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HomeMy WebLinkAbout18103-z I vows xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 0 ~ ~ W ~ Z Date '4~.~Q 19. Permission is hereby granted to: . ...~~~~.Y~ O r of premises located at .....1~~~r~ry.._/.,~ "~~1L-~:..................................................... ....................................................'.s.,[... ~..F......................................................................... County Tox Map No. 1000 Section Block ..........3....... Lot No...~.~ Z::... pursuant to application doted 19........, and approved by the Building Inspector. O Fee $...~4J.r .,~tu1 / ~ui ng nspector Rev. 6/30/80 B0.\RD OF HE.\LTH 3 SETS OF PL<\NS FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK . ir.`~.~,$"a, , , , , , , , , , , , BUILDING DEPARTMENT SEPTIC FORfI TOWN HALL EOUTEOLD65 18021071 NOCALL . _ >r7,`,~GU, , , , p- f1AIL TO:~~,,,,.,~~ Examined ..-0~........., l9 f~~ % aq~('~S o~~ Approved ...Y/..~......., 19 a., Permit_No.. ~~~Q3~ ~ r,. Disapproved a/c D ~ , ~ ~s~ caTE~~~ `~e.?aK a~ 4 ~ . ~~r.._~~. FEE:G~~..OY: ail in Inspector) TOtR~PrL`9G t?~a= ' NOTIFY BUIWING AT o n ~r g ? , . < ~l x~ 786-1802 8 AM 70 4 P'11A FOR TM@~PPLICATIO OR BUILDING PERMI`I` FOLLOWING INSPEC710N8: Date ......:~r. . , , , 15 9 1. fOUN0AT10N TWORERIUIREO FOR POUREd~ONCRE'/E 2. ROUGM F1fAMING A M.11M81NG INSTRUCTIONS a~' ~~~~PPtt~~g{ApJg~ely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets o~~~~r~;,~~~f~ R~ @~~ to scale. Fee according to schedule. bA~ ~ ~gl lc~j~n q~~E{ and of buildings on premises, relationship to adjoining premises or public streets oa~re~a~ ~~il~d¢~ipltj,~grt of layout of property must be drawn on the diagram which is part of this appB- §T,~TE CONSTRUCTION 8 ENERGY cOO wo~ovp~'~p~jgion may not be commenced before issuance of Building Permit. dpt ~(~gICpII(~'p#'lj~}'~ypp~ppQR$, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be~ept 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 Re;ulations, 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, buildine code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in ections. Sig ature of applicant, or name, if a corporatton) ).y 8 0 ~ ~ ~~j <I-Ff. ~:H nl F Vv(a~'-Fu, N . ~ . t . ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ©.tsartk.f Nameafownerofpremises .aC?4.~4~..~.,.~.~.G~4A,IT..~-.1~.Uf1E.' .)~:.1,~,,,,,,,,,,,,,,,,,,,,,,, (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. J vne Ste; j ..........i G~,~ ~ (Name and title of co orate officer) tt ~ (O~~`f yD ~ l~or~ ~8 - iS'"d-9 Builder's License No. . ~!/.41y1:P Plumber's License No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done . .....................rnR.ff-i:hue-(~ I{ouse Number Strec[. • Hamlet County Tax Map No. IOOOScction .q.~© g......... Bluck ....3,,,,,,,,,,,, Lot...-~~;.~,~,..,,,,,,, Subdivision ~?-1;2,-8R .~C!A.C"...I:~erPS , . F.ilcd ~fap No. ..)CJ~o.i~.g. g Lot (Name) State existing use and occupancy of premise'sp and intended use and occupancy of proposed construction: a. Existing use and occupancy I~O'~.`?'! 1~~''15=~ . ~ ..S1?'?q le , ~ vh~~.~~ D w~l ~ b. Intended use and occupancy ...I\~S i f~:?!1 L~.-...~ ..S. i, v • . • • -p• . 3• Repair of wort. check w•hrch !applicable): New. [3uilding , ( • • • Addition rUtcration • RLmoval Demolition Other 1Vork ..F~r~1.4T . . . 4. Estimated Cost . ~ !j~/~, (Description) I Fce.~.~~:':T-.......................... 5. If dwelling, number of dwelling units Qo be paid on filing this application)° ' • • • • Number of dwelling units on each floor . If gara2c, number of cars , 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing stru Nu'res, if any: Front , , , , , , , ,Rcar • • ' • ' ' Hci~ht tuber of Stories . Depth . Dimensions of same §tiv'cturc with alterations or additions: Front • ~ • ~ ~ • • ' ' • ' ' ' ' Depth . . Ilcight . Rear . 8• Dimensions of etyt~c new construction: Front . • ' ' ' ' ' • • • • Nuntbcr of j~}.