The URL can be used to link to this page

Home My WebLink About17267-z rosai< xo. 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 4 017 2 6 ~ Z Date ro 19.5? Permission is her y grante to: ~o~~ ...r~~,Ss~,:e .y...~~..~ d ct premises located at . ~a?.P....4.......~ .......y~Ci,:(. .s~.~~..~................................................................................ ...............................................J........................p........................................................................................ County Tax Map No. 1000 Section Block ...........Q.. y- Lot No ............:~i~... pursuant to application doted ......~J./'~'T~ 19~f.~ and approved by the Building Inspector. Fee ..~~.l~~i ~ it ' Inspector Rev. 6/30/80 BOARD OF HEALTH 3 SETS OF PLANS .f/.......... FORM NO.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY - TEL.:765-1B02 CALL Examined . ~ ~0........, 19 ~ C~ MAIL T0: . Approved 19 Permit No./f~~O ~ ~ ~ ~ `4 IVI Disapproved a/c ~ $ ~ Iy88 ~~..t~... ~7'~ TOWN SOU~TT11 (fittild' d Inspector) APPUCATiON FOR BUILDING PERMIT Date ......~~4?~ 14~~. INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to_ the Building Inspector, with 3 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 streets ' or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit 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 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 h rein described. Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housi ~ ode, and g ations, and to admit authorized inspector; on premises and in building for necessary i ns- (Signature o"a plic n , r e, if a corporation) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ,A,N, pR~~..~ ~.v~~Jl//C~ . ~.~j~ie~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ ~~Z...... . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be do~~ , , e~;l~~~~. ~diA/0 •~fi . House Number Strcet~ Hamlet 1 County Tax Map No. 1000 Section 9~....... Blpck ....~j. Z , , , , , , , , , Lot Subdivision F.ilcd tap No. Lot . (Name) , State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~LG:~~LL/~~, , , , . b. Intended use and occu anc " P Y .~tit,,. 3 Repair of work check which'applicable): New Iluilding ' ( • • .Addition Alteration • • . Removal Demolition Other 1Vork .f.4!~!C~ , ~ • • ~ • SO O ,oo i (Description) 4. Estimated Cost . Fee..................................... 5. If dwelling (to be paid on filing this application) „number of dwelling un}ts . . . . . Number of dwelling units on each floor , , , , , If garane, nunt bcr of cars • , 6, If business, commercial or mired occupancy, specify nature and extent of each type of use . , , , , , , , ~ ~ ~ ~ • 7. Dim' " f e;, i tSr)g_structu'res, if any: Front . ' ' ' • Hei;}.., Number of Stories . Rear Depth . with alterations or additions: Front • • • ~ • ~ ~ ' ' ' ' ' ' ' Di tll 1 p nr ,w Rear.................. h tSr~s of entire nety~ cons ~ • • Height . . . . .Number of Stories , . truction: Front . Rear . . De th g ' •,r . Number of Stories . p 9. $ize ,ftr.~ Rear Depth , 10, .Date of Purchase I,,,,,,,,,,,,,,•• „Name ofPormcrOwner 11. ,Zone or use district in which premises are situated . . • • ~ • 1.,. Does proposed consptructron viglate any zoning ]aw, ordinance or regulation : . 3 0 13. Will lot be e raded will excess fill be removed from premises: ,Yes No ~4. Name of Owner of remises ..I,,,,,,,,,,,,,,, ,Address . Name ofArchitcct ' ••••••••••••••••••PhoneNo Name of Contractor ,~T.A,~, l~ ' ' ' ' ' • • Address , , , , , , , ,phone No. , ~}YYIG7f~ ........Address P.-R~ ,~3Drr, (d,l,q .....Phone No. : ~6, l9„ . 15.Is this property Looted within,$IOp feet of a tidal wetland? *YES....NO.... r *If yes, Southold Town Trustees Permit may be required. . PLOT DIAGRAM • Locate clearly and distinctly elk buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~A~ I t I - A/ a >ti STATE OF NE1V YORK, I $.s COUNTY OF,,,,,,,,,,,,, (Name of individual sip ~I ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the appl}cant above named. ~ni~tg contract) I (Contractor, agent, corporate officer, eta} lie is the , vncrs, and is dul . . of said owner or o~ y'i authorized to perform or have performed the said work and to make and file this application; that all statements contai)rcd in this application are true tQ the best of ltis knowledge and belief; and that the work will be perfor~ncd in the manner set for[h,in'ahc application filed therewith. Sworn to before me this I ...:.........aU.,,,,,..dayof.l~ , 19d~ -Notary Public, , , , , , ,/C~.~L//~~.G~?..../.1:.. I W ,E; (/D~ County ~Sy New YMM i~ . ~j~47~0187&', (ice ature of applicant) ~pires Mich 30.1 - CEDAR POINT DR EAST loo.a5` MPS i2 cope. S.79°4940 E. - 200.90' ~ ~ MON I I -r ~ L ~ 9f- - , I p o, ~ I ~ a~ ~ ' N ' " N I I N e I o+ M ' QI LOT 101 fg ~ ~ LOT 99 STK. ~ I II I I 1 ~ 5 i , 1. o:e 31.3'_ qq.z' 3 ~N, m. "N t srt. FR• „ O o.rM E • 0 W K o pnad N N g 2• 30_2 ~ _ O ~3 gec'r an. - a O _ o V - ~ ~ ~ " LOT 100 ~ z ~ J OF BLUFF TOP 1 p w wood ^S, yyood w` Jlep SET. JJryu C I P K gam, 9UL KNEAD , P.K. ~ - j1~ 41r1E' AION N W M~ ' i ~ _ . SS'f nE - -~"^100.59 N g °31 30• W. BAY r LITTLE PECON~ C AREA = 25,430 SQ.FT to tie line SURVEY OF PROPERTY AT CERTIFIED TO : - B A YVIEW TICOR TITLE GUARANTEE TOWN OF SOUTHOLD SOUTHOLD SAVINGS BANK SUFFOLK COUNTY ANDREW LETTIERI a N•Y. BERNICE LETTIERI IG00 090 02 - 21 SCALE I"= 40r - FE8.23,1988 APRIL 3, 1988 ~0 4ANpS ~ A•lNC G9L rruparad in accord°nte with the minimum FGi s;°nd°rds for Title surveys as est°bli.h=u by , O O the L. A. L. S. and approved and °d~pted • , ~ for such use by The New York State Land i Title Association. q e~ LIC. N0,49668 p~f~p~C 8 ENGINEERS, P.C. LOT NUMBERS REFER TO ~~MAP OF CEDAR ""'6) 7 BEACH PARK FIIED DEC.20, 1927 IN THE O. BOX 909 OFFICE OF THE SUFFOLK COUNTY CLERK ?AAIN ROAD as MAP NO. 90 r SOUTHOLD, N.Y. I1971R, D K. 88 - 137