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HomeMy WebLinkAbout27499-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) P~R~IT NO~ 271499 Z Date AUGUST 31, 2001 Permission is hereby ~ranted to: ! ~ TI~OTHY_MUELLE% ~ 51% WES~ 2~TE S~ 2ND FLR | NEW YORK,NY 10011 for : CONVERSION OF SCREENER PORCH TO UNHEATED SUNPORCH AS APPLIED FOR at premises located at 285 County T~-x Map No. 473889 Section 033 pursuant to application dated APRIL Building InspecTor. MIDDLETON RD GREENPORT Block 0005 Lot No. 020 18, 2001 and approved by the Fee $ 75.00 Rev. 2/19/98 ORIGINAL Disapprcroed FORM NO. l TOWN OF SOUTHOLD BU ~LDING DEPARTMENT ~OWN HALl, SOUTHOLD, N.Y. ] ]97 ] TEL: 765--I 802 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS - a. This applicatio~ m~ 3 sets of plans, accurate b. Plot plan .s~,rg 1¢ streets or areas, and g~vlng this appllcat fun. d. Upan approval of thJ permit shall be lmpt on the I e. No building shall ~t be ~mupletely filled in by typewriter or in ink and .submitted to the Building ~nspector ~ plan to scal~. Fee according Ko schedule. mtio~ of lot~and of b~ildings.~ pi~ses; relaticaship to adjoining pranises or public ~ detailed description of lay0cWc of property ~st be drawn on .the diagram ~hlch is part o ~ais application may not be ccrmmnced before issuance of Building Permit. s application, the Building Imspector wiil issue a Ikdlding Permit to the applicant. remises available for inspection throoglx~at the work. occupied or used in ~aole or in part for any purpose ~aatever antil a Certificate of 6ted by the Building Inspector. .' ~.ICATIf~ IS t~Y ~ to the Building l~t~nt for the isstmrme of a Building Permit pursuant to the Bui'lding Zrme .Ord/~nc_ e o£ ~ Toan of 8onthold, ,,S~.,folk County, l~w ¥,o~1~; and other applicable L,~rs? Ordinances' or Regulatic~s, for' the constn~qtiou of.txlildlngs, additio~ or alterations, or for remm~ or demolition, as herein descrl _1~,'.', The apphcast :' . ' agrees, to c~mlply wlth all applicable 1--, ordinascea, lxdlding c~l,:e, housing c0de, and::.: ! .i:~~'"'~-~ ~----~- L....~ [! ~ ' (Signature of appllcast, or uaue, if a corporation) ..?,, .~z~.. j.~.~.; .s..o!~.o. ~ .~. ,.~., X... !t..~]! ........ (Mmiling address of applicmut) State whether applicant is ~ ...... ~c~4.T..../..r?~..~, Name of ol~ner of ~ses ... If applicast is a corporatio~ (Na~e and title of ~orporat~ Builders License No .... Plu~ers License No .... Electricians Liomse No. Other Trade's License Location of land on ~hi~ ...... :Z. ............. Banse N~uber County Tax [tap NO. I000 mr, lessee, agent, architect, engineer, general contractor, electrician, pluuber or Nail .TC.t.~...qT..~...~. ..... .~.~ :c. ;..w~...~.:... .................................................. (as on the tax roll or latest deed) signature of duly authorized officer. officer) ...~..~..~..~. ............ , proposed work will be done ............................................................. ~.~ ~p..~.T.o..~.... g..o.~...~. ......... ~ .......... . .~. ~?.?.~.¥. ............................. Street lt~ulet Section ....~..~.. ........ Block ...(P..~. ......... LOt ....~..~.. ......... ............. ~o~-a~ o~ Subdivision '.bO..A.~....~.~... ~.b..~..~.t...~.. Filed Map No ................ Lot ................. State .existing use and oCcupancy of pr~nises and intended u~e and occupancy of proposed comstr~tio~: a. 'Existing use and occupancy .~. !~.C~....?emi.or....f~..~. j...~..... F....S~. ~...~ ....................... .,-OS; .8 ~6 ~.~x~ {0. Il. 13, 15. I~[~ir ............ ~al ............. l~liti~ ............ Od~r l~rk ~ .~..~ ~ ...... ~ (~ri pti~) Est h~t~ ~st ......................... f~ (to ~ ~id on filing tliis a~li~ti~) If ~l'li~, m~l~r of ~lling onits ............ l~r of ~lling ~mits ~ ead~ fl~r ................ If garage, g~m~r of ~r8 If I~si~mss, ~rcial or mi~ ~, s~i~ ~ture ~ ~tent of ead~ Uh,~nsi~s or ~isti~ statures, ir ~ny: ~t..~ ........... ~ar .~.'. ......... ~tl, ..~'. .......... I~i~t ...... ~ ................. ~r of Stories ...I ................... Dinmnsi~ of ~m stature with alterati~ or ~i~ions: Front .... .q~.. ~ar .,.~ ......... ' ".....~ ...... ~ ..... l~ij~t '~ r .............. ,Mpt ..................... ~i~r of Stories ~ Di,~si~m of entire ~ ~sc~tion: l~t ~.~ ....... [~ar ~f~ .... ~pth I~i~t . .~(~ ............ ~r of Stories .~ ........ s~ or ~ot: ~ ...~ ............ ~ ..~..~ ........... m~,, ..z6~'. ............ Ihte of ~rd~a~ ~..~ ..... ~ of Fn~r ~r .... ~...~~ ................ ~ or ~ district in ~i~ pr~ni~s a~ s~t~ .............................................................. ~s pro~ ~mt~ti~ violate ~y ~ing 1~, o~i~me or re,latin: .~. .................. Will lot ~ ~r~ .~ .............. ~ill ~e~ fill ~ r~ ~ M~i~s: ~ or ~ o~ ~.~MY. ~.~ ........ ~ .............................. ~ m ............. ~ ~ -o ~ '- ~ ' Po ~)~7~.,. ~'~.. n~ ~.7~:/~.. ~ o~ c¢,~o~ ~..6~k...(~.~~ ~.¢~ ............................... ~ ~ ............ Is this ~rt~ ~idd. ~ let o~ a ti&t ~[lCt * ~ .......... B ..~ .... PI.fir DIAGRAH l~cate dearly and distinctly all L~ildings, ~etlmr existing or proposed, and indicate all set-bnck dir~ensions property lines. Give street ~ block r~t~er or description according to deed, and sl~ street na~s aa] indicate M~etber in~erior or corner lot. ,S'1'^'11'.' OF Fi'.M SS (.Z JUN IY (X" ....................... ..... ~.. ............................. ~i,,~ d.~y ~,m, ~ e{ i~lividtml signJufl c(~Lract) ~,, ¢,. ....... ~ ................................................................................. (~Cractor, agent, cor~raEe officer, etc.) said (~r or ~rs. n~l is duly ~thori~d ~o I~rro~m or I~e t~rfnn~d tl~ aid ~[ a~l to ~.~e a~l file Ihis application; Llml: all s[ata~n~s ea~tai~d in this ~l~l. ie~[ial are tn~ tha~ the ~)rk ~itl 1~ ~rfon~l in tl~ n~.~r ~t fortli in the ~l~tie~tlon [Hd tint. ifiL