HomeMy WebLinkAbout23743-Z 1081[ N0. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT \ f Q
TOWN HALL V
SOUTHOLD, N. Y.
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1o� l3IO�
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 23743 Z Date ............4/20......................., 191
Permission is hereby granted to:
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to . !'r, /....!��✓....T� ,�� 199.9.4.......... ��`............................
t�--.......y ............ops �P�v,� ............ ,� _
........ .. ..... .. ..��......... (.�...// ............../.�...�.......................................
at premises located at ......... r!..iCU...../..c��✓ /./.k✓!ire.......Il!���:..................................
1. cltfllt�t .............................................................
......................................................................2..............................................................................`............
County Tax Map No. 1000 Section ...`:1.2........ Block ......Q/....... Lot No. ..... f
...... ...........
pursuant to application dated ................jP. ,114, . 19✓.�}.Y�,/ and approved by the
Building Inspector.
Fee S•••/1.52:�•
uil g Inspector
Rev. 6/30/80
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"IMMEDIATELY IgpS'rtEDTIFICATE
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LIGHT
APPLICATION 4' fi 6' 6' 4' APPLICATION 14• A 2d' XN(.MHCLE TYY6 I' �- D —_--��T I A - �
2.
8-6' PANELS 0
4 �a 3' 7-4' NMILLS --
9 y fi 4-6'• RADIUS t:NtDITJI PANELS L
_toHT Z 6' is 11-6RAC23
CENTERED 4 •)/' 1-96• CDPING PING.F: SAT
q 3h 6 2• !' I-VINYL
41'RAIf.A7' 6E'I E I F -�A'� G —^Y H - J I'^ K -«"1 J
4' 6' 6' 6' 4' NOTE:TYPE 6 POOL-INSTALLATION OF -F'�"- _
DIYIA'C EQUIPAIENT IS P1101t1/U760 SIZE A B C D E F 0 H J X L
6' 6' 6' e' 6' I6'A 32' RECTANGLE 14 X 2 14' 26 7' i"4 D 12' 4' 4' 4'6 5 3'6"
Note:Diagonals given to 16 X 32 1b' 32 B' 3' Y 14 S 6 4'6 4 6 7' 4'6"
12-6' PANELS TY PE II gpe point p1 COlrlar6. 16' 36 8 3'4 1 14 5'6. 4'6. 49 9' 4'6"
5 `„ 4 3 4 4-4' PANELS 16'X 36
3p 4-CORNER PANEL9 20% 4 20 40' e' 34 T 4' 6' B' S'2"
LIGHT 6
B.
6' 20-BRACES
CENTFREO 6 35;9.. 1 -90• COPING CORNER SET f itlXlKlf DICK
up
1 -16 X 32 COPING STRAIGHT SET to= alTwalvltN
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' 4 3 4• 1 -VINYL LINER d
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6' 6' 6' 6 6' rommflr J
loon p i.}: rYrE a w vwr
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6' 4' I6' A 36' RECTANGLE
14-6' PANELS TYPE Ir AA•A} xq•psT� .r{s1n111Is rw eu
6' 4' S' 4-4' PANEL9 brlaa6 22-BRACES 'Y�I�e{•fnslvlul
4-GOPHER PANELS 4NY{[a u:I -9O" COPING CORNER SET Toru{afA •N TT'p0LIGHT 4 8 6 1 -Ia X 36 COPING STRANHIT SET rp.snxxliI N11 SKIT wlL LF.NTERED4 I -VINYL LINEN "•••'•r••"'•• w•i 6oI14N `Q�R Nwl[!
