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Home My WebLink About26807-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMIS/UNILLL COMPLETION OFTHE WORK AUTHORIZPERMIT NO. 26807 Z Date SEPT000 Permission is hereby granted to: JOHN B RUSCH PO BOX 1601 SOUTHOLD,NY 11971;' f'. for ADDITION AND ALTERATION TO AN EXISTIP(G ONE FAMILY DWELLING AS APPLIED FOR. ACCESSORY GARAGE NOT INCLUDED. at premises located at 020 PARADISE SHORE RD SOUTHOLD County Tax Map No. 47�/5ection 080 Block 0001 Lot No. 015 . 001 pursuant to application dated AUGUST 10, 2000 and approved by the Building Inspector. , Fee 370(.20 ' ,'o t 'ZI Authorized Signature i COPY Rev. 2/19/98 „ ii �� II UNDAT ION ( I ST) uII „ o --- --- -- --- - --- - -- it „ „ it --------------- n --DATION------ND)------ ---=====1 ====___________________________________________________ - fl ------it UGH FRAME & - >r-- N d PLUMBING u u >r- ------------ II I�----� 0 II - II II SULATION PER N_ Y. — it H Z, STATE ENERGY CODE NJ ri � N ` N 1111 I FINAL �a N N n ADDITIONAL COMMENTS: Kit W O �J z L9 a ro ilOARD OF llliAl.'1'Il . . . . . . . . . . . . . . . FORM No. 1 3 SETS OF PLANS .'. . . . . . . . . . . . . . TOWN OF SOII'1'i101.0 SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING 1)IWAR'l'MPNT CIJECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIAi.i. SEPTIC FORM . . . . . . . . . . . . . . . . . . . . SOII'11101.0, N.Y. 11971 '1'I"sL: 765- 1302 NOTIFY: CAII. F.xnmined....c?/2.0..........oCbd.. h MA 11, TO: . . . . . . . . . . . . . . . . . . . . Ai>pmml.....9/Z .....,'moo. i'enni t Nc). t� Q :. .................. .................. Disapprmedn1c ............................ ...... .. .................................. .................................. ..... ............... -- -, _ _ (Ik)ildiug Inslx>clor) AUG AI'IT I CAT i ON FOR IIiI I I.D I NG I'IiRM 1'1' go j p INS'IR11(.ftoms) . n. 'il►is aliplication mint Ire colijileCely filled in by type(ariLer or in ink ntxl submitted to the Iktilding inspector with 7 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot: plan slxrwing location of lot arxl of buildings on premises, relationrslrip to aolioining premises or lithlic streets or areas, aril giving a detailed description of inymL of. property nest lie dr-:nni on.the dingran which is hart of this aiplicaLiom. c. 'The. work cmrered by this applicatim nrty noli lie commitced before ismunwe of lklilding Pennit. d. Illxx) nlilmyval. of this applicaLion, the ROlding IfIrpeclor will issix- n Ikrilditig Permit to the nlj)licnat. Such Ix!)n1iL .01,111 lre kept On the promises available for insliectim larroxrllxx)t the work. e. No Irtlil(lit>l; shall be crectrpied or used in wl►ole or in part: for any p(rrpose s-AmLever until n Certif:icnte of (kciya y Owill have been fi,ralll"l by 111e Ikrildinl; hirpeclor. AI'I'1.ICNI'I(XI IS 1EXEMY MAIC to 111. ik)ildinl; Ileli:rr1.111ra11: for the issruuK'e of a Iktil(Illip i'enniC lxrrrntmrl. I:o llre Ikrilding, 7tnre Ordirunx.-e of the 'lmm of Sotith.rld, `;lrffolk (:ornrty, 1404 York, nlK1 other applicable lnws, ordi(r:nrces or ItegulaLiotm, for the ctntsLittct.im of Imildings, mkliticn)s or alterations, or for rimal or detticAition, as herein described. 