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Home My WebLink About24679-Z I�Iwt,:.Ir I11'il'I;l:l't1111 111tru(1'C 11 11, -- - ��-..w --- _•-.-..,. __... ----- --_(:Ulllllill"J",f_ --------------- I�11111 II1 A'I'1IIII ••••.•• `• � TI ::v(►rrun•rlU�i_www(It►u)_w t ��, ..w.wn.•.•w•r•-r.+ww•.wwww+.�.www•+w s�*...t.n..�ww.. � n -' untrcal r•unllr. J rl.ulrn I ltr � . r ----w---w---w------rww--- -- ------ w------www-------w--------------www--www-www-ww-w---www-- 1 II:;11I,A'I'I 011 I'i!)t If. !;'1•A1'I! 11.IIIiI1tIY ' V` c/ -----------------------• w-.w..ww ..w.•w.ww. ------------www.-wwww----w-w-wwwwwwwwwww-w--www.w..• 1 I'I IIA1. 7-+.---.-------w---w w-----w' w-ww---- --w----w--w-w-----------w-.. ...._, ww...wwwwww w-w+www_.w ww w..-w w. T� -' •• Allill't'IOIlhl. (;(ttltlt;it'1'!I1 �' ----- — w------------w-- ----------------------------------- —w--www------- ' � II � v/- 1•`� .. J r' 1 (Q I•I "� v- ' r�l •y �(C1 (� r BOARD HEALTH 0,1. . . . . . . . .. D 5'1.�1�i.. FORM NO. 'A 3.,SETS,, °PLANS . + . . TOWN OF SOUTHOLD SURVEY_ ,td" ,i . . • • . 2 g BUILDING DEPARTMENT CHECR7*'1 j��: . . . . . . . . . . . . . . . TOWN HALL 5EPTIC'FORM iS+'. .. . . . . . . : . . . . . SOUTHOLD, N.Y. - 11971 % r BLDG.DEFT. . UTHOLD TEL: 765-1802 NOTIFY: ` CALL . . . . .. Examined... ...../.lO.. 9.... MAIL to: s . . . :: . . . . . . . . a �:':19. ; 7 Approved— ..., 19.:.. Permit No; ... �Yy'�i+ .............. ..:......... Disapproved a/c ...............4........ ...... .... ............................... . .... .� ....... ..... (Building Inspector). P PPLICATION FOR BUILDING PERMIT ..Date. .I.9an44$KY. 7. , 19 9 a. . INSTRUCTIONS a. ,"Ibia application not be conpletel.y filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship gEo'''adjoining premises or public street -4? areas, and giving a detailed description of layout of property must drawn`. on,the diagirsm wthich is part of this application. C. The work covered by'this application may not be commenced before issuancs'of Building Permit`.' d. Upon approval of this application, the Building Inspector will issue a Buildicig`.Pehmit,to the applicant. . Such permit shall be.kept on the premises available for inspection th=4ut the work'."' e. No building shall be occupied err used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ;'; ,��`, Y °AmICArICN. IS 11EMW MAIL to the Building Department for the issuance of a Build(ng Permit pursuant to the 1k."ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and otherra;p'l1cable Laws, Ordinances•or Regulations, for the construction of buildings, additions or alterations, or for remaval'6k.demolitioni as herein described. The applicant agrees to comply with all applicable laws, ordinances,'bu dii�gcode housing code, and regulations,fand to admit authorized inspectors on premises and in building for ssaiy i tions'- . ions.. . .. ... ....•............. (Signature of applicant,.or nsine,.if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,•general contractor, electrician, plumber or builder_ ................................................ ............ . . ; ..................... .. Name of owner of premises ....................... P.5 E 9 e..$....Arid :B eX tX LCV.H1. II1311.......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ................................................. • . . ••.•..•.•••...•.'. (Name andtitleofcorporateofficer) a Builders License No. ...rlszt..$I:��Ced. @t s Plumbers License No. ...nat..selec:.ed..yet Electricians License No ncLt..select_ed.yet Other Trade's License No. ...nC)t..sP_1rcted yet I. Location of land on which proposed work will be done. .......................i. .....................................9Xkttgi?-9.)�W)?..............i ..:.:t•':. O1a.t ......... ....... House Number Street Hamlet „, County Tax Map No. 1000 . Section ....0.70........ Block .............11. Lot :i i it>'3 Q5l i �t� ' �+til &Mvision ...................................... Filed Map No. ............+• .ot':i..1.�:..:.+... 