HomeMy WebLinkAbout24446-Z FORM NO.3 D
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOMIN HALL
SOUTHOLD,N.Y. � I
BUILDING PERMIT I\VI V
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
OCTOBER 29 97
Date.............................................................. 19...
24446 ........
Z
Permission Is hereby granted to:
JOSEPH F MCILVAIN
..........................................................................................
330 ORIOLE DRIVE
..........................................................................
SOUTHOLD,NY 11971
.......................................I.....,..........................................
to ...,.,CONSTUCT A TWO STORY DECK/PORCH ADDITION ON THE REAR OF A
....,. ..............................................................................................................
SINGLE FAMILY DWELLING AS APPLIED FOR
......................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
at premises located at....................330 ORIOLE DR SOUTHOLD
................................... ..................
................................................................................................................................................................
County Tax Map No. ...... 73889 Section ....055 Block ......0006 Lot No. „015.012
pursuant to application dated .................
SEPTEMBER....1.9 19.......97..., and approved by the
.... . .. . ..
Building Inspector.
7
Fee$............5.00
.............
.... . .. ........... ...............................
Bulldin Spector
Rev. 6/30/80
I' l 1,1.11 111'i l'1_ I I llll�ili,`�1•DWI'
r
FIIIIIIIIAT11111 ( I!rrl
I`Ut1r1uA T 1011 (DID) �1
r. ... rr•r.n nwn----n wr..rnn..rw--- 1 ....+......�.—Tn.-..r..nr....r+'+,+•-.+.�w.+....ws...n:��n-..nn.•..rn.,..-rnn
Illllil;ll It llAlil:
1x1.111111 I NO --
-----------n------------- - r.nnw n'--r.-----,--- ------------- ---- -------- -----------
1 �l
1 tl!11►I./i'1'I tlli I'I!il It. Y • '
I:1111 B
-.+. ----r,.---.------------n nn..,r..-- .,n ,r..rn.wr.r...--------------------.w--------------n---,r.---n 11
�i
1'I IIAI. -
.n.. -–––––- ----..--- ---------. --------.-----.......---. -----.-------- --------..
Al'1' 1.
-
-- -- -- ltli;lt--l
�I 1
u
�J
-• 1
BOARD OF HEALTH . .. . . . . . . . . . . . .
r- f"f��' FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOI,D SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . .. . . . . . . . . . . . . . . . . . . . . .
��� 9 I9�� TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971 .3 •�
TEL: 765-1802 NOTIFY;
mo� CALL . . . . . . iExamined. , 19.... MAIL TO:- 1:'.^.":V�.Ywed. , 19.... Peanut -•• 3 3.Q.� t!al .tJ.��k............
Disapproved a/c ............ ............. .. �fih61�. !:. f.�.........
....................................... ......
(Building Inspector)
AP ICATION FOR BUILDING PERMIT
.Date. . . . .L.�� 1.�. . . . , 197
INSTRUCTIONS
a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit
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 gray 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 MATE 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, housing code, and
regulations, and to admit authorized inspectors on premises and in building for necessary inspe
ctions.
.... ..................
(Si
• tore of applicant, or name, if a corporation)
' (Mailing address of applicant)
State whether applicantp is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder_
..............Q;�li ............ .................................................................................
Name of owner of premises .... ..e h.�I)SIl�tl?�!...........................................................
(as on 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. Iocation of land on which proposed work will be done.........................................................
......�.3d.....QAP)g..�t�ve......s*NO..k.l.... .................................................
House Number Street Hamlet
CormTax No. tion ................ Block ...... Lot .......... .....
County Map
Subdivision ...�J). )r-)T .Men dnw,;....... Filed Map No. .�.!J I....... Lot ..�...........
P j....
2. State existing use and occupancy of premises anq intended iuse and occupancy of proposed construction:
1, �p
a. Existing use and occupancy ...... ef
�Y.�L�. .... ..............................................
p
b. Intended use and occupancy ......C\ ..�Q!✓ ....................................................
3. N•hture of work (check which applicable): New Building .......... Addition :. ..... Alteration .......
Repair ............ Removal ............. Demolition ............ Other Work ..QQWft...�t.............
J6.
(Description)
4. Estimated Cost ........6. C7 a�....... fee ............................................
1'
.(to be paid on filing this application)
S. If &elling, number of dwelling units .MAt—'o.... Number of d►ael.ling units on each floor ................
number If garage, of cars ..... v........... ....4.....
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
7, Dimensions of existing structures, if any: Front...... n........ Rear ............... Depth .................
Ileight Number of Stories .....`':...............
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Heigiht .................h,.. Number of Stories ... . ...
