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Home My WebLink About19272-ZTOWN O~ $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- ~2~£ Z Permission is hereby granted to: , ...... ~....~. .:...J./.~. ..~.5- ,o ~.~...~...~...~....~.~..~g...~....~~ ; ............... County Tax Map No. 1000 Section ..... C:J..~.~. ........ Block ...... .~::L?/. ....... Lot No......~...J .............. pursuant to application doted ............. ~ ...c~.,..,,,~, ......C~. ..................... , jg.C~...O.., and approved by the Building Inspector. Fee $. ~./...~-..: ..~,. Building Inspector .... Rev. 6/30/80 TOWN Of SOUTHOLD BUILDING DEPARTMENT TOWN HALL i !,2~ --~"- i vcOUTHOLD N.Y. 11971 i ~LDG DEpT , -'-r'~OL~ TEL · 765 1802 Disapproved a/c ....................... ....... .....~. h ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTIt ............ 3 SETS OF PLANS ............ SURVEY ..................... CtlECK ...................... SE?TIC F0~ .............. NOTIFY: . .': MAIL TO: Date ................... 1.9... INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ 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 appli- cation, c. The work covered by this application may not be commenced before issuance of Building Permit· 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 buildb~g shall be occupied or used in whole or in part for a~3y purpose whatever until a Certificate of Occupancy shall bare been granted by tlie Building Inspector. APPLICATION IS ItEREBY MADE 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 oth~r applicable Laws, Ordinances or Regulations. for the, construction of bujlding~,;ad~ditions or alteratior~s, or for i'emoval or demolition, as hcl-ein described. The applicarft agrees to comply with all applicable laws, ordinances, building code, housing code, and, regulations, and to admit authohzed inspector~ on premises and in building tor necessary inspections· ) · .'%.~ . .:, . ~ e esearch & Acquisition Co. (Mailing address of applicant) State whether applicant ;s owner, .lessee; 'agent, architect, engineer, gen&ral contractor, electrician, plumber or builder. Agent Name of owner, vnet o~ orof remises . .M.a..~.i.t.U.C..k..H.o. 1..d.i.n.g...C.o.r.p.: !..4.7.6...E.x~.r..e.s.s.w.a.y...D.r... South Medford, NY /~. / ' ' (as on the tax roll or latest deed) ......... : ..... ~'1'7'g5 ' Ir apl~man.{j.~-a~orporatio~re ~ authorized officer. · (Name ~/nd title of,corporate 0ffic[r) ' Builder's License No ... N/A Plmnber's License No. 592 Electrician's License No..I~../.~ .................. Other Trade's License No. N, ./,A .................. Location of land on which proposed work wdl be done. ~arey Ta~ Farms, Luthers.. Rd.,. ~a~gituck. ~9~2 HOUse Number Street Halnlet County Tax Map No. IO00Section 99 ...... ' BlOck 04 Lot 01 ,' None Eilcd Map No Lot Subdivision. ................................................................. . . (Name) State existing use and occupancy of premises and intended ~ and Occupancy of proposed construction: a. Existing use and occupancy p.r.o.t..rQ,t.e, tlrg. $.t, or~9'.e. -_ .Va. nt. age Petroleum Corp. None b. t ~.n~en~eu use and occupancy ............................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ........... Repair .............. moral .............. Demolition ....., ~( .... Sw L'nm£n g pool. Tennis Court ......... Accessory Bu; ':ag .......... Fence ....... Oth~r.~9~rk,~,,., ........ 4. Estimated Cost $40,000 Fee .................... ' (to be paid on filing this application) s. if d,,.e,,ing, number of dwe,,ng un,S. .......... N,,mbe ofdwe,ling units on each ,oor... ..... If garage, number of cars ...NRA ........................................................ '''-'''' ~ ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of 6se 6]pp.v.q.g.r.o,q~ro~,~ .' 7 Dimensions of existing structures if any:~C~mz, ' ~K x~lt . . }YenxzY~ ............... ~-R~am]dm..(.3 ) 25.(1,00O..&. i3.):L~ O.O~Q. & .i .(.2 ~ 20.,.G00. ~al .. ~:%n]; ~.. ~ N/A Dimensions of seine structure with alterations or additions: Front ................. Rear .... hl/g. ........ Depth ...... .N/.A. ............ Height ....N./.A. ............... Number of Stories .N./.A ........... '.. 8. Dimensions of entire new construction: Front ..... .Nf.b: ...... Rear ...... .Nf..A. ..... Depth .N../.A....'' Height .N/A Number of Stories bJ./A · 9. Size of lot: Front 441' Rea 3' ' ' Depth .... 10. Date o£Purchase 10/11/88 Liber 10746 PgN~, of Former Owner .C.q~7~7. J~esp.r. ce~_.(..V.~ol;~.¢~,. .................................. vetro J_eum; 11. Zone or use district in which premises are situated .M2.. P.J~:r~-.qt;. [ M~a.~J, oe. 2. ). .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: I~1,/~ ............................. 13. Will lot be regraded ....N.q .............. Will excess fill be removed fromnremi~es Yes .... NoX. 476 Ex ressw ne~. ....... ................... ad~esP ........ P. ...... aX .t~a .......... 14. Name of Owner of pre~nises Ma~tituc.k.'I~)'~i~'' r . eola 11763 Name of Architect N/A . Address ............... Phone No ................ .......................... Name of Contractor .I~ar.r~..E.:..T~r. 9.ei.C. 9:a.~r2. CAddress .~:, 2.0.~, .2.~ 9. = ~3,1.5.0. ...... 15.Is this property located within 100 feet of a tidal wetland? *YES.I(..NO .... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and'show street names and indicate whether interior or comer lot. SEE ATTACHED PLANS NOTIFY BUILDING DEPARTMENT AT 7654802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAl. (~ON~TRUCT~ON MUST BE COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NE~V YORK, COUNTY OF., ~;.u.f.f~9[[~ ....... S.S She Judith Zinser, Permit Research & Acquisition.Ca ................................................. uemg uny'swum, deposes and says thatrtm is the applicant (Name of individual signing contract) above named. She [~[4(is the .....................................................................A~tent ................ :.. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly autliorized to pe.rform or have performed the said work and to make and file this application: that all state,neats contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before mc this . ............. ~ ..... day of..