HomeMy WebLinkAbout24401-Z I~B~ NO. B
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 24401 Z
Dote ...... .O..c. ~.o..b..e..r....§., .............................. ,
Permission is hereby gronted to:
BREI{ER'S YACHT YARD AT CREEl{PORT, IRC.
:. ..................................................
GREENPORT, N.Y. 11944
tO DEHOLISH AN EXISTING ~TAL BUILDING, REFERRED TO AS 'rul~ HAST BUILDING
AND REHOVE ALL DEBRIS AS APPLIED FOR.
at premises located ~+ 2530 NANHANSET AVENUE GREEBPORT. N.Y.
Counb/ Tox Mop No. 1000 Section ........ .4..3. ............ Block ...... ~ .............. Lot No ...... ~, .................
pursuant to application doted ............ .8.~.~.~....2..2., .................., 19..9..7..., and approved by the
Building Inspector.
Fee $ ........2..I..6..: .5..0. .....
Rev. 6/30/80
FOR)I NO. I
TOWN OF SOUTtlOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, N.Y. 1197l
TEl.: 765-1802
Disapproved a/c ..................................
BOARD OF HEAltH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORN ...................
NOTIFY:
CALL ..................
t4AII. TO: ....................
(ll~fil~l~6g Inspector)
APPLICATION FOR BUILDING PEILMIT
INSTRUCTIONS
a. 'Ibis application u~st be completely filled in by typewriter or in ink and subnitted to the Building Inspector
3 sets of plans, ~eurate plot plau to scale. Fee according to sebedule.
b. Plot plau slxxaing location of lot ~d of beildings on premises, relationship to ~ljoining pr~mi~es or puhlic
streets or areas, ~d giving a detailed description of layout of property must be draun on the diagrm d~id~ is part of
this application,
c. ~le ~rk o~vered by this application may not be coumnced before issuance of Building Penuit.
d. Upon al~n~val of this application, the Building Inspector will issue a Building Pemlt to the applicant. SUd~
pemit shall be Impt on the premises available for inspection thronglmt the york.
e. No building shall be occupied or used in d~ole or in part for auy purpose qnatever until a Certificate of
Occupancy shall have been granted by tie Building Inspector.
· APPLICATIII~I I$ l~.~ff ~ to tim Building l)eparUnmnt for the issum~ce of a Building Permit pursuant to the
Building ~ Ordinance of the To~ of Suuthold, Suffolk County, Ne~ York, and other a~01ic, able l~m, Ordinances or
I~plulations, for tie con~tnmtion of buildings, additions or alterations, or IllUSion, as herein
described. Ibc applicant agrees to c~nply vith all applicable la~s, code,
rngulatioos, m~t to admit authorized inspectors on premises and in
corporation)
State d~eOmr applicant is o~ner, lessee, agent, architect, engineer,
Nme of qaner of premises '~ex~-~O3-P-" Y'~"C-"IT '~I'Z.N ~t]'
(a~ on the trax roi1 or latest deed)
If appliemt i~ a m~ratim, si~e of duly ~ti~ri~ offi~r.
...........................
(~ a~itle o[ ~rate officer)
I{pl~ber or buihler
Builders l,icerme No ..........................
Ph~bers License lgo ..........................
Electricians License NO ......................
Otimr Trade's License NO .....................
...... gi :d ............... ..
lkxtse Nt~ber Street Hanlet
Coonty Tm~l~p NO. I000 Section ....O..~B ....... Block .... .O.~. ........ lot ...~?..Q~ .......
Sabdivislon ...................................... Filed mp No...~.O..O...OQ. ..... lot ...............
2. State existing use and eeoapancy of premises ~d intended use a~l occupancy of propcmed construction:
a. r~xisting use ~nd oeeupamy ... J....5).~..e,?....'~...~..~,~
b. Intended use m~l occupancy ............................................................................
I0.
I1.
12.
13,
14.
15.
Repair ............ Removal .......... Demalition .. Other i/ork ..................................
(Description)
Estimated Costm. .~..~....L~fff.~ .......... fee ..............................................
-t "~O~,A.'~ ~-~-~ '~ (to be paid on filing this application)
If d~elling, r~anber of d~lling ,mits ............ tMnber of dva~lling traits on ead~ fleer ................
or cars '% ...............
If busisess, ccmnereisl or mix~=d occupancy, specify nature and extent of each type of use ......................
I)imansions of existing structures, if any: Front .... .%..~ ........ Pear ...?..~: ........ Depth ...~..cQ. ..........
Ileight ..... ./.?.e. ............... Ix~i)er of Stories .... ] .................
Dimensions of s~ue structure vith alterations or additions: Front ............... Rear
l/epth .................... Ileight .................... Ntmlmr of Stories ...............
Oi,~nsicats of entire ee~ constnmtion: l~x-mt ................ Rear ............... Depth ..............
lleight ......................... l~lulmr of Stories .....................
Size of lot: l~rtmt .................... Pear .................... l)epth ....................
1Fate of Purdmse ..................... game of Forraer Orator ........................................
Zone or use district in ~hich pr~nises are situated ...... ..1~..~. .................................................
Does proposed c~mtruction viblate any zoning la~, ordinance or regulation: .... ~O. ...............
Will lot be rngraded ..... .'~.~.~. ......... I/ill emuess fill be roroved fr~m premises: YES
llm~s of Otmer of [mmfises ........................... Address .............................. Phone No ...............
Nme of Arddtect .................................... Nklress .............................. Pt~ee NO ...............
~e of Contractor ..~..~.....N.!J.~.)..~. ................... tVldress ....L~....~')).'~...Q.d~. .............. H~one No ...............
Is this property saithin 300 feet of a tidal wtlaed? * YES ....~... HO .......... · IF YF~, ~'3UII~'~.D T(X~ ]]~J:Sl 'Te~q ~rr mY ~ l~UIRlm.
PI.OT D l AGRAbl
locate clearly~J~lk~ildings, ~hetberexisting or proposed, and indicate all set-back dimensior}s
frou proport~l~p~~qr descripti~an according to deed, and sho~ street nates and indicate
~atl~r interior ~'r~"'~'~'l~.
,~I'A'[I~. (]F hl'.M
SS
:'.-:'":, .................................
0{,m~ of individual siguing contract)
(Cxa~t ractor, ngeet, corporate officer, etc. )
of said o~a~er or c~a~rs, taxi is duly authorized to perfona or have perforn~-.I Ibc said ~xark m,l to make and file this
a[~l icatic,,; that all stataneets contained in this appl icatian are tn~e to the Imst of his line, ledge and I~[ief
that the ~ork ~ill be perfous~l in the manoer set forth in the application filed tbereaith.
duly s~on~, delx)ses a~l says ti,st he is tl~ appl icm,,t
.q~n~.~ __tu Imfore ,u this ~9...~ --~'' --~
.....
P....
JOYCE M. WILKINS
Notary Public, State of New
No. ¢952246, Suffolk Coun,ty
?hrm Expir~a$ J[~ne 12, 19~