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Home My WebLink About25526-Z �,�oe souryo TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING KFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE I , DATE �� B '" INSPECTOR 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. 25526 Z Date FEBRUARY 9, 1999 Permission is hereby granted to: MARY REVOCABLE MARKEL 406 WILLET AVE NAPLES, 34108 for CONSTRUCTION OF A DECK ADDITION "AS BUILT" AND APPLIED FOR. at premises located at 1265 BRIGANTINE DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0004 Lot No. 054 pursuant to application dated JANUARY 11 99 and approved by the Building Inspector. Fee $ 75 . 00 LAUtT VoT n- or zed Signature DEc,K RErnourio. COPY Rev. 2/19/98 W F-- V_ W=ay! c� It . � a � �_� SURVEY OF PROPERTY t a Wiz AT BAYVIEW O.. C�JO � Ixt v Wo0 TOWN OF SOUTHOLD ti vs _ d � ,Ills ° $ s ,o, a _ , o I gg W z a W o SUFFOLK COUNTY, NE W YORK 464 „ � �iCac _ LLm J2rOu� $ c7Qia <►- Woo 1000-79-04-54 SCALE: 1•' 30' \ JANUARY 25, 1999 cY. ry 3= lg St fr. hse. 0 ,, ND_ e.p' OF.0 K p/o£ !,2r ADDIfIOhI c3•w asphaltc driveway of o z 2 "o :oDuie scone 72 �• •n o e a y �� • = PIPS 40 W LOT NUAWAS REPSR TO YAP Of "HARBOR LIGHTS SSTATSS". N SSC77ON 8 PILED IN THS SUPPOLE �D a COUNTY CLERE•S OPTICS ON AUGUST ?p6 3O, �� 7. JIM AS. PILE NO. 6147. QQ c _ CERTIFY T0: CHRIS R.KLIMIMKCKO KAREN �AtEOf NfK� / EC O S o�N f.MfTrQ G,j, ISA' AREA = 20,663 sq. ft. 4I4Y AL TERATIGR OR ADDITION TO THIS SURVEYIS A '✓i OLATION PECONIC J CYC I�- --� OF SECTION 710 OF THE Nfw YOkr% STATE EDUCATION LAw 1ANp SV I EXCEPT AS PEF SECTION 7209-SUBDIVISION 1 ALL CERTIFICATIONS (516) 765 - 5020 R ) X599 I i HEREON ARE VATIC FOR THIS MAP AND COPIES THEREOF ONLY IF F 0. BOX 909 SAID MAP OR C,,,-PIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET I WHOSE SIGNATVPE APPEARS HEREON SOUTHOLD, N. Y 11971 99 — 10 "�',w4v GF SOUTHOLD _� i JAN I I ISM BOARD OF HEALTH . .. .. . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS BLDG.DEPT. TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . .. . . . . . . . . . . TOWN OF SOUTHOLD BUILDING DEPARTMENT CHECK . . . . . . . . . .. . . . . .... . . . . . TOWN HALL SEPTIC FORM . . . ... SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOT1A .- L to CA qqs_ l3u1� Examined..... .......-, 19��p� ) r6/,. . . .. . Approved.....2.:P......., 19.!.! Permit tib. ..?.............. .................................... Disapproveda/c ....................... .. .................................... ...................................... ............... .. • ...... (BuildingInspector) PLICATION FOR BUILDING PERMIT //// /// Date. . .! / . . . . . . . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector Witt 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 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 H=ff MW to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tawe 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, ung code, and regulations, and to admit authorized inspectors on premises and in buildi for in liens. .. .. CO— ....... ......... yt..�. . ..... (Si a of applicant, or nature, if ace .•ation) ..1.�,/.. .... .. ............. '(Mailing address of applicant) State whether appli t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................. ....... ............................................................................. ............................ Name of owner of premises .. ....... .. ....... i .............. ( the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land onwhich work will be done........................................ ..................... .... .4. 5................ ... ... ..... A. ..................... ................................. House Number treet Hamlet County Tax Map 4b. 1000 Sect. ..... ...�...... Block ....�........ Lot .. f�.......... Filed No. Subdivision .. Map ............... lot .....,,1.. ..... (Name) 2. State existing use and occupancy of premises and in ended use and occupancy of proposed construction: a. Existing use and occupancy ........ b. Intended use and occupancy ...... . ........ .:: .............. ....... ........ 17 3. Nature of work (check Which applicable): New Building ...... AdditionA :.. Alteration Repair ............ Removal ........... Demolition ............ Other Work ..................1: ..,. ..`.. :. (Description) 4. Estimated Cost .... fee .................. j (to be paid on filing this application) 5. If dwelling, amber of dwelling units ... (.... Luber of dwelling units on each floor ................ If garage, amber of cars ...... J.— ... 6. If business, camuercial or mixed occupancy, speci nature //and extent of each type of use......... . > �^ 7. Dimensions of existing structures, if any: Front...d.` �Y...... Rear ............... .l .... Depth .. ...... Height ......................... Number of Stories .................... Dimensions of sere structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... 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 ..... .........Will excess fill be removed from premises: YES 14. Names of Owner of premises ........................... Address .............................. Phone No. .............. Name of Architect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address ............. .............Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO *IF YES, SQTMD MM TREES PERMIT HAY BE RFi4JIRED. 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 amber or description according to deed, and show street names and indicate whether interior or corner lot. rh ' �Q S.rA1T OR NU YORK, SS 00W1Y OF ..,.L...................... C .rFU ....................being duly , sworn deposes and says that he is the applicant (Name of individual signing contract) above named, Ile is the ....... ..� G • ........ ' ........................................................ (Contractor,•agent, corporateofficer, 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 ....l� ........day of ...... ..19.7 .. Notary Public GC��i/..,7 .. JGZ .. .. ..... .. . ..... .. ............ LINDA F.KOWALSKI (Si of Applicant) Notary Public,State of New York No.62.4524771 Qualified in Suffolk County Commission Expires Nov.30,16_ F zo's �.!3"�{ 16'2 isrs SO �D