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Home My WebLink About24793-Z(THIS FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24793 Z Date MARCH 20~ 1998 Permission is hereby granted to: BURKE E LIBURT PO BOX 37 ORIENT~NY 11957 for : CONSTRUCT A DECK ADDITION AND REPLACE WINDOW WITH A DOOR TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1420 County Tax Map No. 473889 Section 026 pursuant to application dated MARCH Building Inspector. KING ST ORIENT Block 0002 Lot No. 040 16 1998 and approved by the Fee $ 75.00 (~' ~uilding InSpectOr ORIGINAL Rev. 2/19/98 I;~1~,1.11 iil:irl~l;l'l~lll IIl'.ruiiT ..... t;Utiill';ll'l'!l I FORN NO. { TOI4N OF SOUTIIOI,D llU] LDING DEPARTMENT TO~IN IIAL1, SOUTIIOI.D, N.Y. 1197 TEl..' 765-11102 1 NSTRI1C'FIONS BOARD OF IIEALTII ............... 3 SETS OF PLANS ............... SURVEY ........................ CI1ECK ......................... SEPTIC FORN ................... NOTIFY: CAl,, .. ) NAIl. TO: .................... a. 'llds affpiicatlo, ,u~t be e~i~letely filled in by t~riter or in i~ m~l ~d~itt~ to tim ~ildi,~ ln~ctor witl 3 ~ts of plans, ~mrnte plot plan to ~nle. F~ ~co~i~ to b. Plot plon ~i~ l~tt~ of lot n~ of l~ildls~s m pr~i~s, relatim~dp to ~joint~ pr~tse~ or ~d~lic struts or areas, a~l ~ivi~ ~ ~tnil~ ~riptio~ of lo~t of pro~rty ~mt I~ dr~ m tl~ dln~n ~id~ is I~.rt of this aloft icatio~. c. 'llm ~rk e~ I~ this a~dicoti~ ~y ~t Im e~l I~fore ismu~e of ~ildi~ Pemit. d. Ui~ ~D~oI of thi~ ~licotio~, the li~ildi~ lns~etor will {sm~ Imrmit ~all ~pt m fl~ ~s ~il~le for ius~tim throO~t tl~ ~rk. e. ~ Imildi~ ~mll Im ~pi~l or ~1 in ~le or in Drt for o~ff .l~ ~mt~r ~til a C~rtlflcnle of ~o~y ~11 h~e I~a grmt~ Iff O~ ~ildlng lns~tor. ~I~,ICA'I'I(. IF IE~ ~E to tl~ lt~ildi~ ~Drl:~nt for lhe i~e of n ~dlding ~mit D~rm,nnt to Ihe I~ildi~ ~ ~dius~ of t~ ~ of ~tl~ld, ~ffolk ~ty, ~ Yo~, ~ otl~r o~tle~le I~, ~i~mes or ~pflatims, for tl~ ~st~tlm of h~ildings, ~itim. or alter~tims, or ~r r~ol or ~ltti~, as I~reln reDdati~s, m~l to ~it ~ri~ ins~tors o~ ~mi~ ~ in ~ildi~ for ~es~U ius~tims. .. ..... (~ig~ture of o~liennt, or ~, if n corl~rnti~m) (~iling ~ress of o~llc~t) State.s4~etlser applicant ia o~er, lessee, agent, architect, engh~eer, general cmtr~etor, electr|cinn, pltsd~r or I~llhler. 0~er (aa on the tax tx~ll or latest deed) If applicant ia a corporation, signature of duly m~t:l~ri?~l officer. (N.-~e and title of corForate officer) Pl~rs l,lcerme Iqo .......................... Other Trnde's Liceuse ~ ..................... I. l~cstioo of land m .~hieh proposed ~ork ~ill be done .............................................................. 1~20 King Street Orient 11957 IIouse lx~ l~e r Street Ilamlet c~ty X~t~ ,o. i~ s~d~, ...9~6 ......... B,~k ..... 8 .......... ~t .... 9.0. ......... Subdivision ...................................... Filed Map Iqo .......... ~ ..... hot ............... (Nme) 2. State existing use and ¢nzeupaocy of prc~ni~es and intended use m~d occupancy of proposed ccnmtn~ctlcn~: Residential a. Existing tree and occupancy ............................................................................. Same (Small Deck To Be Added) b. Intended u.