'lite applicant agrees to cncply with all nlililicnble laws, ordim -es, ln)ildi g axle, lxxising code, atxl relndat:ions, mx1 to millil: authorized inslwclors oxr premises nrxl in Ixri 1' j,, for i cess.r inspe Aoxts. SignaCur )f: applicant, or nam, if: n coiporntioo) R-J,..aikk-11j, Le O•L•ril ing mklress of npl-iticant) )N,/Y Shale wl►etl r applicallu is macer, lessee, ngenl., architect, Pogineer, general contractor, electrician, pl(nber or Wilder. ......... .-�i•'l �tfi........................... .................................. ........ .................... ... Nacre of (mier of prelnises jnC n.�.Gjn -..Rc6c_-I-)......................................................... (as on Llie Lax roll. or 1nLesL Gleed) If nl,lilicanl: is a corfootation, signal:ure of only a(tl.lroirized officer. (Naiv awl Lille of: corlwaLe officer)' Ikrilders license R). .................... . .... Ptim vers License No . ................. ...... .. 111ectric-ians License_ No. ...... ..... ...... .. .. Other 'I'r.xle's License No. .................... I. locations of. lntxl on which pmposed work will. lie (k)ire.............................................................. 0..................... ...�l �51;;w..............��:�-�IGlrf............... Ikx)se Nirtber Street 14irnleL // 1511 Comity Tax f �t) No. I(XX) Sect:ion �.... Block ....j........... int .1�.....�i...1� -80- /tel ...... ...........�e e��{cl c l ec l .Ablivisicxr Q�l� Filet) Mrp Ncr. lot: /�> e!' Z. SLate existing use mxl me-upany of jymmisesitxli intemk4l use aril oicciJivi cry of proposeol construction: a. 11xi,Ciel; usr� aoxl ncc7ipan y .......��.. 1.�. �I C� � � .................. Ir. intemled use aml occlilrrxy ................. .. ......... .. ...................... ........... nrll atll� 1. 1',11111(: o1' (A)Il( (d)eck (dlic:h allAicidde): Ikm IA)lldinl; .... . .. . . . luklitloll . ..,l1. . Alleralioo .. . .... . .. Itc:1„,iI. .. .. . .. . . ... IIulimaI . ..... ... .... DoIK)l il:loll ...... ...... Olher 1401!( UJ Gia e. ......... . . (Ike ac r l pf i or) h. Lill imaled Cost � . . . . ... . fee ....... .. . ... . ..... . . .. .......... .. . ........ .. (lo Iia paid of I;i I inl; this appl ication) 'i. I f (hA:l l inl;, IKnlier of A.-eI I L1►l; dulls .. ..'. .... .. tAul)er of thiel l iol; uuil s ox► each floor ...... ... .. .. ... 11: Ilaral;e, Ixnli:r of care ....2. .. ... . . .... . . . ........ . . . ... . . 6. If Ixlai11ea8, ctim ercial or mixed (x:culw(i:y, slxecify nature 111x1 exteul: of each lylx: of use..... . . . . . .... ... .. . .. ) �l 1. Iliurnsicxls of exisl:i41g al,rli:fure:8, i1' any: I?)col:.. ..-+?. . . . . . . . Near .4' . .. ... .. . Depth . .-4,,.... .. ... .. Ik:ihlit: . .. . . JG- •..... ..... .... tkalber of Sl oriel .. ...1 . .. . . . . . . . .. . ... 1)illrepsials of salKe a(rex:fure wllh all eratla)s or (xklitions: front .. . . . . . . .. . . . . . Near . . . . . .. .. . . ... . Ik:pl h .. .. . 1 hf c i 7.Z.... .. . ... . Il:l 1t . . . ... .�lrt?. . .. . . .. . t1,11>er of M 411 1ec) . . ... . . .... .... 