Loading...
HomeMy WebLinkAbout28424-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33580 Date: 03/05/09 THIS CERTIFIES that the building ADDITION Location of Property: 3715 SOUTH HARBOR RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 3 Lot 66 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 2002 pursuant to which Building Permit No. 28424-Z dated MAY 29, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JUDY BRODERICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A RLECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A q-, 4,4 tho zed ilignature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33581 Date: 03/05/09 THIS CERTIFIES that the building ACCESSORY Location of Property: 3715 SOUTH HARBOR RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 3 Lot 66 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 2002 pursuant to which Building Permit No. 28424-Z dated MAY 29, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law.. The occupancy for which this certificate is issued is ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to JUDY BRODERICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTME21T OF HEALTH APPROVAL, N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A th ized Signature Rev. 1/81 Fornt No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling $25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. b /11 / du— New Construction: .0 Old or Pre-existing Building: L_,_� (check one) Location of Property: 37/ AJ 50,A9kriA' House No. Street Hamlet Owner or Owners of Property: 9wksj 1320 d epwKK _3—1,2 �C Suffolk County Tax Map No 1000, Section r/73 S Block M 7P Lot OG 4 Subdivision Filed Map. Lot: Permit No. _ `� Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 2. 5, do 73 &� rat igna ure QQ �5�3� ,w A,aMbE.,A,av,i wY a1.anNll..Ac,n. s 0242'30"E 139.78' (axE) s 00'37'"" " I39.78' (actual) _ Ru u. A.�9w.ti�• a � m L _ _ _ � i ,aa 55. no as g z I '2oNBmF z �n 735.00' 40x' N 01'02'40'E 134.85' SOUTH HARBOR ROAD M.r.Ir or_.I.n..,e�r v x True n M van uia r w.•NeA Nwr r 1r as nwr 9t"°� JOB No. 02-148 RLE No. 791E mar n vc M vrr s va 4n rua neA IAS n.nr sr vw w��r r r wr evw. SURVEYED FOR il10YAS k JUDY 9RODERICK oaaoa o r+rr�r riw w..Ar. •Sawa s sir vnMrvmAieer it rvr vr�m ruw mwMre�a,vwM vH�Kr.lr.r r r rV A M r.0 mwwr..warr SITUATED AT SOUIHOLO .s,r vwr rur.um iw,r n M.sr r M .aR Wao' Nan®r r wwrt w urs wnnnar TOWN Of sOUMOtD - SUFFOLK COUNTY N.Y. a rrr . w s r u,sr r r va M rA•rww rr v a SCALE 1' 040' GATE 4-19-2002 ��swwurr®wr.rovrl. FILED MAP No. GATE CERTIFIED ONLY 70: TAK MIA No.W Day)1WO-78-3-86 DIRK 500 HAROLO F.TRANCHON JR. P.C. LAND SURVEYOR 1068 WADING RIVER-NANOR RD.WADING RNER, NEW YORK. 11792 N.Y.LIC.No.048992 631-929-4695 /NROLO F.TRANCMON JR. PENN.LK;.No.2YB E 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. 28424 Z Date MAY 29, 2002 Permission is hereby granted to : JUDY BRODERICK SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ACCESSORY GARAGE AND AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING. THIS PERMIT REPLACES PERMIT #7520Z at premises located at 3715 SOUTH HARBOR RD SOUTHOLD County Tax Map No. 473889 Section 078 Block 0003 Lot No. 066 pursuant to application dated MAY 16, 2002 and approved by the Building Inspector to expire on NOVEMBER 29 3 . Fee $ 225 . 00 Autho ze Signatur ORIGINAL Rev. 5/8/02 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) _Sa_.e_ 2Fs�3� N° 7520 Z Date .........................§PP? ........4.......... Permission is hereby granted to: games„ Carroll................................................. ............5Q.Uto iJ14 rkAar..JVA............................ ................................................................................ to addition on fguju ................................................................................................................................................................ at premises located at .eft!A A.Axb.Qr...lipz&&..Hiawathaa..Path...................................... ...............................................N.Qlutbad.........H.r7............................................................................. ................................................................................................................................................................. pursuant to application dated ...............................5@pt.......I........ 197.4..... and approved by the Building Inspector. Fee $..25.00.......... I .. . ...... ..... . ..... ... .. Building Inspector \ r 1 1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: OXA c DATE w pY _INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) -- -- - -- a ------------------------------------- FOUNDATION(2ND) ---------------- ----------------'FOUNDATION(2ND) - -- - -- - ��$ F } Z O _ v ROUGH FRAMING& PLUMBING U y 5 INSULATION PER N.Y. -- y STATE ENERGY CODE B rn - " FINAL -/yiC. -- .row ADDITIONAL COMMENTS b O N � z y 0 w r c FORM NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date .... iref ... .<.. 19A. TO . . . ....... .................. (owner authorized agent of owner) ..�! ♦... i-i,if (oddress of owner or authorized agent oowner) PLEASE TAKE NOTICE there exists a violation of: / a Zoning Ordinance #/ /60 Other Applicable Laws, Ordilln''ances or Regulations ............................................ at remises hereinafter described in that .4r....� . .. ..................... (state character of violation) % ............ .......... . e' ...: . . ... ...,,............... ................... ....................................................... in violation of ..... � .. .:�. .. /..: . ... . . .......... .... ...... ....... ........ (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and t medy the conditions above entioned forthwith on or before the ........ ....... day of ........... .... 19Z. The pre es to ich this ORDER TO REMEDY VIOLATION refers are situated at o! .. • r�L.