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Home My WebLink About17991-z roses xa s TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) No 017991 Z Date 19....1 Permission is hereby granted to: to .:~.....G..-v......~.~'.~.~t.~-..~.~ ~ ~ --..pp ff ................Q ~~~Q cY premises located at ..39.d....l:~.°~.b:!~:.°!;~K.Q.5:~4. ~:...~~..lX ...............~.I!:'1..... .f:`..~:.:F.'.`~:s ..................................................................11.............................................................................................. County Tox Map No. 1000 Section ......07, Block Lot No..~.~.. y~ pursuant to application doted ......~GuC.(~f...w~ 19p..I..., and approved by the Building Inspector. Fee $.a.s.:..:~.... ......,-cs-'~~ Building Inspector Rev. 6/30/80 _ b...._._____.-,_~______....__ _ 4 Description of the Premises. AlI that certain parcel of Land with the biilldinga and improvements thereon erected in the village and Town of Southold,. County of Suffolk,and State of New York,bounded and described as follows: BEGINNING at a point formed by the. intersection of the southerly side of Bay Water Avenue, so called,and the westerly side of Nakomis Road, so ealled,at the Northeasterly corner of the premises about to be mortgaged and running thence Southerly along the Westerly side of Nakomis Road a distance of 280 feet to land of Cedric H. Wickham and others,thence running Westerly along said Land of Cedric H.WSckY~em and others a distance of 85.3 feet to land of Robert Overton,thenee running northerly along land of Robert Overton a distance of 242.2 feet to the southerly aide of Hay Water Avenue and thence running easterly along the southerly side of Bay Nater Avenue a distance of 94.9 feet to the mestsrly side oY Nakomis Road to the point or place of beginning. Being and intended to be the same premises conveyed by Helen A.Correr to Francis W.Sch*^iefer and Aelen H.Schriefer, his wife by deed dated January 23rd, 1°48,and to be recorded simultaneous) herewith. , _ ____,___~T., _1 c~ ~ ~ ~ , BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 7 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORt•1 ' TOWN HALL vOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802! CALL ~ t( MAIL T0: Examine) Q:..~~I(....., 19~.. q Approved. ~l 19~~. Permit No.~.~.1~.~.Z~r.. Disapproved a/c D ~ ~S ,:)7 ! i. MAR 3 0 ' . TOV'!FJ C F c. ,r i ~ ..W..... (Building Inspector) ~ " APPLICATION FOR BUILDING PERMIT 2 Date IS4~ INSTRUCTIONS a. Tlris application must be completely filled in by typewriter or in ink and submitted to the Building 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 public stree or areas, and giving a detailed description of Iayout of property must be drawn on the diagram which is part of this appl 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 perm 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 Buildin; Inspector. APPLICATION IS HEREBY MADE to the Buildin; Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Re;ulations, for the construction of buildings, additions or alterations, car for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary`inspLtctions. (iS gnature ot" a~'r name. if carpdfacton). . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contracto~~ {f~~~ (~Q~Qer or buoy buildei .....I ` DATE:. ~ ~ B.P, Name of owner of remises ' S~!!~ ~ D PARTMENT A7 p N(3TtS;Y..Bl!{LDShC , s f . (as on the tax rpll or la}ge~,L{itg®Q)g ^~"ui t`O ~t PN+. FOR 1'Ft~ ~ ` ` A FOLLOW^'!".~:`:. E?;>; ~'£CTlCiPSS, [C applicant is a corporation, signature of duly authorized officer. ~ pt~UNpATION - TWO REQUIRED FOR POURED CONCRETE (Name and title of corporate officer) 2. ROUGN -FRAMING & PLUMBIN _ n 3. INSULATION Builder's License No. ~ tCl ^'~L.J`-.......... 4. FINAL CONSTRUCTION MUST BE COMPLETE FOP C. . Plumber's License No . ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF tFIE N.Y, Electrician's License No. , STATE CONSTRUCTION Ai ENEFUR CODES. NOT RESPONSIBLE O[her Track's License No. DES~I)GN OR CONSTRUCTION ERROR8 1. Location of land on which proposkc work will be done. !ll,~~~s'. House Number Stre Hamlet County Tax htap No. 1000 Section [ BI'ack , , , , , . Lot Subdivision Filed ~1ap No. Lot . (Name) State existing use and occupancy of premises annd intended use and //occcupancy of ptr/oposed construction: a. Existing use and occupancy ......f..~/.7~a. 1 ~ N/.~ ~ ~!L!,~ . 6. Intended use and occupancy . ~,~f c- 3. Nature of work {check which applicable): New Building Addition Alteration ~ . Repair Removal Demolition Other Work . y~' (Description 4. Estimated Cost ° , Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each 11oor , . Ifgara;e.numbcrofcars 6. If business, commercial or mixed occupancy, specify natu~ and extent of each type of use . 7. Dimensions of existing structures, if any: Front , Rear Depth . Height ...............NumberofStorics........:............................................. Dimensions of same structure with a]terations or additions: Front Rear , . , , . Depth . IIcight Number of Stories . 8, DimensionYof entire new construction: Front . . Rear Depth , , . Height ...............Number of S[orics , ! , . 9. Size of lot: Front Rear....................,. Depth 10. Date of Purchase .............................Name of Fotmer Owner 1 I. Zone or use district in which premises are situafed . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. 1VilI lot be regraded . . . 1Vi11 excess ftll be removed from premises: Yes t 14. Name of Owner of premises .Address ...................Phone No. Name of Architect .Address ...................Phone No............. . Name of Contractor ..........................Address ...................Phone No.......... . IS.Is this property located within g00 feet of a tidal wetland? *YES....NO: *If yes, Southold Town Trustees Permit may pe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or comer lot. ~y ~ k S ~ockt}~ ~ ~E~VG irr /,11~GV5~t/~L. ~ ~Q . - STA `l]T~~yY._O COUN. `7t3r ~Pl'K<<? L ~ S.S e ~ ' ~ ' ~ G-'~~! •~C~L,S. _ being duly sworn, deposes and says that he is the applica ,..k% 1.3YC...... . `iJ ~tt~3~`amff af. individual signing contract) above named. iieistfie (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly autftorized to perform or have performed the said work and to make and file tl application; that all statements contained in this application are true to the best of Ells knowledge and belief; and that t. work will be performed in the manner set forth in the application Glcd therewith. Swom to before me this q a........day ofq~.... ~ ~~`,jlc-~!........ l9 ~1 Notary Public, ,l~~tC! . ` A-~.. County ~//~}7; NELEN K OE WE 1 NtIt11RYPUBtiC,~eteatNewTork (Signatu of applicar Na 8707878, Suflclk Cca+d~ Term Expires March 30.19_.__.