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Home My WebLink About16633-ZFORM NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. D 6� BUILDING PERMIT 0\. r v 7 3��3� (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 2 16 6 3 3 Z Date ... ............ 19y.J.. Permission is hereby gra(� � ................ ..... .......... ................ .!........ I.. .. .............. .... .......... to. ........... ...44. .... ............ ..................... A.,—.....i�m� .. ... Q^••.... ............ �... . ��!l9� ,....k...+... ........................................................... at premises located at ....5.`.1.4.A ........ ............... ......................�........ .............. .. ................................................................................................................................................................. County Tax Map No.. 1000 Section �...4-7........ Block ........P.1....... Lot No. ...... LD........... ll11... pursuant to application dated .... A)..#"Ee4�K .... (..�.............. 1911, and approved by the Building Inspector. Fee $34 :.. ..... .......................................................................... ding Inspector Rev. 6/30/80 9ram 165-1802 BUILDING DEPT. INSPECTION F0jjJDAjrION-1ST I ROUGH PLBG. 7o NDATION 2ND INSULATION ]FRAMING ]FINAL REMARKS: 17 A- DATEd -9 INSPECTOk4; 7 r6s-iso BUILDING DEPT. INSPECTION [ ] FO T [ ] ROUGH PLBG. [ ] NDATION 2ND [ ] INSULATION [� FRAMING (]FINAL REMARKS: JA-e�Z/L A i t .•l:.LD I1.J.:-l.•._Ui� Il ii y•1.� II .U4"TMLNI.. / _ 6 FQUNDATION (1st) / G; x 6f ')4 - FOUNDATIOtd (2nd) — 2. z 0 ROUGH FRAME & (pi • w -PLUMBING O • H 3. r� I14SULATION PER N. Y. STATE ENERGY �. CODE x � �� ._Lit r� 4. • . R c FINAL /� QA O ADDITIONAL COMMENTS: z x z j H C=J THE NEW YORK BOARD OF FIRE UNDERWRITERS i>A<=t, 71 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, N W YORK 1.OQ38 r � t06, f:!_�s:� t, I; 1 N 00004 -, Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JOHN 1,wn1,, i�'�I�'.,��6i��`I'�R ATEI f'Of,E, 1.3, Cdf't'CHt?GUE, 14-Y. is the following location: nn�Bas menf ❑ 1st Fl. ❑ 2nd Fl, Section Block Lot was examined on and found to be in compliance with the, requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT ygpppY AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. H. P. OUTLETS RECEPTACLES 5441TCHE5 INCANDESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT TRANS. HEATERS MULTI -OUTLET SYSTEMS NO. OF FEET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT. H. P. AMT. WATTS SERVICE DISCONNECT NO. OF METER EQUIP. S E R V 1 C E AMT AMP TYPE 0 2W 1 ,B 3W 3 $ 3W 3,9 4W NO. OF CC. COND. PER Z A. W. G. ' OF CC. COND. NO. OF HI -LEG A. W C'• OF HI -LEG NO. OF NEUTRALS G. A. E TR OF NEUTRAL OTHER APPARATUS: l {;%T{:.HOIII TJB , NY, 11935 GENERAL MANAGER :4 3. Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY,MANNER. BOARD -tom 3 SETS Mo. 1 SURVEY s 0..LD CHECK UI�LoEPl11T SEPTIC f/;2N:b T I F Y VT12 LD" 1I 1 7 CALL ;: , 1 � �.,.:�_ ,4y n---,;, Re MAI L Examined !U 0?t•.17., 1 Approved .......... i ., 19 ... Permi Disapproved a/c ..................................... .............................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS OF HEALTH OFPLANS -- , FORM Date..................I 19... a. This 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 throughout 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, housi g codp, and regulations, and. admit pt!tho ized Lnspe-trirs on premicec and in tmilding for necessarjl "n�pect'ons.� (tt e �applic , Aa ame, f c r oration) -(Miriling addiess of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ,or builder. ............. . .r.. .......... rt-PA . c :.,' ,;.. ... ..WV....... Name of owner of premises .. z�4. • • % " ", / (as on the tax roll or 1 test 7 / , r Y, �, L.. If applicant is a corporation, signature of duly authorized officer. ^:r'" ' 4�''P +:� ,,', : a. 'ura 7 f:-."'. r .............................................. `f1tiJ£at s (Name and title of corporate officer) r�. 'ti ALL CONTRACTOR'S UST BE SUFFOLK COUNTY LICENSED '``•��`1Cy±cc r�•.. ,�;6.'vY.�. �. I � d % l Builder's License No. 3 H 4 Plumber's' License No. Electrician's License No. Other Trade's License No . ..................... 1. Location of land on which proposed work will be done. ................................................. 001) 0,00l..)/Ch ,GLIlew. Cutc xy C, e", u 0 /6) 1) ..