HomeMy WebLinkAbout25583-Z · FORN HO, I
TOI~N OF $OUTIIOLD
BUILOING DE P&RII41DIT
TO~IH IIALL
SOUTilOLO, N.Y. 1197 I
Till,: 765-1802
Disapproved ~/c ' · ..
FOE
BUILDINO
ELgG. D?T. INSTRUCTIONS
'Dal:e ........... ,19. ..
a. 'lids application ~tmt be conpletely filled in by t-ype~riter or in ink'and ~ulxnitted to tim I~dldin~ Inspector vi
3 sets oE plans, accurol:e plot plan l:o scale. Fee accord|ut to actmdule.
b. Plot plan ti~ir~ local:ion of lot and o[ bolldi~s on pr~d~as, rslati__coeJdp to edjoJnl~ premises Or lxd)lic
streets or areas, and 81vin~ a del:oiled deacripl:ion of lol~JC oE property aunt be dnu~ ~ tim dt~,'~n ~hich i# part. of
ellis applicacion.
c. 'tim ~ork covered by this application ~ay not be co,,~nced befora ls~anc~ o[ Iluiidin~
cl. Upon approval o[ this application, tim I~llding Inspector viii la,tm a i~lldt~ i~mi~ to tim applicant.
peu~it slmll be.k~pC on tim pr~dsem available f~r inspecttoo thmui~l: Om ~rk,
e. No boildir~ ~mll be occupied or used in ~l~le or in part f~r nny p~rpo~ ~hatevar t~t~l a Cerl:iiicate of
Occupancy ~tmll I~ve been ~t,~l:ed by tim i~dldir~ Itmpector.
td'Pl.IC~rlON IS W=~g NAI~ to tim I~tldint~ DepartJ~enl: for tim i~suanc~ o[ ~ iiulidin~ Pemit porauan~ to tim
Iloildi~ Zooe Ordinanc~ o[ the T~Sal og Southold, Su[iolk CoJnCy, Ne~ York, and otlmr applicablm I~, Ordilm~ea or
Re~ul.atio~, got l:be construction of buildings, additions or altenci~, or for run,wi or d~,olition, a~ berlin
described, llm applicanl: a~% to conply with ~11 applicable lays, ordinsncas, boildit~ eo~, l~ostt~ code, and
re~fiacto~,~=,xl to admit aothoriz~! inspectors on v~tse$ and in boildin~ [o~n~ctions,
' ,~.... Z.. · ·, ~-,-~-. -,- .................................
(~tSnature O[ .ppllca~, or n~ue, if e corlx~ration)
(Name and l:itle of corporate officer)
I. Nature o[ ~x)rk (dmek dildl a~)tien~le)l ~ ~lldi~ .......... ~iti~ Alrera~i~ ......
I~l~ir ............ ~ ............ ~litl~ .............. Offer ~ ..................................
~rlp~i~
i. ~c i*mt~l ~sr ........ ~ ........... f~ .......................................
(to ~ ~id tat filit~ this a~lleatl~)
...... ....
i. If I~mit~ao, ~.,=~lal ~ ml~q~, ~el~ ~Cura a~ ~CenC of east ty~ o~ u~ ......................
1. I)it~al~m of ~istl~ nt~Ms. 1~ s~: ~t ................ ~sr ............... ~p~h .................
I)Jmnal~m o~ ~ ntn~m ~lth alteratl~ or '~l~l~al ~r~t ............... ~ar ...............
~ I~l)th .................... 1blUrt .................... ~t~r of Stories ...............
' I)Ju~sJ~m of ~tlu ~ ~sr~tf~: ~r ................ ~nr ............... ~p~h ..............
I~i~r .... Refer o~ Stories .....................
9. Sin o~ '1o~: ~t ............. ~ar ................... ~pU~ .....................
lO. I~lt'e of ~trdsa~ . . ~ of Fon~r ~r .~
I I. ~m or u~ district In ~[dt p~l~n am at~r~ ..............................................................
12. ~a ~ ~mt~tl~ violate ~ ~I~ 1~. o~l~e or ~darl~t ...~ .................
13, ~[11 lot I~ ~ . ................. ~tll ~na fill ~ ~ ~ ~l~n: ~ ~
...............................
15. ~s thin p~r~y wl~dn ~ f~.of n tt~l ~rl~? ~ ~ .... ~ ~ .......... ~
PLOT
l,~cate clearly and distinctly ell b~ildln~8, ~lmtlmr existing or proponed, nnd Indicate ali set-back dimensions
f'roa pcoF~rty linen, give attest nod block nmlmr or description according ro deed. and aho~ street m~res arm i~xllcnra
x.4mtlmr inferior or corner
duly ~)n;, delx)sea taxi ~ys LhaC I)e ia tl~ appl. icm~t
of s~ld om)er or o~nera~ nnd in duly nuthorlz~-M to imrfona or h~e l~r~c)rn~ tl~ ~[(1 ~tk atxl to ~ke n~l file thin
alqd lentil;; that all statute ~ital~ in this n~llcntl~l are t~ to Ul~ lm~L of his kt~l~e
thaL tim ~ ~ill I~ ~r~ In tim ~mer ~t forth in Ute a~tlcatt~ fl~tle~tU~.
..... .....
ANGEtJH~ ~RUNO , (Sts~l~lre ()~ A~)l. Jcant) ......
NOTARY ~13~[C ?,~,,c of New
Ho. 4984492
Qualified in Su[iolk Coun,~ ~
Commission Expires July 22, ] 9~
~ .~ ~.;:.
