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Home My WebLink About24137-Z 1'081[ NO. 1 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) N° 24137 Z Date ..... (...l�l................................... 19. 111 , Permission is hereby granted to: rL(.r....lrttJ .....2V-6.. .. ro .`MY. . .........✓... ......./ ...... � �.(. ......... .........l ,.r, l/ . ........�,�...�..............�� d.. ..,�'S. x.................. .................. , ...................... .. 8...................... ....................... ��,..................................................... at premises located at....r� ..1-1` ./drJ ...6L!...........Q //.I�.,C�'JL 1J................................... County Tax Map No. 1000 Section .... ............. Block .....Q1........ Lot No. ....> ........... pursuant to application dated ..........,e �IY.C....... / .........., 19.. and approved by the Building Inspector. Fee $•••• � .............. din Inspector Rev. 6/30/80 BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PL.INS . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . _ _ . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . _ . _ . . . . . . . . . . TOWN HALL SEPTIC F0RN _ _ . . . . . . . . . . . SOUTHOLD, N.Y. 11071 TEL.: 765-1802 Examined . 7 CALL . . . . . , i)//jj . . 19��` t`1 n I L T 0 : . . . . . . . . . . . .� lApproved l,/. . . . . . ., 19��'crmit No. . j . . . . . . _ . . . . . . . . . . . . Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - . . . . . . . . . . . . . )UILDIN . :.�J. . . . . (Buis)" ctor) APPLICATIONG PER Date April 23 , 1997. - 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 dia0ram 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 issua e a Building Permit pursuant to the Building "Lone Ordinance of the Town of- Southold, Suffolk County, New York, ther'appticable Laws, Ordinances or Regulations, for the construction Of buildings, additions or alterations, or for r m val `demolition, as hereincbed. The applicant agrees to comply with all applicable laws, ordinances, building od , h ' de, and r g . tions, and to admit authorized inspectors on premises and in building for necessary -s. inspecti � . . . . . . . . (: ... . . . . . . (Si,t tore of applicant, or name, if a corporation) Gary Flanner Olsen, Esq., as Attorney for Angelo Mancuso P. 0..Box 706,, Main, Rd..,_ Cutchogue,.New, York, 919.35. . . , , . (Flailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Attorney elo, Mancuso Contract Vendee . . . . . . . . . . . . . l=ox-ung. . . . . . . . (. . . . . . . . . . . . . . . > . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . Realty (as on the tax roll or latest deed) If 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. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. Reydon Shores, Southold,. New York . . . . . . . . . . . . . . . . . . . . . Reydon,Dri Ye . . . . . . . . . . . . . . . . . . . .Southo)d. . . . . . . . . . .. . . . . . . . . . . . . . . . .. Ilouse Number Street Hamlet County Tax Flap No. 1000 Section . 080.00. . . . . _ . . _ . , Block 01 .00 Lot . ,029.000 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Flap No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. I:xistincuse and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy Foundation Permit. _ . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . .founda-t•ioA ddition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . a (Description) 4. Estimated Cost . . . . . 0t J?1t? . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, number of cars G. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front . . . . Rear Depth I Ieight . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear Depth . . . . . . . . . . . I . Height . . . . . . I . . . . . . . . . . . . Number of Stories 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . Rear Depth IIcibht . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . �. Size of lot: I-ront . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . .Depth . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . Name of Former Owner IL Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded Will excess fill be removed from premises: Yes 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . NO . Address . . . . . . . . . . . . . . Phone No. Name of Architect . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. Name of Contractor . Address . . . . . . Phone No. 15. Is this property within 300 feet of a tidal wetland? *If yes, � ��yeS . . . . . . . No. . . . . . . . . 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 corner lot. TATE OF NEW YORK, OUNTY OF .SUFFOLK_ • . S.S Gary Flanner Olsen (Narne being duly sworn, deposes and says that he is the applicant of individual signing contract) )ove named. eisthe . . . .AttQrogy. . . . . . .for• Angelt).Mancuso• (Contract-Vendee) . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the: said wdrk and to make and file this I�lication, that all statements containcd in this application are true to the best of his kno<vledge and belief; and that the )rk will be performed in the manner sct forth in the application filed therewith. ,lom to before me this r . . . . . . 23rd. . . . . . . . . . . .day of. . . . .Apri.l. . . . . . . . . . . .. 19 97 ' )tary Public, . . Suffolk. . . . . . . . . . County . . . .. . . . . . . . . . . . . . . . . . . . . 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