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Home My WebLink About23344-Z FORM NO.3 1 I o J TOWN OF SOUTHOLD V G BUILDING T WN HALL SOUTHOLD,N.Y. BUILDING PERMIT �J (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..................... ......................... 19../...' IVP 23344 Z Permission Is hereby granted to: / ................................... ............................................. ........... ............................................... ........ to .......... s .Gf........... ............��..�.- ,rf�J..... .......... ! �� .................................................................................................................................................................. .................................................................................................................................................................. ........................................................`./.....n.......1 y ..,.. ......�.jy.. ............................... at premises located at.....................�7�Y...V........../..".: . `".:................................................... ................................................................... m ..........................................>................ County Tax Map No. 1000 Section .....� ....... Block.....©f........... Lot No. ....o`.�. ....... pursuant to applicaflon dated ....... .... !P.. ......... 19....d9,W...., and approved by the Building Inspector. Fee $..:4................... �.............................. ding Inspector Rev. 6/30/80 �!'tr:r.u� Ilts Plit.[tull Imuollr 061V _ .... _ _.....,__--,.,.._- .,.._II curnnirirs NI-J.___,.__..---_„_ 'V f PIIIINUnI'IO11 FulI11DAfIUII211 U) ( v, _ --------------------------------- -------------- Q--Z uuncu r•nnnr•, r; - -- - - --- rl.urminc d _________________________ „-__-a_=___a_-___-e_,.___-__-___-----__a___-___-_m____ I11!;IILA111111 I'ICII if Y . � - --"---- - I srnrli r•.uaau:Y I ---------- - omi --- I --_..--------..------ ------------- __.._ I � ---------- --- I --- -- - -- -- ------- • I IIAL � ------------------------- ________ _ ea_ _______.,______-------_--------- ---------- --------------------------------------- -_-_-_ L a. r=• __„__--_--_--„ NII)1'f I011AL COIitiISNl'S: 7� Lro e. 1• ------ ----- -------- -- 1-1 BOARD OF HE'ALI11 . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF Sou'riRt1.0 zSIIRVEY . . . . . . . . . . . . . . . . . . . . . . . . RUtI.DINC DEPARTMENT /CIIgCR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIALI. SEPTIC FORM . . . . . . . . . . . . . . . . . . . So(ITIIOLD, N.Y. 11971 'I'EI.: 765-1802 NOTIFY: (� CALL . Z�:l�.-"72- . Encmirreol-•--- 7-,...., 19 .. MAIL TO: . C.g . v.i. .1.S. .. npprove(1......... 199X33 S� YYla. r 1!� :(�4.(Y.`1 1!j 2- . . (/ </ Permit NO. Disapproved arc .................................. .................................... ...................................................... I` (Ihiildir�j,` spector) I / APPLICATION FOR BUILDINC PERMIT ZC1 (� Date. . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 9Lis apld.ication mist Ix: completely filled in lry type miler or in ink amt admitted l:o the Ihjilding Inspector will 1 sets of plans, accurate Plot: plan to scale. Pee necordillp to sclx'(klle_. h. Plot: plan slowing location of lot am] of Ixrildir>gs oro Premises, relationship to adjoining premises or public slreel:s or areas, and givir>); a retailed description of l.aymnt of property must ire drawn on the dingran whiell is part of this appl ict ion. c. Tine work covered Ily this application Pry not Ire connenced before issuance of Ihrilding Permit. d. Ilpoo approval, of this application, tine Roilding Inspector will issue a Boil(ling Permit to tine applicant:. Stich permit dull Ile kept on Clre premises available for inspection throtovo ut Che work. e. No building shall. be occrpied or used in whole or in part For ally porpose wlrntever until a Certificate of Or_anpancy shall have been granted try Lhe Building Inspector. APPLICATION IS IF"WHY ME to the Ihrilding Department for the issuance of a Ihnilding Permit pnrwant to the Building 7.ane ordinance of tine Tam of Southold, Suffolk County, New York, and other applicable laws, Ordioancen or ReMlations, for Che construction of buildings, aklitiona or alterations, or for removal or demolition, as herein described. 'tine applicant agrees to comply with all applicable laws, ordinances, building crude, I"ming code, and regtidntions, amt to adnit antlori7rcl inspectors au premises amt in Ixnilolinp, for necessary inspections. ..................................................... (Signature of applicant, or name, if a corporation) (Mailing; mhlreas of applicant) I St/ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pludner or milder .............I............................................................................................. Name of owner of prenises .��.. ""l. '✓la .e.'..A:('.L41.....�r�' ( -e:.. ,SJn I�?-•If.eo... n (as on Ille tax roll or lntest (Ieed) if applicant is a corporation, signaRrre of doly aullorizerl officer. (N,M. and title of corporate officer) Ikniloers License No. .....IV ...�.................. t1m,bers License No. ...... .................. Electricians License No. ..................... 011rer Trade's License No. .... ............... 1. Iocatioxn of lam] on which proposed work will Ire done..............................I................................ �y� ... ......0...... (A(.................... liuse Rrfier Street Ilanlet Gl nl:y Tax M-np No. I(X)O Section ...I�.'4......... Block ........ Int 2:�........... Z () Sulxtivisi(n .l!:GII�I'rlc... .. ......, ( s+a }eo.. riled Kip No. �1...... ..... Int ... ........... .............. (Name) 2. Slate existing use aril occupancy or premises and intended use a`ml occupancy of proposed consCnnction: a. Existing ure arxl occupancy b. InCended use arxl occrpaxy ..>Q!YYI.f. „�Y(�-POSCO,•,:5� .. !';.S f '�............ � 7. Nnwe of rxak (rl wck rArid[ a19d i[:n61e): M.i,r Ik[i ldinl; ..._.. Arkl'tt Won .. . .. ... .. Al teralion ..... .. ... - Ikawi . ............ I(u[wal ............. Il[yrnl ition ... ......... Other Walk ...... ...... ... ......... ... ....... (Description) 2 C'�o'° 3 5° 4. Lstiuedtvl (first .................. ....... fee . ............ ..... ............ ... ... .... ...... (to lie lurid [xt filing this application) 'i. If rkaelling, [xrnl[er of [k.nelli[y; units ... li.nlier of rk.ielling [units rx[ each Elixir . .. ............. If garage, or.dx:r of cars ..( A.......... ............. ... ..... . A. If Ix[siness, coinercial or mixer) occrgra[x:y, slx:cify [wture a[xl extent of eat[ type of use.... .............. .. 7. Il itensions of existing structures, if any: Front.. . .5......... hear .5S .. ........ Depth Z4'............. i Ik:igl[t .. .V.[.................... Mulier of Stories ...ml. . ... ... ..... . . Dinensions of sore structure with alterations or .xklitions: Front ..N!F.... ...., hear ... ............ Dept If . ................. .. lie iglu: .... ... ............. Mrniker of Stories .. ... .......... It. DlllenSionS of entire neW rxxretnx:tJrxr: Front ....... .... Rear (0 t..... wifill .. .......... Ik_i • [t (O.t.................... M.dxar of Stories ....r...�. (J 9. Size of lot:: Front ... o............. Itear .... .. ... .. Depth J�.............. Ill. ILNe of I'nn:hasr: �. (S I�.�........ Make of Forner ("mer .JA�...C.o h'.I.( Q ...... ............. I1. Gx[e or use district in arid[ premises are situated ..! U....... ....... ..... . .......................... ........ 12. Wes prnlxrserl construction violate any zoning law, ordi[uax_e or regulation: . ................... 1-1. Will lot lie regraded .) ............... Will excess fill he remveil fran pra[rises: YM 14. iLues of (later of prani ses �Qhn . (Pat ...Rd�ey �? L�°x (C�1( 1'i1R'(h{u CIG 2R4 .. 1 ................... Arklreas ........................... ... flame tb' ....... ....... Niue of Art[itect .N�.......... ... ... ............... Arklress I'lare tb. ...... ....... . N:ne of Contractor NA............................. 7uhlress ...............................Phone tlo. ....... ...... . 15. Is this property within 300 feet of a Lidal uetla[x1Y * YES .... ...... 1,10t........ .. .. *1F YES, S(A/I1MMD Ian 'Ildisllms 1'L'I411'1. my IM3 Rapilam. 111.01' DIAGRAM Irx:al.e clearly soil distinctly all Ixrildicgs, rdretber existing or proposed, alai lnllcate all set-hack dimensions frau prol[erly lines. Give street aril block nrdx:r or description accord Ing to reeol, arxt slow street nates aoil iixlicale nA[ellx:r inferior or comer lot. �yQ� �LI,r V�'�' Ls{ I APPROVED AS NOTED DATE.- B.P. FEE" 3S � BY. NOTIFY BUILDING DEPAR MENT AT OCCUPANCY OR 78b-1802 8 AM TO 4 PM FOR THE USE IS UNLAWFUL FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED WITHOUT CERTIFICATE FOR POURED CONCRETE OF OCCUPANCY 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION IL ENERGY CODES. NOT RESPONSIBLE FOR MAIV (M. NI-V YOU(, ss DESIGN OR CONSTRUCTION ERRORS ' l(1)(1141YS Jxoc ItIIY lM' .../.".�.. ....(.. e- .,. .... ......1. ...... .... .. ...... ....Ixeiu doly :.worn, de xnies mal says that he is the applicant (Mme of i[xlividual signing contract) alwve [uncal, Ike fir; Ibe .. .. . .. ti ((',cwtractor, agent, corinrate officer, etc.) of. [:aid (xaxer or W.nx:rs, moil is.mthly auLlunrizerl fu perforin or have Ix!rlunned Ila said rank mill to nmkc soil file this application; that all. staleirents cootah"I ilk this application are true to the lnnl. of hir knimietlge aoil NO ief; ail thatthe work will Ix' perfoa[erl iu the [mater set firth ilk life application H letl llxtrewitr. :"ext to twf r : ne this f'day (i of CLAIRE L.GLEW S nature of Applicant) Notary Public,State of New York No.4879505 Qualified in Suffolk County Commission Expires December 8,1 B TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET �(� VILLAGE DIST. SUB. _ LOT en txw'� I Road MIAuck 9 Mcrtf;iuce Creek L=s es ACR. REMARKS TYPE OF BLD. / lll30�95-�P°to23147 coy)Si. onc•�am ; / Noe-11; nra. W/Gara3c _�T s C PROP. CLASS260 1 /s rL I'754 5Da -Cohi1 4a 4 oaa LAND IMP. TOTAL