~e and occt~,tum'y ............................................................................. 3. ~z~l.te of ~oik (cl~ck ~hich applicable)~ ~ ~fihling .......... ~kliLi~ .......... Al~erali~ .......... I~l~ir ............ ~mal ............. l~oliLi~ ............ Odmr I~A ~..~ ..................... ~[~ripti~) ~,. ~ti,,~t~l ~st .... ~ .~.~ ............ f~ .............................................. (to ~ fid ~m filing thi~ a~licati~) 6. If I~mi~aa, ~rcial or mi~l'~oq~, sl~ci~ ~l~u[e 8~ ~tet? of ead~ ty~ of u~...~g ................ ~ See Attached ~1~ ~etch ~. Ili,,m~mi~m ~ ~is~i~ m[n~res, iff rely: ~.r,~Z ................ ~a~ ............... ~D~ll ................. I~i$~ ......................... ~,,lmz ~ S~ories .... ~. ................ Diamasi~m o~ ~,m ~t~ze wl[h ~1~erm~t~ls or m~i~i~s: ~r~ ............... ~ar ............... I~pfl, .................... I~i~ .................... ~,l~ o~ SZories ............... ~l. ui,,~.~i.~ ~ ~.~i~e ~ ~,~ti.~: l~.~ ...13 ........... ~.~ ..]5.'. .........~pm 6' .......... mi~ ~9~ .U~. JB'] ...... ~,,l~r .~ sm~ie~ ........ ~ ........... ey ~. ~i~ ~ ,.~: l~",~ -~-~:~P~. ~ .................... ~p~h .................... m. ~,t. o~ ~,n~m~ ..... ~9~ ........... m.~ .~ ~o.,~ ~ .~i0~t.~.L~t~ ........... II. ~m or u~ dl~Zric~ i~ ~td, Dr~i~s ~ s~ .............................................................. 12. ~ propel ~m~i~ wiolm~e any ~linB ~. ozdi~e o~ zegu]a~i~: . .~9 .................... · s~m ~ Ardd[~ ................. ~ ................ ~lress -- ~ ~. -- . ~,,~ o~ ~r~mr ~iel ~e ~lre~ ...11~ ~ ~77-1~ I~. Is lids p~mzZy wi~hi~ ~ ~.e~ ~ ~i~l I~land~ · ~ .......... ~ . NO PI.OT D IAGRAH locate clearly and distinctly all L~ilding8. d~etber exiating or proposed, and indicate ail ae£-I~zk diimnaiona I)roporLy Ii.ea. Give atr~ec aid block ~sll)er or description, according to deed, and d~o~ street r~nea and indicate t,4tellmr interior or corner loC. ia the ................................................................................................... (C~itractor. aget,t.-corporate o[ficer, etc.) said (~,a~ar or ~r9, a[KI i8 (IL]ly mRhori~ Lo lerfom or have i~rl~)r.~ql Ihe mild ~[k alxl I:o n~ke taxi file Ihis aPl)l icatio.; thai: all statomnts c(~tai,~l in this a[~)l icati(~l are tn~ to the I~st of his ki~l~e and Imlief~ (hat the ~)~k ~i[l I~ I~rfon~l in (lie .~a)[~r ~ forth i. the application fil~ (Si[~)ult:.re of ^Pltiica'mt) TOWN OF SOUTHOLD PROPERTY RECORD CARD ~ ~w,,~R ~ ~ ~a~ ~, ~ ~ L.i, ~,~f.~ STREET I~ VILLAGE SUB. LOT - E ~ ACR. I FOYER OWNER ~, L~ S ~ ,. I W · ~,' , ~PE OF-BUILDING :ES. ]~ SEAS. VL. FARM COMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS ~ · )~ ~1 FARM Acr~ Value Per ~ol~e ~ ([ ~ ~ o_~ ' Swomplond FRONTAGE ON WA~R ~/Z~,/¢~ -Z 11~?5pS~-L,'~a % ~'~,f ~/~ BrusMand FRONTAGE ON ROAD ~ ~ 0 ~ ~ ° o House' Plot DEPTH ~Ai' / ~ 0 BULKH~D Extension ~Extensio/r~ Exten~i~ i Garage Total ~asement Ext. Walls Fire Place ~Type Roof Recreation Roorr ,Dormer /Oriveway Floors Interior Finish Heat ~P~c~ Dinette LR. DR. ?~,,~ i~- Rooms 1st Floor BR. Rooms 2nd Flool FINi B. SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (s) APPLICANT SUFFOLK COUNTY OEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT, BLOCK P~L. ~WNERS ADDRESS: TE~ ~LE ~AMP SEAL