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Home My WebLink About18926-Z rOlBa[ N0. f 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) 0 N_ 18 9 2 6 2 Date I9.~.o Permission is hereby granted to: T _ , .......1,~?t... R~nww~J at premises located at.y.,./1!J~.~~. ~:+.e?1.~:::?....,IriX,~.:..~°..:+,~.,~.~?~(r.....~:.. G .....~,,9...~-~.....1...~.~.~~.~ . County Tox Map No. 1000 Section ........Aara..3.. Block Lot No.......~..Y......... pursuont to application doted 19.~.Q.., and approved by the Building Inspector. Fee $.«.67 / ..r~~P.! ..........fdst f B ding Inspector ~ 4 Rev. 6/30/80 roast xo. s 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) N~ 16 8 8 G Z Date 7'../3 198 Permission is hereby granted to: ~~~.....o~Q~s~ ~~.-2. z.. ,~..~......~~~.f ro ibcc4Cr~....2....~~ .......~.K.. ........4~A.~'~G•K~Y.~.~...... ct premises located ot ..l~~J~...~./~~.~Gllt~~......~'.w..N-'••~•3JrJ, ..........................................~~r~~/.a............................................................................. . County Tox Mop No. 1000 Section Block Lot No ..............,f........ pursuant to opplicotion dated ......3.~~ ~ 19.85 and approved by the Building Inspector. Fee i.~!7.~°. ~ Bui..... i.l~i nspect Rev. 6/30/80 y ~i~n... q .,v:KMe.NT.^, ~ ~ ~ y1~ ~ - ~ ~ -0 y ~UtJDATION (1st) ' c ~ t~i~ ~UNDATIOtJ (2nd) m r r OG{~ )UGH FRAME & .PLUMBING ;SULATIOPI PER N. Y. y~~ STATE ENERGY CODE x 5 -r r' M H FI;JAL II c,~ I A??ITTOtlAL COMMEAJTS: s ` ~ d ~ ~ x H ~ 9 H lZJ f~ a OCf a ~l y s o c7 i ro ~ ,D ~ H _ a FORM NO. 1 3/~-~ D ~ TOWN OF SOUTHOLD E~. MENT r~ BUILDING DEPART t i 'I TOWN HALL P. --~`-J EOUTHOLD, N.Y. 11971 f _ rrv<<rr c~F ~c,~-vote ± TEL.: 765-1802 Examined./?~.•••••~~••,19~~ Received...........,19... Approved . ~ • • • • ~ ~ 19 b.~Pennit No~6~~6. ~ ~ 71 8 a6y i97s Disa roved a/c . PP fi~,~ ..................-,~t........... i (Buildi .Inspector) APPLICATION FOR BUILDING PERMIT Date i'ul}"Oh. 2Rth...., 11~8Q 1 - - INSTRUCTIONS ~ ~ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 appli- - cation. 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 issued 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 HEREBY MADE to the Building Depaztment 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 ncgulatiuns, fur iiie cuustrucliun of UIL1l1Llg5, auuiiiuus ur aileraiiuna, ur for remuvai ur demou~ s e em descriued. The applicant agrees to comply with all applicable laws, ordinances, buildi e, o ~ g ewe, and reg ations, and to admit authorized inspectors on premises and in building for necessary ins ctions ig tu`~? ant, or name corporation) - street, L.I. City New York"iii05 ~~~~~~~~(mailing~address"of"applicant)"~~~~~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER Name of owner of premises ..I)ltAl.trlos.$art4yla7iriie~•~~~~~~~~••~••••~~••~~~~•~••••••~•••••••••••••~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. i (Name and title of corporate officer) Builder's License No . i 2 Plumber's License No. ' Z Electrician's License No.• . r _ r ~ j Other Trade's License No . ~ 185 ~S-S- ! 1. Location of land on which proposed work will he done. .Kerwin • Blvd .axtd..Bayshor• a •-road; • • • • • • • • • • • - Arshamomaque Southold. House Number Street Hamlet County Tax Map No. 1000 Section O53 .Block 3............ Lot .6 . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: r a. Existing use and occupancy ..VACANT LAND , , , • , • , , . , • , b. Intended use and occupancy , •ONE, rAI~1ILY •DWEL,i~zjJG.... , • • , • , , , , , , , • , • • • • • • , , . , I 3. Nature of work (check which applicable): New Building ..YES..... Addition Alteration • . Repair Removal , Demolition ..............Other Work . (Description) Y 15O,OOO,UO Fee 4. Estimated Cost (to be paid on filing this application) 5. If dwelling, number of dwellin unit .ONE Number of dwelling units on each floor . . If garage, number of cazs ~W~ . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front Rear Depth . Height ....:..........NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front Rear . Depth ......................Height 6~9' ~ 00 Number pi;,Stories i ...11 . 8. Dimensions of entire new construction: Front . Rear . 56. ~ , , . , .Depth .42.00....... . v~i~ t ~ ~T,,.,,r, TWO 2)~ ..~3.00.........._.._~er of Stories . 9. Size of lot: Front.`~Qta1.621!Q9"...... Rear.Tatal...7.2O"Q5."..... Depth ..472!~I6!'............ 10. Date of Purchase .k'ebraary. 28th,1.986.. • • . • Nam@ of Former Owner William, Oe~g~~g1m......... 11. Zone or use district in which premises are situated ,12esi~ential , , , , ; NO , , , , , , , , , , , , , , , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: ' 13. Will lot be regraded .IF..NECESSARY Will excess fill be removed from premises: Yes 14. Name of Owner of premises D. Sariyiannis .....Address 2.... 2 •2~• ~tiI1O ~ phone No (718}:. 2Ot),].!i77'i Name of Architect .Ir~Wr.4nCe. Tuthil......... Address .~r . r. r......5. Phone No . Name of Contractor ..........................Address .p?nAy, ,Lumber ,phone No477..0400...... . 15. Is this property located within i•00 feet of a tidal wetland? Yes No * If yes, Southold Town Trustees Permit may be required. PLOT D[AGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. " AS PER ATTACHED PLAN3 " P_EF `t t- STATE OF "1E:'r` YCRK, S.S COUNTY OF . .Dimxtri0a..Sariyi.anni.s being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...Owner of the above. mentiomed property , _ _ • _ . , • , , , , , , , , , , , , , , , (Contractor, agent, corporate officer, 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 belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..............28th, /.,.,..day of ..nMarc//h//............., 1988. Notary Public, • ~ !~-'~lJL`.~..... County , .....Pp....j HELEN K. DE YOE < ' afore of a licant NOTARI' PUBLIC, Stns of Ner YorM No. !7018)8, Sulfotk CouMrA Term E~oires Maeh 30,1