� �..(�..... ......... .County f Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. ..................! ... j .... ............. Building Inspector FORM NO. Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ExaminedC ................... ....:..�........, 197.� Application No. .�5..................... Approved ....................�.. .. ................, 19. ../Permit No. ....?........................... Disapproved a/ ....... .......... .... .............. ....................... ..... ............. ......... .................... (Building Inspector) APPLICATION FOR BUILDING PERMIT t Date ............... ........... .............. 19-2x.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 of areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 issue 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, buildi g code, housing code, and regiplations, and to admit authorized inspectors on premises and in buildings for necessary i ections. j ( i atur ant, or name, if a corporation) ....... ....�....rF..C.LJ �.n...t.0 .,..4�..�.,-.hS.ls'�:ey............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..............................................................................�(..+.................................................................................................................. Name of owner of premises ....ZQ t�.5.....`?3;n q k/.............................................................................................. If applicant is a corporate, signature of duly authorized officer. L/ ........................................................................................ (Name and title of corporate officer) Builder's License No. ............v................................. Plumber's License No. .......... ............................ Electrician's License No. .........v........................... Other Trade's License No. ...........v ........................... ( 1. Location of land on which proposed work will be done. Map No.: ......................Ix........... Lot No. ../................. Street and Number .S?Li..r;6...h"a4 p.c..A-A......ag,a s: kC?..W....................................... ......................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .........A..M..f............................................................ b. Intended use and occupancy ........... Jt . t �L T!.f?..n.......... 1....... j..... q 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ....v..,. . . Repair .................. Removal .................. Demolitior.................... Other Work ....�. // ................................(Description) 4. Estimated Cost ...1�d�............................................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 ....... .N.f ......................................................................................................................... 6. 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 .....`.'-....... Height Number of Stories Dimensions of some structure with alterations or additions: Front ............ .............. Rear ....... . ............. Depth ................................ Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front ..................✓........ Rear ............................ Depth ........................ Height .......( ..... Number of Stories ..................................................................................................................... 9. Size of lot: Front .....2.k.12-kl...................................... Rear .......2.22.............. . ..... Depth ...i ........[................ 10. Date of Purchase ...A" .k..S.r.......1.17*,' ..........Name of Former Owner 11. Zone or use district in which premises are situated ........ ...................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: v� ........................................................ 13. Will lot be regraded ............ ........ Will excess fill be removed from premises: ( ) Y�J)e�ss ( `I'No 14. Name of Owner of premises�14me. s....C9.R.Xa a...... Add ress7Y..lFJNo. ... .. 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. Neo; GCL s l L f'y'o�54' � G STATE OF NEW l W O / (5 5 COUNTY O� ���� �� Z.,,,...f ..,, .�/.-..................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the ............ .fi .....l .......................................................................................................................................... (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 tote best of hknowledge and belief; and thor the work will be performed in the manner set forth in the application filed herewith Sworn to�ao me this n�[ —.. day of ... Z . . 19../.1. Notary Public, ... County ....... . .. 1 s ................................... �F if ata o applicant) ✓ j; S FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. Examined ......................................... 19........ ;/�,,/�s�3plication No. ................................ Approved ........................................1 19........ Permit No. .................................... i Disapproveda/c ............................................................................................ ........................................................................................................................ 7� d .......................ctor......................�� Building Inspector � k ( ) �APPLICATION FOR FOR BUILDING PERMIT Date ................................................. 19............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 of areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 issue 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 molition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, ho ng code, and regulations, and to admit authorized inspectors on premises and in buildings for necesso inspections. ............. . ............: ( ature of applica ,3r name, if a corporation) y ....