~ ~ ; , , , • Height 'b l? , Rear epth . • • Nuhtbcr of Stories . • ~ -''~'f,1l,,a.ww~;~.»a:9~60• • • • 9. Size of ot: Front Rcar 10. Date of Purchase • • • ' ' ' ' ' ' ' ' ' ' • • • • • • • ~"l~ 1 1. Zone or use district in which • ' ' ' ' • • • • • Name of Former Ow~h ~ ~J 11R • ~ • • premises are situated , , ~M~ '#'1V14' 11#•1'}1 'A1fA' ff' $BNk! •L• ° l2. Does proposed construction violate any zoning law, ordinance or regulation: NN ~~+tLY~7'~-,4 ~~tf ~l~<'a?~€1;'a)~ • ~ ~ • l3. Nill lot be regraded ,lv~. , , , , , , , , , , , , • . €1gfHt •gtCAii54tiy7t,t'•1•;F • • . Will excess fill be remove r i s 14. Name of Owner of premises , , , , , , , , , , , , , , , ,Address -'~~~~~~'e~, N, o Name of Architect .Address . 41~Eff~1).P4 ~ ~R~;h~ • 6E~~;s t ~ . Name of Contractor . • ..................Phone Notr„1;~..it2:3+..6 . 15*Is this ro ert located within 00 feetso' "~''t7het^~}s7d'ht3ti~dNo..:,,)-1.,''; A P P Y f a tidal wetlagd>?tc1;#X^A3i~=l:c;.>V~,,... If yes, Southold Town Trustees Permit may be requilcyq;rtlt• ,.,}A3t~' t.;;.r}i`;Fijg;'S~USt3J PLOT DIAGRAM 6: ~atT aC& 1; 1'M~lt.?;1t4i4.dX1~:~ Locate clearly and distinctly all buildings, whether existing or ro osed, i ~ t} 4 `l~ p p a~ G ~~~~ac • ~,pnen'srons from property lines. Give street and block number or description according to decd, aritP~~ ~ t~p(ji~s.an~ ifjdicate.,whether interior or corner lot. - ~tr 2'EL•JL9 - - - - - r ~ ZaB. 1 4•`~~y Lot B b A~eo = 40204 sq, ft. Ec•u.9 N EL•dLp, X m ~ w ~ ~ N • ~roposecQ ~ ~e• LoCa•I-;on) 1\ ei~`~hf - 6' , 70,E ~ /oo, r 77.7' y / STY. FR. HOUS~~ l~i~f iooa - Sec~-1 o rv I o S i e.6' F~/ocJc 3 ~ _m ~7^~ 26.0' m 32.9' i 0 i ~ 1 ~~~n,Ioriar^ ~ ,01,E -oi ~ ~S 2 °i i ~I i ~ 1 ST,1TE OF NE1V YORK, _ ELars.r ~ i C UNTYOF.........,.. ' N.25~/l'2o"w ~^`~{Qp ///1 ~ EL•E9.E EL•YB.9 208. 00' (Name of indivi EL•Y9.Q ~ LANE he is the applicant abovcnamcd. X ~L/?AHxs a•+o.o Ec.ze. e X iIc is the ~f said owner or owners, and is duly author od ttocpcrformrtor lrave performed'the said work and to make and file this ~PPlication; that all statements contairlcd in this application arc true to the best of his knowledge and belief; and that the •vork will be performed in the manner set forth in the application filed therewith. sworn to bef'or/e me this • ........7.:~-:........day of . . rotary Public, , ,C , , , , , _~Q~~G,t/` County LINDA J. COOPER • • Notarypubpe State of New (Signature of applicant) T9rm Ex 82eS p3• Suffolk Coun p eoember 31,18_,._, ~~a~~`} D ~ / . BLpG. DEPT. ~ / ~ rtpWN OF SOUTNOLD x • 26~ 9 192' M O .b N t ' N O A _ j LT N O N. \ ry 'o ~ ~ ~ c C' cA r N N ~ ~ 0 ~ Q ~ K b ~ c Q •a m \ `V N CA r, x O Cn m ' ~ C- Z ° L ~o ~ ~ba C' a m _ x Q nlN •p mi'Z w~" 599" ~ ~ r ~ Nxrr ~ O. -C J ZI N Ov.' 6a T J ` ~ 6 'A 0., ~ x ~ O 2 ~ O ]rAh~ 68 C V~ N / a m ~ N ` I / ~ ` V \ 36 j ` EC•~7 m \ 6 ~ ° X ~ 6 ~~N Q b ~ ~ Z bo°' ~ ~ 2 ~ p.3 ~m 19 0 c Y p ~ ;o. e x ~o ~ ~ N Y1 \ C O ~ ~ O O_ ` 1~. p 9 DG8 - _ _ d - - 5 6a _ -7--- - - - * - LOt `m . X ? Z a r ~O 4 N O . f m x N W a ~ N 0 E im 00 ~ ~ ~l" m y. Qv E~~E ~i st. ~o o ~ MPP~ Sew: ,a ~ ~~o~~ 3 Lo •~Z. SURVEY FOR ROGER SCHAIT & JUNE BOUSSON SCHAIT ~,o~Q ~l_ LOT 8 GREENBRIAR ACRES ocT. s L,nvsc.C-C JULY I AT MATTITUCK DarE tiov., Gt)/~- ~ •7(a~(= S~Oa TOWN OF SOUTHOLD scALE I"=.4C 30y SUFFOLK COUNTY, NEW YORK __NO ea - i / e JNAUINONREO AL7ERA71ON OR ADDITION TO 7MlS GUARANTEED TO /"l!K/r°9~,.~``n - SURVEY IS A VIOLATION OF SECTION ]20Y OF 7HE y ~..Z% NEw roNK sraiE EDUCATIOrv Law ROGER SCHAIT / kCOPIES OF THIS SURVEY NOT BEARING THE LAND JUNE BOUSSON SC OF SUN VEYOR 5 INKED SEAL OR EM8055E0 $E 4L SMALL USUFE TITLE I 1tN NOi 8E CONSIDEREC i0 BE A vAL10 TRJE COPY k GU hRAN TEES 1NDICA TED REREON SHALL RUn ONLY ro SOUTHOLD AVI DEPA Rr MENT-Warn rpri 1npcOVnL TQ CCNSTRUC7 n~E PENSON Fop wNOM THE suRVEY ~s PREPARED T nm~ r..ds ,;T nnl r'r r,.v inn P mw war cn vaau- O