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Home My WebLink About24519-ZFORM TOWN OF SOUTHOU) BUILDING DEPARTMENT TOWN HALL SOUT#OLD, N.Y. 24519 BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date., ..,..D. ~..C..R...~, ,B. ,~,R,. ....... ,2, ........................... 19....9..7..... Z Perml~on IS hereby granted ~: ........ ~..~..~9~ .......................................... ........ .......................................... ........ .L:~...~.,.~...~ ..................................... t~~A~.~.~..R~...~...~?~.~9~..::~...~.~...~ .............. at premises located 300 DEEP HOLE DR MATTITUCK CounlyTax Map No ...... .4...7....3..B...B...O. ..... Section .....l.~.,B.. ............ Block ..... ..0..0..~2. ........ Lot No..0..94. ............... pursuant to application dated.....O...C.~..O..B...R.~ ....... .]....4. ........................ 19 ...... .9...7. ..... and approved by the Building Inspector. Fee $ ..........3..5..:.9..0. .... Rev. 6/30180 llIT) /04'0 '~, "S (. & OCT 20 's? 09:00AM MCPD AVIATION ~ ~. P.2 Albem I. K~upski, President John l.[olz~pfel, Vice President William G. Albct~oo Mn~tin i.I. Gan'ell Pctcr Wcnczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 21, 1995 ~Warren W. Jackson · 3 Deep Hole Drive Mattituck, NY 11952 Re: SCTM #115-12-4 Dear Mr. Jackson, According to the information given, a copy of the survey submitted and an on-site inspection, to construct a 1,600 s.f. addition, a 626 s.f. of garage and an 8' X 10' shed as per plan which shows that the shed is mote than 757 from wetland, the Southold Town Board of Trustees has found ~his project out of our jurisdiction under the Town Wetlands Ordinance. Please note that any activity within the 75' of Wetland area will require an application from this office. If you have any questions, please call our office. Yours truly, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. CAC BLDG. DEPT. TOWN OF SOUTHOLD FORM NO. TOWN OF SOUTIIOLU BUILDING DEPARTNENT TO~N BALL SOUTNOLD, N.Y. 1197 I TEL: 765-11102 Disapproved ale .................................. .... i~.~ng' -Ins74~~ INSTRUCTIONS BOARD OF IIEAI.I~I ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... NOTIFY: C~L~..O.q~.~. 22 ~.O .... BIL TO: .................... a. This application ~ust be completely filled in by typewriter or in ink and sul~nitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scheo~:le. b. Plot plan abo~ing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and givin~ a detailed description of layout of property most be dr~m on the dingran ~hieh is part of this application. ~ c. ll~e ~ork covered by this application my ant be cc~raenced before issuance of Building Peradt. d. Upon approval of this application, the Building Inspector x, ill issue a Building Pomit to the applicant. Such pannlt slmll be Impt on the premises available for inspection throughout the turk. e. Ilo building shall be occupied or used in *ahole or in part for any purpose ~daatever until a Certificate of (~oqiaocy shall Imve been granted by the Building Inspector. td~.lCa'rlrlq IS }~t N~ to tim Building Uepartm~nt for tbe. is~msce of a Building Permit pursuant to the Buitding Zone Ordinance of the Toga of Southold, Soffolk Co~ry, N~ York, and other applicable l~s, Ordinances or P~,mlatio~, for tbe construction of buildings, mklitions or alteratiees, or for re~al or donolitlon, as berein descril~_~l, lhe applicant agrees to cc~ply ~ith ail applicable la~s, ordinances, I~filding code, i~using code, and rq,ndatians, and to ad,it astlmrized inspectors on pmaises and in building for r~cessary iaspeetians. (Signature of applicant,~o~ oare, if a corporatlc~0 .3.~. #e~./,k. ~.c..../7..