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Home My WebLink About26220-Z FORM' 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. 26220 Z Date DECEMBER 22, 1999 Permission is hereby granted to: SUSAN C OIESTAD CUTCHOGUE,NY 11935 for DEMOLITION OF AN EXISTING ACCESSORY SHED DAMAGED BY FIRE AS APPLIED FOR. at premises located at 2200 BROADWATERS' RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0009 Lot No. 014 pursuant to application dated DECEMBER 21 1999 and approved by the Building Inspector. Fee $ 15 . 00 Author' ed Sign ture ORIGINAL Rev. 2/19%98 - :: of�' P/o .LOT 265' ' UNDEFINED CV RVE A72-0 17 m S, F.364E. STONE MONUMENT 3:3' :351:50 N .. i ON LINE FENCE N Q 2RAILFENCE �_— FD AGE CM : 5 %5 T /4Q S� SO O l4 r•. 1*COTT > w/Po�cr+a Par PATIO' —' is d: FRAME GARAGE •� RNE � .. - 2�:�rORY^ Ln P a rEPs uRpot�L0p� 29.7` FRAME 22ASHPAL7 �WOOD RAID: •RES '2W NO.. FO CM NQr-2 RAIL .FENCE.0 3' . . �NR1f 2RNL ,'F"ENEE lVQ Q3' ;N 72�36;40 w . FENCE,S/o:LINE 42/41 F for 2ss . - - , - - - , .SURVE ,OF _ Uf?VEYE' 22.AUGUST f997•.= FaLE EMAP fi�Q. t56 r _ �. - 4, - , Pl� 65_�•266� ', o''LOT�" _ . � .2 sd S.F °AREA- 2 6.R3 S • - T MAP.'10(?Oj1, 4" _, a I 0;527-ACRES i �El DED I I P A Qf NAZ- A{j PIpINT r f T'£C111fCEl� QY /dA:SSAtI N PRGtP 'E�, ua �' , AUT fO tjE WN>OF SOUTHo?. ,. - ^- . . SUFFOLNEw FORK - r ;a - fi SURV ED Fl7R STA , SUS<[N PIE .D SU Y �. t .... S..00�OF. :_to t{ds N 1' ;. 1)E$EN JR ,: _... t .. r<�outhorized-alt OWN s0. r _ t x �. _ vonm►tees- S.etoe � bictan�of 7209 urv+ N surge Y' '.. , i the. f iiMR' - r "- manly to P - _ State Education L i k -• .. :.New k red' bnd,:m'hb: 1F^.b Yot1c - . F a is pr p ,. fw i. -litle compeny_ CivNttwMal li►genCy." 4 • "f fisted filrea+,-.anal 1 ; Ion <ir.3MiTion _ tc_the assigpees'of th- {�d'mQ �o es oftfii; survfy ti+op aearrp LENSED _AN .SURVEYOR - fiJaroriMe 'are:not trcnsfercbk to �e Land`S�mayord embo :•df shod N Y. Gr 4 273 s , addillmot institutions or wbsequMtt to' be. c.:ootid trw - 97R- 647 • F. - BOARD OF HEALTH . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . ... • . � • � TOWN OF SOUTHOLD SURVEY . • . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . SOUTi'HOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: �• � CALL . . . . . . . . . . . . . . . . . . Examined... ., 19.�[ II -- MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.....a/, 19.�� Permit No. .................................... Disapproveda/c .................................. .................................... ...................................................... - �tl C�1 . .... . •. .- lding t Tui( DEC )' APPLICATION FOR BUILDING PERMIT 2 j99g ,!, Date. . . . . . . . . . . . �. O4'`'��'� SO��T INSTRUCTIONS ®�Q r a. 'This application m t be3�completely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoeing 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 application. 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 %rill issue 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. APPLICATICN 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 td comply with all applicable laws, ordinances, building code, housing code, and regulations; and to admit authorized inspectors on rr""• a u T:ai aL-., ILA uuliUl LA6 LVL LreC_Cb_SCU—y inspections. •(•ignature of• m applicant, or nae, if•a corporation). ..f:�a.sq.�rQ�a�r.�� `,5.4d... Ca j/).-P (Mailing address of applicant) �J . State whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or builder ....... V�dJ.n�rf�............................"............................................................... ...... Name of owner of premises ...cEo .' C( ,n.....01.�Z OWL.................... APPROVED AS NOTED (as on the tax roll or latest deed) DATE: •r�" � B.P.# If applicant is a corporation, signature of duly authorized officer. F�E: s BY: NOTIFY BUILDING DEPA' E AT ................................................. .......... 765-1902 9 AM TO 4 PM FOR THE (Name and title of corporate officer) OLLOWING INSPECTIONS: • I FOUNDATION - TWO REQUIRED ) FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Builders License No. ...................... 3. INSULATION .. Plumbers License No. 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Electricians License No. ALL CONSTRUCTION SHALL MEET Other Trade's License No. THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 1. Location of land on which proposed work will be done...................... NQT, RESPQJy$1B�E..F.OR..... DESIGN OR CONSTRUCTION ERRORS ......aa6�?...... �o��'��-r. �... d........ 0�.u�....................................... House Number Street r /(7L1 _ (� Hamlet County Tax Map No. 1000 ion ............... Block ................ Lot ................ Subdivision Ala�Q�.. 1,4 ................ Filed Map No. ./-5Z9 ........ Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....p1 ..1.�40.0!. ..6y.!�:e: ��S!.1 ....................................... b. Intended use and occupancy ..C lP.i?'I d�T�I� .. .