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HomeMy WebLinkAbout17589-ZTOWN 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) Rev. 6~30~80 r 1r:LD !,.S"EC L.01l! D '%TE C;OP?MENTS � FOUNDATION ( 1st ) --- _ FOUNDATION ( 2nd ) m 2. z " o ROUGH FRAME & •PLUMBING cn H 3. x rm-7 INSULATION PER N. Y. y STATE ENERGY CODE 4 . --�. FINAL ADDITIONAL COMMENTS : CN tx? H 9 H m -o H a FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 G,� TEL.: 765-1802 xamined . . . .�1• • �• . • . 19o'U Received . . . . . . . . . . . 19 . . • Lpproved . . . . . ./, . . . . . . . . .1 194 0. Permit No. � ��• lisapproveda/c . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rui . . Inspector) . APPLICATION FOR BUILDING PERMIT Date 1.9$,8., . . . INSTRUCTIONS a. ' This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 ets 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 it areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ;ation. .' 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 hall 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 ,hall 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 3uilding 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. James Volney, ,Righ�a�, .Axch.�.zeCt.s> . Inc.. (Signature of applicant,or name, if a corporation) 58 Winter St . , Boston MA 02108 • • . . . . . . (Mailing address of applicant) • • . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . Architect. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises Cynthia.C:• •Saint�Amand , , (Horace, ,Kgll,ar}�i .1,esSe.e . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) , If applicant is a corporation,signature of duly authorized officer. (Name and le of corporate officer) Builder's License No. . 13 2 4 6.—.H I. . , . . . . , . • • , , Plumber's License No. 25.63—P. . . , , , , • , • Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other-Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Chocomount Beach Fishers. Island NY , , , , , , , , , , , , , , , , , , , , . House Number Street ,Hamlet County Tax Map No. 1000 Section . , . . . • • • • • • • . Block . . . . . . . . . . . . . . . . . . Lot . . . .� : 1. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed.construction: a. Existing use and occupancy . . Single;family, ,ya ELtjPj1. .hQuSe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy Same��. Proposed• addition .will .be. .unins.u1ated •and ;„ ! • • unheated-- .for. summer .use only.. . 3. Nature of work (clileck whiclil applicable): New Building . . . . . . . . . . Addition . . . . .. Alteration o:` Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . _ (Description) 4. L'stimatcd Cost . . . .W.,000. . . . . . . . ... . . . . . . . . . . . . . . . Feci ��.�1,, . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this.application) 5. If dwelling,number of dwelling units . . nne . . . . . . . . . Number of dwelling units on each floor.... . . . . . . . . . . . . . . Ifgarage,number of cars . .N:A.•. . . . . . . . . . . . . . . . . . . . . . . . . . , 4 . :.. . . . . . . . . . . .. 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use . .N.A. ... . . . . . . . . . . .. 7. Dimensions of existing structures, if any: Front . .La :'Rear . .2 2:. Depth . .0... . . . Height . .13 . . . . . . . . . . . Number of Stories , one , , , , , . . , . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front .44.,. • . . • . • . • . . • •Rear . 51 ' • ,. Deptli . . .6S.. . . . . . . . . . . . . . . . Sleight . 18 . . . . . . . . Number of Stories . .one. . . . . . . . . . . . . . . . . 8: Dimensions of entire new construction:.Front . . :26 : . . . , . . . . . Rear. - ZQ! . . . . . . . . . . Depth . . l$.