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Home My WebLink About25447-ZFORM NO. 3 TOWN OF sOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25447 Z Date DECEMBER 29~ 1998 Permission is hereby granted to: THOMAS P. & DOROTHY E. FARLEY PO BOX 182 MATTITUCK~NY 11952 for : REPLACE 1ST FLOOR BEDROOM WINDOW & ALTERATION TO 2ND FLOOR WINDOWS AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 126 Block pursuant to application dated DECEMBER 29 1998 Building Inspector. 7800 GREAT PECONIC BAY BLVD LAUREL 0011 Lot No. 015 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 TOM OF SOUTUOLD BUILDING DEPARTHENT TOI~N BALL SOUTHOLD, N.Y. 1197l TEL: 765-1802 Disepprc~l a/c .................................. SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: HAIL TO: . . APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. 'Ibis applieatian atst be c~mpletely filled in by typewriter or in i~ ~ mitt~ to ~ ~ildi~ Im~tor ~i 3 ~ts of pl~, ~ate plot pl~ to ~le. F~ ~i~ to ~le. b. Plo~ pla ~ l~ti~ of lot ~ of ~ildi~s ~ ~s, ~lati~ip to ~joini~ pr~s or ~lic struts or ~, ~ givi~ a &tail~ &~ri~i~ of l~t of pm~ ~t ~ ~ ~ ~ di~ ~i& is ~rt of ~is ~li~ti~. c. ~ ~ ~ ~ ~is a~li~ti~ ~ ~t ~ ~ ~fore isle of ~ildi~ d. ~ ~al of ~is ~li~i~, ~ ~ildi~ I~tor ~11 is~ a ~ildi~ ~t to ~ ~li~t. ~ ~11 ~ ~pt ~ ~ ~&~s ~il~le ~r i~ti~ ~ ~ ~. e. ~ ~ildi~ ~11 ~ ~i~ ~ ~ in ~le or in ~ for ~ ~ ~t~r ~til a ~rrificate of ~ ~11 ~ ~n ~ ~ ~ ~ldi~ ~or. ~I~ IS ~ ~ to t~ ~ildi~ ~nt for ~ is~ of a ~ildi~ ~ ~t ~o t~ ~ldi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s or ~lati~, for ~ ~t~ti~ of ~iMi~, ~iti~ or alterati~, or for ~1 or ~liti~, ~ Mmin &~ri~. ~ ~li~t ~s to ~ly ~ ~1 ~li~le 1~, o~i~s, ~ildi~ ~, ~i~ ~, ~ ~lati~, ~ ~o ~it m~ri~ i~tors m m~s ~ in ~ildi~ for ~ i~ti~. (Signature of applicant, or n,~n% if a corporation) 7800 Peconic Bay Blvd., Laurel, NY (Igailing ~4~Teas of applicant) State uhether applicant is o~ner, lessee, agent, architect, engineer, general co~tractor, electrician, plu~er or builder ......... .......................................................................... ......... / ~ ~ ~ql~,J~El~ AT ~,,~ g.~M '[0 4 ~ FOl~ THE (as an flae ~ax mi1 or latest deed) If applicant is a corporatian, ai~ of ~y ~ri~ (~ ~ title of ~te offi~r) ~il~rs Li~ ~. . . Pl~rs ~ ~ .............. ~l~tfici~ ~ ~ ...................... ~r ~'s M~ ~ ..................... ~1~- ~ REOUIRED I1011110~1~ O011ClC~ ~. I~ o ~ · IP,~,UMBING ~. NI~,JUI~IIOI 4. FINAL - CONSvRUCTION MUS! BE C~ FOR C.O. ALL CONSTRUCTION SHALL MFE'f THE REQUIREMENTS OF ~E ~ '/ ~TATE CONSTRUCTIO~' ~ E~ r CODES. NOT RES~'ONSIBLE ~o~ Blvd., Laurel, New York House I~ ~he.r Stx~set B~let CctmL~ Tax 14ap N~. ]000 Secti~ ...].~.& ......... Block ...J,l ..........Lot ...1.5. ........... Subdivislo~ .... I~/..A. ............................. Filed l/ap It) ................ I~t ............... 2. State existing use and eccupan~ of premises and inte~t~ use and oeo ,m~cy of proposed c~structian: a. F-xlsting use a~! oe~ ..... .O..n.e...F..a.m.~.l.y...R.e..s.i..d.e..n.c.? .......................................... b. Inte~a~ use and occupancy ..... .S..a.m..e...a.s...a..b.o.y.e. .................................................... 