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Home My WebLink About18251-Z IFOB~f NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 18251 Z ~,e ........ ~..~..~ .............................. , ,,..~? Permission is hereby granted to: ~~ ....... ~ ......... ~~ ....... ~ ........................................................ at p~mises I~at~ at ...~......~ ...... ~ ...................................................................... ................................................. ........................................................... co~ **~ ~op ~o. ~000 s~,o~ ...... ~.~...~.... ~k ......... ~ ....... to, uo. ~ ............... Building 'nsp~tor. Rev. 6/30/80 BOARD OF HEALTH ............ : ........... FORM NO.I SURVEY ..................... TOWN OF SOUTHOLD CHECK ...................... BUILD[NGDEPARTMENT SEPTIC FORM ............... ~ TOWN HALL ' ~$OUTHOLD, N.Y. 11971 N~Y . 7.: ..... .... ; ~ r ~ ~ BLDG . - .... ....... APPLICATION FOR BUILDING PER. IT Date .8~y.31 ........... · INSTRUCTIONS a. This application must be completely filled i.n_ by typewriter or in ink and submitted to the Building Inspector, with 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 punic streets or areas, and o' · o . o,vm= a detailed description of layout of properW must be drawn on the diagram which is part of this appli- ,cation. ¢. The work covered by this application may not be commenced before issuance of Building Permit. 'i d. Upon approval of this application, the Building Inspector will issued 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 occupi~, 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 MADE to the Building Del~artment 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 fl~[~i~cable laws, ordinances~bufld~qg code, housin~ code, and regulations, and to a d m it au t h orized in sP ectg'~/~O?f"P'l'~'InT~J'ah d in' ,building for necessary lin ~oe d~ons. · .'~ I A _ . , ~ '' ':~-._,~~,~.~. (~i'~~c~tT~r name, if a corporal,on) ~ ~Oa ~lm '~ O~ .~, e ~",~' ,,:a 11 Banbu?~4!ane, Huntington, NY (Mailing address of applicant) State whether apphcant ]s j~qkia% agent, architect, engineer, general contractor, electrician, plumber or builder. ~Wi~c~j, lm ,8 ~-~'. . ' - Owner Name of owner of pr~e~js?.. -*. ,.,..Raatmond .Schnoder. .................................................... · (as on the tax roll or latest deed) If applicant is a corpo~WOn, ~[gnla~ture 0f duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plu nber s License No --- Electrician's License No ...... ~7 .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done ............................................. ~7,~ Park Ave. Mattituck tlouse Number Street Hamlet COunty Vax Map No. 1000 Section ..]~3...' .......... DIck ...... .7 ........... Subdivision ..................................... Filed Map No ........................... (Name) 2. State existing t/se and occupancy of premises and intended usc and occupancy of proposed construction: a. Existing use and occupancy .Sj.ng}~ F0roi ly Residence b. Intended use and occupancy [~OW. Single. Family. Residence . ' 1 3. Nature of work (check which applicable): New Building .X ........ Addition .......... Alteration ......... Repair .... Removal .............. Demolition ...x. .......... Other Work. '~ d~o oo0 (Description) 4. Estimatc'd Cost ........... J ........................... Fee ...................................... (to be paid on filing this application) $. It'dwelling. numberofdwellingunits......1........ Numberofdwellingunitsoneachfloor,.,............. If garage number of cars ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... ~ ............. 7. Dimensions of existing structures, if anY: Front. ' .B~..f.l~] ·, ~'.. Rear .. 62. ft, ...... Depth. Height 25 f~ Number of Stories .. 2 ........... .: .... ~ .. ~ .... ~ ............................. Dimensions of same structure with alterations or additions: Front ~ ~ ' .. , Rear ~-. Depth ...................... Height ...................... Number of Stories ..................... ........ 100'- 4" ' " 8. Dimensionsofentirenewconstruction: Frqnt .... 100'- ,4'. . Rear ........ , ...... Depth .Si.:.0 ....... ' Height ... ¢.&,,. 6~' ..... Number of Stories ...2 ................................................... "' of lot Fron- 255.97 -. 288 02 l~entb 282 43 9., size : t ....................... t~ear ............ ' ................... : ............ Ool~n & Joan Donnelly 10. Date of Purchase ............................. Name of Former Owner ...................... 1 I. Zone or use district in which premises are situated .... A .~ .aeM. dartti. M. ~ab. Agr~cu~tur~. Di ~trict. · 12. Does proposed construction violate any zoning law, ordinance or regulation- ...... da .................... .~, 13. Will lot be regraded ........ 09 .................. Will~ }x~e;~$~l~elrg. moved from premises: Yes 14. Name of Owner of premises ...R.@ym. 0. n.d..S.c.h.r, qd.e. r2.' Address .~.tl~.'CJ.h~.t.~.il.'. ....... Phone No. 4~344a5~.. .. Name of Architect .. S~.~¥.~.n.C.~.~,ald. q, .g, :[:g.:,., Ad~s~/.. ,fl.a.i.n..S3...,,S.mj.~.~p~.nPhone No. 7~-:~1~1 ....... Name of Contractor ............. 300 feet of a tidal wetIand? Y~,~I,..NO .... IS.Is this property located ~i~t~in ..... Address ................... rhone)~ ......... · If yes, $outhold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fr:~m property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. FOLLOWING 1. FOUNDATION FOR POURED C"O~JCRL~'T~ 2. ROUGH - FRAMING · 4, FINAL CONSTRUCTIO~ BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~r THE REOUIREMENTS OF THE M.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSII~I~ D~SIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, COUNTY OF .......... $'$ ....... ~R~ay[n9~.d..sg[1FoOer .......................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m~e and file this a~plication: that all statements contained in this application are true to the best of his knowledge and belier,; and that the Work wLII be performed in the manner set forth in the application filed therewith. .... '.. ......... /~,: ].~).d .. .,19... Notary Public, ~:'. cAr~OLT' LouGHREN"'-'. ,~. ,'"7 .-.<~: .... ~ ..... County'~x~-~ [ .~-1~ / .~ NOTARY t~UBt)G, S:cte of Now York , ,.~. 4~72:, (Signature of applicant) Oualifiecl in ~uffoIk County Commf~zicr, 5xe, ires June 30, lg89