~. r. ~/. rec. & .... (Mailing address of applicant) State ~l~etber applicant is t~mer, lessee, agent, architect, engineer, general contractor, electrician~ plmaher or builder. .................................. ~.../~.../k'. ~ ...................................... lI applicant is a corporation, silsna~ure of duly authoriz~t officer. ~ ~ ~ENT AT'X~ FOLLOWING INSPECTIONq' (I~e and title of corporate officer) 1 FOUNDATION - TWO RF~UI FOR POURED CONCRETE 2. ROU(IH - I~dlders License No .......................... 4. FINAL - CON$*RUeTlON MUST Phsnbers License Ro .......................... BE~llt.l~r~ FOR C.O. ~ {~ONITRMCTION 8HALL MEET gtectricians License No ...................... ~ Ri~uIRr~NTI OF TNE N.Y. Otier 'rr.~le's License No ..................... ~ ~ · ENERGY CODE~. NOT RE~PON~tBL! FO I. Imatio~ of land on d)Jd~ proposed ~ork ~ill be done ....................... ~ ~I~CON$1:RUC3'JON.EBR~L .~.... .... ..~...~. .......... ~ .4 .~.. ~..~ k. 4 c ............ ..~. ~ ~..~q~ ~ ................................................. Ilouse Ntnfl~r Street I~et ~g T~p ~. l~ ~don ..... /#..~iZ. .... m~ .... /.a ........ ~t ...~ .......... Sabdi~is]on ...................................... Filed M~p No ................ ]~ ............... (N~) ~. ~ -- ~ ,,~ ........ ~ ~&~:~ ~ ....... ~.~ ............................... ~. ~,,~ ,~, ~ ~,~ ........ .~.~{~~67~....~... ~ ......................... I~q~ir ........ lbanoval ............. 1)en~litio~s ........ Olher I,~)~k ...I~L.~--~--g.~ .... ~-~-]. , .a .......................... Esti,~tt~l (%st ./~ ...... ~ ............ (to I~ ~ d (m fil ~g th[s al~JCatl~) *,-. , I [ ~11 lng, ~,~t~r of (~11 lng units ............ ti,tlmr of tk~l 1 lng units (x~ each fl(mr ................ 1 [ garage, t~i~r of csrs ...................................... If I~mi~ss, ~terclal or mi~l ~o~lm~, Sl~cif~ ~ture at~l ~tent o[ eat~s ty~ of'u~ ...................... I)inensiom of ~isting stn~:t~s, if any: ~mt ................ ~ar ............... ~pth ................. I~i~t ......................... ~ti~t of Stories ...................... Dinensi~s of s~m stneture with alteratitms or ;~liti~m: Fro~t ............... ~ar ............... l~plls .................... ILl,st .................... ~fl~r of Stories ............... I~i~st . ........ ~ ............. ~i~r of Stories ..................... si~ of ~ot: ~,,t ...... ff.~ ......... ~ ..... g~ ......... ~pt. .... ~q..~ ....... l~l:e of l~rcha~ ..................... g~ of Fonmr (~er ........................................ ~e or u~ district in dsld~ prmi~s am si~t~ .............................................................. ~s proln~l co~st~ti~ violate any ~i~ 1~, ordim~e or regularly: ... ;.~ ............... ~ill lot I~ r~r~ .................... ~ill e~ess fill I~ rmm~ rrm ~ ~ ............... ~klress .............................. ~ off (~r off ~i~s ........................... ~e of firdtit~L .................................... ~lre~s .............................. 1~ ~ ............... ~te of C~tr~tor ................................... ~klress ............................ l~ ~ ............... is Ihis p~rty ~ithln ~1 f~t of a ti~l ~tlmxl? * ~-q ...~.-- ~ .......... l,)cate clearly atxl distinctly all I~aildings, ~mtlser ~isting or pro~, m~l itxlicate all ~t-I~k (li~nsi~s ~ fro, prol~rty li~s. ~i~ st~t a~l bilk a~l~r or ~scripti~ ~co~ing to ¢~1, a~ d~ street m~ a~l i~licate ~* i~ .,~ , ~w~ .~,,:,~.~ ................................................................... (Cxmtrackor. nge.~, corff)rate officer, etc.) o[ said (~mr or ~ers, taxi is drily m~thoriv~l ti) I~rfonn or h~e alq)lication; that nl l ntat~t~mtto ct~ttoifx~l in this nlq)licati(~ are that the ~)rk witl. Im I~r[or~l in the tt~tgll~F ~E forth in the appllca~t~ fil~l ~t ary I~d~'v ......... ~~ (Silp~qture