The URL can be used to link to this page

Home My WebLink About17876-Z j?orK ~~FEy~ roast xa s TOWN OF SOUTHOLD ~sy 4- r BUILDING DEPARTMENT TOWN HALL N'J ~c-+?c% J}r SOUTHOLD, N. Y. ~ ~-UrvJi~t-G/ll-t acv ~c ~ `s rl~c„~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 017876 Z Date .~.tiGrO............~..~.........., ~9..~~ Permission is hereby granted to: . . . ro ~...0 ~ /~,e~~~C ct premises totaled of ........1.7,•. ~.~~.rl. i~r....... ~..~G~'~%~.......~~...G:..~..1r.1........................~......../......... County Tox Map No. 1000 Section Block Lot No......../......1....... pursuant to application dated .........:~1.../..~!!/, ........~.y..........., 19.~.~and approved by the Bui ldis?n(/g~~Jlns~pector. Fee 5....~1••.Ll....0 ,J Building Inspector Go4:~~r.~ ~ ~.G.-S/ I .~vt-.?~ ,ss•,,,~ ~tiG~:~;Gr~ p~~ ;~'Ei~y~ ~ ~ Rev. 6/30/80 BOARD OF HEALTH 3 SETS OF PLANS . FORM NO. 1 " " " ' SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL ~ ~ ~ ' ' ' ' ~OUTHOLD, N.Y. 11971 NOTIFY p' TEL.: 765-1802 CALL Examined . !/.!~?~..I y , 19 .~~U MALL._.~',0 . . . ~j ~ Qe rr// 7 r _ Approved - ~ 1 ` , L! ~ 19~J~crmtt No. ~.f •~7.1Z ~ r~ ; J ~`~~-~`°'°'=f! i Disapproved a/c ~ ~ i. ~ ~~'i/~~~.. TOWIypSOUiHOIp L? (Buildin~oll/nspector) APPLICATION FOR BUILDING PERMIT AA II n/ Dale .Ix!O~/,.. 1~ . INSTRUCTIONS a. Tltis 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 !ot and of buildings on premises, relationship to adjoining premises or public street or areas, and giving a detailed description of layout 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 Buildin; 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 Building Inspector. APPLICATION IS HEREBY MADE to the Buildin; Department for the issuance of a Building Permit pursuant to th Buildin; Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances e Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describes The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and r admit authorized inspectors on premises and in building for n ary inspe ttonse. ~M,~~ ` - (Signature of applicant, or name, if a corporatton) iling`~ss 1~'~t013ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...~.Y.~.P~ Name of owner of premises l~.l... , , , V OeZjOyf . (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. pr;,~?~q~~~..... . Plumber's License No. . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done...?SH(i`F~S-!--!q, , , , 17,F~GK . Fi&H~Q.S T4L~nI~ N6t,,J Yott.~ p63~iO ouse Number Street Hamlet County Tax ~fap No. 1000 Section ....l Block Lot Subdivision Filed Alalt No. Lot . blame) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occu anc StrJ a-4E Fq•rn{~, p y ~....~.t9ENC~ ~1 a b. lntcnded use and occupancy ~M~C... ,(IS, ..lr~D?F 3. Nature of work (check which applicable): New Building Addition Altera[i n Repair • • . . • • • Removal Demolition ' • • • • • • Other Work 4. Estimated Cost ~y (Description) .Q Fee.....9(/~~1~. . L (to be paid on Tiling this application) 5. If dwelling, number of dwelling units ...(~o(vf , • , , , Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, spec~y lure and extent of each a of use , .,f 7. Dimensions fisting structures, if any: Front Rear . Height ~!F Depth ..N~ . . Number of Stories • • , , • . ~r D• n c structure with alterations or addi ' ns: Front ~/h~, , , • , • , , Rea De '"7f'........ . • • • Itct t I.. , , • , , Number of Stories • 8. Dimensions ,entire new constntction: Front` . ..X. Rear Depth Height Nu ber of orie • • 9. Size of lot: Front .S , .Q~ • • • • • • Depth.:.............. 10. Date of Purchase ~j Nate ofI r Owner 1 1. Zone or use district in whtclt premises are situated . • ~e?i.~t~ • ' ' ' • 2. Does proposed. constru n violate any zoning law, ordinance or regulation: 13. Will lot be.iegraded ..Will excess G 1 be emove~f mise ye 14. Name of Owner of premises GO¢wJ. , , • Addres ~ M e N~~ r~.~1t~` Name of Architect ~1N..Q(t~, • , , , • Address ~S K ~1~~~0. Qf y.~~,I}~ . ~1~'.~ Name of Contractor ..........................Address .......Phone No... IS.Is this property located within 300 feet of a tidal wetland? *YES.1/..NO.... *If yes, Southold Town Trustees Permit may be required. _ PLOT DIAGRAM Locate clearly and distinctly all 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. Sw a~l-ac~ne~ P Hof P~o,,r, STATE OF NEW YORK, S. Ctm1~F;,! F . • i:~i •v • ~ . • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ _A ~ He is the...... "~1 (Contractor, agent, corporate officer, etc.) of said owner ar owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo to bcfote me this i~ , Notary bli:, County ~ (Signature of applicant) STEPNANI[ TAYLOR No!ary Punn~;. Phila Phila. Co, My COmrni:,biori Expires Jan 21 1nG1 - - - - _ ~ r~ _ --se ~ _ _ ~ yip 6~, d~tk~Q ~ ~ ~ _ - ~ . ~ ~ ~ - T _ ~ \ ~ ~ ~ ~ ~ , ~ ~ ~ ~ \ • \ \ t r . ( ~ . „ Q• ; F 1 ~ e c ; ~ ~ s`S}~ 60 61 62 6~ ~9 65 66 G7 68 Gq ~ o - ®~ROPaSED SfT€- SAN _ _ - - --7~ _~~z _ - - 57. 5 ~ • !. ~;' SAT 2 dt1~~d /, , .o• - -s~CTION A-A IIBN _~ // ss'- o" ~ 5~ p~~ 5~ p• 5, 0„ 5 : p,~ 5,_ 0' S- p, 5: ~' SC 0„ 5t ~" 5, Da :6.1!br 5, 0„ 5=0" /,,~-1 L0 ~ 60.0 •61.0 I ~ ~ ~ ~ _~2.0 / i _ ~ - -- - --- ~ 61.0 • - - _ -. - -_ _-- ---. --_ - --_ . G4. D 6f.0 i;GK PLAN 6"._ I'- " =,63.0 i > W~4-•l~ ~.~9.d ~_ i 1I J~ r 0 A~ ~ ~~ ~~ .7.0 I u. _1 a~6a ~ i~as.o WNgO,NE -T.-D W E6~0.0 _ . _ _ _ 3:4~ 3'/q " 3~~4u r"I'/L" 4'- Z~~2~~ I~lt ' ' 1 1~ IV2" 4~- 2'/Zu lyt'-IL ~ 3~4a _ i SIGHT Nh_. I ~ I SBEIWJS i ~ x2 i s~4FiER~-1Ab4 _ _ i ~REtW,K Ix4 Ix2 i i i ' I 4'- 6%2~ I - - _ - ~ I I ' 2" _ 7YPIGAI• ~~EVATION THE I6~I5 WA~~ TYPIGq 1. SEG110N I'~ I~- pu la z I~- 0" 1 ~2~~ 6%2 r I ~ 4' -L'~2 I Y K-I 6'/2 ~ r.. I,~Z n i_ Z'lL u I ~ZO 1 6 ~2 ~ r ~ ~2,~~ i - ~ - ~ f'~NEG OR 7R~1GU5_ - - i N ~ON~ ~T~P _ I I I I ~ 1 I , 1 1 ISL G" I I I ~ I i I I I I I ~ I I I I I I I b I I I l i l i i I I I I- 3~I2' I x 4~- 8Y2" I 3%t" I x l 4'- 8%zp 3%Ln - I I ~ I 1 1 I I II ° I I ~ I I I i I I i I I I ' ~I I I I I I 1 ~ I I ~ ~ 1~^f~ I I I I I I I \ ~ 1 I I ~ i I I I I i - ~ ~ IiI 1 ~ I ~ ~ ~I I I~ 1 I 1 ~ I I I I I ~i \ I 1 ~ I ~ I I I 1 I I 1 ~ I II 1 1 - ~ \ 1 I i I~1 I 1 ' ( I I ~ I I I ' I I - - ?Y PICA L DEC K P~~tTJ _ - - - - - - - - - - - - _ \ l a a I~- f7 n _ - - _ _ . _ ~ " 10=0` Id d` 10~ O~ 1O~-O` Id-O' low 0` ~ ~ i ~ 1 ~ 1 ~ 1 ~ ~ ~ _ i ~ / ~ ~ / \ - ~ ~ ` I d~I.kaQ ~ + ~ ! DECK ~RAHING P N