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Home My WebLink About25932-ZFORM NO. 3 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) PERMIT NO. 25932 Z Date AUGUST 9, 1999 Permission is hereby granted to: MICHAEL R JACKOWSKI 1260 HORTONS LANE SOUTHOLD~NY 11971 for : DEMOLITION OF AN EXISTING FRONT PORCH & CONSTRUCTION OF NEW STEPS TO GRADE FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1260 County Tax Map No. 473889 Section 063 pursuant to application dated AUGUST Building Inspector. HORTON LA SOUTHOLD Block 0001 Lot No. 011 5 1999 and approved by the Fee $ 15.00 Rev. 2/19/98 ORIGINAL WEL~ IJ ) FG'~;':., OF %,S ;JTI--iOL. D~ I,.I.Y. AS SURVEYED' ~OV. f~DE~ICI4 VAN TUYL, Re.." PORN NO. I TO~q OF SOUTHOLD BUILDING DEPARTHENT TOb/~ HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 ~-ainad ................. , 19 .... Disapproved a/c .................................· BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... NOTIFY: ALL HAIL TO: .................... ~o'~" a ~tion mint he conpletely f, lled m by type~xter or mmk and submitted to the l~,ilding Inspector wi, 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan abowing location of lot and of buildlngs on premises, relationabip to adjoining premises or laiblic streets or areas, and giving a Oetailed description of layout of property mint he drmm on the diagrm ~ahich is part of this applicatian. c. The ~ork covered by this application nay not he ccrmeseed before issuance of Building Permit. d. Upon ~oval of this application, the l~ilding Inspector will issue a Building Permit to the applicant. Such permit shall be kept an the premises available for inspection thranghant the ~ork. e. No building ~hall he occupied or used in ~ole or in part for any imrpose ~hatever un~il a Certificate of APPLICATIC~I IS lt~¥ ~ to the Building l~par~mnt for the issum~e of a Building Permit I~rsuanr to the Building Zo~ Ordinance of the To~ of S~u~old, Suffolk Caun~, Ne~ York, and other applicable La~s, Ordirk~es or P~gulatio~s, for the construction of buildings, additioas or alteratioas, or for ~t~,oval or demolition, as herein described. ~he applicant ag~es to c~ply *rlth all applicable la~s, ordimmces, building code, housing code, and regulations, and to admit authorized inspectors on premises and in ~~ th ~ (Sigea~tre~'~pplican~, or na~, if a corporation) ..... :: ~ (I4ailing address of applicant) State ~hether applicant xs c~me~,,le~e~.agent, architect, engineer, general contractor, electrician, plunber or Imilder .. ~.~. ~.g. ~.. ............. :!.;i;: :k'.O. ~ ".9 ~ ............ ~ ................................................................. ": :'~.',..~l~.p~J~ t:~ ta~ roll or latest deed) If applier is a coq~m~a~ ~i~l~MIBe,bf duly ~uthorlsed officer. Plumbers License Eo .......................... Electricians Licease No ...................... Other Trade's IAce~se No ..................... I. I~:ation of land on ~hich propo~] ~ork will be clone .............................................................. Subdivision ...................................... Piled 14ap No ................ l~t ............... 2. State existing use and occupancy of,~premises and____. /h ',~ ~ -~intead~ use, and acCUl?ecy o~ I~rq ,l~Sad construction: = ..... ......... ~ ~101'~ ~ ,m '.', 3. F:~ture of ~ork (dmck ~dfich applicable): Ne~ l~uilding .......... Addition .......... Alteretion .......... Pepair ............ R~a~al ............. D~uMitina .~ ....... Other Nork .................................. 0leacription) 6. Esti~mted Cost fee ................................ ~(to be paid tm filing this application) 5. If a~elling, nmber of d~elling ,mits ..~.. ...... [It~ber of d~lling units on each floor .~..}?..~....~.~/ If garage, or,her of cars ...................................... 6. If business, camercial or mi~d occupancy, specify nature and extent of ead~ type of use ...................... 7. Dimensions of existing structures, if any: Frunt ..... /..~... ..... Pear ............... Depth ..~... .......... lleight . -7~. -~-~--.~- ........... Nunber of Stories .... ~ ............... Din~nsions of sam' structure ~ith alterations or additions: Front . .~--.~ ......... Rear .~...~. ........ Depth .. ~¢..O. ............. lteight .'~..¢~¢~. ......... Nunber of Stories., .~. 8. Dimensiorm of entire ne~ cunstmction: Front ................ Pear ............... Depth .............. Ileight ......................... Nmt~r of Stories ..................... 9. Size of lot: Front .................... Pear .................... Depth .................... 10. ~te of n~a,ase .... Lq.q-.% ......... ~m~ of ~o~r O~r ~.~.~..~...~..~.~5.O1.~...~..___ 1 I. Zoc, e or use district in ~hlch pr~aises are situated .............................................................. 12. Does propased construction violate any zoning la~, ordinance or regulation: ........................ 13. Nill lot be regraded ............. : ..../. l~ill~xress fill be removed fr~a premises: ,~. ~s of 0~r of ~s ~&4~/.'.~C~../.~: ~ress X~d~...~..--..~.../~........~o~....~...=~............. ~ of ta-chiteet .................................... fi&lress .............................. Hnoee No ............... Nane of C~tractor ................................... /kldress ............................... Phone No ............... 15. Is this property ~ithin 300 feet of a tidal ~atlaed? * ~ .......... NO ..~. ..... PLOT DIAGRAH I~cate clearly and distinctly all kaildings, ~t~etlmr existing or proposed, and indicate all set-back dimensions frc~ property lines, give street and block nt~ber or description according to deed, and ~ street nines and indicate whether interior or corner lot. .~PPROVED AS NOTED DATE: ~ B.P. #~ FEE: ~ By: · ~J._.~J~.~ NOTIFY BUILDING DEPARTMENT AT 78~.1802 9 AM TO 4 PM FOR THE FOL.I.OWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR I~OURED CONCRETE ~. ROUGH - FRAMING & PLUMBING 4. FILIAL - CONSTRUCTION Mu~T ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ~TATE CONSTRUCTION & EN~B~'~' CODE~, NOT RESPONSIBLE FOR deposes tl~t I~ ~s the applicant (Contractor, agent, corporate officer, etc.) of said o~mer or o~ners, and is duly autl~oriz~tl to ~rfom or h~ ~rfo~ U~ mid m& md to m~ ~ file this a~licati~; ~at all statists c~tai~ in ~is a~llcation a~ t~ to ~e ~st of his ~1~ and ~Iief~ a~ that the ~ will ~ ~rfo~ in tim m~r ~t forth in the a~licatim fil~ t~th. ~m to ~fom m this ...... 7 LYNDA M. NOTARY.P. UBLIC, Stale ~o. 01B0~ Qualified In T'~rm Expires ~