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Home My WebLink About16917-z ~0~ NO. ~ TOWN OF SOUTHOLD EUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. 169~? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPL~ON OF THE WORK ^UT. OR,ZED) Z Dote .... .~..~ ............................... Permission is hereby granted to: ~ -- ...~....~ .................................................. ,o ................ .... ~. ........ ~ ......... ~ ........... ..:..; ........ ~ ............................................................ at premises located at ..... ,~..~.~..~.,....;...~.;....~ .............................................................. ............................................ ............................................................... County Tax Mop No. 1000 Section ..... .Z.~....~.. ........ Block ........... .~.. ......Lot No .............. ~ ..... pursuant to application dated .............. .~./...../.~.. ........................... , ~L9....~.~., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ......................... 19. ~o~.( _~~....~...~..:~ ~ ~¢~ > / Location of ~operty ~ ~~ County Tax Map No. I000 Section .... ~ ~ ..... Block ....... ~ ..... ~t ..... ~ ....... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds.. ~.¢....~.~..-. ~....~...:. ~ . .¢~......~..:. ~..~... ~. ~...~..'./..~......~~... ~. ~ ~ ,..~¢~ ~ ~, ~. ~z ..... ~.~..:.~..~.~.~~ ~~..~.~..~.~...~.~::~ .... - , .. RV 1/80 DUNDATION (2nd) 3UGH FRAME & .PLUMBING ISULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: !i \i 161988 ilH T(iW:" Ok SOUTItO[D Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH--.~..- ~FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM .............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 ~?f ,5'/3~ TEL.: 765-1802 CALL ............... MAIL TO: 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 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, houskng code, and regulations, and to admit authorized inspectors on premises and in building for necessary.~. ~).inspecti°t~s'-~..I.l.~..l~.~ ~..0..~..~.~.l~...~...~ ?...L~. .... (Signature of applicant, or name, if a corporation) ....... iM'~iJng adfiie's; ;~ applicant) ..... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, mectrician, pFfimber or builder. ............... ............................................... Name of owner of premisesr~..A~/I J~>. . ~.t~.i~12:{ ............................................ (as on the tax roll or latest deed) ~plicN~iscrpo~t' ion, signature of duiy authorized officer. (N~me and title o ctl~orate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber s License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done..~. ~?.~.~.....~.~./~,-. ~).~ '2 ..................... .... .,rm..x, ...................................................................... House Number Street Hamlet County Tax Map No. 1000 Section .... /~.~ ......... Block ......... ~_O ....... Lot ..... '~. ........... Subdivision ..................................... Filed Map No. . .............. Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ ~..~t~.~.~/~..~. .......................................... t/ b. Intended use and occnpancy .................................................................... 3. Naturdof work (check which applicable): New Buildg~g... :,..' ..... Addition .......... Alteration .......... Repair .............. Remgval .............. Demolition .............. Other Work .t~J .I,~. ' ~ ~ (Description) __ 4. Estimated Cost., ?..~. $ ~.O.O..:'T ....................... Fee ...................................... i ~' (to be paid on filing this application) 5 If dwelling ' ' ' Number of dwelling units on each floor · , number of dwelhng 9mrs ............... , ............... If garage, number of cars ..... i .................... i ......................... F~ ................... 6. If business, commercial or'mixed occupancy, specify nature and extent of each type of use ~.~,~:~.'~ f'gdkt:'h~ .~.. 7.Dimensions of existing structure~, if~ any: Front. ~1~...~ ~2AJ."~t~r,~ .............. Depth ............... Height ..... ~.r. ..... Number'of Stories ..... ~./; ........ ~ ................................ Dimensions of same structure " ' ' ' w~th alteratmns or addmons: Front ............. Rear ' , Deptl~ ., ~/,~ ............... ~.. Hmght ...................... Number of Stories ...................... - 8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth .............. '% ,Height, ,...~.; ...... Number of Stories .......... r-,-..; ....................................... 9. Size~of. lot:,'Fi'ont'.. ~..C[~,,.~ .......... Rear ..... .~..~.'..~ .~... Depth ~ ~1 ' ' 10.' D~e:0fPurehase .... ~.~ [ .~ ~i.t ~o ............. Name of Former 6~v;;;'~.l.~-¢,. 1 I. Zone or use district in which premises are situated .......................... t.~i ......................... 12. Does proposed construction violgte any zoning law, ordinance or regulation: ..... .~f .O. ....................... 13. Will lot be regr~ded ..... ~-~./~)O. · ~ ..... ,._ ....... Will ex,ss_fill be ramoy~ed, from premises: 14. Name of Owner of premise~l~).t~0.t0..~10.~.% Address ~-~ .~..(I/[ .~, .[~.t~q-Phone No. ~..~.~..~..'J.~..~.... Name of Architect .................. '" Address ............... Phone No..G.q[~...~'. I. '~.... Name of Contractor ......... ! ................. Address .... : ............. .: Dhone No ................ 15. Is this property located ~ithin 300 feet of a tidal wetland? ~Yes .~.. No ..... · If yes, Southold Town Truitees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all property lines. Give street and block interior or corner lot. ibuildings, whether existing or proposed, and~ indicate all set-back dimensions from umber or description according to deed, and show street names and]ndicate whether STA,,~OF I~W Y of individual sign[~c'oh~iio't 3 .......... above named. being duly sworn, deposes and says that he is the applicant He is the (Contractor, agent, corporate officer, etc.) of said owner or owners and is duly!authorized to perform or have performed the said work arid to mal/e'and file this application; that all statements contaified in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this .............. '..~. ....... day of i ......... 19... .... ....... ounT ~£L~ ~. I)£ ~£ " of appl~ca~'t), ,, NOTARY PUBLIC, State d Ne~ York ~, 47078'i8, SuCre k Term Expires Memh FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date March 17, ..... .......................... ,19 88 To David Rosenberg (Old Mill Inn of Mattituck) P.O. Box 998 Mattituck, New York ~952 - -- March 29 88 PLEASE TAKE NOTICE that your application aa~e~ R'e'd ~ i¥'~ d ...._ ~ 6 i's' ' d ~ 'f'i'c' ~ 3'/f 6 ? 8 8 ) for permit to c p.n.s.q .r .u.c.t..a..n..O.i.S..B.u.r.n..e.r..e..n C.~.o.~ ~.r.e ....................... at LocationofProperty 5765 Mill Road Mattituck County Tax Map No. 1000 Section 10 6 Block 6 .. Lot 3 Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the ~llowing grounds .... ~.~ ~ ~?..~ ~ 7~..P. 7 ........ Under New York State Education Law Sections 7202, 7208, 7302, 7307 requires the seal and signature of a ,licensed architect or a licensed professional engineer for all'plans and specifications filed for building permits for all non-residential structures. RV 1/80 TOWN Or SOUTHOLO J NOTE: I:MONUMENT , Od' ~' SURVEY FOR WILLIAM BOSCOLA JR. & DOROTHY A. BOSCOLA AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE , dANUARY 3,1985 SCALE: I" = 40' 4 - I078 YOUNG YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S.LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE NO. 45893 400 O.$TRANDER AvENuE RIVERHEAD, NEW YORK