�. Height . .18 . . . . . . . . . .Number of Stories .. : ;gne. . . . . . . . . . . .. • . . . . . . . . . . . . . . 9. Size of lot: Front . .350 .. . . . . . . . . . . .Rear .4J.0: . . . . . . . : .: . . . . . . •Depth. . .2G9.'� . . . . . 10. Date of Purchase . .MPv. .7 M. ... . . . . . , .•. , . . . . Name.of Fonner Owner Cass .Canfield. . . . . ... . . 11. Zone or use district in which premises are situated , ,r e s i d e n t1e 1/,aar i c u 1 t u r a 1• , , • , , • , , • • , , • • . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . no , , , , , , , , , , , , , , , , , , , , , , , , , , , 13. Will lot be regraded . . Act . . . . . . . . . . . . . . . , . , . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises C yn zh i 4. .s t.UlArld Address A $.$�- A t,NXC . . .Phone No: Naive of Architect James V:. Righte ch . r .ArsAddress 58 •Vinter:l3Rs 61 tonphone No. 7-451-5740� Name of Contractor .Wa.�.�.i aA.F*.4 v -.Cri Q:r. . . . . .Address FJ q 4 P rA .1,9. A Y. .Phone No. 16;.7.$$:7.Z1 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.i. See attached drawings . STATE OF 1 Y9D= MASS . S.S COUNTY OF. .SuffQlk. . . . . . . . . . . . . . .James .V:. .R i g h t,e.r . . . . . , .. .. , . . . . . . . . . , being duly sworn, deposes and says that lie is the applicant (Name of individual signing con►ract) above named. .agent (architect) . . . . . .lIeis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent,corporate officer,etc.) f)f said owner or owners, and is duly authorized to perform or have perfornied the said work and to make and rile this application; that all statements contained In this application arc true to the best of his knowledge and belief;mid that the work will be performed in the manner set forth in the application filed therewith. Sworn to before vie thi .. l , I . . . . . . . . . �. 14otary Public ::"' �ti .tasty �.. . . DIARY F. o'HAR$ Hiv . . . ... . . . . . . . . . . . . . . . . . poly Commission Expired ' UUIy 27, 1990 (Signature of applicant) JAMES V. RIGHTER ARCHITECTS LETTER OF 'T UMOVUL .58 Winter Street BOSTON, MASSACHUSETTS 0 d R JOB NO. I6 1w`J7V`v- KV (617) 451-5740 � .. 4 zE �1 TENTI To S BLDG. I a—, �I S Lta.+o S(e, . TOWN of sou T yoLD WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION a THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS S COPY To SIGNE&st PRODUCT240-2 �Inc.Gmto m_olan_ if enclosures are not as noted, kindly notifnce. P�PF—it.TY:'w-.oyGiuC# e1 _ C`[NT141A, C- SAINT-AMAWD,_ , CUFF out CG. TALC MAP f sa. No. 1Uoa- oot�-Z 71. 26h. HoRJ!GF- KEL-LANs ,'I-ss -it -.'SEE SEC. N0.003 MATDH LINE a ri zro. 40 %,' 7•i -2.5 A(c) .�, c N :4 1v 2.5A l _ N • - - 3. { a ma 7.0 A-72 , a 278' 16]' e9' �' 9 32-A r ry 4.9 TREASURE' POND 25:9 A(c) (.UNDERWATER- • LAND)' FISHER ISLAND IO WATER WORKS b • °ope®oeeaaaa�pP�o r.. t. 6.5 A �- = °00° G\rZEaED qpc o, 0-0 Via. T ° - - - - - _ -"'• 143�. %' - SH _ op THE STATE'�o 00° - -- = - e oan ooaoao° 6•I .. ;' a66 i ,. . -. :. .. �. �1'S HF�S ISI.,n►.11'7; 1.l.Y. - - �.,z -:2.9A N I" Z aceLO ' . N 519" -.. •-� .. R.D. /f'RoFsR.W --DFL094IN4 To CYNTHIA C. SAINT•A►^AMD '4' r ter/ FISHES (SLMD , W.Y. �. . SUFFOLK, CO. .TAX MAP. 8".t - / 0 pl;_o PEFZT/ Hofz4CE Kr'li.Aut� , {-�SSF.� Exl IN�j u NEr S�aM+ w . 2 0 • ; iwo �%fr-WAY j , �..` �...� ...� Ado Aplp jTjp � + _ 1 .00• \ .� ' • gF-)4E OF t�� STIWTIA Alp CHOCOKOU"T 13EA4t••f - - . STON WA",,'- pON t7 - .': . ..• - EAl� 5�t,-e:yEt•.�..'°.�tiO�a�E_ED A HjT / � � - DO �`- -•yam _._. , _ - - ,q°�- ,—'DOO�Nl� 3Q p f ' - n o° o Hr41'. �a { ' me � q_7 m A Ory Lys � x a 58 04 do v �Loc.K tSI..AF.1f� -/ Ile - a�' f �• W 10 n O WS fl00 i t} . . K i.T G N �I_" __ TI - r. 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