HomeMy WebLinkAbout19566-z 107tH NO. f
TOWN OF SOUTHOLD
lUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CfHIS PERMIT MUST BE KEPT ON THE PREMISES UN L FULL
COMPLETION OF THE WORK AUTHORIZED)
N°- 19 5 6 6 Z Date p.~-:,~-~.....?..........., ~9Qs~.
Permission is hereby granted to:
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at premises located at ...T~v ......1..J..~l..u-4........ ........G.~....
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County Tax Map No. 1 0 Section .....~.wZ..~........ Block Lot No.....5?..~i,,...........
pursuant to opplicati doted ~''~"''~~+-~+.....~.9 19.`.~.~., and appnwed by the
Building Inspector.
Fee S.I..~.:.
....r<~~-
wilding Inspector
Rev. 6/30/80
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3 SETS OF PLANS
FORM NO. 1 SURVEY
TOWN OFSOUTHOLD CHGC[:
BUILDING DEPARTMENT SEPTIC mart
TOWN HALL
$OUTHOLD, N.Y. 11~J71 NOTIFY b
TEL.:7G5-tII02 CALL
Exatnincd . ti..~^°':':^
r~ 19~ V MAIL T0: .
,~PProvcd ~eo~+~..7.., 19°1!x. Pcrmi[ No.T ~,q
Disapproved a/c
~ii(IL~Z!}~'"'/ ' (Building Inspector)
APPLlCAT10N FOR Bt)ILDING PERMIT
Date ,Nov,., 29, - . , , , 15 90.
` INSTRUCTIONS
~ a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~
t . of plans, accurate plot plan tUscale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
~:cas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
at~on.
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
:!l be kept on [he premises avaIIable for inspection throughout the work.
No building shall he occupied or used in whole or in part far any purpose whatever until a Certificate of Occupancy
have been Sranted by the Building Inspector.
'•.I'PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
- .!.::n; Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Latvs, Ordinances or
• ::~uons, for the constntction of buildings, additions or alterations, or for removal or demolition, as~erein described.
licant agrees to comply with all applicable laws, ordinances, building code, housinG code, and regulations, and to
: authorized inspectors on premises and in building for necessary inspections.
Mattituck Airbase, Inc. _
(Signature of applicant, or name, if a corporation)
_ Airway Drive,_ Mattituck~, New. York, , 11952. , , , _ ,
(Mailing address of applicant)
.t:ctfter applicant is owner, lessee, agent, architect, engineer, genera! contractor, electrician, plumber or builder.
•~:Cowncrofpremises ....J,.Parker Wickltam
(as on the tax roll or latest deed) -
~cnt is a orporatio , s nature of duly authorized officer.
~ Q(7~LS . ,
~ ame a d ti e o corporate officer)
c ucnse No. Longereek Homes= Robert Boger (G.C.) 765-1084
i'.:::nbci s Liccnsc No .
.~ctrician's License No .
~ithcr Trades License No .
.~~tion of land on which proposed work will be done;
410 .A??`t9~Y.D~'~.4e:. Mattitucko.~...........
ilouze Number ~ SCrcet ~ Hamlet ~ ~
~ I
C.;untyTax\IapNo.l000Section ..,,123..,,,,,,,,; Block ......~1,,,,,,,,,, Lot.,,,,002
Subdivision Filed A1ap No. , Lot .
(Name)
`tats existing use and occupancy of premises and intended use and occupancy of proposed construction: •
Alattituck. Air or1;
A. Existing use and occupancy......... ~ .
S. Intended use and occupancy.,,Uffiee,Spac~,,-, 42;,x,20,...
.
Nature'of work (check which applicable): New Ouilding Addition ...X...... Alteration
Repair , Removal . , . Demolition . . .Swimnin ; pool .
Tennis Court Accessory Building..........tence .......Other Work............
. Estimated Cost Fee
(to be paid on Gling this application
If dwelling, number of dwelling units Number of dwelling units on each floor .
ICgarace.numbcrofcars
If business, commercial or mixed occupancy, specify nature and extent of each type of use $b ~ .
Dimensions of existing structures, if jany: Front . 42 Rear Depth . .
Hcigltt 12.'....... Number of Stories ....One . .
Dimensions of same structure with alterations or additions: Front Rear 7O~ . .
Depth .......7,Q' . . . IIcigltt 12`. Number of Stories ae........ .
Dimensions of entire new constn[ction: Front , .42 Rear ...............Depth .
Hcicl[t . Number of Stories . . .
Size of lot: Front See, site plan ~ Rear , , , , , , , , , , , , , , , , , , Depth , .
i Date of Purchase Acquired, throu'ph_ 1`a[iu)_y ,Name of Pormcr Owner , C: H. _ Wickham . . . . . . .
Zone or use district in which premises are situated,,, Ll,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Does proposed construction violate any zoning law, ordinance or regulation: NP .
1Vill lot be regraded ~9.. 1Vi11 excess fill be removed from premises: Yes , Nod .
Name of Owner of premises , J; jW?~~?~?, , .....Address ,M.~?ttitnek, , , , , , ,phone No... Zg$.~$~f4~, . .
Name of Architcet ........Address . ........Phone No..
Name of Contractor ,Long. Cree~~IIomes: , , ,Address , Southold ~ , ,phone Na...?65;1084 , , , ,
S.Is this property•loG~ted.within 300 feeC of a~tidal wetland? *YGS..,.NO..X.
*If yes, SouChold Town T~ustees Permit may be required,
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
operty lines, Give street and block nurt~ber or description according to deed, and show street names and indicate whether
[erior or corner tot.
See site plan attached ,
TATS OF NEN YO ff~~~'
AUNTY OF... Su£to~k....... S.S~'
. , Jay, Parker Wiclrh'am , , , , , , , , , being duly sworn, deposes and says that he is the applicant
•(A'amc of individual signing contract)
~ovc named.
:istl[c....,....Corporate,Offi;cer. ~
(Contractor, agent, corporate officer, etc.) •
' said o[vncr or owners, and is duly authorized to perform or Itavc performed the said work and to make and Gle tl[is
placation; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
irk will be performed in the manner se4 forth in the application Gled therewith.
vom to beiorc m this ~
..........?a .......day of..NQY~mb?x..,19 90.
Mary Public.. t`~KY
" ounty
ttn,rr.k f
p0)ARY PUBLIC, State of N'e'N Y(x1t ~
No, 52.4519998 Suffolk Guuniy • . • . • • • • .
Commission Expires Novembtu 3p, i~.'7./ (Signature of applicanU
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