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Home My WebLink About18437-Z ;.onc xa s TowN oP souTHOLD tU1LDING DEPARTMENT \ TOWN HALL ~ ~ ` ~ SOUTHOLD, N. Y. ~oL" c tUILDING PERMIT ~ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 18 4 3 7 Z Date f.r~~'....~..9 19 Permission is hereby gmn;ed to: ~.at... ~ ~.3..~ ro ................~~.~I 1..~ . Aa l A-.............. . at premises located at ..r~„z,~..~1...... ....14. .......:................9!lr!:!!!:!:~~....... ..f.S,.......1~!!~StS:.......1.~f~.Alt~r4S.YF4 County Tox Map No. 11000 Sect. Block .....1..t..~i k......gLot No......Q..~........... pursuant to application dated .~fl/tJ!{..:S:I.e.Q.'.....~5........, 19~.{.., and approved by the Building Ingqspector. I Fee S•~•~1.:../ Bui ng Inspector Rev. 6/30/80 .'1L L/ i.. .C..L -1: .. If ~n~~ ~ ul::K';~fal l.. r 1 II m eC a ~ c . _ --- - a N r'OUNDATZO".! (1st) __ ~ = ~} ~ ~' c ?OUtJDATIO;J (2nd) _ ~~ .. _ lil. ,.. I o ' OUGH FRAME ~ N N . , v. V~ PLUMBING m H 3. m m IIJSULATIOfI PER N, Y. y STATE EPIERGY I CODE - ~ , -~ v 4, ~~ H FILIAL .. o ADDITIONAL COMMEIlTS: cn x i O - m • ~ x ~•W H ~~ A a . H H _y O ,,,_ m ~ } ~ \ _H t d m ~a -.~ _ _ C:..uc BOARD OF HEALTH 3 SETS OF PL.\NS FORMN0.1 $URVEY•: TOWN OF SOUTHOLD CHECK ~ 7`ft~ BUILDING DEPARTMENT SEPTIC FORM • BLDG. DEPT. TOWN HALL TOWN OFSOUIHOLD ~OUTHOLD,N.Y.11~71 NOTIFY • TEL.: 765.1802 CALL t~ p P1AIL T0: Examine ~tM. P Z. l 19~p.f. .\pprov~ • . ...~~•°~:9., 194. Permit No~. B Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT / Date ..:~0.<.~.~?/I?.I...., 15... INSTRUCTIONS a. Tltis 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 diagram 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 throu;ttout 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, 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 corporatton) ~c~c..tr F'oa /Ylgrr A MAa fYlart[Nq ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ..~4~.4Nt... fob..1`nor..A..l~n~...Swy Name of owner of premises ..Q~' ~U A2g41 . (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ....~i~.44-F . t~ Plumber's License No . . i[ Electrician's License No . . Otl[er Trade's License No . . 1. Location of land on which proposed work will be done. •.l!!~C'C. , mfa'Q, .(YlA•21AQ ~Q: (3oX X235 ~ZSs'..l~lcK~{~}m....~'.E .............lYlarTt~,~c~IC:.........~t,~N...4f..So;,-r~o~ _ Flouse Number Strcct Hamlet County Tax Map No. 1000 Section ~ J Bluck ~ Lot ~ , Subdivision Filed (\tap No. Lot . (Name) Slate existing use and occupancy of premises and intended use and occupancy oC proposed construction: a. Existing use and occupancy 5.~p 2AE7E, , , , ~rJ ~.Q . b. Intended use and occupancy • • S'~02,I~G~• • • • • W?5~ ~ ~ ~'~1?. . 3. Nature of work eck which applicable): New. Uuilding , Repair Removal . Addition . ton Demolition 4. Estimated Cost .~V OF 0?? , . • g q (D~scription) Fee , j J. a~...... . 5. If dwelling, number oC dwelling units • (to be paid on tiling this application) Number of dwelling units on each floor.. , , , , , If garage, number of cars • • ~ ~ , 6. If business. commercial or mixed occupancy, specify nature and extent of each type of use . rte, T.Q (Z•~C3 rrr-, • 7. Dimensions of existing structures, if any: Front .~r'?9; IQ r; • Height .17..:rp. F',E,AC Rear ..SI~ME; Depth . Number of Stories ......1 . Dimensions of same structure with alterations or additions: Front , , S~mE Depth j~M'`........... Height ..rrl+,mc Rear ..~~!!1.~,......... ' 8. Dimensions of entire new construction: Front , Kl • ~ ~ ' ' ' ' ' • • Number of Stories . Height t~ ~..n'lV.... Rear .....'t......... Depth r r • .NumbcrofStorics...,,• 9. Size of lot: Front wUif~O O~.yLkt~ •Lpf Rear . 10. Date of Purchase APP(19><...maY . • • • • • • • • • ; • • • • • Dep th . . )~•7~• • • • • ....:Name oC Fotmcr Owner ..F.KA.Nl4 . lJAu?R~„ • , , , • • . . 1 1. Zone or use district in which premises are situated • , , m, •,2, • , • • CYIAR. • • . • • 12. Does proposed construction violate any zonin law, ' ' ' ' ' ' ' ' ' 6 ordinance or regulation: _ ~ • • ~ ' ' ' 13. Will lot be regraded ..Will excess fill be re owed from premises: Yes Nn 14. Name of Owner of premises (}41, , • • • ~ • • ~ ' ~r,,~ ~~Q~iSI ......Address QRl)SPGGT.. Name ofArchitcct ..Q~~NY WMf3~(Z SCR ~t~• Phone No.(v.7tG.-;j.~j.`~O, ' ' • • ..Address . ..Phone No . Name of Contractor ......SC-4,.,P„••..••.•,•,,.Address 15.Is this property located vithin300 feet of a tidal wetland?n*YES....NO..., y *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAb1 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 comer lot. P~caSr: SSE P~-a-n~s lu~~~oE~ ST,1TL• OF KE1V YORK, COUtiTY OF , S.S bcingdulysworn,dcposcsandsaysthatheistheapplicant (A`ame otindividual signing contract) about named. flcisthe • (Contractor, agent, corporate officer, etc.) • ~ ~ • • N said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this -Pplication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the 'work will be perfot7rted in ttte manner set forth in the application filed therewith. >wom to before me this ...............~5~ ....day of 19 rotary Public, /r .....6~GG~4r+ri.../.l.:. K.~:. Ui~ County NELEN K. DE VOE NOTARY PUBLIC, State d New Yqk • , .`~.~5~`~~-. . No. 4707878, SuKolh CcutAy . Tenn Expires March 30,19 (Signature oC applicant)