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Home My WebLink About24961-ZDisapproveffa/c ................................ i.. :. 'FORM NO. 1 TOWN OF SOUTHOLD I~UILDING DEPARTMENT'. TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1803 (Building IBspector) ~ APPLICATION FOR BUILDING pERMIT 3 sETs OF' PLA~S SURVEY CIIECK ................... SEPTIC FORN ............. CALL ~ ................. HAIL TO: Date ............~ /[ 197q~ INSTRUCTIONS This 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 sti'ee~ or areas, and giving a detailed description of layout of property muJt 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 igsued 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 Building Inspector. APPLICATION IS HEREBY MADE to the Building 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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describer 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 inspections. _ _ . -- (Signature of applicant, or name, if a corporation) (Mailing address of a~plicant) State whether applicant is owne~-lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builde~ Name of.owner of premises ...~.:..~~...~ ' . ............... i ............. ' .......... ~11 or latest deed) If applicant is a corporation signature of duly authoriied officer. (Nmfl4 and title of corporate officer) Builder's License No .......................... Plumber's License No....~..~.'.~..~.~.. ........... Electrician's License No. /~..~..<.~,~ .......... ' Other Trade's License No.. .................... ............. Location of land on which proposed work will be done.5:~/'~t~r-~g~.~.. ~"~ ......... street Hamle[ Itouse Number County Tax Map No. 1000Section..~'~.~ ......... . Block ..~.. ' Lot..~..~. ............. Subdivision'..~......-~...~.~..'. Filed Map No..q..~....'~.~7. .... Lot..~ .......... (Nmne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy .]..~ .~ .............. · ..................... -3. Nature ofwork (check which applicable): New Building ...... Addition Alteration , Repair .............. R¢lI10¥a] .............. . Demolition ..... : ......... Other Work ............... (Description) 4. Estimated Cost .... ./.t~./. ~...'.. i ............... Fee · (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... /-~d/~'Nurnber Of dwelling units on each floor. '. · If garage, number of cars .../~ ..... ~. ....~.~.. · ......... 6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use ..................... 7. Dimensions of existing structures, if any: Front. .............. Rear .............. Depth . ~'. ....... '...'.. Height .. · . ..... ~umber of Stories ........................ ' ................................ Dimensit,,o of shine structur,~ with alterations or additions: Front .... ~ ......... Rear .................. Depth... ~.....~.. ..... Hal,hr ~ ,, D .... ' ..... "' ........... ~ ......... ; ·, l~umDer of Stories .. 7, ...... . ~ .......... lmensmns o[ entire new construction: Front ...~,q. ~, ...... : Rear ~...~. · · Depth q~ ~'.~.~ ~.~'.~.. Height . ~...~?/z...NumberofStories..s~ .... Size of lOt Front -~-O ' Rear / ~5.',,5 ........... ' ..................... : .......... ......... , ........... ./. a: t,< O Date of Purchase ~./~~.'.. ..... Namd ;~'o'r~','r~; ~.~:' ~',e~-'b'f ~'~';)~;T5.2- ...... Zone or us "' ........ ' ' ' ~ ...... '-'-"~' '"' ' ~-" ~ ........ e amrr, ct ~n wmcn premmes are mtuated ..................................... i i iii i f. il. . Does proposed construction violate any zoning law, ordinance or regulation: . .'"~_~.... .................. ~dl lot ~bsregrade.d .. '.'' .~ '~-'.' ;:, '~'_' ..... Will exge. ss .fill .be remov.ed_from, pre. mi~es: ~ No ~allle OI owner o[p~m!ses_.~.~..O-.t, tddd/x-.~.. Address~./$.~. ~.tf..~'~.4/~_t~.'..~1{~}[~.° O,,~9~-"~/g/..'~ · c~ame of Architect ag..~_,_~.. ~ F a,~,~ .... t~t~':t~-~_~ ;'52 .... .."_'_." '~.~..-.~. · · ~-~ m~onrractor /g/~,q-,el~o...~~. Address t~./~ ~,_ ,.,,~,,..; lz/[~. ' ............. th Fo ert within''' eoh.° No ................ . . y s, Southold Town Trustees Permit may be requir~''"'' '~' ...... PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposed, and. indicate' all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether ~terior or corner lot. 3. 4. 5. ATE OF NEW YORK, UNTy ........ s.s .................................... ' ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) · >ye named. isthe ..... ........ .~.~..~. [ ~ ............. · (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this .lication; that all statements contained in this'application are t'rue to the best of his knowledge and belief; and tbat the :k will be performed in the manner set forth in the application filed therewith. )rn to before me this ......... /./..~. ' .day Of./:/'~'.~. ..... . ........... , 19~ ?. :dry Public ...... - .... ', [~ . ~'. ..... :'x ...... Court ' ~/~~ ' .. ' t.Y...~. ~,/3~/~t~~ tqOTARY PUBLIC, State of New ~rk ' ' N0. 52-4656758 Cor~r~igsicm F'tniro~ M~roh ~ 10 LOT AREA: 38, 523 sq. ft. 7Z r ___ (~'% N.18o39-OO-E Z o o z GREEK ~HURCH i WELL TM ~ty 370.15 cox NECK ROAD Z rn 45.o~ o m z o o ~] 0 0 rtl OWNE~. GUARANTEED 0 HAROLD F. TRANI JOB NO. 98- 154 FILE NO. WEST MILL SURVEYED FOR LOT NO. 4 MAP OF' WEST MILL S~IVISION SITUATED AT MATTITUCK TOWN OF SOUTHOLD-SUFFOLK COUNTY N.Y. SCALE 1" = 40' DATE 3-25-19oJ~ FILED MAP NO. 9539 DATE 7- 20- 1994 TAX MAP NO. 1000 - 106 -9- 46 (REF. ONLY) DISK HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 516-929-4695 LOT AREA: 38, 523 sq. ff. 9t5 z ,~ ~ N.1B°39'OO-E GREEK CHURCH WELL COX 8¢%. DWELLING- WELL Z '13 m NECK ROAD 6- 11- 1998 FOUNDATION LOCATION GUARANTEE ONLY TO f 'j~/.? [~ /'~ .? . ~ ~OLD F. T~CHON JR. PENN. LIC. NO. 21115-E FiLE NO. WEST MILL HAROLD F. TRANCHON JR.P.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 516-9Z9-4695 JOB NO. 98- 154 SURVEYED FOR LOT NO. 4 MAP OF WEST MILL SUESDIVIStON SITUATED AT MATTITUCK TOWN OF SOUTHOLD- SUFFOLK COUNTY N.Y. SCALE 1" = 40 ' DATE 3 -25- '~9{~, FILED MAP NO. 9539 DATE 7- 20- 19~4 TAX MAP NO. 1000 - 106 -9-4.6 (REF. ONLY) DISKI~{3 10T AREA: 38, 523 sq. ft. 9B -297 (:38-491 GREEK CHURCH WELL ~> z (4oa~ N.18°39'00 #E. .Z! ----------- 202.01 DWELLING- WELL Z F- ~> T Z ~n )-21- 19915 FINAL SURVEY 6 - 11 - 1998 FOUNDATION LOCATION COX CESSPOOL ~SEPTIC TANK .WELL, LOCATIONS BY OTHERS NECK ROAD [he .~c ~ ~-- ., ~ ex,.t~n~e of right of wa,,/s an-~ ~" e~*, of record, n any, not shown ~, u no, ~., anteed JOB NO. 98- 154 FILE NO. WEST MILL SURVEYED FOR LOT NO. 4 MAP O~ WEST MILL SUFSDtVISION SITUATED AT MATTITUCK TOWN OF SOUTHOLD-SUFFOLK COUNTY N.Y. SCALE 1" = 40' DATE 3-25-199~ FILED MAP NO. 9539 DATE 7- 20- 1994 TAX MAP NO. 1000 - 106-9-4.6 (REF. ONLY) DISK 1~0 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 516-929-4695 LOT AREA: 38, 523 sq. ft. GREEK CHURCH WELL 7z ? ~- (~o ~'~ N.18o39-OO-E, 370.15 +- f- I-- Z z DWELLING- WELL /× COX NECK ROAD JOB NO. 98- 154 FILE NO. WEST MILL SURVEYED FOR LOT NO. 4 MAP OF' WEST MILL SUPerVISION SITUATED AT MATTITUCK TOWN Of SOUTHOLD-SUFFOLK COUNTY N.Y. SCALE 1" = 40' DATE 3-25-199~ FILED MAP NO. 9539 DATE 7- 20- 1994 TAX MAP NO. 1000 - 106-9- 46 (REF. ONLY) DISK HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 516-929-4695 LOT AREA: :38, 523 sq. t~. 98, -297 98-491 GREEK CHURCH WELL .y (.~ o'~ N.18,39-00 #E. Oi" 202.00 1-21- 1991~ FINAL SURVEY . 11 - 1998 FOUNDATION LOCATION COX NECK ROAD- I~ rd. 0 0 F" 0 z -I CESSPOOL~SEPTIC TANK ,WELL, LOCATIONS BY OTHE R~ COFtE5 C~ TH~ SUK'V'~Y MAP NOT BEARING THE LAIRD =URV~YOR'$ INKEO SEAL OR EMBO$SEO SEAL GUARANTEE~i o..... PENN. LIC. NO. 21115-E JOB NO. ¢J~- 154 FILE NO, WEST MILL SURVEYED FOR MAP OF WEST MILL S ~"~ SITUATED AT MATTITUCK \ ^..~ TOWN OF $OUTHOLD- SUF~OLKO~j~ SCALE 1" = 40' DATE' ~ FILED MAP NO. ~ DATE~ 7Z TAX MAP NO. ~- ~0~-9-4.~ (REF. ONLY) DI~K~ HAROLD F. TRANCHON JR. I~.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 516-929-4695 I-F1 m