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Home My WebLink About22090-ZNo TOWN OF $OUTHOLD BUILDING DEP.4RTMENT TOWN HAM. SOUTHOLD, N.Y. BUILDING PERMIT .~.~_~ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZE D) ,~7~,7 ~ ~,,...~.~..~ ......................................... 22090 Z Permission Is hereby granted to: , // ~ ..... ~..~~...~.~,.~,. ........... ~../..~.~/..... County Tax Map No. 1000 Section ........ .~.~... ...... Block ........... ~ ......... LotNo ....... ..,:~....~... ........... and approved bythe Rev. 6/30/80 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING e INSULATION PER N. Y. STATE ENERGY CODE. FINAL ADDITIONAL COMMENTS: · · FORM NO. 1 e TOWN OF SOUTHOLD · , BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 l/ TEL.: 765-1802 · .~.~,~ .~ ........ , 197.~ Examined Approved..~-~.'~. ....... 19~.'~."Permit No..~., .~...~..C).. /~ BOASD OF HEA~T~ ......... 3 SETS OF PLA~S .......... SURVEY ................... CllECK .................... SEPTIC Foam NO?IPY; . CALL ................... HAIL TO: Disapproved a/c ..................................... L['~ ~L~~'/~' ............. / k,,._.~uilding InSpector) APPLICATION FOE BUILDIN( liT 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- ~eation. e. 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 ail applicable laws, ordinances, building code, housing code, and regulations, 'and to admit an~horized inspectors on premises and in building for necessary inspec4ions. ·( ignature of applicant, or ~f a corporation) · 95 Apple Ct.,Southoid N Y (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Applicant is owner Name of owner of premises Lorraine Haeg . .. ....... (as on the tax roll or latest deed) If applicant is a corporation, signature of dilly authorized officer. (Name and title of co'orate officer) 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.. R~..~. yar.d..lgor.t.h. ~P~.r~r ...................... 95 Apple Ct. Southold House Number Street Hamlet Corm tV Tax Ma~ No. 1000 Section .. []. C2.~r.,..0..O. .... Block .. ~? .3.-.O..L'3 ....... Lot... 45. [~...~ ~..O .... Subdivision .J£?C(L.~.-)V./.c'I'..~/~'///A.3 ............ Filed Map No .~/~.~ 3 '7 Lot .7 (Name) 2. State existing use and 6~:cupancy of premises and intended use and occupancy of propo~d eonatruetion: a. ' ' ' ............. Garden Tool Shed ~. , ~.'~. b. Intended u~and occupancy ( ~2~ ~.. ! . .. ; ..... 3. Nature of work (check which applicable ......... J v . ~ ): ~ew uuamng ..... ~ · · · Addition .... Alteration ' · ,epaa' ·-- ........... tcemoval , Dcm '"' ' ..... ' .......... · .. · f. · · oi,tlOn .............. Other Work ..... ~, ......... 4. Estimated Cost.../.?.. ~/~.;...O~.. ,- ~. ~.~ (.Descrip.tion) ........................ tee · '~c~./.~'~. ............................ , ! ~{fo be paid on filing this applica, tion) 5. If dwelling, numberofdweilingunits.,../f2//~., ..... Numberofdwellingunitsoneachfloor..../Y/~. . If garage, number of cars ......... ~//z4~ .......... . ' · 6. If business, commercial or mixed occu~a/t;c~, ..... .--- '- "'; ......................... ~; .! ............ p al~,y, ~p~ay nature ana extent of each type of use ~'/.ff, .,,~. . . 7. Dimensions,of¢ldstin~ structures, if any: Front. ~.2OY'4.~& ..... Rear .............. Depth ............... ~.eight ...,, ..... , C'~~tories ......... . · ta~menmons of same stru~dtu~e ~it~al~-'" --..' ............................................. ..~.;~.~.~ ,l,.~,~.~_tatlons or aaaltlOnS: Front Depth ...................... }~'~h' · ................ Rear .................. v ~8. Dimension~ of entire nele constructlo;~..~[r2.~' "½~' V ......... 2" Number o~f Stories ............ : .~, .... Height .~.',,_//~. f...'~. Numbei2o~'~.~:'''w ..... 2d- .... Rear.../~,! ......... Depth .../.(~.. :... / 9. Size of Icl: Front ~'. , "7~?~,LJ--~'/d;d ~'~ '~Wl:: :..,:. .................. . ·... lq. ear'. ~ ~/~. ~:<:/ .............. 10. Date of Purchase ~ "'.' ................ D~pth .,, .... 1 I. acne or use district ' - · -/ · ~ ~ - ~ ~2~. ~ . In wI~l~ff~'e~laises are mtuated -~,'~.x?7.. f.0.o.O. ........... ~ - 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ~.(d ..................... ' 13. . ' ... Will lot be regmded .. ,,C/'.).r. fi. ...................... Will excess fill be removed from premises: Yes 14. remmea~O'Z '~i-O~,~/-/f~.6-. ·. Address . .~.. .... Phone No.7.6, ~. - fi ~. [ . .......................... Addr .................. Phone No... i ~ 15. Is this properey within 300 fe"~'t of a 'tidal watla~'¢'',¥a~ '' ~,, I~" ' ' ' ' · Itl 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, and show street names and indicate whether interior or coruer lot. ~ ~ C/ . -tJdNDATION . ~0 REOUIRED ~ ~ ~ FOR POURED CONCRET~ z. ROUGH - FRAMinG & PLUM~)NG STA~ OF NEW YORK, 3. ~SU~O~ COU~y OF.. ~P.((9~. ...... S.S 4. 8[ COMPLETE ~OR C.O. ...... LorrA&~¢. ~aeg . ~t.[ COMSTRU~OM .............................. b,~.~ dui , w (Name of individual signing contract) ' ~ ~ ~s~.{~ the applicant above named. STATE CONSTRU~ION & ENERGY , CODES. N~ ~SPONSIBLE FOR He is the ....... . ~. ,~ DESIGN OR CONSTRU~ION ERRORS or ........... '" ~;;~;~;d~ [;;;t~ ;;;;;;.i; ;~h~;;,;i~ ~ ............................ me ues[ olnis bowledge and belief; an: that the work w~l be ,erfo~ed in the mg;~i[f~t[ in the application filed therewith. Sworn to before me this / ...- . --:~. -.:..~.d,,or ..... ~ ....... , ~,.~K. . . · ~~~-~ ~ ......> ...... o,,, .... :~ins~lk~ / -,~ '- "2'"~ .... RE A KS ~ /~ . - . LAND J IMP. TOTAL DATE FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL Extension -' Basement ~- FULL--~ ~ -~%wL F~oors Kit. Extension Ext. Walls ~,Z4~ Interior Finish ,~,,~, L.R. Extension Fire Place ~ Heat ~ D.R. Patio Woodstove BR. Porch Dormer ~ Deck Attic ' ~ I Br~zeway Rooms 1st Floor Garage Driv~ay R~ms 2nd Floor O.B.. Pool