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HomeMy WebLinkAbout17980-z !'08M NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF 7HE WORK AUTHORIZED) N fl J 17 9 8 0 Z Date ...1.~~~`,".`~..`.....~ 19. ~'.9 Permission ~s hereby granted to: .~~..6~...z.t..~ , to ..~,..t~`....-..ti..cQ..... ....GL~..~..~i.~LA.I.,~... ........................................................................................U...................ldJ............................................. ct premises located at . ~ D 521......... a-!~::~....'..~~~) .~..........~?~!::!;ur~C~;........... . . . County Tox Map No 1000 Section p~ Block .....~....t~,...... Lot No : l pursuant to application doted ....~.~{.th..r~4... 19.8., and approved by the Bu i ldi ng `lInspector. Fee ~rr?s}:.../. . . . 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' ~ i TOWN HALL BLDG DEPT HOLD, N.Y. 11D71 N ~ M"ix]' F. Ferguson TOWht OF SOUTHOlb EL.. 765-1802 CALL 516)'j(5-107 ,(Home), , , , MA 0: Eramm{~ed ••~••••,19~g• St. Patrick R.C.Church Approv •i~.. 3`:...., 19~. Permtt No ~ A.C.Cetnetery Account P.O.Box 117 DtsapProveda/c Southold, N.Y. 11971 (Building Inspector) APPLICATION FOR BUILDING PERMIT March 28, Date 15.. INSTRUCTIONS a. Tlus appltcatton must be completely filled to by typewnter or to ink and submttted to the Butldtng Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing location of lot and of butldmgs on premtses, relattonshtp to adjotnmg premtses or public stree or areas, and gtving a detmled descrtptton of Iayout of property must be drawn on the dtagram which is part of t}us appl caUOn. c. The work covered by this application may not be commenced before tssuance of Buildtg Permit. d. Upon approval of tins application, the Butldmg Inspector will tssued a Building Permtt to the applicant. Such peTTrt shall be kept on the premtses available for inspectton throughout the work e. No building shall be occupied or used to whole or to part for any purpose whatever until a Certificate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Biuldtng Permit pursuant to th Building Zone Ordinance of the Town of Sout}told, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions ar alterations, or for removal ar demohrion, as herein descnbe~ The applicant agrees to comply with all applicable laws, ordinances, building code, houstn~ code, and regulations, and t admit authonzed inspectors on premtses and in building for necessary inspections. (Signature of applicant, or name, tf a corporatton) $i:,,)?~+TkG]S,Ghta~h-C;erpetery A/~-P ;O ;Box ,117,, • (Mailing address of appltcant) Southold, N.Y. 11971 State whether appltcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Qvner.................................... Name of owner of premtses St. Patrick R.C.Church APPROVED AS NQT~E-D~q. q~~ .~~-•...•~...-•-(asonthctaxrollor131Nd$tleo''~~6.PN~_GJ^ L~~~!~ If appl+cant is a corporatton, signature of duly authonzed officer. FEE' a~ • BY ! :S7~S.~_ NOTIFY BUILDING DEPARTMENT AT 76S•1902 9 AM TO 4 PM FOR THE (Name and title of corporate officer) FOIlOWING CNSPECTIONS FOUNDATION - TWO REQUIRED Buffder's License No FOR POURED CONCRETE ' ' ' ~ • ~ ~ ~ ~ ~ ~ ~ 2, ROUGH -FRAMING & PLUMBING Plumber's Ltcense No 3. tNSULATiON " " " " " " " ' • ' ~ 4. FINAL - CONSTRUCTION MUST Electnaan's Ltcense No _ BE COMPLETE FOR C.Q. ALC CDNSTRUCTIQN SHALL MEET Other Trade's Ltcense No. #508 North, Fork, Fenpe Co. THE REQUIREMENTS OF THE N.Y. 8TATE CONStRUCTiON i ENERGY I. Location of land on wfttch proposed work will be done , 5t., Patri,~C RESPONSf$LE FOR • ~ CQN9T~RUCTIENFERRORS• • • ! ?"!a??? Bp1'v1-ew RDad.:.......... .