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Home My WebLink About23422-ZFORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. 23422 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEtiON OF THE WORK AUTHORIZED) Date 1~¥ 8, 19....g..6. .... Permission Is hereby granted to: NO NUMBER NAUGLES DRIVE INC C/O ISlAND ASPHALT CO INC P.O. BOX P CORAN, NY 11727 BEFORE PROCEEDING, APPROVAL REQUIRED FRO~ BOARD OF TO~N TRUSTEES AND N.Y. STATE DEC. ALSO DISCONNECT ALL ELECTRIC, UTILITIES ETC. .__ ~ 515 NAUGLES DRIt/~, I'IATTITUCK NY at premises ocaiea aT ............................................................................................................................... Se 99 3 County Tax Map No, 1000 ctlon ......................... Block ........... ~f ............. LotNo ............................. pursuant to application dated NOt/EI~I!:R 16, 19 92 and approved by the Building Inspector. Fee $.....5.~.0, :.q,O. ........ ~s ~m~T RE~c~s #2~o9-z ~ ~--~2 Rev, 6/30/80 J) '~: ! t, FORM NO. 1 '.~ N0~2 C)~ ;~TgWNOFSOUTHOLD TOWN OF SOlD ~OOTHOLD N.Y. 11971 ~ TEL.: 765-1803 Ex,mined ./~/~ .......... Approved .~/s ......... 19~PermitNo.~..~ Disapproved a/c ..................................... ................. ' ............ ' ' ~idin~spector) APPLICATION FOR BUILDING PERMIT BOASD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. NOTIFY ~ HAIL TO: Date .... ll ./lB. ....... ,19 92 INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 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- cati~.~. cl The work covered by this application may not be cbmmenced 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 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 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 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 author/zed inspectors on premises and in building for necessary inspections. N.Q .Number. Nguglea .Driy. e. Inc.~ ............ -- (Signature of applicant, or name, if a corporation) P....0,. J3ox. P.,..Coram,. NY..11727. ............ (Mailing address of applicant) State whether applicantis owner, lessee,~gent___,architect,~r, general contractor, electrician, plumber or builder. Owner - Partner Name of owner of premises . . .N9..N.u..m.b.e.r.. ,N.a.u. gl..e.s..D.r.i.y.e..I..rig., ....................................... (as on the taxx roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ~./.A ................ Plumber's License No ..... .N./.A ................ Electrician's License No. N/A Other Trade's License No.. ~/.A...0.i.1..F..i.e.l.d...P.ipe & Supply Co., Dewey, Oklahoma 74029 1. Location of land on which proposed work will be done, .N/.q .of. l%augls.s ' ' .Eaat. of. l.uther, s .Road,. Mat~itunk,. NM .................... House Number Street Hamlet County Tax Map No. 1000 Section . .0.9.9 ............. Block ...... .0~ ......... Lot O~ ... Subdivision N/A ........................ Filed Map No. ...... .- ....... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancY, of proposed construction: occupancy ~l'ank 'Farm .A.sp.h[a.l.t Plan1; a. Existing use and ,,. . b. Intended use and occupancy Fur .ur.e..P. riv.a.t.~ .M.a.r.i. na & Restauran?: Present Permit~ Application for Demolition of Site only. Site to be left vacant. 3. Nature of work (check wh)ch applicable): N.e.w Building .......... Addit~gn .......... Alteration .......... Repair ............. {x~emoval . .(~d~~ ~:,~n ''',~,2~~~. M~~/ ............. (Description) 4. Estimated Cost .... $. &o. 099.o...Q9 ..................... Fee .. ~ be on filing this application) 5. If dwelling, number of dwelling units ...~.~t~ ......... Number of dwelling units on each floor..~/.3: .......... If garage, number of cars .... ~./A ................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... N/A ........... 7. Dimensions of existing structures, if any: Front .~.e.~..S..u~..¥.ey... Rear ...... '.77.- .... Depth ..... T .".' ....... Height '-- Number of Stories '-- Dimensions of same structure with alterations or additions: Front ...... ~1/3, ....... Rear.._._~l../~, ........... Depth ..... N,/.A ............. Height ...... 1~1 ./~. ............ Number of Stories ...................... 8. Dimensions of.entire new construction: Front .~./.& Rear N/A Depth Iq'/A 9. Size of lot: Front .. ~.9.c~, ~9 ............. Rear ..... 797.:~. ........... Depth . .}.~?.:9..~.~.~.~.~....~.~. ..... 10. Date of Purchase . . .1.O..7..r?.o ................... Name of Former Owner . 9.e.n.q¥$Yg..E. 9.'9.~.n.s. 9.n ........ I I. Zone or use district in which premises are situated. . ~a..r.i.n.e..II ..................... .... No 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................ 13. Will lot be regraded ..... ~O ..................... Will excess fill be removed from premises: Yes kNoJ 14. Name of Owner of premises . .Below. ............ Address ................... Phone No .......... ...... Name of AXc, t~ffi~ .... Engineer .............. Address ...B.~.l. qw. ........... Phone No ................ Name of Contractor ...Belo.!, ................. Address ................... Phone No ................ 15. Is this property within' 300 feet of a tidal wetland? (*Yes) ....... 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 fr~m property lines. Give street and block number or description according to deed, and show street names and indicate whe~er interior or comer lot. 0w~.er No Number Naugles D~ve Inc. William S. Mallins Sam Allen P. 0.. Box P Corem, New York 11727 ~n~in. e'e r/A~en..t Gordon K. Ahlers, P. Box 6 Jamesport, New York E® ll9g7 Contractor Oil Field Pipe & Supply Co. Dewey, Oklahoma 7~029 STATE OF NEW YORK. ,- S S COUNTY OF .-.5, '.° ~co.~l~.. ·.~/~ ../.. -~ ~"-~<" · (Name of individual signing contract) above named. He is the ............ 0I~. ..; .................................................................. (Contractor, agent, corporate officer, etc.) vf said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,york will be performed in the manner set forth in the application filed therewith. 5wom to before me this ......... ].?.T ......... day of..~J.D..~.f, ')T)' .b .'f.F. ...... 19 %taryPublic ............... . ~fO.. ..../~x.,..... County · N0tarV ~ubli~, S~'Olk (Sif, fiature of applicant} County, NY #01FA4ggt 777