The URL can be used to link to this page

Home My WebLink About25104-z 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. 25104 Z Date AUGUST 12 , 1998 Permission is hereby granted to: RICHARD RUTKOWSKI 695 THERESA DR MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY SHED IN THE REAR YARD AREA AS APPLIED FOR. at premises located at 695 THERESA DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0015 Lot No . 006 pursuant to application dated JUNE 25 1998 and approved by the Building Inspector. Fee $ 35 . 00 VBuildinqr Inspect,6r ORIGINAL Rev. 2/19/98 �1=LD i"S"5':ilU;i ��li:,:a �I COffMLNT3 � lT1 a m C: =OUNDATION ( 1st ) - c m ?OUNDATION ( 2nd ) — h 2 . Z ROUGH FRAME A G, .PLUMBING co H P 7J f y INSULATION PER N . Y. STATE ENERGY r CODE x �2 }9 4 . FINAL :S v z 'm V ADDITIONAL COMMENTS : m x . 4J -o ' H 1 � C 9 Y y. H O Z .r m a - y 1 2 D m �o��OF SOUryo6 Sl0b TOWN OF SOUTHOLD BUILDING DEPT. 78S-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:— 6&:9a=' '441-k- 11 %o- O D c-o ,�► � too ;04 Coe& at� r DATE INSPECTOR BOARD OF HEALTH . . . . . . 3 SETS OF PLANS - - . . . OP)Tgi Ju fit"comw FORM NO. 1 SURVEY . ... . . . . . . . r TOWN OF SOUTHOLD CHECK - • - - • • - BUILDING DEPARTMENT SEPTIC FORM - . - - . . - - - • - - - ; TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL �� '�� L/ ' " " ' ' - " 3 TEL.: 765- 802 " " ' MAIL T0 : Examined s .! . . . ., 19 /. . 001 Approved .'.(. . . . ., 19 Permit Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . de 04 �'- . . . . . . . . . . O (Buildingd spector) . ..AIN 2 APPLICATION FOR BUILDING PERMIT 5 �' . Date .4714!yez. . � . • 19 .P - man INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 the diagram which is part of this appli- cation. 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 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 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. (Signature of-applicant,or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises A 1rtT.Ko!'''SN! 1 . . . �T'. . .RW.r149 ! .4rX 1 . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST Btu &U•FFOLK-COUNTY LICENSED �• 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7#- 'CAesi9 . ..bte!v . . . . . . . . . . . . . . . ,lVf!f�7'7'.r T.K4K . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . Block . . . .1,5*t.OQ. . . . . Lot . . .qq(0 v.QC.0. Subdivision >4;VP HO C.E �!1?EEIL j< �'yl�:;$, . . Filed Map No. . . . . . . . . . . . . . . Lot . . YO. . • • • . • . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .Q!q E. . .1.c!firl.t.1-:y . . ..b W.ErW.N.lr-. . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . .sN.f1b . . . . . . . . . r. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . ..Addition . . . . . . . . . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . :. . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . .. Ij Ct P.P,. . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling,number of dwelling units.., . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business,commercial or mixed occupancy,specify nature and bxteht of each type of use . .:.:. . . . . : .: �. . . . . 7. Dimensions of existing structures,if any: Front .5a-y . . . . . . . . Rear . .A P%;. . . . . . . Depth . . . . . . . . . Height . . ... . . . . . . . . . . . Number of Stories . . .9NA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions*of same structure witlr alterationlY or additions: Front . . . . . . . . . . . . . . . . . bear . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . Number of Stories . .. . . . �. . -�-8. Dimensions�f entire new construction: Front . . .!.. i . . . . . . . . . . Rear . . . .f a� . . . . . . . . Depth .$. . . Height 7 y�."!o.9�� Number of Stories . . . . /. .i . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . Rear . . . .�%O. �. . . . . . . . . . . . Depth . . .$a. . . . . . . . . . . . . . 10. , Date of Purchase . . ! '" . . . $7 . . . . . . . . . .Name of Former Owner . . . �:+AAP,E!&. . . . . . . . . . . . . . 11, Zone or use district in which premises are situated . . . . . . . R': Sl S?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law,ordinance or regulation: . . .!�o. . . . . . . . . . . . . . . . . . . . . . . . 13. 1 Will lot be regraded N 0 Will excess fill be removed fro remises: Yes ' 'l�ic!}7►ab' �iA�4LA r' ' sK 14 Name of Owner of premises 7t�.t:Kvti+s,Ki . . . . Address4g$: K ��DiC!'!'!� oto.�.?8:'S.2,4.3. `Name of Architect . . . . .$. a: '� , . :zpiQ 1. . . . . .Address.'-! , l?,A,+6)S��4u .t' 'hone No. . .�0.7.�0.' Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . a 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No 1(. . . *If yes, Southold Town Trustees Permit may be required. 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,'aiti&ihow street'names and indicate whethe. interior or corner lot. SES 6T-r,4cNt�, S �y Ob STA OF NEW Y S.S CO Y OF . . . . , being duly sworn, deposes and says that he is the applicant n v' signing contract) above name . Heis the . . . . . . . . . . . . . .4P w C`f4e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 Rthi . . . . . . . . . .day of. . . . Ju . . . ., 1 !. Notary Publ' , . . . . . . . . . . . . . County (Signature of applicant; THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES APPLICANT• — - - - — - - - - - - _ - - _ — _ ADDRESS - - — - - - - - - — — - - _ — - - -- — — --_— — — — - TEL.—_— — — — — — _ � k 6 a R IV`1 c- — Q V ¢ t k i x i i � S 0 r t1 Lot 4/ v 4y, F 'I ra�— 182.C70 WOOD $NEp c'a r r ,n. .o woos WOOD ._. ,1♦'L tom..... f 6":. t tom.• R� t7 •19.0 21.' L , 0 Qp' wed � SLI` FOO �:o� p Pl�,,slr5 (Q Vj if,_•3 o ei r; � i.E'Gil' I - �. v p•C nJ 26.1' _�� '3 �� .' v 'nl t P✓.617'/9 20",t ._ ___. �._ .,. __ _• _ .___ ._ _.. .. j ---- _— — L_O t 39 r n =mL?m/,,ENT O = PIPE SUBDI VlSIOV MAP FILED/N TN£ OFF/CE OF MM ERK OF r UFFOLKCOUNT Y O N 0 JAN. ?.8, /965 AS F/LENO. 4256. 6 , l ( HATER SEVI RCE'=PRIVATM !FELL v NFAREST P031_1C KATER AfA/N =4M/LES REVISIONS YOUNG YOUNG 400 OSTRANC'-R AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N.Y.S. LIC. NO••12645 N.Y.S. LIC. NO. 45893 SURVEY FOR: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION NATHAN C. MARDER MARION C. MARD . '209 OF THE NEW YORK STATE EDUCATION �J LAW LOT NO. 40 S,�P(E OF NF1y COPELS OF AND THIS SYCPURVEY INKAP EGN TAL ORD "DEEP HOLE CREEK ESTATES �� y�HPD {1; }0 THEEMBOSSED SEAL SHALL NOT BF. OONSIDERED To BE A VA,,iU TRUE COPY AT GUAR *TETD T Qhezp- MATT/TUCK CE TW Y AB i o ;IiAR-N'FLY NP,DATE3 HEREON SHALL RUN 0 508-. M ',NtY -: SHE °ER'ON .'OR wiiOM THE - TOWN OF SOUTHOLD sup F' ,5 2PF Aa AND ON s +.ALS / Tt+ THE , _E :OMP%aY, AvE:a;, A,Y-1 .IN9T TLITIoN ,.STIED SUFFOLK . Y. BY <, 0t- HE FO'. A"+ `TC 7-,: Aa'^I,;NFSS OF THE CO.,•, tE6:;INS ;NST:'t:T;O!: GUAaAN EES ARE w wrr TRANSFERABLE To ADu-r ;A. SCALE: DATE: 2Ap 1457 TOTONS :4 SUFISFgUEPIT Ow'+ERg, I 4th OCT. 24, /985