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Home My WebLink About26576-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTILLL COMPLETION OF THE WORK AUTHORIZED) / PERMIT NO. 26576 Z Date JUNE 13 2000 Permission is hereby granted to: i JAMES MESKOURIS / DOUGLASTON,NY 1,3363 for CONSTRUCTION OF A ROOF ADDITION O,dER AN EXISTING DECK ON A_ SINGLE FAMILY DWELLING AS APPLIED FO <' PER Z .B.A. #4807 DATED 4/19/00 . r r at premises located at / 1350 SOUND BEACH DR MATTITUCK County Tax Map No. 473189 Section 106 Block 0001 Lot No. 036 pursuant to applicat.'ion dated APRIL 21, 2000 and approved by the Building Inspector. Fee $ 175 . 00 Above fee includes flood permit Com` I Authori Signature COPY Rev. 2/19/98 FIELD INSPECTION REPORT DATE COMMENTS 4 -- — —I� __---- II II II H � FOUNDATION ( IST) j II Imo_—I L' if FOUNDATION (2ND) IfII --------------- ________ II i JI II JI O 4 ROUGH FRAME 6 II II ' it — Q PLUMBING p it _ 1. Ir C ----II Q —II II INSULATION PER N. Y. If STATE y STATE ENERGY II jj uit c CODE a ii u u u n ! If II xl � 111(— II H JI � if i It 1 II p FINAL - IIS—�� 1 'I _ _ r ✓}� S � c —� Ofa - r ro H BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined...... 19.... MAIL TO: . . . . . . . . . . . . . . . . . . Approved.....Sp.\. ......Im1).0 Permit No. ................ .................................... Disapproveda/c .................................. .................................... ........................................ ............. (Building I or APPLICATION FOR BUILDING PERMIT C Date. . . . . . .... . . . . . , 19ff INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 treets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of his application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upou approval of this application, the Building Inspector xrill issue a Building Permit to the applicant. Such merit 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 xaWx-y shall have been granted by the Building Inspector. APPLICAT w IS HEFEBY MADE to the Building Department for the issuance of a Building Permit pursuant to the itiilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein ',escribed. The applicant agrees td comply with all applicable laws, ordinances building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildi necessary;inrons. G.(�c-._................ •(Signature of app•'•. t or name, if a corporation) Q?Sv fay:�:1 . . ... .. (Mailing ess of applic2 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ........ .........a7 .................................................................................. ...... Name of owner of premises ..��:".�L 5.....!.!f.Cpcs.^:.t........................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... // 1. location of land on which proposed work will be done..<.'.6�..... .. .1 ................. .........3s d............:Sd.!. .� .�!.... . u.. .� .................................. House Number St t Hamlet County Tax Map No. ]0(10 Section .1.9.6....... Block ......l........ Lot ..:3. .......... Subdivision C_ �...��.:f�... ...... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... //l G.... .................................................. b. Intended use and occupancy .....fin 1............................................................... 4 Nature of Work (check Which applicable): New Building .......... Addition Alteration Repair ............ Removal ............. Demolition ............Other Work .. .. ............. w ' (Description) Estimated Cost ..!............... fee -49'Y.............................................. (to be paid on filing this application) If rkaelling, nunber of dwelling units ...1....... tkuber of duelling units on each floor ................ Ifgarage, rxmber of cars ...................................... If business, carmercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ... ............ Depth .................... Height .................... Nimber of Stories ............... Dimensions of entire new construction: wont ................ Rear ............... Depth ... ........... lieiijit .............._C.......... Number of Stories ....�... Size of lot: Front 4!U:.'?.�......... Rear ... U:.7..... Depth`"�-3/............... ). Date of Purchase ..................... Name of Former Owner ....................................... . I. Zone or use district in which premises are situated .. :. .................................................... ?. Does proposed construction violate any zoning law, ordinance or regulation: .............. 3. Will lot be regraded .....�!,<. ....... Will excess fill be removedfrom premi YES NO Names I. of Owner of premises ;�;.e.� ...�-�.::::'.... Address lj ', �`""'� .. Phone No. ............ Name of Arcdhitect .................................... Address .............................. Phone No. ............. Name of Contractor ................................... Address ...............................Phone No. ..:....... .. . 5. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOUI1lCitD M%N MMMS PMM MAY BE M . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ran property lines. Give street and block amber or description according to deed, and show street names and indicate nether interior or corner lot. , GU Gt GC/� 5hyo &Ae e7 - CNIE cc NU J[lNIY OF .... .•.•`•..I. n.e / v .....................bei dui sworn deposes and sa s that he is the applicant rw y 1p y l� Jame of individual. gning contract) xove named, isClue ........ �� ...............:................................................................... (Con racLor, agent, corporate officer, etc.) f said owner or owners, aril is duly authorized to perform or have performed the said work mxl to make and file this pplication; that all statements contained in this application are true Lo the best of his knowledge and belief; aryl iiat the work will be performed in the manner set forth in the application filed therewith. worn to bef Fre me this / ....... ILK>T. .day of ✓....19. Notary is .... .......... .... ..<�:J�..J �... ... CLAIRE L GLEW Notary public,State of New York (Signal: a of A i.cant) No.01 GL4879505 Qualified in Suffolk Cou Commission Expires Dec.8, > o � N 5U'14 12.. N 42, 00 ..; l�� __ � 74.91 -- _ 50.02' 50.7 5 cl cli zl , b� ;�:w v w l I AM �,I � �1 w o f I o 10 to b,1 0 o r i < I IBEACI, N 55. 12 y 00'00" E 50.07'1 +_ - 30-07' 150.20s�_ _ 150:20' N 52.00'00" E s.c. r ..... -- X4.88' o. 1000—t OB--01-35 � 0k H I 50.07' _ 4Si,� • woo°RAMP S.C. TA)t No. 1000—I0a•'O1— I I 34 S•C• woW No. 100WOW WALL 106-01—37 w V WOW 0.2'w I wood WALL — —•� _ w�u 0.2 I OECN 1.0•E. I �f ' DEp(0..i O[CIC 07•E�•'�"+ .. '�EAOS+Oq �' „• LINE AS SG1tm �• br 'ROW • , .♦ � - 24.1 ♦ I F I �O.I• 1 4 v: S STEPS P.° lip !- V ° 91. 14 40 AWA M lle It. . o! lo.o STORsFt SNE HOUSE " 30° Lp n _ lay zer 1 1 30.2: 4.0•+ r nSH coi C) 50.23J." A IT S 5,7',30'00050.2 . �/. POCK M1K1 .•.•i i"r;'�•; I fi./l • , , lw PAyFy� .` "�;. 4. 75,230 rn J �' �►' r • :• woo°oma 175,69' UN RA Cl I I ? 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