�,� ... (Address of applicant) , State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................................................................../.............................................................................................................. Nameof owner of premises ......... ....... iI.GL................................................................................... If applicant is a corporate, signature of duly authorized officer. Lam' ........................................................................................ (Name and title of corporate officer) ,i Builder's License No. .................................................... L Plumber's License No. ................................................ Electrician's License No. ...V... .................................. Other Trade's License No. .................................... ......... 1. Location of land on which eposed d e. Ma o.: ..... .. Lot No. ..................... .. ... . .... ............ ... .. Street and Number --91............. ... ....... e-. .. .. .. .. .. .....icip lily........ Municipality 2. State existing use and occupancy of premis n intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........''..../.. ...../-/..,......GI .CIiIX ............................................................. b. Intended use and occupancy ............... ...................................................................................... 3. Nature of work (check which applicable): New Building .........v..... Addition .............. . Alteration .............. Repair .........:....... Removal ......`............ Demolitior........�......... Other Work .......... .. 0..9.h!k........................ .... (Description) 4. Estimated Cost ............................................................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, specii}fy nature and extent pf each type of use ............................ 7. Dimensions�f existing structures, if any: Front .......�-."1............... Rear A ........................... Depth .....� �.......... Height ..... .................. Number of Stories ................................. . . .................... ............................ .................. Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ........ 0000.................. 8. Dimensions of entire new construction: Front ......0............................. Rear ............................ Depth ........................ Height .................... Number of Stories .................... ...........................................0..............................0................0.00.. 9. Size of lot: Front ............. 2.(l................................. Rear ...........2..�k7....................... Depths .....`- zL/ 7................. ....................................................... 10. Date of Purchase Name of Former Owner ..../7.n!y�l '.11t....... QW.d�.�ly..... , �J./ 11. Zone or use district in which premises are situated .. Y..........................................................................0.............000. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ..(�/1'l.�l/. 5....C.�.ml..IP4L '...0...... Address .MO..A� � Name of Architect .............................................................. Address ................................ Phone No. ...................... Nome 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. �7 ? �gr6t� � tt x f\ PeR IY i STATE OF NEW YORK, COUNTY OF ................................fS.S .........................................................................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis 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 thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....0...0.0...0......... day of ............................................. 19........ NotaryPublic, .................................................... County ..............................................0................... 0.................0.......... (Signature of applicant) `] 3a v ''<< < °/7v 23S ' i - � FORK NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT U TOWN CLERK'S OFFICE SOUTHOLD, N. Y. y �/ 751 r Examined ....... ..�.��.�..�......1.............. 19.�.(.. Application No. ...............................� '']7 Approved ...................... ............... 19... Permit No. ...(..Sa:.. . Disapproved a/c .... ..................................................................................... ..... ........................ ........... ........................... (Building Inspector) APPLICATION FOR BUILDING PERMIT °Q Date ........... .... ...............�........., 1U'.9�.�.... INSTRUCTIONS I IQ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Cl 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 application. c. The work covered by this application may not be commenced before issuance of Building Permit. T d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit D shall be kept on the premises available for inspection throughout the work. a e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy J shall have been granted by the Building Inspector. ww 0 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, buildi code, housin e, and r ulations, and to� admit authorized inspectors on premises and in buildings for necessary i ctions. O ............ ... ... . ....... ...........................................:.......... rg oture of applicant, or name, if a corporation) :..0c:°. ..7..s: �.......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................................................. ...........Q................................................................................................. Name of owner of premises ....:-1 ..Y... ..�2...........Rr>.R Q.A........................ If applicant is a corporate, signature of duly authorized officer. ........................................................................................ (Name and title of carparote officer) Builder's License No. ..........i .................................. Plumber's License No. .........V................................ Electrician's License No. .......✓.............................. Other Trade's License No. ..........Ll--�............................. v vv 1. Location of land on which proposed work will be done. Map No.: ................... . .f4...... Lot No. .....X.............. Street and Number ............i kT..!f.....I�./4 .0. ....R9W .�..—....�.S?.11a..rc1......... . ........................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .......`J..A... l.: ..Z.................................................... . ...........J................................... b. Intended use and occupancy .... .L. ......�.,,O /. ............................... F J 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ... . Repair Removal Demolitior,..................... Other WorkGay. !,. ..t....................... r ( _ (Description) 4. Estimated Cost .t..G0-0.........................................Fee ..�5.......... .............................. ............................... (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 .....©sue............................................................................................................I............... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......v................ 7. Dimensions of existing structures, if any: Front ......... ............ Rear ..............!(r: ........... Depth ....L. ...... Height ........................ Number of Stories ................................. . ....................................................................... Dimensions of same structure with alterations or additions: Front ............... .............. Rear .....'.--'................. Depth ................................ Height ............................Number of Stories ................... .......... 1 8. Dimensions of entire new construction: Front .....Le .......................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front � O. . . Rear ..... .2.!7 Depth .. ..~f...... .................... . ....... 11 10. Date of Purchase ... y91K.`t.T....II91A......................Name of Former Owner .��P17d J; 4.,�7Fk.S� 4.r ....... 11. Zone or use district in which premises are situated ........... ................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...........1/ ....................................... 13. Will lot be regraded ..........! ............. Will excess fill be removed from premises: ( ) Yes ((")'NO 14. Name of Owner of premises ....... Addressy gAA1�l.,.9?p:Qs4Phone No. .... ......... Name of Architect .....................111� ................................... Address ................................ Phone No. ...................... Noire 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. 277 Ne,., Gc<rRcde y� U- PK,VY �y S ati Alfid ed A)_ STATE OF NE >> / i S S COUNTY OF .. ...... S�.Z .....f k. . ? ?...((..11.5. ..........................................being duly sworn, deposes and says that he is the applicam (No a of individual signing contract) above named. He is the ......... .L................................................. ................................................................................................ (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 the best of his knowledge and belief; and thar the work will be performed in the manner set forth in the application fWh Sworn topefpre me this ........... .f ay of .. ....... .. 19...Notary Publi .. /.. ......... ..... ..� - County ..................... ............................ot applicant) JUDITH T. BOKEN Notary Public, Stare of New Ym1 N..52-0344963 Suffolk CouMy 1 Commission Expires March 30, 19 COLOR w14 /Tc TRIM w H/ TE 4 � V *� r� ` 'r I I M. Bldg. 12 2 - 6 3 ,9" 6760 a / 910 Extension 3 ,f J'D G / Extension /67 /s—u LSZ Extension � � x � p � D /S'U o Foundation S �d'� / Both Dinette Porch Basement pl-qlvl Floors P1 Al K. Porch = Ext. Walls Interior Finish vtRs r -- v LR. X / / P is o 029 B S/�/ c Breezeway Fire Place a Heat FS DR. GarageZ-6 yL , v D Type Roof Rooms lst Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O, B. Dormer Driveway C / Total (� (9't to i 10 i i 0 0 i '15zoz r n 3 'y Ir oN b �4 'rrlNu oz , r SOv7/ '�� 35 5 SDvii� /471 PA r 3 S-U Z '151-7'173 z�»a P 7Sa OZ q/Y/7y �2 �nnc9� (}cc iY r �pct�t v V i. C) y plyW*ao 3NEATNlPl6 dd't SEA�TA� A PRAL-r sN�N6tES �wAL- G �Igt.A• F�I.T L'` l�X6i� p`f us 2 X 8 RA�7 N ,csief c �X4 sruas MRb #,84*,'s�► SibIMC, 4 , I ,»1p cHuK .Zj Z X If SWE y,!codcRElE elk BRICK S[AB to IS7iyF J�LoOR 9�Ap` �► sm - -- 8 G�ISY/N6 BLOCK 3 IccwcR�F J�MT/N6S Dia 4ao f a°'w,yjloW AfAAEit AJC/I 3r d � m f � ac •a. 2.a CoNtRiKE I 13RIcK k REP t� �, r0OR - DETACHED GARAGE - ROOF COVERING RIDGE 1 o �' Rip6E ROOF SHEATHING�� X V 15 LB. FELT 1 ly'6 O ` aRAfTEK /6 /ac. Nb Q S0.F r/ 0. F PLATE STUD - 16" O. C. WALL SHEATHING I 15 LB. FELT WALL COVERING 6F SILL ANCHOR BOLT GRADE GARAGE FLOOR FRONT ELEVATION F m F I NOTE: INDICATE DOOR, WINDOW OR � ANY OTHER CHANGES. TYPICAL SECTION SCHEDULE OF MATERIALS NAME MATERIAL SIZE 1— RIDGE ,EM I.OGK _ RAFTER // u O ROOF SHEATHING I,y'µ.19p 't o ROOF COVERING p' ALT LF W STUD Fn t.0 14 i z o �/yy p i `O PLATE N pX ri •� G S SILL i1 u v o o WALL SHEATHING I i,�p C!y>( < c WALL COVERING 1. W Q p 1J q /,3A S ANCHOR BOLTS ,r,*P J„ / c DOOR HEADER ,Lp ( / r _ � GAR. FLOOR 6A c Y "< / FOUNDATION ON -"�� �0 I I CERTIFY THAT I HAVE COMPLETED AND CHECKED THE ABOVE DIMENSIONS AND MATERIALS AND THEY ARE AN ACCURATE REPRESENTATION OF THE DETACHED GARAGE I PROPOSE TO ERECT ON THE PREMISES LOCATED AT- PLAN VIEW Street Village Signature of Applicant