0. I)iur_nsicHea of entire IIew ccoslrlx:l.i(x,: Pratt. . . ...... . . . . . ... Rear . . . . . . . . . . .. . . . llcpiII . . . . .. . . .... . . lk-djlrt . . . . . . ... ..... ...... . .... Milker of Stories . . ... .. . . .. . . .. . . . ... 9. :iiWA.- of lot: ill()111- .. . .��..02.. . ... lt4ar . .. .. ..��1�!. . . . . . . . Ik:pl11 . .�`�9. ...aQ..t�vc 10. ILI(e of 11)rchaeie ... ..... .. . .. .. hl:,Ire of I'oulKar timber .. ... .. . . . . .. . . ... . . . ... ..... . ......... . 11. 'L.c)ixa or use dist viol in tAiidl pleiuises are situated .R 4Q. . . . . . ... . . . .. . . . . . . .. .. .. . .. .. . ...... .. . .... ... . ... 11. Was proloaed ccostrlx:llco violate ally zcx►iug I)rw, ordioalke or . .......... ... .... 11. 14iII lot. lie regraded .....Y)1>..... ...... Will excess fill lie xtji 0, ('O p�katttisea�:^ ) YI?SJ U.) I/I. Mil es of Wiser of pro atiseaJ�.f..GIna- _I_�05c-ln... Acklreas P,Ve r�+�..�`.('OL -Goof mso�.la tk). 7(2�.��'.:'19E Him. Of Ardlltecl: 1)C'e�5. .�•1�'t1'•T ?... .... Aikireas .�. 11'J.F�k.. .... .. 1I)oere tJer. 7. .T.07rt- M:rIKa of ('aotractor .......... ..... ... ............. .... A(khass ........ .... .. .. .... ...... .....Ilixte lb. .... .... . . h. is this proix:rt.y within :)(X) feel of a tidal wetlalxl? * YI?:i ... . . . .. *If YES, 0(111111[)!1) WA M 'I)t11SM:ES 11:NMIT NAY IM, My4110). PLOT DIAGRAM kit:ale clearly 11(x1 distinctly nil Imildilu;s, Uiletller existing or prolosed, wxl hulicate all set-back dimensions frun property Biles. Give sl'reet a1x1 block somber or descriptim according to deeds and cilia; street rulmes a(xl i(Yllcate %Aielher interior or corner lot. 3_— �'Gl+G Ran :;f'i'll; (M' 1.1'.14 Y(M(K, ^� SS ``., ... 7..Sk(Z.C,! . .. .. . . . ..liaing (filly sworn, delosea alwl aayu lllal he is the appl ic:+wl (NIKrKe of i)xllv)dual. c)igning cool racl) i IIx ve I)(MIK:d, lkak lilt: . ... ... .. .. ... .... . .. . . .. . .. . ... . .. . .. ....... . .... .. .... .................. .. (UnIctactor, al;c:41t, corlora(e officer, el.c.) Of )mid (n,ltxar or owmrs, a(xl in duly aulhorized to Ixerl`oun or have IxerfonlK:d file said work 111x1 to ardce 111x1 file Illis 41111 icalion; dial'. all sta(miento coutai(x:d in Ihin 411)1)1 ic:al.io,1 are 111)e to flee IiMs1: of his klxx+lellge a(KI kil ief; IIx1 Ilial. the w6d( Will Ile Ix:!rfonlKtd in IIIc u4loe,r ata: forth in the a11licaLion filed lherewi'(ll. !kA)III 10 liafolca an (Ilia day c fi. .. .... . N� EOW� ` il;uature o A p icaul.) Orluii�E�Mw � D'oZ' 13 U 1L Applicant/ Date Owners Name.- J e\ Q ea SGN Reviewed: 6U Architect/ Date Engineer: N� ACIA 5111i"•/ _ __ Submitted: SCTM #l: District: 1,000 Section: L O Block ProjectSubdivision �Q' Location: as f��C� 0 04 Name: Single& separate R(e certification: Yes No - — _-_-----_.___— I � j� q 9 /� c 7onineO]strict /�4o IL t u Actual / ` 7/5/ I (Lot coverage 1W�PIOPO:ed Ar Rey / PI Req Req. // Front Yard �rr� 0ZS Proposed. J (Side Yard Proposed 6& J [Rear Yard �, Proposed 3J Project Description: A110 ,4� AGENO VERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? /6 21;1� X Flood Zone: ote -2_6A-160 -33Air, • /.�1.0, - //j�� }fin O.a l�z 2G