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Home My WebLink About24263-Z FORN NO. I TO~/N OF SOUTHOLD BUILDING DEPARTI~NT TO'q HALL SOUTHOLD, N.Y. I]971 / ~g)ARD OF HEALTH ............... ~ S~TS OF PL~/I~S ............... ~SURVgY ........................ ~HECK ......................... SEPTIC FOIl}{ ..... ~!2; .......... NOT I FY: CALL .................. K~IL TO: .................... Date ................ ,19 .... INSTRUCTIONS a. This application utmt be cu,~letely filled in by typewriter or in ink and sul~itted to the Building In.~pector with 3 sets of plass, accurate plot plm~ to scale. Fee according to schedule. b. Plot plan sho,~ing location of lot and of buildings on premises, relationship to adjoining preutlses or public streets or areas, and giving a detailed description of layont of property rmst be dr~m on the diagram ~aich is part of this ,ppl icatien. c. The v~rk covered by this application ,,ay not be cu,,,eneed before issu~ce of Building Permlt. d. Upon approval of this application, the Building Inspector will issue a Building Pemlt to the applicast. Such permit shall be kept on the premises available for inspection throngt~ut th~ ~ork. e. No building ~all be occupied or used in v~hole or in part for any purlx~e ~hatever until a Certificate of Occupancy shall have been grasted by the Building Inspector. AIq'LI~ IS ~ lqAIg to the Building Depmh,~nt for the issuance of a Building Permit pur~aant to the Building Zone Ordinasce of the To~n of Sonthold, ~lffolk County, lX~ York, and other applicable La~s, Ordinances or P~--~mlations, for the construction of buildings, additions or alterations, or for ~,i~val or demolition, as herein described. The ~q~pllcast agrees to cu,ply vith all applicable laws, ordinasces, building code, housing code, and regulatiorm, and to admit authorized inspectors on p,~ises and in building for necessary inspections. ........ (Signam of applicant, or m, if a corporatlm) (Mailing addms~ of applic~m~ State xdaetber applicant is amer, lessee, a~,t, architect, engineer, ge,~ral contractor, electrician, pImber or builder. Name of o~ner of p~o,,ises ...(~.f.¢.~..~-~.Q~...~q...C~.; ....................................... If -~t is a ~a~,~~ of ~ly ~ri,~ officer. (~,~ ~ title of Builders License No .......................... Plmbers License NO ..... ~.{..o._~..).7.~. ........ Electriciass License ~ .... j.~.:/~ ....... ~r ~'s Li~ I. ~tim of 1~ ~ ~i~ p,o~ ~ fill ~ ~ ~r St~t ~t ~ I~ ~. I~ ~tim ...~.! ...... ~1~ ...... ( ......... ~t ..~.~.J ........ ivi,i Bg. ................ ............... 2. State ~sti~ a. ~sti~ ~ ~ ~ ............................................................................. ....... ~ ~.~ ~'~ ................... 't. /~*~e of ~mk (d~ck ~hidt applicable): ~e~ Ihdhling ...~ .... ~iti~ .......... Alteration .......... l~l~ir ............ ~al ............. I~1 iti~ ............ Otl~r ~k .................................. ~ ~ri pt i~) 4. Est it~t~l t~st .... %.. ~.~. l D.~.~. (to ~ ~id ~a fi'ling this al~licati~) 5. If ~h~lling, ashier of ~lli~ malts .... ~ ...... rk~l~r of ~k~lling tmits.~ e~ fl~r ...~ ........... ]f garage, t~t~r of ears ................ ~ ..................... I. Dinensiam of ~isti~ stnmmres, i f any: ~t ................ ~ar ............... ~pth ................. lki~t ......................... Mdmr of Stories ...................... I}in~nsi~m of sam stricture ulth alterati~s or ~itions: Front ............... ~ar ............... lkplh ................ ~... Iki~t .................... K~it~r of 8tories ............... 8. Diuensi~m o~ entire ~ =styrian: Frlmt ................ I~ar ~pth I~ii~t ......................... K~,tmr of Stories ..................... 9. Siva of lot: Fr~t .:;..: .... . ........... I~ar .................... ~pth .................... 10. I~le of ~mtul~ ..................... ~m~ of Forner ~mr ........................................ II. 7~m or u~ district in ~,id~ prmi~s are sit~t~ ~e~)~¢.~'l~ .................. ~ .................. 12. l~s proln~l mmt~tim violate any a~i~ lin, onlis~me or regularly: ..~ .............. 13. ~ill lot Im ~ra~ .................... ~ill em:ess fill Im r~ rrm 14. ~,es of ~r of p~i~s ~O.D{~$. ~l.~y)~. &klress ........ · ~m of Cmtractor ................................... a~lress .................... ........... Hm ~ ............... 15. Is Ihis pm~rty within ~ f~t of a riehl lmtim~i? ~ H~ .......... ~ .~ ...... · IF HiS, fflII1HB 'IB~ 'l~Jgl~S HiI~IT ~Y Il! ~II~. PI.OT I) IA(;RAM lo, cate clearly m~! distinctly all buildings, ~hetber existing or proposed, mfl i~licate all ~t-I~k dis~nsions f,¢~, pmlesly li,~s. Oi~ st~t a,~ bl~k i~.sl~r or ~scripti~ accozding to ~1, m~ M~ strut ~us~s a~l i~licate ~d~tl~r interior or co~r lot. ~'I'A'IE Y(~, ........ (~s~ of i~lividtmt signing c(mtract) (~tractor, agent, cor[~rate officer, etc.) ......................................... of said ~r or ~rn, ar~l is duly m~thori~ ~o i~rfonn or h;me i~rfon~ 11~ ~id ~rk as~l to ~ke a~l file this al~H ication; thaL all state~nts cCmtai~l in this al~licaticm are tn~ to the I~s[- of his k~lal~e a~d I~flief~ a~l that the ~rk will I~ ~rfon~l in the ~mm~r ~t forlh in the a[~lication fil~i ~)rn lo [~fore n~ this ~ ...... ....... / // ~~~~ (Sigm~tnre of MAP SHOWING UNITS 27 & 28 "AMENDED MAP OF MOORESI. AND" ~ known a~ PHEASANT RUN ESTA ;'ES FILED JUN 13,1996 FILE NO. 257,4 AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 40.01 - 01 - 27& 28 SCALE: 1" = 30' JAN 21, 1998 MA Y 27, 1998 (final) I~~'LER STREET SOUTHOLD, N.Y. ll97! NO. 49618 FEB - 9 1 MAP SHOWING UNITS 27 & 28 PHEASANT ~ ESTATES ¢ONDOM4W~ ~l & l FILED OEO. 22, ~ MAP NO. 257 AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 40.01 - 01 - 27& 28 SCALE.. 1" = 30' JAN 21, 1998 ~i LIC. NO. ,r19618 SOUTHOLD~ M Y. 11971 93 - 300 ( 27 & 28 )