HomeMy WebLinkAbout18132-z IPORM NO. 0
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°- 18132 Z
Permission is hereby granted to:/~. , .
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........ ~~/~...~~...~.~....~~ ' ~ ................
. ................... ~.~: ................... ~ ..................................
County Tax Map No. 1000 Section ........ .~...~... ...... Block ...... ~ ..........Lot No ....... ./.~..'.....'~......
pursuant to application dated~.~...~../..~...~......./..~c~
Building Inspector. ~. ;f;F?~ ..................... . 19 ........ .and approv~ by the
Rev, 6/30/80
FRANK A. KUJAWSKI, .IR., President
ALBERT J. KRUPSKI, JR.. Vice-President
JOHN M. BREDEMEYER, II1
JOHN L. BEDNOSKI, JR.
HENRY P. SMITH
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P,O. Box 728
Southold, New York 11971
October 12, 1988
TELEPHONE
(516) 765-1892
Mr. Donald Sonnenborn
132 Brewster Road
Scarsdale, New York 10583
Dear Mr. Sonnenborn:
The following action was taken by the Board of Town
Trustees during their regular meeting held on September 29,
regarding your request for a waiver.
1988
RESOLVED that the Town Trustees approve the request made by
Donald Sonnenborn for a Waiver to extend a split rail fence on
property located on Smith Road, Peconic as long as it is above
the high water mark,
WHEREAS an on site inspection was conducted, and
WHEREAS the proposed work will not have an adverse impact
on the environment nor otherwise adversely affect the health,
safety and general welfare of the people of the town.
ery truly yours?,
Frank A. Kqjawski, Jr.
President
Board of Town Trustees
FAK:ip
cc: Bldg. Dept.
132 Brewster Road
Scarsdale
New York 10583
Building Department
Town of Southold
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
May 9, 1989
TO WHOM IT MAY CONCERN:
Enclosed please find a letter notifying me
that the Board of Trustees resolved to permit me to
extend my split rail fence. I previously filed surveys,
appropriately marked to reflect the continuation of the
fence, with your office.
Enclosed is a check for $25.00 to cover the
issuance of the permit. Please send it to me at 132
Brewster Road, Scarsdale, New York 10583.
Thank you.
Very truly yours,
Donald E. Sonnenborn
AML/aml
Encls.
AML:DES-i.15
Examined ~P'/ .... , 19 ~.
Approved i i i.~.2; i .~.' i .': .,19 ~.~. Permit No./.~../..~.
Disapproved a/c .....................................
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK .................
SEPTIC ................
NOT,FY
CALL ..................
03uild~g Inspector)
,, APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Buildihg Inspector, with
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 publ/c street
or areas, and giving a detailed description of l~.yout of properW must be drawn on the diagram which is part of this apph
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 permi
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 Occupanc'.,
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 thc
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances
Reguiatio. ns for ll~'t~]~,~uitding~, a..d. ditions or alterat OhS, or for removal or demolition, as herein described
The apphcant agrees t.o ,~o_mply w~th all.~.tC4~tcable laws, ordinances, building code, housing code, and regulations, and tc
admit aut~~to'~e~ind ~ building for necessary inspect~i~ns.
· ...... Z2. .......
- ~ flO'l" M~ /~ OT M~ t~ ~.O8! .~;q~ (Signature ot applicant, or name-if a corporanon) .....
· ~!ti8~,t,~030~80oq RO:~ (M iii ......
a ng re
State is architect, engineer, generai contractor, electrician, plumber or builder.
,,,,, ,,,,,,,!:~RIM vtO~'T~J~T'~;~09 ' ~' '" ~
.... v~.. t ,.~. ..... ,0 )~t')l t ~'1 ,[q~O;~. :.~*~ ........................................
N , T~IM~ J, IAH~ ~IOIII.3U~'t'~I~03, ')ih' .~d
¥O~t11~ ~ IM~T~.iS'T~O:,t rJT~tq:' (as on the tax roll or latest deed)
. __ .~ ~ ~;3i' El~
If apphcant 8~o~'[~a~0.~J~g.o.ly .authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
E ectnc an s L~cense No .......................
Other Trade's License No ................... .... /
1. Location of land on which proposed work will be done .... ,~.'.~!.l~... (.9. qq..d. ................................
House Number Street Hamlet
County Tax Map No. 1000 Section .. ~.q.~' .........' Block ..'.. ~ ............ Lot .... /.~.'..~ .........
Subdivision ..................................... Filed Map No ............... Lot ..
(Name) .............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction;
a. Existing use and occupancy . [~.~.t.O~.~ ........................ ~,>J;$. ,~ ~f.)l~ .....
,~':,,, ~ w, o ~,~e ,~l~ .............
b. Intended Use and occupancy . .~'~.~ ......................... ,~9;~?~ ,o~
..... ~ ..~;L ~t.~ ................ ~
3. ature ofxvor check xvhic a ca e: New uilding on
Repmr ........ metal .............. Demolition ............. ~ iOther.~m,q.
4. Estimated Cos
' .! o be pa
Ifd fd
· welhng, number o welh,ng units .............. Nmnber of dwelling units on each floor ........
Ifgarage, numberofears ..i ............................. ' .....
If b iI ......................................
· usiness, commercial or m xed occupancy, specify nature and extent of each type of us~ .................
· ~m~ensonso ex~stlngstnc res, if any. Front ............... Rear .............. Depth .........
eight ............... Npmber of Sto~es .................................. ' ' ' '
Dimensions of same structure' with alterations ~ additions: rynt Rear
e ...................... e ~t ....... NumberofStoNes ...............
Di i f nti st cti F .......... ' "
mensonso e re new con m on: rent ............... Rear ............... Depth .............
Height ............... Ngmber of Stories ............. , ............
............. Name of Fo~er Owner 02~ ~7~ ~a ~/~ .......
Zone or usa district in which Premises are situated .................................
Does proposed construction v elate any zonin aw, ordinance or regulation: ....................
et be regraded ....... ; ........... ' .......
N f O f P . · ......... Will excess fill be removed from premises: Yes N
amc o wrier o remises .I ........... Add PI '
N~e of Architect .... i.. . ....... ress ................... rune No ...............
N of C .... ................. Address .................. Phone No.
~e ontraetor ....... ~ ..... Add ...............
.............. TeSS ................... Phone No ............ i..
15.Is this property located ~ithin 300 ~eet of a tidal ~etland~ ~Y~S .... ~O ....
· If yes, Southold ~o~n ~rustees Permit may be requlre~. '
... ~ PLOT DIAG~
Locate ele~ly ~d distNctly ~1 bulldogs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions i~on
prope~y ~nes. Give street ~d bloc number or deschption a~oord~g to deed, ~d show street n~es and indicate whethe
interior or comer lot..
10.
11.
"12.
13.
14.
OUOWINO
1. FOUNDAT~N . ~~.~
FOR ~R~D ~
2. R~GH. mAMI~
BE COMPL~ FOR
STATE CON~
STATE OF NEW. A*ORKr:F-" , I..~ i , "
': .' .............. ' ..........5' L' ................... being dtdy swo~, deposes and says that he is the applicant
ab6ve named(.Name of individual slg~lng contract)
tie is the
(Contractor, agent, corporate officer ere )
of said owner or owners, and is dul;y authorized to perform or have performed the said work and to m~e had file this
application; that all statements conthined in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manne} set forth in the application filed therewith.
Sworn to before me this ;