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ADDITIOtIAL COMMEIITS:
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 18 4 7 5 Z Date ...~~:"sr.~-t::.f~?a
:..1.. ~ 19. ~g
Permission is hereby grante~d?to~
4,s....... v6 saw.............................
q~~...
1 / ~7 n
aY premises located of ~~~~......~....1.1'•.~-+G~'-... f?.?::4............`_e.`•:~:•~'LR^'-~
R. '
....f.~,,.....~ .............~9- H1~~....................`.o
County Tax Map No. 1000 Secti~<....... Block 5;x..3....... Lot No.....~ tc?...........
pursuant to application dated ...iC,cin.r...a.5~......., 19..1...1., and approved by the
Building Inspector,
Fee $.l.Q.~.~..'.:......
Building Inspector
Rev. b/30/80
INSPECTORS ~~gUFFO~,~Co
(516) 765-1802 hy0 G,y SCOTT L.HARRIS,Supervisor
VICTOR LESSARD, Principal
CURTIS HORTON, Senior y Southold Town Hall
VINCENT R. WIECZOREK, Ordinance p ~ P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire ~ Ogg Southold, New York 11971
Building Inspectors ~O,( ~ ~0 Fax (516) 765-1823
THOMAS FISHER Telephone (516) 765-1800
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 3, 1993
Mr. Robert Annunziata
1010 Oaks Drive
Franklin Square, N.Y. 11010
Re: Building Permit #184752-(construct new dwelling)
Premises: 1470 Private Road #3, Cutchogue, N.Y.
Suff. Co. Tax Map #1000-108-3-8.6
Dear Mr. Annunziata:
During a review of our files it was noted that the above
building permit has expired and construction was never started.
According to the Code of the Town of Sauthald, If you do
not begin work within a 12 month period the building permit
becomes void. we have voided the above permit. If you wish to
start construction at a later date, a new building permit is
required.
If you have any questions regarding the above, do not
hesitate to call this office at 765-1802.
Very truly yours,
SOUTHOLD TOFIN BUILDING DEPT.
;
Victor Lessard
Principal Building Inspector
GJF:gar
_ ~r
OARD OF HEALTH d:~.~
3 SETS OF PLANS K....... .
FORM NO.1 SURVEY
TOWN OF SOUTHOLD CHECK ~.~T Y .
BUILDING DEPARTMENT SEPTIC FORM ...R:~.~.........
' TOWN HALL
SOUTHOLD,N.Y. 11971 NOTIFY 7~~ S
TEL.:765~1802 CALL
~~~li.ly?3~ MAIL T0: ,
Examine~~Y~ t p t~. I~ ~
Approved'...°.~~P"^'>?'~!'~.~?, 19~.~ Permit No. I.Q..i ~g? .~L a L5 ~ l5 ~ i~~ LK
Disapproved a/c
AUG 989
BLDG. OEPT.
~Ps.4.,, OWN OFSOLITHOLO
(Bur ing Inspector)
APPLICATION FOR BUILDING PERMIT
Date ,August 21, 198915
INSTRUCTIONS
a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
gets 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 stree
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app
.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 peen-C
'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 Occupan~
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 tl
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolifion, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspections.
Burger Construction
(Signature of"applicant, or name, if a corporanon)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build_
General Contractor
Name of owner of premises Robert Annunz iota
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
11-146 HI
Builder's License No . .
Plumber's License No. .K ~ .
Electrician's License No . .
Other Trade's License No . .
I~~o
1. Location of land on which proposed work will be done . .
7 0
MR~~^t~..HIG~..1--~.... Private Rd.~3 ........................A4a#-xslE.~' u7~GN~-~e'~
House Number Street Hamlet
County Tax Map No. 1000 Section .......108....... Block , .3 , . , , , , , , , , , Lot kt .
Tut's Acres
Subdivision Filed Dlap No. Lot . 4........... .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , ,Vacant Land . , , , , .
Residential Dwelling
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building R Addition Alteration .
Repair Removal Demolition Other Work .
(Description)
$200,000.0. Fee............................
4. Estimated Cost • • • •
(to be paid on filing this application)
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 nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front Rear Depth............. .
Height ...............Number of Stories .
Dimensions of dame structure with alterations or additions: Front $ 3............ Rear . 8 3 .
Depth 3 9............ Height ? 5 Number of Stories .
8. Dimensions of entire new construction: Front Rear ...............Depth .
Height Number of Stories .
9. Size of lot: Front ....r#~5 Rear .....,439,,,,,,,,,,,,, Depth ....390,-,,,,,,,,,,,
10. Date of Purchase ....luly..198A Name of Former Owner .
1 1. Zone or use district in which premises are situated }Zes.•..Agxi,Gtl ) .
12. Does proposed construction violate any zoning law, ordinance or regulation: No, , , , , , , , , , , , , , , , , , , , , ,
13. Will lot be regraded NR .....................Will excess fill be removed from premises: Yes R N
14. Name of Owner of premises .R. Annunz iata, , , , ,Address .Rockville C , ,phone No .
Name of Architect ..$urger ,Address ...................Phone No. .
Name of Contractor,BUrger Construction 734-5117"'"
............Address ...................Phone No...............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fror
property lines. Give street and block number or description according to deed, and show street names and indicate whethe
interior or corner lot.
STATE OF NEGV YORK, S.S
COUNTY OF .
being duly sworn, deposes and says that he is the applican
(Name of individual signing contract)
above named.
He 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 tlri
application; that all statements contained in this application are true to the best of his knowledge and belief; and that th
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
~`.~~..//.....da`~y/of .n. 19~p
Notary Public, :.lrl.~-.~ County /
NELENKDEYOE S.~ 1'Y: .
NOTARY PUBLIC, St+rte of New Yak
Na ~7p787& Suffolk CouidY Signature of applicant
Term Expires kkrch 30.19_si
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riTLE NO.&;p8~J295;; /a
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SUFfOLK COUNTY DE~P~MENT OF HEALTH SERS~~~ . ~ ~ ~
~ FOR APPROVAL O~~N~TRUCTION OF
~ Single Family Rest ante Only ^"Y~~D ~ er.:,;~, ~
MYrs Maw fork Cta;f
,m~ DATE'
2-.~,~/ . HS REF. N0. S D - Y~ ~ ~ \ - a ,D., mow.
1 ~ APPROVED _ V ~ Dr rn~s ,1,,, mom, „D~ as-r•, ,
/ ,Jrt•BVDI E IgKO(i 9ydi D.
~ F6 C..91 8nY~
j ? JF 9 V ~d IIUB f DyM F@ a~'D81 3IBI!
\ ~ EXPIRES TWO YEARS FROM DATE Of APPROVAL 1.= ,n,
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~ L.,'' NOS. ~EFEf< T:; MhT? ~:,FA MiF.1C,k •F-~FDd,~1 n wh nr~~s`
y ,2ra,` , JdD~vI~K7N_kNOw'N ~ rUTS a.nE=' PLEASE NOTE ' '•-~d,:e
t ~r~' 2.~iJ~co.~aur-ra>,_,ara ~~u ca-~-p~v~ Requires septic tanft
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~1 ~AP °P~w~~N •9.c L'~1 Ia.[~. .1 Vv C~LL~y~1~j/1~6?C.
'r t L\ ? F;h 1~ s FK~CA... .J - •r..l.. v.r i~ 14 /`iy~ ~ ~V~Yr yv~ti
~ !'RICK VAN TUVL. CC
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`,_A',% LICENSED LAND SURVEYORS
GREENPORT NEW YORK I