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Home My WebLink About6499-Z FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6499 Z Permission is hereby granted to: T n:L~a~ ..~].q~;~.~...k~.¢......~ ~Z.g......~T~..~;...~.~...~ ~.~ g r, s ......... .b~.~2,....~.J~dle...Co~rLt~...~t ................. .............. :~ ~;k¢~q ....... .!..1. 2..8.~ ................................ ~o ..... ~..u.~..~L ...n..e.~....°...n..e....?..a..~!~7....Cw...e..:..~. ~?~.g. ................................................................................. at premises located at .....],g..t...~,.~. ....... .;.~...u~.....s..e...~....~:~..o..~...l=.s.....Z..;. ........................................................... ~tanley koad l~atL.Lta~k ,,.~. pursuant to application dated ................. ~,Dr.~,l.....'].~ ................. , 19.~.,~..., and approved by the Building Inspector. Fee $....~.?.~,0. ......... Building Inspec~6r APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: Date~ 1-Applicant Fzanl<lin W. B R I G G S Phone 325-1817 6-Sub div Sunset Knells Address ~ll ~.~k ~'~'~mm~; N.Y. ]~ 7-Section 2 2-Detailed property lo6ation ~'~nnl.!, Rnmd 8-Lot No. ~5 Hamlet ~!~rr?rflrM To~m qnliv~nl n 9-Private well? 3-~blic ~ter supply name Cmptmin Kidd Distance to nearest ~in 4-Lot Size: Widthlll.~. Lengthl~O ft. (also enter on center plot plan below:) 5-~elling: Singl~ Family ~X~ Two Family? ~ /Cellar? ~X/~lab? ~ fCrawl S~ce? / / lO-Pro~s~ system. Septic tank ~ /Precast y /Cess~ols ~Shallow ~ols / /Other / 11-Septic ~ inside dimensions. Vol~$OO~als. Length ft. Widt~ft. Liquid depth 12-Precast sections: / yNumber/ /Sq~re Ft. Cess~ols: BloQk sizeL incs. D .~s.H ins. Total blocks below i~et.- ~1 ~ ~2 ~3 ~ ~~ ~T P~N Capacity Gals. G.P.M. Street STANL£Y ROAD ?th Data Feet 0 2 6 8 10 12 18 m Indi No The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems". Date 13 Ap=il 1973 Signed ZNLANn Owner or Builder FOR HEAT,TB DEPART~qNTUSE ONT.,Y,. Based' 'on'the inform, tion pre~e~ted h~re~t~,'"tlt, '~n 'the RO D NOTE: · = MONUMENT S UBD I VISION MAP FII ED IN THE OF~ APR. 9~ 1970 AS FIL~N~ ~44~. Lot ~0000s"' AreO~ ~ Lot Lot ~'~ REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: INLAND HOMES, INC. LOT NO. 25;' SUNSET KNOLLS,SEC~.~.~' .~ . .. ~//~ ~ [ 8~UTHOLD 8AVIN~ ~~ m SOUTHOLD ~ x.~.. .... N.Y. _.~ . . _'.,., '~ . '~--- Approved ........................................ , FOCal NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C:LERK'$ OFFICE SOUTHOLD, N. Y. ...... Application No ..... ~...~..~.~. ............... APPLICATION FOR BUILDING PERMIT Dote 13 AptS.1 19 73 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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 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 applicabie Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removai or demolition, as herein described. The applicant agrees to comply with all applicable laws, · ' ~nances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. INLAND HI:Ifil:S, INC./K.W, Thu~ber (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ENERAL. CONTRACTOR Fz~nk.tJ.n W. BRIrmGS Name of owner of premises ................................................................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and flue of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No ......... ?..e..e....S..u...~...e.?.. ................ Lot No. 25 $~lLl. e¥ Raeda Surmerl; KnollJ~ HATTITUCKa N.Y. ' Street and Number ........................................................................................................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... gna (1) FamL.I,¥ Owel.l~ b. Intended use and occupancy .................................................................................................................................. 3. Nature of work (check which applicable): New Building ......N.I~.~. ............ Add tion ............... Alteration..: ............ Repair Removal Demolition ........................ Other Work ................................ .... ......................... · ........................ (Description) 4, Estimated Cost $23,000°00 Fee ....7...~..:..~ ..0. ............................................................................. .............................................. (~o be paid on filing this application) 5. If dwelling, number of dwelling units ...... .1, ......... Number of dwelling units on each floor ......................................... If garage, number of cars ....... .2....C.~R~g.e, ............................................................................................................. 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 ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Height ......................................... Number of Stories ........................................ Depth ..................... 61s - ~,e "'h-th 40,8~ 8. Dimensions of ent re new construction: Front .........................t~ear ............................ ~p ...................... 18~ Hei ht Number of Stories_..~ .................................................................................... g .......................... '~'¥ ~:'~'~'i' ..... _ 111,11 r~,,.~ 180.DO~ ..... 9. Stze of lot: Front ...................................... near ............ · ................................ 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----Y''?~' ........................ Will excess fiil be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ......... .l....I)I~....N..D....H..q~...E..S.~....I.N...C.~ ...... .S..E,..1~...E..~.i~.. ~.E. ~..~ .1~ ............ 7.~.Z ."'~J,?.? .......................... XJ~JLANJ] .J:]~[Sa XNC. SF"{~,~r:S'~F'W YORK ?3~.~2(J~ne No.) Name of Architect i~'~J;~'~i ....... iJ~[~'J'~"~'~) ......... INLAND HONES, INC. 5EL.DEN~ NE1/ YORK ?32-217T of Contractor ................................ Name .................................. (Phon~'~;i ............... (Address) 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 number or description according to deed, and show street names and indicate wheth- er interior or corner lot. 5T'/:I ~t~ N III.IIs STATE OF NEW YORK, ) SUFFOLK COUNTY OF ......................................................) K~'NN~I~J ~/. THURJ]E:R~ VoP. being duly sworn, deposes and says that he is the applicant above named. (/Va/ne of individual si~zing contract ) He is the .............. ~.~.~.--~~ .......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~rform or have performed the said work and to make and file this application; that all ;tatements 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 therew;th. ......................................Notary Public, day of .................................................. County19 ............. -..~/~:~ ..................... ..................................................................... (Signature of applicant) APPROVED AS NOTED 't.~ltF¥ BUILDING ~EPARTgENT AT ,~ ~R START, ,F~dNG ~i~ ~______COVERING pIP~LINE, · I~L-WHE~ JOB COMPLETED,~ L