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Home My WebLink About26827-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES U TIL FULL COMPLETION OF THE WORK AUTHORIZED PPE T NO. 26827 Z Date TOBER 5, 2000 Permission is here'JOSEPH to: P & DO THY PFAFFCARDIN DRIVE TUCK40Y 11952 for ADDITION AND ALTERATION TO /FOUR OOM SINGLE FAMILY DWELLING AS APPLIED FOR. at premises locat at 1145 CARDINAL DR MATTITUCK County Tax Map o. 473889 Section 115 Block 0006 Lot No. 018 pursuant to pplication dated AUGUST 30, 2000 and appr ed by the Building I spector. Fee $ 656 .20 Authorized gnature COPY Rev. 2/19/98 u FORM NO. 3 t TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. i BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES ATIL FULL COMPLETION OF THE WORK AUTHORIZEV PERMIT NO. 26827 Z Date OCTOBER 5, 2000 Permission is hereby granted to: JOSEPH P & DOROT14Y PFAFF 1145 CARDINAL DRIVE MATTITUCK,NY 1'1952 for ADDITION AND ALTERATION TO A FOUR' BEDROOM SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1145 CARDINAL DR N(p,TTITUCK County Tax Map No. 473889 Section 115 Block 0006 Lot No. 018 pursuant to application dated AUGUST 30 , 2000 and approved by the Building Inspector. Fee $ 4,5 7 . 8 0 Authorized Signature \I � i V J.. i COPY Rev. 2/19/98 II H INDAT I ON ( I ST) II II WDATION (2ND) ______________-- -------- _______________________________________________________ II II r--- it II --il IGH FRAME & it------II PLUMBING ii ;ULATION PER N. Y. u STATE ENERGY u N CODE lu-- HI u ii—moi 2 a u n � --4i li —11 FINAL H 11 _ II It N 7 ADDITIONAL COMMENTS: .M . O Slc All Ar loo� �- ra y 0 H z _ z ---------------- r� e 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: U CALL Examined...��/ ......... 20RU . Q MAIL TO: . . . . . . . . . . . . . . . . . . . . Appraved.....r a/f......., �'14. Permit No. .. ............. ...................... Disapproveda/c .................................. ............. ....... ............... ...................................................... -... ............... (Building Inspector) APPLICATION FOR BUILDING PERMIT. � s Date. . . . . . . . . . . . . . . 20. INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work.covered by this application may not be camrnced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MATE to the Building Department for the issuance of a Building Permit pursuant to the Building 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in bu' ding or F nspections. • . 'ure•of. t, or nape, if a corporation) (Mailing address of applicant) (G�� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder V--')1N�92 ........................................................................................................................ Name of owner of premises .. :... ...1. ..!..'.. ........ ..... (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. ...I........... .t........ Plumbers License No. ......................... 1� Electricians License No. ..................... �1 Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. muc __�J....... YTS.A-V.....Kl.. ....... -��..................................... House Number Street Hamlet County Tax Map No. 1000 Section ....L�...... Block ......�.. ... Lot .�. ........... Subdivision !??�.O ..�?�jl"IS,X�..�b.��NGFiled Map No. ..�y 5�.... Lot .1.7.......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....�'1.'E"l:t?.. I!� ...1� 5/ .. �lC ...... .............. b. Intended use and occupancy ....................................... ..... . 5., .......... ,. _. �,-r--..�,•". l.Cw nuaiuing .......... Addition ./.N.... Alteration ..... .. Repair ........... Resrnval ............. Demolition ............ Other Work ... .................,....... ...... Estimated Cost ... Ute......... ... ........................(Description)..... ... ., fee (to be paid on filing this application) iE duelling, number of dwelling units ..(......... Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use....... ............ Dimensions of existingstructures, if . arry Front....�v.. ...... hear .. �,�j, Depth lleight .....�.�................ Number of Stories ......�......... Dimensions of same structure with alterations or additions: Front .. S Rear , Depth ...�4-1.�............. Height .... ? c.."........... Number of Stories ...2:......... GIs Dhwnsions of entire new construction: Front ...!�........... Rear .. �� }}eigilt ... ................ Number of Stories .... 2- ..... Depth ..... . ........ Size of lot: lron t . 20........... Rear .........d......... Depth .....2: 0. Date of Purchase ..il�.I�........ Name of rorimer Owner .....t!E l L.�9�11�..................... I. Zone or use district in which premises are situated .....f�--�-D................................................. 2. Does proposed construction violate any zoning law, ordinance or regulation: ....G................... 3. Will lot be regraded ...N j�............. Will excess fill be removed from premises: JU d YES NO 4. Names of Owner of premises :'.:..F)Foc'�......... Address ..m�TC7 T 14............ Phone No.2�6:J�`�.7.5 Name of Architect ..'............... Address ..rn......-!t....-............... Phone No. Name of Contractor ...p D r.N.�............ .. Address ...............................Phone No. ............. 5. is this property within 300 feet of a tidal wetland? * YES .......... NO .X..... *IF YES, SO[MOD MM TfQMMS PM41T MAY BE IlEWMM. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ram property lines. Give street and block number or description according to deed, and show street nares and indicate (ether interior or corner lot. T LoT FL-0 N o li PWS S rn}r or Hwr Yc Jj ss ..• • ��Y�. P. .PFA F(........................bei being sworn deposes and says that he is 11 ie applicant Name of individual signing contract) )ove rvinecl, n isflue ..... t!..................................................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this jj;licc~_ion; that: all statements contained in this application are true to the best of his knowledge and belief; and mat the work will be performed in the nunmer set• forth in the application filed therewith. -3rn Lo before me this 0. N .... . may o. ... ..... O .C) Notary Rnbli .. ........... 1/'. ........... LYNDA M. BOHN i of App NOTARY PUBLIC,State of New York No.01 B06020932 Ouallfied In Suffolk County Term Expires March 4,20