DATE ZDa IC>oo keV nc) Dod 1 Doo zcao z a c FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT �`I Ig6J TOTAL COLOR TRIM BP a3 -*5 .000 boeIt', N� M. Bldg. Foundation Ce Bath Dinette FULL Extension Basement CRAM Floors Kit. SLAB Extension Ext. Walls Interior Finish L.R. Extension Fire Place Heat D.R. Patio Woodstove BR. Porch Dormer Fin. B. Deck Attic Breezeway Rooms 1st Floor Garage Driveway Rooms 2nd Floor O.B. Pool 1� 1 r v Ile ie, Lu vvv (k Con cue e oc IMA-'Tf CrO L L , tJ4 Lo 4- Ioi— I - 2 CaWan.�t Pd S i re 1 �- Four Cwn�vS log �j Vew 1O lr-v o y, (E v OL 44 D vn OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATEy4a;. OF OCCUPANCY SIS vQA-or of— NOTE: THIS PROPERTY DESIGNATED p/srr/cr i000� Z07' IY�' M WT.SETS (Olt p•p�O� *OWN NOKON "am M STINAMR[3 TOM GoY L. •F ON THE D AND TAX /►/i°o of PROPER Y LINES AAt FOR A SPECWIC MAWOSC AND LOS[ MO TOOK '� cT/ON /07 Ge CK 1i �RJm TTOINC ,� THE ADDITION TO To focE%Iwo oin iNa�P sE B MAP OF THE COUNTY OF s�FFo�K. /f'4.4TT/TUG� C0PEE/� . Esr,4rES /VOTE EGE✓ATioNS s/!o w/,/ /'TRE TA�'E/Y Avo /s T .Sf•/EF7 N�- 9,5-J0/ To/06,�fvN/C ,�T /WAT'T/r /G/'%" Ts/G Fi vE 6A� E✓ATi wSf o Ji.,AS NE/✓ Go'wr /V/ To w/y of SO ur.'/oGo ,IT Ts+ /NTE.lJEc7/e/✓ OF M/cc ,moo AO JUFFOGK GO U"7?' i"494 rOif/1 f.+'O REEvE /7'.+D /OJ sNo.-.,✓ °.v .rP o M,+o- ficEG: MARc/v LS, /7Y2 O JuFFo cAY cc u/A'Ty F/GE h"• 9Z 03 410 a GUAR�/Y TEED ONG�' TO 0`�(oGO/•ffGsR°s��•�,S.s$j '�••)G/of SSBq f�s<'!Yy��fy.�•^oFO'' O��brf- _ i 1m � ss4 �7 O'�O FSEPs,..•E uNO yOC•A1h .�-%S�mz�eV•-y� WQu� \ti PF,F,o/ROq B✓✓✓So✓HNER✓OcoANo6N..L.cETcNa Cr.TT OE/i/oTMo.GcffN,NGrOMo.N.e,/-ys'U OB/:rN7 Mnf^RR/l9cK/,/ryYTSG.c EGi-• 5s RvEyED: ITPOGOc/ rAos/ADE-T/ LTR PAD9END E9LGSLe. .pE/ 7/MjG , 4 QA�AMADDITION T� 0. MpATIOOf SEMON7:109a< M HE,r /E/99�99'CTSo THIYOM STATE EDUGTgM LAW. ffl •: '. '^ COPIES OF THIS SIAMY w► NOT KAJW4 \,.. G M LA+O StAREYcws PACED SEPI Olt }p�DVA SEAL Tnl��r• BE CONSIOERfD CERTSICArIONS NCCAMO HEREON SlWl RUN rG O 3 t f. O ONLY TOM PERSON FOR *" THE SUWVEY j LO ,a�• 5"• . 6 PREPARED ANO ON HIS 90-KF TOM - o\' \ FO✓ b Q LTITLEEHO 4 iPAM'. N LJSVQOGL AON AN AND °s•-1 �' e e O Gef To THE wSCIVEES1i f THIO HEREON AND (- .S TOM ASOt4 ARE os Tt LMSFOU wSmvfION. fGA� /e o >: S, R `\ �' ODDITIO AL ;m I'RE t4 T1tM�5iERAIJ( TO \ ADDITIONAL RlSifilfTWEq OR SUBSEp1Q1T OWNERS. 1 HEREBY CERTIFY T1MT 1 AM A PROFESSIONAL WO �E ' UI'IDPl iO rl T NEW YORM. A�MOTMTT THIS RIR 5 BASED OW AN SAWyOftRP y SPRACTICE IN THE STAZr Or 1,� F�Er. \ ACTIAAL FIELD 9JRAY UNDER WY w MATE �E S' �H E f5'4 T SLpUrASmON. 1 FURTHER OECUfQ. TO M BEST 0 0 o r i MAT PROFESSIONAL *CW . GO REPRES DkrE HEREON.OHOINS E%67Y+G AS or rHS IV Cl w �'V POSED R f v�EL� s°B `Lf i OO 40AM „n • f !O. E Y" f hr 54r+D �0 3 I? � P GRnrtC / � 7 P c fi'PRG/GP/YT � JOHN G BRPOL fyQ�O_Ev /BENE TSON`F K/S- B / ' /Z O ' FO, $OX /SB8 rEsr E DONALD G. DEKENIPP HOL p,O rA TAKB/r' e5 MSP e� rs/c) r96 •ee/7 LAND SURVEYOR m,Orr/>✓cK ca EEK err.erES Rr ' /y,arr /r✓cAf •• s✓FFOZK co✓^. rr S </"� FFM/G/FR W/T'`/ TNF JT.4NOQRGS feR /OpPRO✓RL 354 GARDEN STREET F.CO N° 9Z.-?, F/C Ey MA�cAI '-s' /99Z AND GOL STR✓GT/ON of Su BSu.QFF CF dE�✓AGF= SEE MAP Fa/f rcST /yocE [.c C:9T�°^/ D/JPOSP J/'JrEtisS F°R •riNGcrr FFM/c�/ ETES/D EN GCS W. ( SLIP1 N.Y 11795 /ONO W/GG ,OB/OG d rA./tc Go/'/O/Y/o,y,F SET FORTH TN ERE/r/ �No ON Yt/! PERM/T TO GeNS TR✓GT, 516 - 321 - 1653 DrrE: