The URL can be used to link to this page

Home My WebLink About19381-zFOUNDATION FOUNDATIO~ 2. (2nd~ ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: I~OR.~ NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERA4iT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° ~ 938~ Z Permission is hereby granted to: ....~...~.... ........... ...~-~o.....~.' ..................... - ................... , o ~ ~...~_f_.../ff....~ ........ at prem'ses loc ted at .................................... ~ ........................................................... County Tax Map No. 1000 Section ....... .~....~.. ......... Block ......... .2. ....... , Lot No .......~.~.. ........ pursuant to application doted ........ ~./~ .......... : .................... , 19..~.~.., and approved by the Building Inspector. Rev. 6/30/80 pli ............ · .-'~''" '' 3. Nature of work (check which ap cable): New Building ...... Addition Alteration .... R pair ' R~ I D liti e .............. mova .............. cmo on ........... ... Swimming pool. ............. Tennis Court ......... Accessory Building .......... Fence ....... Other Work; ........... 4 Estimated Cost ?..o 9. Fee · · · " (to be paid on filing this application) 5. Ifdwelling, number of dwciling units ./d. // Numberofdwcllingunitsoneachfloor ...... If garage number of cars ~ .... 6. If business, commercial or mixed occupancy, specify nature and extent of each type ?f use .............. .. ..... ..... O,t O · 7. Dmlcnsmns of eXmtmg structures, ff any: Front.., .,J. ......... Rear ...... .~ ........ Depth ... w~ ~. ...... Hei"ht Number of Stories .~' ..... Dimensions of sgme structure with alterations or additions: Front ...~.q./. ......... Rear ...,..~..0 f. ........ Depth ...q.~/.: ............ ' Height ............... Nu nber of Stories ............ 8. Dimensions of entre new,~construction: Front ............... Rear ............... Depth .... i'"i'i '' Heieht ::~ i .2 ~'~ Number of Stories 9. Size of lot: Front ..... l ............... 'Rear ....... ............... Depth .. ~ .~ ............... 10. Date of Purchase .... ~.././.~ .o ................. Name of Former O~vner .... ~..~.4..,q'.O. ............ 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction v~;~late any zoning law, ordinance or regulation: .... .~...O .............. ,~}..~;~ .... 13. Will lot be regraded .... .~. ...................... Will excess fill be removed frpm..m~premises: . _ s .... No.. 14. Name of Owner of premises ZI/~4....~..~?_~.-~/..~.'f.r~dd ress . ~ .0,o'7... ~/..~...~ff.~.- Phone No. · .'"25...C.%d:/.?. '.5: · · Name of Architect ........................... Address ................... Phone No. · ..~,~.¢. · -~ :,',3"s; ' Name of Contractor .Cf-(~??.~.a.~.....77~...d~' ........ Address .~,.t....~. p.~...a.Z ?..~..a.q, hone No.. J..~..~.':. :?~I~P. i. 15.Is this property located within 300 feet of a tidal wetland? *YES .... NO-~-.- mil yes Southold Town Trustees Permit may be required. · PLOT D1AGRAM Locate clem'ly 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 stree~ names and indicate whether~ interior or comer lot. STATE OF NEXV Y,ORK, COUNTY OF...~.'4.'~"~,O~.'gx~ ... S.S ......... I~..a.%~...~...... ~,ocw .c.~..~. ( % ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lace is the ................ .~.~O.x~g .Al. .................. : .......................................... :.. (Contractor, agenL corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file this application: that all statements contained in this application are true to the best of his knowledge and belief; and that the Work will be performed in the manner set forth in the application ~Icd therewith. Sworn to before'me tiffs da of .............. ...... .... ..... Nota~ Pubbc, ...-~ ..... ...... 19..~.° County/Q I ./) , (Signature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH 3 SETS OF PLANS ~ ......... SURVEY SEPTIC FORM,.. ............... Disapp d /c I ~ ' ........ INSTKUCTIONS a. TI.us apphcabon must be completely filled in by Wpewfiter or in ' ' ' ..... ' · sets et plans, accurate plot plan to scale. Fee according to schedule, ink and submitted to the Budding Inspector, with 3 b. Plot pl~ showing location of lot and of build~gs on pr~mJses, reJntionship to adjoining premises or pubgc stmers or areas, and -' ' - ~lvmo a det~led description o[ l~yout of property must be drawn on the diagram which is PaE et tMs appU- caQon. . c. The work covered by t~s application may not be commenced before issuance et BuUding Permit. , d. Upon approval et this application, the Building Inspector wgl issued a Building Pe~it to the appQc~t. Such pc~it sh~ll be kept on the premises avaflabl8 for ~spection throu~out the work. ' e. No bulldog shall be occupied or used in whole or in par~ tor any purpose Whatever until a Ce~iQcate et Occup~cy shall have been granted by the BulldOg Inspector. ' APPLICATION IS HEREBY MA~E to the Building Dep~ment for the issuance of a B~lding Pe~it pursuant to the Building Zone Ordinance et the To~n et Southold, Suffolk County, New York, ~d other applicable Laws, Ord~ces or Regulations, for the const~ctJon ot.~bu~d~gs, additions or alterations, or for removal or demolition, as hcrc~ described. The applicant agrees to comply with all applicab]~ laws, ordinances, bufld~g code, housin~ code, and regulations, and to · ( 'g applicant, or namd, i~a corporar]d~) (~aiHn~ address o[ (as on thc tax reH o~]atcst deed) (Name ~nd tJQe of co~or~tc of Qce~) ~Jumber's License No El i ian Li N cctr ~ '~ cease O ....... ~ ................ Other Trade's License No. Hous2 Number ...... ~'"~'" ............................. ~( oun Tax Map o. Section .... , ............. . ck ...... .......... Lot ......... Subdivision ............... ~ ................... Ei]ed Map No ............... Lot ............... (Nrime) State exlshng use and occupancy o[ premises and intended nsc and occt~pancy of proposed construction: