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Home My WebLink About18991-z FOu~w NO. ~ TOWN OF SOU334OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. RUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18991 Permission is hereby granted to: ...~.~.~...~..~..~ ........... ..... ~.~....~.~.~~i ......... _ .~ ...~~.....~..:~..,...,..,..,.~.,..=~-,, ,o County Tox Map No. 1000 Sect,on .~......~.. .......... Block ............ ..~ ....... Lot No.....~...~. .......... pursuant to appli¢otion dat~::l ........... ..~...~. .............. , 19.~....0.., ond opproYe~:l by the Building Inspector. Fee $.....~...,:..~ Building Inspector Rev. 6/30/80 Examined · .(2-j~..~.l¢.. Approved ~. ~,q,,[~.. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19~.e · , 197.°· P~rmit No./~*~1 ~ 3 SETS OF PLANS/.. ;.~.., . .... ....... : CHECK ........ O[.d.[ ~ NOTIFY~ CALL MAIL Disapproved a/c , ................ (Build~ing Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 1.9... INSTRUCTIONS a. This application must be completely filled in by typewriter erin ink and submitted to the Building Ihspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of 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 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 shall be kept on the premises available for inspection 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized insp, ectors on premises a,nd ~ building for necessary insuections_ '' '(Sign~t~;e'o'?~t~lJc;fit; o~ ~ame if a corpo'ratidn') :' 7800 Soundview Ave., South,)Id, NY , (Mailing address of applicant) State whether applicant is owner, lessee, ageat, architect, engineer, general contractor, electrician, plumber or builder. N. i c.h.a e 1 P Fll~nn Name of owner of premises ............... ................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done; 7800 $oundview five., $outhold }louse Number ' Street, Hamlet County Tax Map No. 1000 S~ction 59 ' BIo 9 32 ................ ck Lot Subdivision ..................................... Kilcd Map No ............... Lot ............... (Name) " State e" ~' x sting use and occupancy of premises and intended use and Occupancy of proposed constrnction: a. Existing use and occupancy single., residence b. -nten,,eu use and occupancy ~i.n.ql9 /:.e.~igle/lq~ .' ' 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair ..............P, bmoval .............. Dem.ol tjo. ..... ........... Swim g pool ............. Tennis Court ........ Accessory Building ..... Febce . .X. .... O~q~/.~ .......... 72o 09., .... Fee " 4. Estimated Cost... ..... .......................................................... .. (to be paid on filing this applicat?n) 5, If dwelling, number of dwelling units ...... 1 Number of dwelling units on each floor. If garage, number of cars ...... . ................................................. ~' .............. 6. If business, commercial or mixed :occupancy, specify natore and extent of each type of use .................... 7. Dimensions of existing structures; if any: Front....5.5 .......... ~Rear .... .5.~ ........ Depth ..: .2.7. ........ Hei,,ht .13. Number of Stories structure with alterations or additions: Front Rear Dimensions of same · ................................ Depth ' Height Number of Stories . .. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............. Height ........... .1..013 ,Number of Stories .......... 113'13; ....· ................... J00 ............. 9. Size of lot: Front ...... Rea'r ............. ~..' ...... Depth ............... 11. Zone or use district in which premises are situated .................................................... , .... ordinance or regulation: 12. Does proposed constructlonwolateanyzomnglaw, ................. ......... · · .. · 13.. Will lot be regraded .: .n.o. ....................... Will excess fill be removed from premises: Yes,..; No. 14. Name of Owner of premises . M.i. qb~.e.1..P... F.l, yO.nAddressT.8.0. 9. Soundvl. e .... Phone No.. 7.6.'5.7.4.3.7.1 .... Name of Architect Address Phone No .... Name of Contractor ' Address Phone No ..> 15.Is this property located within 100 feet of a tidal wetland? *YES .... NO.I{.. · If yes, $outhold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block umber or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT 766-1802 9 AM TO 4 PM FO~ THE FOLLOWING INSPECTIONS. 1, FOUNDATION lWO R~QIJIf FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBIMG 3. INSULATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.C? ALL CONSTRUCTION SHALL THE REQUIREMENTS Oi ~5 ~'4 Y~ STATE CONSTRUCTION g '.":'r GY CODES. NOT RESPONSH-~ ' OR DESIGN OR CONSTRUCTION ~.A,~ ~I.,~S STATE OF NEW YORK, S.S COUNTY OF ................. (Name of individual signing contract) above named. being drily sworn, deposes and says that he is the applicant Fie is the ........................................... : .......................................... :. · (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ali statmnents contained in this application are true to the best of his knowledge and belief; and that the work will be perlbrmed in the manner set forth in the application filed therewith. Sworn to before me this ............... ¢.3 ...... day o? ..................... Notary Public ........ ~..~.- ............. County HELEN IL DE VOE NOTARY PUBLIC, State of New Yd Ne, 4707878. Suffolk County,~, Term Expires f~rch 30, l L...:,.CL ( '= of applicant)