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HomeMy WebLinkAbout12204-Z FORM NO. . 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) Ng 12204 z 1J1~~ ). J fq Date ......................................................... I<t::.~... Permission is hereby grante,sVo: /J ~ / ~~'...f. L'~ _ #' ~ n r"'" ~ , ~f!Jj.~rt"'i()'lC.................. ................. A <. ~1?".1( il'jfi~t~.i(....'f)~;... .. 7l9:r~ . d')??(. ~; ~~ ~....;;;".............. ....:..1........... ........................ . to.........................................................~...................... .............~.~.~.............. ............:..............................'):...o...rlJJ~.....~.~.....lf;t........................................ at premIses locat~t ...... ... ............................................................................................................. ...................................................... ....................................................................................................... ................................................................'.'0.8..... ..................c..j.............................,;i"j.;.pc..,. County Tax Map No. 1000 Sectm...................... Block ...................... Lot No. ........................ pursuant to application dated .........~......../...r................ 19(::1.. and approved by the Building Inspector. If'",OP Fee $........................ ......~.~....?!{...?I...~. Building Inspector Rev. 6/30/80 r- FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ;/ -,frci2 ~ IL..fIC-. -r -;;...' -/ D..;.-1t..Q..t~'0t r...{'~~ lAC ii..';p..bco.t , /o!trf':l D{! o:.u(~QLf,"'1> {-"-"- tt;v1-- . Examined 1J1A'Y.l..~.3.., 198.} APprovedmA1<r./.. J...3...., 1 9tJ Permit No. fA ~.(~Lj2- Application No. /.I),..:h t? .Lf. L . Disapproved alc ..................................... ......... ,... ,. ... ...... ...... .... ,-, ... ...... ..... APpr.(iJ AS NOTED .~~1t<.}:(&~ DATE:f'~ ~/,ei' B.P. :#= /!l.).tl'j? (Building Inspector) / . FEE:ftLl"t/_.BY: ~/./ .APPLICATION FOR BUILDING PERMIT NOTIFY BUILi)I'.IG DEPARTMENT A~ . . 765.1802 9 AM TO 4 PM FOR T .: Date . ~rch. .14th. . . .., 19.8) FOLLO\l",,'(; I~<C~ECTIONS: 1. FOU~DA-'Q~J . TW0 PEQ' J:"E' INSTRUCTIONS FOR "('URC:D CONCRETE a? 1ffiYsJ<applidiiM~t be R:OIrit'pIettly filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets er pialii!.!la&liJr~te plot plan to scale. Fee according to schedule. 11\. P1bVl\lan s1i6\Vlligilooatibli bf'lot'and of buildings on premises, relationship to adjoining premises or public streets or areasl(iin~j!~ga'd[~O-description of layout of property must be drawn on the diagram which is part of this appli. ti.ALL CO"',"<< ,r",'ON ''-'".'1 ,. ._.~ ca on. ,,,..., ~. I -... -- c1HlfhglW<ltj{'i~abyQliisTapplicati6n may not be commenced before issuance of Building Permit. &Tf1rP'o~iOVW6f1ffil\}lap'plicition~the Building Inspector will issued a Building Permit to the applicant. Such permit sha1ICW~~t on~Ti>r~,*~ANamble foHnspection throughout the work. tP.E~1'b&illill~\ilili1PbJ&:ol:Oilpfea'01Used 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 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 inspections. .LONG ISLAND FOLIAGE FARM,' INC ___a . . . . . ... L '._'__ . . . . ...... . ... ._..... . . . 0.' ..0. ,-. . . . . . . . (Signature of applicant, or name, if a corporation) R,l':I?#l.,. )lQJC. .1.Q99... .Jy'i(\?,.T)':\'V9.K;,. .NX. .U95.2.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . Ap.I?+~~.a,1').t. ,i.s. .+~fi.s.~E? . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. Name of owner of premises . lYlar.y . p, Kayatta, President Builder's License No. ..~........... ~ Plumber's License No. - Electrician's License No. ...................... Other Trade's License No. ......~........... 1. Location ofland on which proposed work will be done. On .Main ~.Road,. . Ro.u.te .25.. :lYlatti tu.c:.k .NY. . . .. . . /2,.// .r.Il~.:.......... .1fJ~ /(./{..... ,..... @,~~~........,... House Number Street. .' Hamlet ;./ . County Tax Map No. 1000 Section .lo8...O'Q.......... Block .QJ, 0.0. . . . . . . . . . .. Lot. .0.13,0.0.6. . . . . . . . . Subdivision l.ti~nh,j.'C'.tUct..j't'J.:JL.(...:.... FileaMapNo. .............. ~ot. ./;J.{1.l..... (Name) ('vr" '. . . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction, a. Existing use and occupancy. . !}.r:~E?PP.ql1l?~.5.,. .~grAq\l;L:t.l.Jr:E? P.:( .grpy.:~J'.lg..... :......... ... ... '" . . b. Intended use and occupancy .l'.ermi:t. .is. f.o:r;. a. .F-ARM. JlUILIJ.LNG............ ,~"""",; ._.....:.. 3. Nature of work (check which applicable): New Building :lCXXXX:lCx.. Addition. . .. .. . ... Alteration .......... Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . u</ (Description) 4. Estimated Cost. . ..<,l.'1C) : 9.0) C)~1l. .I}':l~~.r:~'!-. ~.~J,~!l-r.~ . . Fee.. .. . . ~ . t? . .. . . .. .. . . .. . . . . .. . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . ~!a, . . . . . . .. Number of dwelling units on each floor .IlIa. . . . . . . . . . . . If garage, number of cars ....... pjq. . . . . . . . . . . . . . . . . . .. . . . . . . . . . .'. . . . . . . . . . . . . /: . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . .J!. !'l: . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front. 57.!t......... Rear57.f:1;...:...... Depth .99.' 5.':...... .. Height . .1P.'.qllpr.o.4. . Number of Stories. .1. . . . . . . . . . .. .. . . .. .. . . . . .. . . . . . .. . . . . . . . .. . . . . . . . .. . . Dimensions of same structure with alterations or additions: Front ................. Rear.......... . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front .18. .ft. . . . . ," Rear l.8ft. . . . . . . . . . Depth .1 Of.t . . . . . . . . . Height ... 7. .~t. . . . . . . Number of Stories. .1.. . . . . .. .. . . . .. .. . . . . .. . .. . . .. . . . . . . .. . . . . , . . . . . . . . . . 9. Size of lot: Front ;L;r:-.r.Elgul.,a,J;', 1l.e.e. .!JlliP.. Rear........,............. Depth ...................... 10. Date of Purchase ............................. Name of Former Owner Aq~ J.. .~e.J;'J;lF!.r. .~. . ,J):: . . . . . . . . 11. Zone or use district in which premises are situated. ,!\g;:r;L.c.l.ll '!;)l;r:e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .~D............................. 13. Will lot be regraded .... NO. . . . . . . . ... . . . .. . .. . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises James .Me. Guire... Address Main Road........ Phone No. 298;-5.898...... Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone 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 corner lot. ~OTE:AII work will be done internally, no outside contractors will be used. Proposed'Storage Farm Building' is metal in structure, complete with metal floor, and door. There are no windows in structure. Structure is a pre-fab unit, already owned by leasee. Structure is of non-flamable materials; and will be painted in a natural earth color to blend harmoniously with the surrounding terrain. Purpose of structure is to neatly store materials for use, thereby maintaining a higher level of orderliness, and enhancing the overall general visual appeal to the property, and hence increasing the Community's Plan of Property Maintenance. STATE OF ~EW Y?.RJ(~./7 COUNTY Ql 5.. 4:k . ..... ~~ t. .1--' . . .rk~/.~ .. . . . . . " ......... 7--f1:.~ . c~..::ioeing duly sworn, deposes and says that he is the applicant /"J (Name of individu ing contract) above named. , , . / PRESIDENT OF LONG ISLAND FOLIAGE FARM, Inc. He IS the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . (Contractor, agent, corporate officer, 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 77f' ............ .I>?-.~.. .dayof...... 4/a,2;C/..., I~ Notary Public, A:~<<'~~~~,',' . .. County ~ JUDITH T. TERRY 6F . . , ' ' Notary Public. State of New VatIC ~ -0344963 Suffoll< coun~i-. ," . ... ...........~. ..... . 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