- House Number Street J Hamlet County Tax Map No. 1000 Section . /.i . .. Block .................. Lot ................... Subdivision ...................... Filed Map No . .............. Lot ............... (Name) 2. State existing use and occupancy of premises and inten ed use and occupancy of proposed construction: f a. Existing use and occupancy .... � !� ✓..... U �............................................. . b. Intended use and occ! ncy....... ,.. , ............ ................ iv -:.. (check�which applicable): New Building ..... *..... Addition .......... Alteration ......... Repair �<C, i,r!�jr`G%► emov�a� / , .... Dempption .. / Other Work .............. 0UI? `Yd7 ,G��ofC/ 1) 't" (Description) 4. Estimated Cost ... `... :..�.Q .................... Fee ......................... .:....... . ` (to be paid on filing this application) S. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... Ifgarage, number of cars .............:.................................... . 6. If business, commercial or mixed occupancy, specify natur�,�nd extent of each type use .... . 7. Dimensions of existing stt ctures, if any: Front ...... ........ Rear ... Z. R...... Depth .. ��. ,1� Height .... �./.�"�'��h Nurnber of Stories .............................................. Dimensions of same structure with alterations or .additions: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ...............Number of Stories....................................................... 9. Size of lot: I-ront Rear Depth 10. Date of Purchase .. % A. 6 ........... .. Name of Former .. Owner � ..........Name of Former Owner 1 i.. '!'.'i1rS { t�%i..ii;li i :Pre Sr;Lr3te r . 12. Does proposed construction violate any zoning law, ordinance or regulation: .... /r! 0 ........... . 13. Will lot be regraded ......... /��p .. Will excess fill bg remo ed from premises: Yes N, 14. Name of Owner of premises Address ��X /.t..� try hone No. Narne of Architect .. .. ... / Address h . Phone No. . . Name or'4 ntractor SSc.k<! 1" �r..4 GY1 S7r .; ... Address �/��tJ/ U''� ... Phone No. �J� �7. 1 15. Is thiroperty located within 300 feet of a tidal wetland? *Yes ..... No X. *If yeso_u/thold Town Trustees Permit Pmay T be r u reed./ h �/ �� u ,f Ji�; // w� iJ tl-1 Pi v -j'-C l9 �f'� -Locate clearly and distinctly all buildings,, whether existing or proposed, and, indicate all set -back dimensions fror property lines. Give street and block number or description according to deed, and show street names and indicate whethc interior or corner lot. ✓ cm 1 _ I:•`i.1 G/ cot"Lr 4 -1K00 - I STATE OF NEW Y S.S Ct',U�'TY ()F ...) ......... being duly sworn 1�P �deposes and says that he is the a licar, p Y . (Name of indivicfual.siltrri '' contract) above narned.- 1 .0 . • He is the ... Q 0 'a e V" (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th' application; that all statements contained in this application are true to the best of his knowledge and belief; and that th work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i ✓. .. da f, /.Gnl�y yi (.��.... 19 Nota Public /" / .J.... .. Count Notary , / • y �`tr, ! l D / s .... .... ............ �1 �IIA CAVAGNARO CLA/ -�-- :(Sig ure of applicant NOTARY PUBLIC, State of New Y 4400, Suffolk County Te Expi Term Expires BOARD 3 SETS OI� 7t0. 1 SURVEY 'F�';OLD CHECK d UM-QII`Nq?DREP 1tiT SEPTIC TO(N�N L ce'bTIFY UUZH LD,1 7 CALL T. L I%5 181 �X, W � a MAIL Examined 1i.1 7., 194?. Approved� ... i `� ., 19g,. Permit No.A 3 Disapproved a/c ..................................... (Building, Inspector) . APPLICATION FOR BUILDING PERMIT INSTRUCTIONS OF HEALTH ...... OF PLANS ....... FORM .............. TO: 4) •.a—.� V� °tea.` c� If�3 Date ...................19... a. This 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 throughout 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, hous' cod , and re -ulations, and to -admit a„thnrized mspe!,tr:rs On Premise. -,.and in-bui1_dirng for necessary engrt;Qnc- �l!��! .... ..... ( t e applic --name, c r oration) (M iii address of applicant) State whether applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. [iOW&)...... . Name of owner of premises v'? �? ........ . c ............ :i�: . �4 . �-:.T .# I �° % � 3 � . (as on the tax roll or latest 75-,"Poyr If applicant is a corporation, signature of duly authorized officer. i'iOTIF' al.l�nt' ri P l `i?+� R AT ` n-'1 2 a :m,9 TO 4 -Mi FOR THE ........ (Name and title of corporate officer) '; �I�"1 IOC.s'0 44•:li�IE ALL CONTRACTOR'S UST BE SUFFOLK COUNTY LICENSED FOR 1111E1a` '0NC°f ' Builder's '.-License No.