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Home My WebLink About26935-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. 26935 Z Date NOVEMBER 21, 2000 Permission is hereby granted to: CLEMENT J CHARNEWS 40635 RT 48 SOUTHOLD,NY 11971 for DEMOLITION OF ACCESSORY GARAGE AS APPLIED FOR. _ at premises located at 52180 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 063 Block 0006 Lot No. 008 pursuant to application dated OCTOBER 24, 2000 and approved by the Building Inspector. Fee $ 25 . 80 Author z d Signature ORIGINAL Rev. 2/19/98 DuAnu or UL'ALltl . . . . . . . . . . . . . . . � FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . � `(�e = TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . -�� ' ''�� f SOUTHOLD, N.Y. 11971 DEC TEL: 765-1802 TRUSTEES . . . .. . . . .......... .. .. . NOTIFY g T 1' QF JUi1T1 tiOLJ CALL : 37. )4z�P. . . . . . . Examined..... .. �-0 MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....III...�......, B.... Permit No. .°`�.< ................... . ............. Disapproveda/c .................................. .................................. ..................................... ................ ....(Building.inspec ...... APPLICATION FOR BUILDING PERMIT Date J 1. . ... G7... . . , 20. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 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 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 will issue a Building Permit to the applicant. Such permit shall bekept 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 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 to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ... ...................c.... .. .. ............ _. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build( ................ 0 G!t�� f c 1 .............................---.............................................. Name of owner of premises .. 1�2 AVL-e_V\� .... .G1 Gl :�1--P—��s ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . - ........................................ (Namea6dtitle ofcorporate officer)'. Builder:--LI ens"No. :............. v Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... LLocation of land on which proposed work will be done........................................:..................... .......:....U...................M.l..`.?.................... 6 u..�hvJ-... .: ............... House Number Street Hamlet County Tax Map No. 1000 Section .. ........... Block ................ Lot ...r.J .......... Subdivision ...................................... Filed Map No. ................ Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .........1......C G1`.... `.C.',�........................................ b. Intended use and occupancy ............................................................................. 3. Nature of work (check whidh applicable): New Building , / .... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition .. ......... Other Work .................................. (Description) 4. Estimated Cost .......................... fee ............:................... .............. (to be paid on filing this application) 5. If dwelling, number of dwelling units . Number of dwelling units on each floor ................ Ifgarage, manner of cars .............................. 6. If business, camnercial or mixed occupancy, specify nature and extent of each type of use...................... 7. 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 ...............11..... Nuber of Stories ............. 8. Dimensions of entire new construction: Front ..1.�'/1 ....... Rear ../.�// ..... L/ �L Depth .. ..... Beight ......................... Number of Stories .....�............... 9. Size of lot: Front .................... Rear .................... Depth .................... 10- Date of Purchase ..................... Name of Former Owner ........................................ II. 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 ...0'-- )) .^^:, )) .:.:.......... Will excess fill be removed from premises: YES NO 14. c/.................. (..... .-�'�� Names of Owner of premises l'QL't� Address .�_ ...Z:L.�.......... Phone No 7....... Name of Architect ............................... Address .............................. Phone No. .......,. Name of Contractor .� :f'GM r��f. C C�CiG.G is .. .l�)6. L .. ... '/1 / .. Address .. .. .1.. ... ..Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOLI IUM TOWN MMM- PERMIT MAY BE W!QnRITJ. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frau property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPR VED AS DOTED*ARTMT DATE: k BNOTI Y BUILDING D`e �) F" � �G�i V , l/ e WL C� Gl01�'- 802/J-ANK1O-" V FOLLOWING INSPECTIONS: J 0, ��' C lU S��/ S vv jj�UNDATION TWO REQUIRED �I VPOURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR S.rml, O[ I�Z+1 Ylxut, SS DESIGN OR CONSTRUCTION ERRORS 0"IY Of ....................... a[eVvL'IeR+ �CLr� -•• .................. ........................being duly sworn, deposes and says Lhat be is the applicant (Name of individual signing contract) above named, k lieis the ..C e �.�....... ..V...../S.. �......................... ........... (Contractor, agent, corporate off-icer., etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and b6l.ief; aril Lhat the work will be performed in the m m)er set- forth in the application filed therewith. Sworn to/befor-e_{e,this ... .` -17—:7�``- day f ........20��. Notary Public �..._.. .�1/.�........... .... HELENE D.HORNE (Signature of Appl.i.cant) Notary Public, State of New York No.4.951364 Qualified in Sit;01k County O SURVEY OF PROPERTY AT S 0 UTHOLD �o T 0 WN OF S 0 UTHOLD ` o SUFFOLK COUNTY, NEW YORK 1000-63-06-08 SCALE: I "=40' , =40 OCT. 19, 2000 .t�rJ s� cp d n OL J p�- ZZs AREA= 1. 3268 ACRES o�ti2 G�,O NEW `,,OLS C` `Q` t. METIGF n aPR SQ 5 o� 1 " C�IC.,�ND, 49618 ANY ALTERATIDN DR ADDITION TD THIS SURVEY IS A VIDLATIDN ECDNI, - - S, P_K - ' 69�cj7 DF SECTION 7209 DF THE NEW YDRK STATE EDUCATION LAW. (631) 7 �:.. 5�20A96,aJ� + C631� 765-1797 S EXCEPT AS PER SECTION 7209-SUBDIVISIDN 2. ALL CERTIFICATIONS P. D. BDlsT S ■ =MONUMENT �:` HEREON ARE VALID FDR THIS MAP AND COPIES THEREDF DNLY IF 1230 TRAY �� T • =PIPE SAID MAP OR CDPIES BEAR THE IMPRESSED SEAL DF THE SURVEYDR SDUTHDLD, N.Y, 119 WHDSE SIGNATURE APPEARS HEREDN, 71 FOO - 20 TOWN OF SOUTHOLD PROPERTY RECORD CARD )WNER STREET VILLAGE DIST. SUB. LOT E'{�'1®M 1 i�-%i.-c�c./� '��f-i�rr,-'+.�/ ,•C: G•w''.e:..a._...,...r„r,.;,c....` ,� -ORMER OWNER N E ACR. S /W y� TYPE OF BUILDING :S.,ZM SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS (tea oL12 6"'0 ��-•-..-...�..<�._ ,-,U <;�"`'Gc_ 0 0 a6 0 - �2, o 0 i 7' 0 0o UD 3D z & ,. 0 Flo o - l 7;410 G. L) AGE BUILDING CONDITION JEW NORMAL BELOW ABOVE 'ARM Acre Value Per Value Acre liable 1 liable 2 liable 3 oodland rampl,and . FRONTAGE ON WATER ushlond FRONTAGE ON ROAD ��p e x a '�= r� ♦o D o /o o d )use Plot DEPTH !p oy BULKHEAD )tal DOCK ■■■■■■■ NWHIM■!II■■M■■M■M■M■■■■ - ■■■■■ ■�I�I■II�1�■■■■■■■■■■■■■ loomME so I EMS NONE MEN ■� r:��r� i��■■■■■■■■■■■■ } 00 MEN 111■INEM Md'iRRUMM■M■■■M■■ ; r ■■■■■■■ 11■I■■■■!'!■■■■■■■■■■■■ -. --- = ■■■■■■■ I■Mf■■■■l�5MM■■M■■■■■■ -- . ■■■■■■■ ■MOON■■■■■■■■■■■■■ ■ ■O■■■■MMM■■■MOMlMO■!M I Interior Finish' Rooms Ist Floor ooms 2nd Floor • _ o