UU �'wl
8. Dimensions of entire new construction: front ........I�l� Rear .J. ......DepLh ..............
I 1
11eiglht .....................11 . Number of Stories ...Q:...............
9. Size of lot: Front ...... Pr:.......... Rear ........11......... Depth �.
p_, c�-pd wV CTAA.)
10. Date of Purchase ....l./...[. ........ Name of Former Owner ...`AV-W .CQ..�.�H ...............
1 I. Zone or use district in which-premises are situated ...SIejl f.rtt�'l!y... PSif'YA;I..............................
12. Does proposed construction violate any zoning law, ordinance or regulation:, ..8...................
13. Will lot be regraded .....NO...... .. Will excess fill be removed from premises: YES la
lei. Names of Owner of premises Sb�.. ��^........... Address 3�.v�ki ../,� .. K:':`:J Pthae No. .G -
Name of Architect .................................... Address .............................. Ptnone No. .....
Name of Contractor ................................... Address .............. . .........Plhone No. ...........
IS. Is this property within 300 feet of a tidal wetland? * YES .......... ND ...
*IF YES, S01M D MM TRUSTEES FMWr MAY BE REQMMM.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bark dimensions
from property lines. Give street and block number or description according to deed, and show street names and indicate
%4 Nether interior or corner lot.
SPATE or, Mw YORK,
......... .....F.Mc-a 1 '
I.!�..lbeing duly sworn, deposes and says Uhat the is the applicant
(Name of individual. signing contract)
above rk'Imed,
Ileis Lhe ........ !!i. :.lt!.............................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed Lhe said work aril to make and file this
applicatioih; that all statements contained in this application are true to the best of his knowledge and belief; arxl
LhaL Lhe work will be performed in the runner seL.forth in the application filed therewith.
Sworn Co before me this
1
Notary Publ ... ... .. . ../ �......
ELIZABETH ANN NEVILLE
(•' re of Applicant)
Notarryy Public,State of K-zw York
No.52-8125850,Suffolk Coum
Term Expires October 31,1 .
St tV/.S�O�V— '• OF YENI�COTT PARK �� ImMar wlih the STANDARDS FOR APPROVAL
CONSTRUCTION OF SUBSURFACE SEWAGE
' CaLK COUNTY RE NO. 5187 N OS.4L SYSTEMS FOR SINGLE FA A&Y RESIDENCES
wld abide by the conditions sel forth therein and on the
l nd/ to construct.
N. 88.573 101.39' << f J {
---+%-- 33_7 — --
sk P'Pe AL TERA TION OR ADDMON TO THS SURVEY IS A VIOLA TION
tne,& SEC rE1"TTAS PEN SECTION 7209-SUNN 7209 OF ThiE7 NEW Ya?K�IC M 2TA TE �LACERT�FTION ICCAT/ONS
�� O►N ARE VALID FOR TMS MAP AND CAPES TIEREOF ONiCY F
AIAP OR COPIES BEAR THE MPRESSED SEAL OF TW SURVEYOR
SI01W TURE APPEARS HEREON,
V
fv LL Y TO COAPL Y PYTH SAID LAW TFE TERV -AL TERiED BY'
T z LOT tit )0 BE 4 BY S
Y A AAV ALL ARS U7XZM A COPY
nPW SUCH AS VYWCrW AAD
o -TO OA Tr ARE NOT N OW&U M WrH TIS LAW.
cn m
SURVEY OF
LOT 9
"NGWOWT WADOWS"
S'ECTM TWO
FLEDA"R14Wo WPM Wfl
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
_ t'T1C 1000 - 55 -X
406 - 15.)2
-�,-o - .y Scale: 1 - 30
52 _' Aug. 31, 1994
f 9Qr. c. 23 0 dwe/llri�,ater) Z r` Nov 17, 1994 (foundation)
,�.8
,��- __ -__- ppb%� (� .Aart 26, )995 (final)
dwell�n� N
s
m�C
N 1 �J Pe 290.00'
ELEVATIONS ARE REFERENCED y�
TO AN ASSUIED DA TLU T-
stk. 92.42' \ f` ONO SCi
S. 8.9-34'20' W.
��GMFTZL`
R. n 350.00= 29.. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR V '^ F 9
5.09 - APPROVAL OF CONSTRUCTION ONLY
DRIVE N.Y.S. LIC. NO. 49618
pRIOL R 10-94-0087
DATE HS. REF. NO. P F MORS, P.C.
(5/61 20
AREA - 21632 s .ft. P• o. eox so9
9 APPROVED MAIN ROAD
' SOUTHOLD, N.Y. 11971
--� T
94 - 284