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Home My WebLink About26905-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. 26905 Z Date NOVEMBER 6, 2000 Permission is hereby granted to : RICHARD H FREDERICK 385 COTTAGE PLACE SOUTHOLD,NY 11971 for DEMOLITION OF ABOVE GROUND SWIMMING POOL AS APPLIED FOR. at premises located at 385 COTTAGE PL SOUTHOLD County Tax Map No. 473889 Section 062 Block 0003 Lot No. 017 pursuant to application dated NOVEMBER 3 , 2000 and approved by the Building Inspector. Fee $ 15 . 00 Authoriz d Signature ORIGINAL Rev. 2/19/98 HOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF.PLANS • . ' . . ' . TOWN OF SOUTHOLD SURVEY . 20 BUILDING DEPARTMENT CHECK . . ... . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . .. . . . . . . . BLDG. Dr.'T. SOUTHOLD, N.Y. 11971 DEC . . . . . . . . .. . . . ...... . . . . T •%NN c 5 U-1 HOLD TEL: 765-1802 TRUSTEES . . . . . . . . . . . . ...... . . . . NOTIFY: i p CALL . . . . . . . . . . . . . . . . . . Examined.... .... MAIL TO: . . . . . . . . . . . . . .. . . • • . Approved....UJ 1.4 V....., .... Permit No. c/2 V D 5` ................................... Disapproveda/c .................................. ................................... ......................................... ..... ...... (Building Tns , or) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 2C. . . . INSTRUCTIONS a., This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w: 3 sets of plans, accurate plot plan to scale. Fee according to sclieclule. 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 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 Tnspector will 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. APPLICATION IS HEFEff MAIL 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, or i�nances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in bu•ld' g for necessary inspections\ �` . ... .. -e: .......... (Signature of applicant, or name, if a corporation) . ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ..............•••-•....................................................................••............................... Name of owner of premises .Richard .H. Freo1gri.Ck.............................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done..3 8 5.•Cottage,,�1,�&e,,.. outhol.dy..DIY.•7 1.9 7 l••••- ....................................................................................................................... House Number Street Hamlet County Tax Map lJo. 1000 Section .... 2.......... Black .....3... .... Lot ....�..... Subdivision ...................................... Filed Map No. ............... Lot ............... 2. State existing use and oecupan y of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................•-•--........ u... - ...::........... �.�...) b. Intended use and occupancy . � .. .... �... .._.. .. .`., .:. ' . 3. Not'ure of work (check w1dc h applicable): New Ikhilding .......... Addition .......... Alteration Repair ............ Removal ............. Ikrrnlition ...X........ Other Work ...............e.................. (Description) 4. Estimated Cost ............:............ fee ................ ......................::',...... (to be paid on filing this applicatibxh) 5. If dwelling, number of dwelling units ............ tbnber of dwelling units on each floor ...i............ If garage, under of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use....a................. 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileight ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ..... ... Depth .................... Height .................... Number of Stories ............... ...... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth ...c.......... height ......................... NLuber of Stories ..................... 9. Size of lot: Front .. Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO IL 14. Names of Owner of premises ........................... Address .............................. Phone No. ............. Name of Architect .................................... Address .............................. Phone No. ..... ......, Name of Contractor .................................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOUIIIOLD MN T13J=S PERMIT MAY BE W±gMRMi . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block muter or description according to deed, and show street names and indicate whether interior or corner lot. *DEMOLITION FOR ABOVE GROUND POOL. (SEE ATTACHED) IIOE OF NU AM, ��.at� s OUN1X OF .. S�. ........ ...... .............being duly sworn, deposes and says that he is the applicant Name of individual signing contract) Bove named, eis the ... ............ ....... ..................................................................... (Uxitracto• agent, . rporate officer., etc.) f said owner. or owners, aril is my 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 Imnt time work will lm perfonw-A in the mmroner set fur Um in the application filed therewith. worn to before we this •....... .......clay of . .. ... ........ Notary Public .... ..... ......... . . \~( .." ..................... ROBERT I.SCOTT (Signature of Applicant) Notary Public,State ew York Qualified in S Ik County No.01 S 725080 Term Expires May 31, -2- ` Z-17 TOWN OF SOUTHOLD PROPERTY RECORD CAR® OWNER STREET VILLAGE DIST. SUB. LOT .c Q ( I !. ! 1 e e • #n o !GSC r , FORMER OWNER n[n N ��` �° y ff /Y ` , ACR. ol�t r'�f' cx.. /L S 5 - - t_� w" >r / TYPE OF BUILDING RES. /D I SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS L — [�J Gds i v v 39 o a. r-O c v z i - L I&=f ;9 C? 45 -k.., Ff �Zco f 8� QIP l01�-L- PYP Ca RC1 '�CX�(� �' 1 2 c� .0 I-v L 11-71Z,0-712 —WO IA-r-5 ?� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK ;Jjrl ,J a , NONE■■■■ ■■■■■ MEN Em ■■■■■■■■ MEMO IBM No ME f . , ;, , a, ; ■■N ■■�N� I■NN ■■MEN ■ N■■■i■is Ell 1l.�■� ■ ■■�lll■I��I��fN : .. q ■ ggqq■'Rooms 2nd Flo I■�i■■l�'■■■■ •+ - - - .�_ ..�...f•:t•c+�,. •.-e. - - v a.. �^ ''cr�T,^'"� N?L'7^nt-ua— =7� . ^.S.ry✓a. Aw..�.«,y i�,tk"'.�'.:.- v:.+ -4:p - __ _ ,. t - - -r _ :r, -_ :•rt. �-;naw-[+!;4Sr�"'`y7�: •*r+ s. a-+ -"'�"+S?•'.�1. *T_+•. .r. .r. �+r� �9. .+`I'.'�Y�iL f"L 7. ,i �,1....}Q. 4��':•.�ff.�'S_" .5� L:�'i 'e.1. 7�?1"•t`:,� y `2 .d"tir �T•'.`l•._ �t td� ' . _ r�' 'l.ltit4df'�K �:t .� .b M.. Z.'.!r f: .1��Yom... •�t"' .'t..I �•'.1 - •$'. 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