depth ............ Height ................. lqear ............ .... i ...................... Number of StoNes ...................... 8. Dimensinns of entire new construction: Front ....... Rear ............... Depth ............... Height ............... Nmn bar of Stories ............... . 9. Size of lot: Front ...... i' Rear .................................... 0. Date of Purchase ....... 1 .............................. Depth i ..................... ........ Name of Former Owner ......... ' ' · Zone or use district in which premlses are situated .... : .... · · 2. Does proposed construction vi,~b ~- .... . '3. Will lot be regraded .... ~ ,,,y zoning law, or(hnance or regulation: .... ..... ' ' '.' W'I ' '//[ ..... . ............ Will excess fill be removed ........................... 4. P~ameotuwnerotpremme~ff.~O...,.~,.~. ........ Address .~12.O... Name of Archltect ..... ~. · ·. i. i ............... Address ... ....MO~-~. :.. Phone No .... ~..e.~. 7 .~'~. · · · Phone No ................ Name of Contractor ......... .... · '. ............. Address ......... Phone No ............ ~. Is this property within ~uu! ~eet of a tidal wetland? *Yes'.'.'.'.'.'.''' '''' · If yes, Southold lo~n Trustees Permit may be required. .. No ......... · ". i PLOT DIAGRAM . Locate clearly and distinctly a/l buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number terior or coruer lot. i or description according to deed, and show street names and indicate whether NOTIFY BHILD NG 765-1802 9 AD1 TO ~ PM FOR THE FOLLOWING ~NSPECTIONS: 1, FOUNDATION . ~0 REQUIRED FOR POURED CONCRETE 2, ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE C~.MPLETE FOR C.O, ALL C~STRUC~ON S~ALL ME~ THE REQUIREMEN~ OF THE STATE CONSTRU~oN & ENERGY CODES, N~ RES~N5IB~ FOR DESIGN OR C~STRU~ON ERRORS ,TE OF NEW YORK JNTy OF.., '~,o,~'~Lt<-- S.S · ' ' ............... ~ ............... being duly sworn, deposes and says that he is the applicant 'e named(.Name of individual signing cogtract) '*= ....................... 50p. ........................................................ ~ (Contractor agent corporate officer ) , , , etc. id OWner or OWners, and is duly I authgrized to perform or have performed the saki work and to make and file this cation; that all statements contained in this application are trna to the best of his knowledge and belief; and that the will be parroted in the manner set fourth in the application filed therewith. a to before me this '. ......... ...... SU~Y FOR . JOHN PRESTiA & BARBARA PRE~IA PART OF LOT NO. ~2, "COUNTRY CLUB ESTATES" a u c~ ;i,1~ AT CUTCHOGUE OATE: A~. ~WN ~ SOUTHOLD SCACE~ I" = 50' ~UFFO~. CO~TY, NEW ~ ~LL C~FONM ~ T~ STAN~ OF THE S~K c~TY OIP~TMEHT · ~ ~I S~UC~ F~'~CtFIC PARCEL NO, =, MINOR SUBDIVISION ~AN PREPARED ~R~' '~, ~ ~ I' HOWARD W,~UNG, LA~ SURVEYOR BRANDiS & SONS INC. 1046