2. State existing use and occupancy of premises and intended use and occupancy ofr .constructioni a. Existing use and occupancy I..............A illg l F aiIa 1,y..H"Ps j-d. .n 6A .'.r.. ..... ::. ... Single Family Res d�I Ve'� Fj (4 MAIM ... b. Intended use and occupancy .....................................414t.r:..L>. 1( ��t.�.h✓t ' .,Q'�,'Q6 r1z1QnAt�"1 ttpi0hlirvth'p� ful 1111 3. Nature of work'(dmeck Wlmtdm applicable): New Iinilding ...... . Addition ..x.. }}teration ....X. l l` ' Demolition' Repair ,:.'i r t •,;, Remoova�t l .p .. ..... Other Work .I - � �:�ti.✓+a�,id'�>�� Ped i ,; .�lM►y-4�..4. Estimated Cost GAc ` .. ... fee . .... .. .. (to be paid on filing thI 11+�d bti 1.0 ok" 5. If dwelling, nu,iier of dwelling units .... tiurber of duelling units on each floor ................ If garage, mmber•oft 6. If business, oamereial'or nmixed occupancy, specify nature acid extent of each type,of use.....,. ....... , 7. Dimensions of existing'structures, if any: Front......65....... Rear ...fi5......... Depth ....,_46........ , lleigitt .:.23... .,`..te, 4; Number of Stories .... . .1. .. DImensions Of sone structure'with alterations or additions:• I+ront ...... ...... Rear ....,.6 a...... Depth .....36..; :.; `lleiglrt' ...,,:23 ..... Ntnber of Stories ....1. ........ 8. Dimensions of entire near construction: Front ,, ...... Rear ......:........ Depth .......... Heiloat .•,.,. ,--:lir i*,., Umber of Stories ..................... 9. Size o lot Front 16£L.7,6,.......... Rear .158.......... Deptlm .1.65,.7.5n...17.?_ 2 2 S 10. Date of Purdmase ... . Nate of Former Owner ....... ............. . II. Zone or use district in Whicit'premises are situated ...........R4 Q............................................... 12. ` Does t projxrsed`cxiiistruction, v16late any zoning law, ordinance or regulation:' .. rio. ,:..:.'•. ..... y 13. Will lot be regraded ui3 1 l.:lr,r r. m ,. Will excess fill be removed from premises. YES NO 14. Names of`Owner'of lnees,,$ 1.1, .: :,, :.... Address $coat.•9 6.8,..South.o ld. Phone No. :"5 4.2 6.8..... Architect ;` *1kt ,7CXlg .. Address BO,X,.1�.12..SALLthA713. Ptwre No.76.55.455..... Nate OE Ards ! •e ,•,,,,,,.., , �1 ffEC Name otraC Address .................. ...........fwne No. .............. 15. Is this property within;300 feet:of a'tidal wetland? .* YES .......... NO .... ..... *IF YES, SOUIIIC><D TOFN MMM9 PERMIT MAY BE Rl. JIRID. x}+p`[,A i (r.a PLOT DIAGRAM c�44!1� t1°t'p Locate clearly and distinctlyall buildings, whether existing or proposed, and indicate all set-back dimenaios from property linei.,:Givestr+eetlinA block number or deacription •according to"deed, and show street names and indicate %Abetimer interior or-corner,,lot `u SEE ATTACHED a: Slur, Or. 1AW Yom(, . SS I axiNtY cls .SIIFF.OItK.. .. ........GARRETT..A:».STRAMr... :.......... ........behq; duly swor), delx)ses amxl says that lie is time applicant, (None of individual signing contract) above named, I Ile is the ............. Architect/Anent . (Contractor, agent,.corporate officer, etc.) of: said owner or owners, soul is duly authorized to perform or have performed the said work and to make and file this application; th' all:statements`contained ,in this application are tnae to the best of.his knowledge arxl:.beliefi arxl that tie work will be perfom6d,.,Wthe manner set- forth in the application filed therewidt. Sworn to before me this "'.110, ....27t *'•rR•day oE+ Jan"lla] Y, ..19gg, 7 ... Notary INiblicB r s NOTAc Y •I*.i ' .................................. •( ignat:ure of Applicant) CotnmiWora " ,d5 > ' . pF SO!/ryol � o Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1 179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 Cn VU BUILDING DEPARTMENT TOWN OF SOUTHOLD October 16t11, 2006 George Small P.O. Box 33 Southold,N.Y. 11971 RE: 575 Critten Ln. (addition) SCTM# 070 0011 005 Dear Mr. Small, Please be advised that your Building Permit#24679 issued February 17th, 1998 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$75.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, J E p SOUTHOLD TOWN BUILDING DEPT. 7