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6' b 4 20'Y 40' RECTANGLEI6-6' PANELS TYPE IEC0� fi 5' G' 4-4' PANELSPREDO I4-CORNER PANELS I'q 24-BRACES1-90" COPING CORNER SETRECTANGLE
LIGHT 6 e• 1-20 X 40 COPING STRAIGHT SETCENTERED1-VINYL LINERu 9q,9 • NOTE:5 ALL CORNERS ARE 6" RADIUS EVERYJOINT USES A BRACE. ALL CORNER6, 4' SECTIONS ARE 1• X1'l 6' 6aYM=:•n^•!. VM•rMYn}M.Mq•W M M."M••
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SURVEY FOR
r ARTHUR DAV/D 0 M/L DRED DA V/D
SU80/VISION MAP FILED IN THE OFF/CE L O T NOS. 17 Q /8 , "MAP OF PROPERTY OF M.S. HAND ,
OF THCCLERKOFSUFFOLK COUNTY ON AT CUTCNOGUE GATE $
SEPT 18,1930 AS F(L£NO. 730.
TOWN OF SOUTNOLD SCALE- /
SUFFOLK COUNTY, NEW YORK NO. T
+tUNAUFHORIZEO ALTERATION OR ADDITION f0 THIS GUARANTEED TO-
3 j?VE y
O•3j?VEY IS A VIOLATION OF SEC 1`1011 7209 OF THE USLIFE T/TL£INSURANCE
NEW YORK STATE EDUCATION I.AW NEW YORK
K COPIES OF Fit 19 SURVEY NOT BFARING TNF" LANG
SUHVEYOR'S IN.10 SEAT. OR EMIIOSSED SEAL SF1At.I. HAeNILTONFEDERAL SAV/Nr_
NOT RF CONSIDERED TO HE A VAl 10 TR1/E COP(
I(GUARANTI-ES INVICAFFI) IMP,ON SHAD. RUN ONLY 10
I EIF. PERSON FOR WIIf1M IHf. "HINVE t IS PREPARI.P.
ANIf ON HIS OL JAI.I 10 IHF III,_f C</MPANY,GOVFFIN- �rZE OF NESV
I.q1 NIAL AGENCYAN1) I 1 NUING IN`TIIUTION 1,1S1'E1) S
HF..REUN,ANO TO IHf. ASSIIINLF.S Of IHF I.FNOING rR� K; },
INSIITUYION. GUARANTFES ARE NOT TRANSFERABLE �`�
10 AOOITIONAI" INSIYIUTIONS OR SUBSEOl1ENT 4 • 0
!)WNERS
w OISIANCES SHOWN HEREON FROM PROPERTY LINES
10 EXISTING STRtICIUIIES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO Of' USED FO ESTABLISH /� /
pPOpEATv IINE'S OR FOR THF FRECTION Of TENCES. �L/ '�
4uYOUNG a YOUNG 4�Ows
AIXEN W YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR NY.S.LICENSE NOW945
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALT. SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N-Y. 11971
TET.: 765-1802 NOTIFY:
roa3nined._/-Q,�29 ..... 19 C MAIL TO: . . . . . . . . . . . . . . . . . . . .
Approved..• � zz� 1 0 Permit No. ....//..��... ....................................
Disapproved a/c/.................................. ?y . �� Q �� ........
...................................................... Y � � .
2199
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(Bui.ldin 1 ,Peet )
APPLICATION FOR BUILDING PbRMIT
Date. . . . . . v �!.Z . . , 19.��
INSTRUCTIONS
a. Ibis application must be co"iletel.y .filled in by typewriter or in ink arxl 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 application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the 5,ilding Inspector will issue a Building Permit to the applicant. Such
permit sliall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in wlx)le or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS 11El1FBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building 7xm Ordinance of the Town of Southold, Suffolk Canty, 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)
(Mail.i address of licant /
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plrmber or builder.
........................64AA ...C4?v .1-.0 ...................................._.............,.....
Nam of owner of premises .........M (-a A&3.......(/.,Tv,t. ..................................................
(as on the tax roll or latest deed)
IfVajnd�
t is a corpo a ture of duly authorized officer.
.......... ..f..............
title of corporate offi
Builders License No. ...c�2/
Plumbers License No. .........................
Electricians License No. :5. ��.� ...