~1.1Y~'1~~ House Number Street pp Hamlet County Tai Map No 1000 $CCCIOn „-fit , ~P.. Blocky , , , , , , Lot , 53: 1 15:6' A6fAS" ' Subdivision Filed 1<iap No. Lot . (Name) State cltstmg use and occupancy of premtses and intended use and occupancy of proposed constn+cuon a. Extst+ng use and occupancy ..Cemete~' j . b. Intended use and occupancy ......G~tex'X v~~. 1'~: r'•C`~ . , : • . . . . . . . . T 3. Nature of work (check htch applicable) New Butldtng Addttton Alteratton . Repazr Removal Demolttton .Other 1Vork Felice . (Dcscnp4ton) $2,800.00 Fee .....25:09 4. Esttmatcd Cast . (to be paid on filing this apphcauon) 5. If dwdhng, number of dwelling units Number of dwelling units on each floor If garage, number of cars . 6. If business, cotnmerctal or mired occupancy, specify nature and extent of each type of use . 7. Dtmenstons of existing structures, tf any. Front . Rear Depth . Hetgltt .Number of Stones......... Dimensions of same structure with alterations or additions Front Rear . Depth Itctght ........Number of Stones . 8. Dtmenstons of entire new consttucuon. Front Rear Depth , , , , , , , , , , - Hetgltt ..............NumberofStones. 9. Size of lot Front . I;ear Depth . 10. Date of Purchase . .Name of Fonnc* Gwne* I I. Gone or use distract m whtch premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regu]atton • Nd 13. Wdl lot be regraded . 1Vi11 excess fill be r moved~ro{n~ premtses Yes D 14. Name of Owner of premtses St _Patsick R .C.ChtlrchAddress P•O.Box 1~7,Sou oil~hone No 765-3442 Name of Architect .Address ..................Phone No............. . Name of Contractor •Nor•Gtt .Fork .Penes .Cn....... AddressBrax A7b.,titek... Phone No.298,-9777..... . IS.Is this property Located with in~00 feet of a tidal wetland? *YES....NO~G.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAbI Locate clearly and distinctly all buddings, whether existing or proposed, and, indicate all set-back dimensions fro property fines. Give street and block number or descnpuon according to deed, and show street names and tndtcate wheth tntenvr or corner lot. °~'~Y The cetm_tery is being used as ?/ct,,~ ~ passage way from Bayview Road vAp n, to Lots #63 & #51. Also used ~c6 by adults & cltt.ldren on bikes and motorcycles. we plan to erect about 432 feet of Spruce ' Stockade fencing to be 5 feet high. `This fence will be ansta 3 to 4 feet inside our property °t ~ line. The fence that a_s on tlv- - c. G ~ property line has been deliber_, s- o _ cut to pertn~-t passage way for a r t _ balCes~ rt~toroycles & people. ~ :tc~ This fence will not be retinved. ~ ~ ~ ~ s y 1 A~ 1 µ -Ja Tpte new fence will be built v~t- ~ C`~~ old fence on our property. R s3'l~eats .w 1~,L qtr a~ , rat r fA,Svf i~ ~ o. STATC OF NE1V YORE, '-i~'`'' € COUNT .OF , ,S.S - . , t 1.4 • ; 1~ R~bj ~II~40n'1'ii~'f~3 , , , , . , , being duly sworn, deposes and says that he is the applica, ~ in (~.yalr~~gtt}ytY, cpgtract) v ~ above nom 5Prk- ~ ,~~SA3iRt~ 4tYT~H4 n 3T~y~-, f'IC1Sthe.. ,.:r•:tti :~.!•,?!:`s,s"aJ..,~;.I'~.~.°.~:.....~'~'....~'s~~/J~•! k'2~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly autftonzed to perform or have performed the said work and to make and Gle tl'. apphcauon, that all statements contained in this apphcauon arc true to the best of fits knowledge and belief; and that tl work wdl be perforated m the manner set fort}t in the apphcauon filed therewith. Swom to before me tfus g ~ ..day of . f~, ,~,cu_'~~ , 19 . ~l \otary Public, . ~-~(~r,r~~--~~.... County MARKT 6AGEN . NOTARY PUBLIC, State oiNewYMk ~ ignarure of applicar No 4695650 Qualdied m Suffolk Coun I;ommiaswtt Expires May 31,