~ ~~ ~ ~ ~ ~
CONSTRUCTION OF SUBSURFACE
98- ?86
NO TE ,
LOT NUMBER REFER TO 'MINOR SUBDIVISION'
MADE FOR J~MES W. DAF/SON
I am fomi~r with fhe STANDARDS FOR APPROVAL
AND CONSTRUCTION OF' SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
a~l will ebMe by fhe conditions sel forfh fherein end on fhe
permif 1o consfruct.
FLOOD ZONE LINES FROM FIRM
3610~C0166 G MA Y ~
~O~NEFiIV~IJI~ICE NOT AVAILABLE
CONSTRUCTION
COASTAL BARRIE~
ELEVATIONS ARE REFERENCED
TO N.G.V.D.
The Iocotions of wells and cesspools
shown hereon ore from field observoflons
ond or from doto ohio/ned from ofhers.
AREA = I. 113 acres to tie line
NO TE'
~UB$URFA~ ~FIA6E DISPO~4L
SYSTEM OESl6N
BY, ~OSEPH FISO~TT& ?.1~_
HOBART ROAD
SOUTHOI.% MY. 11971
~161 765 - ~954
T~ST HOLE
cleyey send SC
linetomedk, m
$~nd
SURVEY OF PROPERTY
AT
BA YVlEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
~ - 87- 05 - 23.10
SCALE.. Y' = 40'
MAY19, 1998
JUNE ~S. ~e ( TOe )
.IUL Y ~5, 1998 (prop. l~e & pool )
Aug. 14, 199E (revisions)
Sept. I, 1998 ( fesf hole #2 )
Jon. 25, 1999 (odd/lions)
02.
$,
8'
SI=
J
ANY ALTERATION O~ ADDITION TO TI'IS SURVEY IS A VIOLATION Mar. 3~999 (revised FIRM) I
OF'SECTION 7209 OF IHE I~'~ YORK STA TE EDUCA TION LAW, ~ I
EXCEPT AS PER SECTION ~I.~I~iISlON g. ALL CERTFICATIONS ,~'~.~ Ut IVFi~'~ I
av. us~ ay ,om ,~e ALL su~VEYo~su~m,~,~ .c?.y Hlltl -. ~ o I~ IlUlll ~,~ot r~%v?u~ut~"I I
: -~: ~ I ~OL~L.N.~gn I
I ..... I
~- 186
LOT ~ REFER TO ~ S~~
~ ~ J~S W. DAWSON /,o ~ t~J il4'
DIS~SAL SYSTEMS F~ S~LE
~d will ~ by the con~lions set f~th t~rein
peril to conMruct.
FLOOD ZONE LINES FROM FIRM
$6105C0166 G MA Y ~ 1998
,FL~ II¢$URAA~E NOT AVAILABLE
FOR ~EW COb~TRUC770N
~ . COASTAL BARRIER
ELEVATIONS ARE REFERENCED
TO N.G. V.D.
The Iocofions of wefts end cesspools
shown hereon ore from field obseYvolions
end or from dote obfoined from o/hers.
[] = prop .lev,
NOTE'
SUBSURFA~ ~ETIAGE DISPOSAL
SYSTOI DESIGN
BY, JOSEPH F'~TT~ P.P
I~BART
~ t4Y. 11971
GRADING PLAN ~ ~ ~
SURVEY OF PROPERTY
AT
BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
- 87- 05- 23.10
CERTIFIED TO,
THE SUFFOLK COUNTY NATIONAL BANK
F~DELITY NATIONAL TITLE INSURANCE
COMPANY OF NEW YORK
FNT 99 ZE3Z4
MARIE JONES
SCALE.. Y'.= 40'
MAY 19, 1998
JUNE 2a ~ee t TOB )
JUL Y IS, l~8 (prop. hee & pool )
· _ KEVIN R. MIDDLETON Aug I~t, 1998 (revisions)
AREA = ! ~ acres to tM ~ L/SO C~S~T~ CORP. Sep~ I, 1998 ( les/ hole ~2 )
~Y AL~ ~ ~ TO ~ ~ ~ A ~A~ ~~ (revl~d F~M) J
~A ~ ~ ~s ~ ~ ~m ~L ~ ~ ~ / / ~///~ ~ N.Y.S. LIC. ~. 4~18 I
. . RS, P C
~~Y TO ~Y ~ ~ LAW ~
~T ~ ~ BY ~ ~ ~ ~Y~ ~ a ~ ~ ~ ~~~ I
98- 188
RE~ ALL
I ~ f~r w/Ih the ST~DARDS FOR APPROVAL c/~/ [~ ,
C~C TION
SUBSURFACE
SEWAGE
IE
DISPOSAL SYSTEMS FOR S~GLE FA~L Y RESIDENCES
~d w/Il ~ b~ /he con~n$ se/ forth therein ~d on the 4+?
~0~ G ~Y % 19~ ~ : prop elev,
~ ~ ~ ~,~ SURVEY OF PROPERTY
SYS~M ~
~LeV~ro ~.s.~Sv.o. ~ ~~o ~, ~ ~rr~ P.~ TO WN OF SOUTHOLD
~o, ~. ,~, SUFFOLK COUNTY, N
The Iocdions of wells =nd cesspools ~6~ ~ - ~
CmTmZ~ TO, ~~ ~"= 40'
shown hereon ore from field observolions T~ S~FOLK COUNTY NATIONAL
and or from dola obtained from athos. P~ELITY NA TIDAL TITLE INSTANCE
CO. ANY OF NEW Y~K
FNT 99
KgVIN R. ~ETON Aug. !~ 199~ (revisions)
A~ = ~ ~ ~ to ~ ~ L/SO CONSTRUCT~N CORP. Sep/. I, 1998 ( ted hole
~T ~ ~ ~y ~ ~ ~ ~y~ U~ A C~Y (63/) 765 - 1797
A~. 5, 1999 (fm~) N.Y. 119~
98- 186