3. liature of ~ork (check ~tdeh applicable): N~ Building .......... /kldition .......... Alt~rati~oo .......... Repair ............ Remaval ............. Demolition Other ~ork See oelow~ 0)eseription) 4. Estimated Cost ....$.$~.Q.0..0~..Q.0. ........ fee .............................................. (to he paid on filing this application) 5. If duelling, ~ber of d~elling traits ............ limber of ~Melling traits on each floor ................ If garage, nmber of cars ........ 6. If bu~ieess, oamercial or mi~L=d occupaeey, slaacify nature and extent of each type of use ...................... 7. Dimarmions of existing str~cturee, if any: Front ................ Rear ............... Hepth ................. Height ......................... Nmber of Stories ...................... Dimansiona of sa~ structure with alterations or additions: Front ............... Rear ............... HePth .................... Height .................... N~ber of Stories ............... 8. Dim~nalona of entire n~ {xmstn~ctloo: Fr~t ..... .N.L.A. ...... Rear ............... Hepth .............. Height ......................... Nmber of Stories ..................... 9. Size of lot: Front ...~I,/.~. ............ Rear .................... Hepth .................... I0. Date of Purdmze .... ~/~ ............ lqane of Former O~ner ........................................ II. Z~ne or t~e district in ~hich pro~iees are sltuated ..... .R..e.s.$.d..e.n..t.i..a.1. ........................................ 12. Does prolxmed construction violate any zoning 1~, ordinauca or regulation: ........................ 13. ~/ill lot be regraded ....~/.A ............ ~/ill excess fill be ~m~ed ~rcm p,,mdses: N/A ~ NO 7800 Peconic Bay BlVdpl~oneNo29~_e4.266 14. Nmos of O~aer of pc~ieesTJloaaa. P,..F~rX¢.y. .... address Zallr'~l';'We~-ToTlc ................. blare of Architact ........ fiddress ]Phone No Nane of Contractor ... ................................ address ............................... Phone No ............... 15. Is this property within 300 feet of a tidal ~tlaed? * Y~ . .~ff.$.... NO .......... PLOT DIAGRAI4 Locate clearly and distinctly all buildings, ~hether existing or p~osed, and indicate all zet-back dimansions f~uu property lines. ~ive street and bleek r~ber or description according to deed, and sbev street nines erg indicate ~fnether interior or onreer lot. *Replace in main residence the 1st floor bedroom window (facing bay) with window that provides opening for egress in conformity with State Building Code. Replace 4 windows in second story bedrooms of main residence with windows that pro~~ngs for egress in conformity with State Building Code. PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PARI. 714 OF N.Y. STATE BUILDING CODE. e is the Owner (Contractor, agent, corporate officer, etc.) f said ~mer or ~mers, and is daly authorized to perform or have performed tlm said ~ork m~J to make and file this pplication; that all stattai~,,ts contained in this application are tree to the best of his knowledge and heliefl aud hat the ~ork will be performed in the manner ~t forth in the application filed therewith. ~orn to before~me this ...... .... -':: ,~ , ~'n~ (S~gsature of ^pplicaut) · OuaNrItio~gianC~aSs%tTua&~m~ THOMAS P. FARLEY J Commi~ion IL,,tpire$ April I, ~