�YYI,OVC ,, /JUY/�t.• D �. �l.eC'i�Y l M old /'166r boo.rds ot-� IVOV- /0, 1999 Beyond A-P re 110,1,411 61 Aoadl' 9 4e01' oas of lse e on ��/ah Nature of work (check which applicable): New Building .... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ....{ ....... Other Work .................................. (Description) Estimated Cost ...A, n.. .......... fee ................................................ (to be paid on filing this application) If dcaelling, nurber of dwelling twits .... ...... Hicber of dwelling units on each floor ................ Ifgarage, nurber of cars .............�/- ...............I...... If business, cam ercial or mixed occupancy, specify nature and extent of each type of use....................... Dimensions of existing structures, if any: Front....X.......... Rear .............'.. Depth .................. Height ......................... 1kiber of Stories ...................... Dimensions of same structure with alterations or additions: ):Pont ............... Rear ............... Depth ........�......... Height .................... Number of Stories ............... Dimensions of entire new construction: Front ....:?G......... Rear ............... Depth .............. Height .....X................ NuQber of Stories ..................... Sizeof lot: Runt .... .rl......... Rear ................ ... Depth ...../..... ....... 1 Date of Purchase ....�o�l.�a Q.l....... Name of rormer Owner �5 �?!�.4J.. ./ / �� 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 Names of Owner of pr�emises�J(1,S@0..�.°u`5. 4z ....... Address as .6-�l�u!"�� eYS �/�..... Phoche No. y .' :�/.`. Name of Architect .................................... Address .......................h ie: Phone No. ...... Name of.Contractor ................................... Address ...............................Phone No. ............. Is tlhis property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOLMY D 1UN TZaJSI s PMIIT MAY BE 'Rrgnm. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set—back dimensions in property lines. Give street and block number or description according to deed, and show street vanes and indicate !they interior or corner lot. shy I-IS � -a.�:`i Ji�vi•a�;�,r?_�3Cy��'��' '.;�°1�,� �� ^t.,. . T"\ \1i: Or ";W JN17 OF .........being duly sworn, deposes and says thatShe is L1 applicant uhe of individual signin&contraclh". ' lve( named, a_•`„�,� �IiS33s the ... ...,.:^.'.`.............. ............................................................ ` '�(Con'6'6'cior, 'agent; corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ?licatiorh; that all statements contained in this application are true to the best of his knowledge.and belief; and at the work Will be performed in the manner set- forth in the application filed therewith. ern to before me this T.......day ok��i L�/h/�,�:!i..19. .�..... Notary Public . . .. ....!.. .. >.......... ..... ..... 3UNEANN D.ZARZEO}{I f (Signature of Applicant)'. Notary Public, State of Ne:�1 York No.406-7037 Qualified in slt-iai Count M .� a�.y Ccam.r,,ssicm Jan 8, .ZL.-p,n„ BUILDING PERMIT REVIE-�W CHECK LIST Applicant/ Date Owners Name:,SU Sn �ta�_ a ,tap Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1,000 Section: M Block: Lot: Project Subdivision Location: Name: Sin&le&separate Required certtficatiod: (Yes/No) Req Req. Zoning District [Lot size. Actual: J (Lot coverage Proposed: ] Req, Req. Req. [Front Yard Proposed: (Side Yard Proposed: ] [Rear Yard Proposed: j Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board-approval: Flood Plane Elevation??? Flood Zone: Notest c o _ e _ _ TOWN OF SOUTHOLD PROPERTY RECORD CARIY OWNER STREET VILLAGE DIST. SUB. V LOT �� 4,f 2 CQe' Ld AE—o a a/w&7'e rzr A a U f�`i o v e /�d o FORMER OWNER N E ACR. G S W TYPE OF BUILDING Gtr ��1 - W-rNS / �� -'�_- -�--,1_fi•->i-t; RES. Q AAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS �7 / /) �Y /4Q� 'Ncr.�l� � o d 4 f �'iL/ / IBodC�C: °7 C � p AGE BUILDING CONDITION 4, -Fo Ven-�L/ qL&rS N/C,� NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH Ll + BULKHEAD Total Q.— ,; DOCK r � i .. '-`8 ,A 61�II � 4� . SYfoy�� 'u�^a yh.AT a.r t beIV > °a* • ■■■e■■ MI ONE r !`t►L•t ..'I.sf ...,v.:r: ..i6y ti litlt' IT - 4. • • e■■■ee■ •F s .'�' ., ray�E Nth,, r a►4,•; ; . ■■��■■■■■■■■■■■■■■■ .r ■■■■■■ MEN - ■■■■■!ll ■■■■■■■■■■■ ' :r ■e■iiYll�, 1�■■�l■■IN■!!■■■■■■■■ ■■■■■mw■Il■rsl�e�s�e■■■■■■■eii L ■■■■sd■m>>e` MEHEME e■i ■■■■e■■■�.�__- MmIlmam ■■■■■■■_■■■.��■■■■■■■■■IIt>>■■e� 1 Place• � • III rr / ��•• i Xecreation Roo low- rmer Driveway- • - 1 r • , • d r i TOWN OF SOUTHOLD � PR®_PSR - � . - OWNER STREET VILLAGE DIST. SUB. LOT W s' U )0,0 :�F-�/ �a il� � �OdQWL r�P dQC/ G Q /NdJJ`d U o FORMER OWNER N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. 9 FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE j FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH 0�p BULKHEAD i Total DOCK