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Home My WebLink About20919-Z L 'Ulf • I H `J FOUNDATION (1st) I a~ FOUNDATION (2nd) cyn 2. -I - - • I o C. F.OUGH FRAME I d -PLUMBING 3.' INSULATION PER N. Y. I y a STATE ENERGY ~I CODE 4 Z FINAL o 04. a6 ADDIT ONAL COMMENTS: m x`i6 5 OC. B 3 . x \ H H : . T - cv r rn t m , -v H FORK NQ 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) NN? 20919 Z Date 19. 2 Permission is hereby granted to: Mrcvla..... !Z,...h?.Ka&!~ &b .49:... at ..(4 7 to ...L ? ...../.W..A Ga.ESQ. -w" .A....... iw.?M!!'1 i....... P~?.~. .(?./.T.fl....... ° ~f fz.....&L...A.c..C..,ffa.ru.ES.........As... A~°PL~EA....... . at premises located at 14s~.......... plEpel4.........4!.w ....................ArAr!. r........................................................................... ME . .v~a. 4A r) County Tax Map No.' 1000 Section .......n7:~~......... Block ....Q/...........Lot No....21 pursuant to application dated xV,~ 19..T and approved by the Building Inspector. Fee $....1.75 `00.. /Q 1.25 d G- CAS V - Q~e -p mot- Building Inspector 07 CO ;o 40 Rev. 6/30/80 / BOARD OF HEALTH r FORM NO. 1 3 SETS OF PLANS I " TOWN OF SOUTHOLD SURVEY . . . . 2 O BUILDING DEPARTMENT CIICCK TOWN HALL SEPTIC FORM _ _ . i SOUTHOLD, N.Y. 11971 _ TEL.: 765-1802 t:OT I FY :xa CALL HAIL TO: \pprovcd . , ~I?..... 19(, (1!Permit No. )isapprovcd a/c .fl ut(dtng Inspector) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. 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 all 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 all 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 iilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. to applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to '.mit authorized inspectors on premises and in building for necessa sect' ns. _ op~~, (S mature of applic t, or name, if cor or on 3115.. G 14, c ~v y, (Mailing address of applicant) .ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. A/ • . . 1me of owner of premises [7 '~-I„v, U Klr!~~> . (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. , , , , , . , , . Plumber's License No . Electrician's License No. . Other Trade's License No . Location of land on which nroposed work will be done. . J.*.5..0.......,q,-o ni LA n. ...........PECa0JU !louse Number. Street Hamlet County Tax Map No. 1000 Section ....U , , . Block • 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 b. Intended use and occupancy !tl(1VU~, , ~jYCXJYJt ~DO~ . • , . • • . • . 3. Nature of work (check which applicable): New Building Addition Alteration Repair • • • • Removal Demolition Other Work .2,00.1 3 UO (Description) 4. Estimated Cost Fee ........................S..... (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwking units on each floor , . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each t , . , . • , , , 7. Dimensions of existing structures, if any: Front Rear . . . . . . y.. . .of. . .use. Depth . . . . , . • . . Height Number of Stories ...1..`IQ........ . Dimensions of same structure with alterations or additions: Front . Depth........... Rear • • • • • • • ....Height Number of Stories . . 8. Dimensions of entire new construction: Front Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . ' ' Height Number ofStories 9. Size of lot: Front Rear Depth 10. Date of Purchase • • • • . ' .5 L • I • • • • ~ ...Name of Former Owner . A,(,j'JW..~i 1~(! 2•t t0 , , • • , • . • . 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: 41) . 13. Will lot be regraded Will excess f be removed from premises: Yes No 14. Name of Owner of premises mviUin. q gff Address .I, p f~n~ LryMf . Phone No.. . Name of Architect ~5- ``3~ • • .................Address...................Phone No. Name of Contractor Address Phone No.......... . IS. Is this property within 300 feet of a tidal wetland? * " " *If yes, Southold Town Trustees Permit may be required. " ' No..?..... 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 whether interior or comer lot. poi' la s~zl STATE r' y~ R S.S COUNT Jv~or•.~•a( • F U ( • • L~ &Z rc being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 1bove named. ~ A le is the S~ ^~Y.~ . (Contractor, agent, corporate officer, ctc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the Fork will be performed in the manner set forth in the application filed therewith. iwom to before me tthhiss • .day of . 5...., 19 ,'otary Publ , , • , • , • , County CLAIRE L BLEW Woury Public, Stts e of Now Yak N& ` 48795th . . Codified In Suffolk County . • • • • Coa m lion Evkes Deownbw 419 (Signature of applicant) cif i ~ ' ~4 OJI y . . T a y~~, f s~~ s.f ~ v..• •~{4~y -s_ ~ ;Ja'F'.~. 3~"~"5..: c 11}r{^y A .(J i'S f• JI k .3. 2 4.T . " ~ T3" aa..y v ? ; a~:+r ~p~.'cp ~ yv^ ALA i - O rf Y+- ? F .y.: : ' -r s'.: / y k. „"e s... ,T F~19`".t• '4 4 ]I 8 -44 ' '1 n URA _m r ' s .k-js 4 k v nVj w 'J ~../~'Ar '~kx-. _)s 4 w X! yf 1 J y±• R 2 SO. 4-A Z _ s N~ b a 4 i Se;t, ~ `-O '~7v IV•V-J. fl 5~ ~'Y:b ~.v-.:rllr Z' 1 ~~Yy 0 ; s.T. r.-.{ O. ..Y yy `irt? sMY'i^ s. ~ ..St: l`.j S{~ $ .a f o r, I-It ZII 1 0 'c{ ~ ==dam N y . TI 1yi ~.ZY "i Y v~Yf a a~ i } y 0' 3. i 1 1. tl ' WII•' is - kr .1 ' w I-. D- % 'Sc~~ha ,1 , ? Ir k • r..- t y` ,[t j .114 .t Ik' a: ts3 k : a..:Z ,r q,.j .fix x f 1 Z3. ~:1~ 1}/,~-_• __f._ . k rF"s I"m iza' All Ut; -kl r i• Spp.I IL V lS I! U I: C. L: 12 L C%j . , - .t AT `izn t ~ ram .3 ~ e x • _ _ 7cw1,1 ~or,.,ri:•rri.l v nr`';~ ~.=s'ane~1°~ ~ ' , . _ ¢ r _ gra~NCOtJU.V,CNT ws ;GtIARP l~s?w r. 15rt llt ' !.1 1(] f is 1-0 r I 1 ~o~aoe souryo6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 1 6 ^ INSPECTOR TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET / VILLAGE DIST. SUB. LOT NiGlv1' Cfir 1~, vni Lav)e 7 ORMER OWNER N ACR. M o w s7bS ~~I L V. Lehmann s TYPE OF BUILDING RES. Z O SEAS. VL. FARM COMM. CB. MILS Mkt. Value LAND IMP. TOTAL DATE REMARKS f J. it o--b -V.3 e) I 7 ~ 7-L. ~3d ':'v -L 259 b~- Info blrof 118Saa AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD /ate p Aeadowkmd DEPTH House Plot n"w BULKHEAD Total DOCK u i _ r COLOR TRIM ti I~ ; s 1 _I M. Bldg. 3 0 336 0 Extension J J i Extension Extension Foundation ce~ Bath Dinette Porch Basement Floors @ K. Porch Ext. Walls Interior Finish LR., Breezeway j Fire Place Heat DR. Garage Type Roof Rooms I st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Drivewyy Total "F 0 6