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Home My WebLink About24171-ZTO%VN OF SOUT]'IOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CC~PL~ION OF THE WORK ^UTHOR,ZEO, O N. 24171 Z ~,. .................................. , ....... Permission is hereby ~ron~ .. ~~.~ .................................. ,~ff~~.~:..~~ ........... ~ze~.~~..~ .... ~ ...... ~......~..~....~:.z~.~~~..~ ...... ..................................................................... Coun~ Tax Mop No. 1000 Section ..... Building Inspector, Rev. 6/30/80 Examined... ..~1~....3~...,1 .9~.. Disapproved ~c ..................................... 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM · NOTIFY CALL ................ MAlL TO: (Building Inspectcff). AU~EICATION FOR BUILDING PERMIT Date MAY 15 19.97 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit 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 stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap 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 pen 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 Occupai 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance., Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. RICHARD SAEITA GENERAL CONTRACTOR (Signature of applicant, or name, if a corporation) 4 BOOTLEG M.I.~ GREENPORT NY 11944 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build GENERAL CONTRACTOR ............................................................. i'," ' P?g¢¥ED'ttS I Ol[ ........... Name ofownerofpremises JAMES GRACE Sr. ~ e CYi:lkW BUILO~tG DE AT If applicant is a corporation, signature of duly authorized officer. /[z~-,.?_~ 'J/:,~ ' ; o ' --1~)~' FOLLOW~MG INSPECTIONS: (Name and title of corporate officer) '~ FOUNDATION · %¥OREQUtRED ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED FOR POURED CONCRETE Builder's License No .......................... 2 EOUGH- FRAMING ~ PLU~ :~ ~NSULATION Plumber's License No ......................... 4 FINAL CONgTROC~ON ~E COMPL~E FOR C.O. Electrician's License No ....................... ALL CON~U~ON SHA~ T~ REQUIR~EN~ OF THE S%~TE CONS~U~ON & ~ER~Y Other Trade's License No ...................... CODES. N~ RESPONSIB~ FO~ DES~G~ OR CONS~U~ON ERRORS 1. Location of [and on which proposed work will be done] ............................................... 190 * I g~ ~ ~R~CE ~ .................. ORI~ House Number Street Hamlet County Tax Map No. 1000 Section . 10(X) ............. Block ...26.-02 .......... Lot .5,t .& .6 ......... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .RI}S.I.D..gfl~..I..Me. ....................................................... b. Intended use and occupancy .RI}.SI.D..lift!lT..I..Me. ....................................................... Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition . .X. ........... Other Work ............... (Description) Estimated Cost . .10,000~00 ........................... Fee ...................................... · (to be paid on filing this application) If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ...................... Rear ...................... Depth ...................... Date of Purchase ............................. Name of Former Owner ............................. Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded ............................ Will excess fill be removed from premises: Yes No Name of Owner of premises . ,J~d~$. G .I~.¢E.. Sr. ..... Address ¢(~q4 .CLX. ............ Phone No. 4~c~-:.5100 ....... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLO'F DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from petty lines. Give street and block number or description according to deed, and show street names and indicate whether 'flor or corner lot. TE OF NEW YORK, )NTY OF .S...U~..L.K. ......... $.S RICHARD SAETIA .............................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 'e named. GENERAL CONTRACTOR ; the ......................................................................................... (Contractor, agent, corporate officer, etc.) aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ication; that all statements contained in this application are true to the best of his knowledge and belief; and that the c will be performed in the manner set forth in the application filed therewith. m to before me this ..................... day of .................... 19... ~ry Public .................................. County (Signature of applicant)