Other Trade's License No. ............. nn 777�-
I. Location of land on which proposed work wi1.1 be ckne........4. ................................
7go-?S`................ �L f.✓ j2?L...! L.........._....... !
louse Number Street Hamlet
Canty Tax Map No. 1OW section ....13.7....... Block ..1'............ Lot ...3.,.l.......
Subdivision ...................................... riled Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premise and intended use and occupancy of proposed construction:
a. Existing use and occupancy [6&. ..........................................
b. Intended use and occupancy ...........IAI /��y�-► ! L r `?L....r t.-..... .... .. ...
1. N•►ture of work (check wlhich applicable): New Iknildint; ..... ..... Addition ..... Alteration .. ......
Itelwir ............ Rdmwal ............. Ik- himliLion ............ Other Wolk
✓
(Description)
4. Leliuhated ('.ost ........,��.': 00 % .. Fee ..............................................
(to be paid o►► filing this application)
5. If ckaell int;, midrer of clhrei 2 ing units ............ tltniner of e)tael I ing units on each floor ............. . ..
It garage, rxrtdher of cars .......... ............... ......... ... .
6. If business, cnumercial or mixed occupancy, specify nature and extent of each type of use...... ......... .......
1. Dunensions of existing stnhctures, if any: Front... ..... ......... hear .. ............ . Depth ............. ....
Ik:i&L ......................... Mmd,er of Stories ......................
Dimensions of sane structure will► alterations or additions: Front ............... Rear ...............
Depth .................... IleilJ►t ............... ... .. Mxdx.r of Stories ...............
it. Diuxensions of entire new cOnstrnxaion: Frcxht .... ............ Rear .... ........... Depth ..............
Ileigl►t ......................... Umber of Stories ..... ................
9. Size of lot: FronL Rear .................... Depth ....................
IO. Ilahl:e of Purchase ..................... Mame of Foruier (kr►►er ........... .............................
11. 7xx►e or use district in w1►ic► premises are situated ............... ...................................... ...
12. Ik)es prolhosed "xisCrx.tion violate any zoning law, ordinance or regulation: ......1....".............
13. Will lot be regraded .................... Will excess fill be ramorved f-rcxn premises: YI:S
14. Mies of Owt►er of prenises .....6.'�Y�.O............. Acklress .3ff7J'. P71' ... Phone Mo.
time of Architect .............................. Address ... ...... ............... ...... I'1►one No. ............
Mite of "Lractor _.(7...!� GGY r �.... Acklress ...4/ . !"' .�.../.`.'./......I'lione No. 2*.S� �..
15. Is this properly within 3M feel of a tidal wetland? * YES .... ... NO ..........
*IF YES, S(11111OID "IUM 'IRl1SI11 S I'1sNIT MAY ISL ItL(XfICVJ). O�
111.01' DIAGRAM
Locate clearly and distinctly all Wildings, wl►ether existing or proposed, and irxlicate all seL-back dimensions
ftzm► property lines. Give street arxl block n►xd)er or description according to deed, and s1►ow street nines and inficaLe
%Ahetl►er interior or corner lot.
:il'nlE (M' "M Y(MtK,
UAINIY (M'
C? � '�� /T ' Cliff?LG1.....11!.4:_......Ix-ing duly bVA)rn, delx>.ses atxl says that he is the applicant
......... !......'�...... ......
(Manx: of individual. signing contract)
alx)ve tnixied, C j
kis the ...................... ��w l! t; n.J.................... ...............................
(CmiLractor, agent, corlxnraLe officer, etc.)
of: said owner or owhhers, a►xl is duly authorized to perform or have perforued the said work and to mike and file this
appl ication; Thal all sLaLaneoLs contained in this appl i(!at ion are Lrue to the Ixsl of his k►xhuledge aml Ixel ief; and
Ilial the work will be perfonted in the manner set forth in the appiicalion filed Lherewitl►.
`")in to before me this
..._Z20✓1 Ah of: .. t ... 9
Notary ['► / .(.. ......... . .........
CLAIRE L.GLiEW (Signature of Applicant)
Notary Public,State of New York
No.4879505
Qualified in Suffolk County
Commission Expires December 8,19=