� .A_--111., . j>3 d 73 111 :O eS�i �QAWI°lI!4'='. a PLUMBING , S. 3� ,1".tppt..,�"fla1IN Plumber's _License No. .�Fr-'?��'"•r pt �1�AxW.`15.43J6dl�S�RN'�%. mCx,3'F FQR C•� I. Electrician's License No. TI1;€ksr 07 KA, Other Trade's License No.� 1. Location of land on which proposed work will be done ..... .../.............. ....................... . C, c 0 vP /(,�eC41) %aril . House Number Street f Hamlet County Tax Map No. 1000 Section :/.-.� �7.! 0.. Block .................. Lot .................... Subdivision ........................... Filed Map No. .............. Lot ............... (Name) 2. State existiiig.use and.occupancy of premises and intended use and occupancy of proposed construction: a -Existing use and occupancy .... ,(!�,f�/.....U............................................ . b. Intended use and occupancy ... .....- t ;: 3. Nature of work (check which applicable): New Building ............ Addition .......... Alteration .......... ,j �- �'_4 - Other Work ............... Repair xco. va!�..; Dem ) 'tion ... C"i w�w o7� eev' 'X'VCj'j e (Descriplion) 0 4. Estimated Cost .....0 ........ .............. Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor ................ If garage, number of cars ................................................................ 6. If business, commercial or mixed occupancy, specify natu' nd extent of each type of use'.'' . ....... 7. Dimensions ofexisting structures, if Front ...... Rear > '�r ........ ,...... Depth Height Number of Stories ..... ............................................ Dimensions,of same structure with alterations or additions: Front ................. Rear .................. Depth ................... Height ...................... Number of Stories ...................... —8. Dimensions of entire new construction: Front ................ Rear ............... Depth ............... Height ............... Number of Stories .......................................................... 9. Size of lot: Front .......... L..& ............. Rear .......................... Depth 10. Date of Purchase ... .................. Name of Former Owner A�Z-e. 'i ouse di-sti1d- itr,. ."h.i C;j- are sIHLuat-1i. . .... 12. Does proposed construction violate any zoning . law, ordinance or regulation: .... 0 ........... ........... Will excess fill remoye 'es. 13. Will lot be regraded ....... d from premises: qY Yes 0 14. Nam e of Owner of premises XeU' To 'n . //qwA Address MX ..!l..4 . "/(e,!k2+hone No. .7.CM4 Name of Architect .......... Address ..... . .. ... Phone No. ........... Name of C t , ctor Sc -A a ... Address Phone No. this ernora O S� i 15. Is th p arty located within 300 feet of a tidal wetland? *Yes ..... No *If yes Southold Town Trustees Permit may be requi d. PLOT DIAG P & 17 — C C, C 16ry �'Pr' u e - 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 corner lot. Ax4 del ri 4 4 0 L 11 V C V ff -V 4 O k0 9 STATE OF NEW Y 4T K 0 .7 y OF . U Ss U T / ........ being duly sworn, deposes and says that he is the applicant 4a' _�m!' Weoqeji �& 1 v 14 �a 1, - contract) above named,( Heis the... lie K� ........................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application -filed therewith. Sworn to before methis ......./•........ ..da f ... ................ 19 Notary Public, . ..... ...... ............ County . .............. -1��C�A'VIDIIA CA.VAGNAR0 ig re of applicant). NOTARY PUBLIC, state of Nev No. 52-0604400. Suffolk County �? t 1�7 Term Expires' -V 'j 47 TOWN OF SOUTH®L® PROPERTY RECORD CAR® OWNER STREET VILLAGE DISTRICT SUB. LOT -7 `�; 7 V D yi:1..\ 1 ��Ks a 7�e F-J�v�°� eU G fJ d U e�Z I Est. Mkt. Value LAND IMP. FORMER'OWNER N E ACREAGE /-1",- �^ ` / �+ ( .G.. y/9 C 7 ge ul / S W TYPE OF BUILDING RES. Z/a SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS ` 13,E0�, �L.�. *7e 7`Z �/Saye 02//!7 73u,,LD /7 A4, To Ow, 'd;-, C, U o v x a o - 6P"' -Co n 3-h- a d'wd l v 37 6 0 D o v 17 �._.....,..,_... J%" c --o . AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE -FRONT-AGE—ON-WATER�,7�� u u 00 Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1BU-KHEAi3 Tillable 2 DOCK ' Tillable 3 Woodland Swampland House Plot (.r r�,r - .� Y-^� Y._s •!.1 .. 1N+i.... "Rim �. "w ��'F i Y 4S h .LN j .� ,- ..-,.. c; {', Si 1�.�'. s.saFf�y, �:�. �.'a'i•i+��r��.t,• ..�r d°.•• l .-i�'..t-r ]F.iLS} � qty ...5} LL '� eR.. Pill �' f �T."g rr.'T .. -y a - k �j n �5,-' ':r r } t �.�. •. •;h .P-�b .'�i!'. z.. • ��' � � aii4 � -s: .. � �.'[3ktcn -. ,.'c . 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