HomeMy WebLinkAbout23917-z FORM NO. m
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N o 23917 Z Date .....FebYUar7..9a........................... 1997...
Permission is hereby granted to:
CHRISTINE HUNT
.....................................................................I..........
240 STROHSON RD. - P.O. BOX 376
................................................................................
CUTCHOGUE, N.Y. 11935
................................................................................
to .......CONS TRUCT..I FENCE
..&..SHOWER..ENCLOSURE.."AS..BUILT"..AS.APPLIED.FOR.......................
................................................................................................................................................................
of premises located of ......280 STROHSON RD. CUTCHOGUE, N.Y.
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County Tax Map No. 1000 Section ..............3
........10........... Block ...................... ......Lot No. 18
..................
pursuant to application dated .........JANUARY...16,.......................... 19..97.., and approved by the
Building Inspector.
Fee $........25 00
B ildi I wtor
Rev. 6/30/80
F J
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVi;Y . . . . . . . . . . . . . . . . . . . . . . . .
BUIi.O1NG DEPARTMENT CURCK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC F0RM . . . . . . . . . . . . . . . . . . .
SOUTHOi D, N.Y. 1 191 1
TQi.: 765— I BUZ NOTIFY:
CALL _ P. KY.734-6648
fli 1. ....... 19.�.1 MA.I1.AO: . . . . . . . . . . . . . . . . . .
ADproved— 111.0 ........ 19.J.� PermiI NoIC2J T. ............................. .......
Oisa14)roved n/(. .................................. .......................... ....... ...
......................................................
..... .. ........
I
APPLICATION FOR BU1I.OiNG Pi;RMIT
Jan 16, 1997
. Date. . . . . . . . . . . . . . . . . 1 ). . . .
1 NSTRUCT I ONS
I
a. 'ibis andication most be cargrletely .filled in by tylx.+•n•iter rr in ink axl r,ulanifl:ed t:o Lim Iltrildinl; 1nrixcl0r will
1 sets of plane:, accurate plot plan to scale. Fee according, to schedule.
h. Plot plan iduwing locntient of lot: and of Ixrilding;S On prc+nises, relatione;hip to mijoining pronises or 1xrbl is
stiret.s or wrens, and giving a detailed description of: laycxil: of properly nrttst. Ile drmnrn on Lhe ding,,rarn which is hart. of
L.his alWl ication.
c. 'file racrrk c(nrnred by this application pry Jut: be ccannenl-.ed before issuance of i biding Permit.
if. Upou approval off this application, the lt,.ri lding InnImetor wi l.l. issue a Building, Permit to the applicant:. Such
lxtrn+it shall. be kept: on the premises arvailal)Ie for inspection throtrglxntt the work.
e. rk+ Ixri lding 0161 1 be occupied or used in whole or in )art for any lxrrrme whatever until n Certi f i.cate of
Occ:ulxnx:y c:hall. hove been I;ranted by die lkrilding Inspector..
APFLICNI•ION IS 1(I.It1.IfY MADE-to lire Building I"wrUrent for die issuance On Iulk1ing Permit ll,umm"t In the
R(rilding; Zoi+e Ordirurrx:e of the TrArn of SouLhohl, Suffolk Ccxrrrl:y, New York, and other algrl.icable Laws, Ordioancvs or
Itael;ulaticnn, for Lire ccnrstrtrctiou of Ixtildings, additions or alterations, or for reliuval, or dnrrcrlit:ion, as herein
(14scribell. 'file applicant agrees to ccr+rirly Willi all. alrlil icable I:tws, ordirrax:es, Inri(ding code, houning code, r)rxl
relvlaticnrS, arrd to admit Mtlurized ilnsix'ctora on pr miren and in I i +g+ for rre(essary-.ins cticnrs.
F wou-1 t (
(Sigruttnre of appl icant, or mire, i f a cor lxtrnl: on)
6
Q/o-PAY v P.O;.An.11 A Ctztchoque, NY
(Maiil•ing; address of algiLicanC)
I
Slate t-lrelher applicant is owner, lessee, agent, nrchiLect, engineer, general contractor., electrician, plixiber or .IxriIcler.
owner
Namof (A-mer of. premises ............................... .. ...... .......................................................
(as on the tax r"I I or latest deed)
If applicarut is a corlxrraticn, signature of duly authorized officer.
.........................................................
(Narrxe nrxl title of: corlurace offi(.,.er)
II(rilclers l.icelum Nn. ................ .........
I'lur�x rs License No. .........................
Electricians license No. ............
Other Trmle's License No. ...................I.
I. lAx•ati(nt of land cut which pr:Yrlxrrecl work will be done................... ...........................................
..........24A.(W.VA.Strohson.Road, Qtchostze,.�'........... .........................................
Ikxrre Nkjd zr" Street IlnileL'
n : 10 18knulY ran Lrlr No. I(xx) :Ecticr ............ Lot: .
F;(rlxlivir;i(n ...................................... Filed Kip No. ................ hot
(Name)
7. Slate existing use arxl oc(-jlkarx:y of premises and intended use and 0C.CUl)0lK'.y of prolused constru.Won:
:r. Exist:irrl' trs;t: and cx:Cx;lxlrK:y ...YeAdential............................•................................
b. Intoxied use and cx:carlxtrx:Y
I. Rif III(! of. (r,llc (check %Alic11 1114Aic:411))e): hkulNoiI(Ii ill. . . . .. ... . . A,klitioo ... ..... .. AlIcrat.ion
IG:IuII . .... . .. . .. .. U0.11wal Ikylx)I l l.lon 01ller I•Jod( . fence . . . . ... .. ... . . . . . .. .. ... . .
(Devc:rilwion)
�(. Ent ilic((ecl Cot;1: I'(!e ... .......... . ... .. . . .. .... . .. . .. . .... .. . .. ...
(I o Ix! I,:lid on 1`iIing I I I i a ;Il)l)licIII:ion)
11%A!I I iIII-, otoiber of (hJe!I1 i ifIi I:: ... . . . . ... .. tk"Ix!r of (l,Jel 1 ing onita rxI each fI(x)r .. . . . .
I f gill age, (I(,dwr of rill if .... .. . .. . . . ... . . .. . . .... . ... . ... . . . . .
6. If: hmlilx:ss, cc"alercial or Inixr:cl c.x:rupanc:y, Irlxc:iPy nal.ore null eMeol: of: each I.ylx! of use.._.. ..
..... .. ... . . . ..
i
1. 11iux:n:r1(NIs 44 exi:;ting sl.rlu:Uaea, if any: To oo( .. . . . .. . .. . .. .. . Rear DeI)(II
Ik"011. Roiber of Stories
... . . ........ ....
Uinx:osi(xl;; of ;;r111x! slrtx:fure with alleralAoos or (xl(Iil:ion:;: Front . .. . . . . .. . . .. .. Ileac
Ik:pl h . .. . . ... . .... ... .. .I lk:i 11: . . .. . . . 1•krllx!r of I;tories . . . .. .
II- 1)Inx:n:;I(xIu of (911111! IM9J counClIx:l:ioll: Pro)fit* . .. . .. . .. . . . ... . Reno
I
Ik!il;I11. ..... ..... .... ..... ..... . Usidx!r (II` Stories . . . . ....... ..... .... .
9. Size o1` 1of : Fr(xll. .......... . ..... . ... Itell r.
M. Ibltc of 11u(:Ila;;c ... 1984........ . .. . . IL><Ix! of Fornx!r (aJIK!r .BraUt1 alit
I I. GxX! or Itne (lisl:rict: is I,AIi(:1; I)rc_Illirea III, 'ttualc(I r-40
12. Ikx!s plolx)n(A cc>,IslrIm-t-1 o viol ill-,! any x(xliol; lift, or(Iinalx_e or regul it l,lot nO, ,, .
). Will lot: Ile regrmkul ........... ...... ... Will excel-s fill Ix! rtyll(rvecl from pronises: Ylif; 1•1)
IrI. N.>,Ix of Wlwr of prcanises .... .. ...... ........ ....... 1kl,lresa .... . . ... 111orx! ik). .... .. . .
.......... .. ........ . . . . ..
Haul! oI` Archite(:I" ..... ...... . ... ... ... ....... ... . .... A,kllena ... ... ... ............. ........ 11.is ! Fk). . . . . . .. . ... ._
Hall.! of: (rxwracl or ........ .. .. ..... ............ ...... A,kh•ess .. .......... .....Mow! 1•k).
h. Is 111i;; IIIolX:rly Wilhia NX) fee(: 01: It Litlal IJeflatxl'? A YF.;; .... .. rx) .... . . . ...
xll? Yli!;, :;Olrilm) '1111114 'IIQISHa S 11i1t1(1'I' NAY R!i RIY1 IIVED.
ITOT nrAs;IiAr•1
Locale clearly a(xl clist:irx:t:ly all htdi lings, LAIelher exisl:ing or proposed, IIIIII ilxlicate all set--back (liur:nsicxls
I`1(nI prolxirly Iilsen. Give nt.reel: Rod Wock rriilx!r or descripti(xl according to rleecl; ill r;hcxJ sl.rcel: n;nr�n alxl ilxlirale
tAu:Ihel inferior or corlx!r lot:.
I
Ilas built" fence. See survey attached.
I
!N IF. IMF 1.1•14 YO111<,
s�; I
(z>tl(rIY (X S.UF);QLEC. . .. . .. ....
. __- CHRISTINE SRAUTIGAM ... . . .. . . . . . . . . . .. . . . .. .Ix!ing (loly t:IJ(Irn, (lelx,sel; a(xl says lha1: be in (Is(! appl icanl
(flnle of ilxlividoal signing (:onl tact.')
Axrve 11.111%! 1,
.. . . .. .. .. . ..... . ...
.... . . ..... . ..... . ...
()VICrac:lor, agent, corlxua(e officer, elc.)
of: ;:alll o%41wr or owlx:r:r, rnxl in (filly authorized to Ix!rfonn or II;,VQ Ix!rfonlX!(I (he: r,ai(I ")rk mxl to nrdte ;nxl file! Ill i11
appl i(:otion; Ilrll. all nlal(3IM11111 conlailx:cl in Ibis :'pill ical ion III(! 1 IIx! to the h(:I;I: of his to o"Iedgc nlxl Ixtl ief; ;uxl
IlIal the wmit Will lIe Ix.rfonlKNI ill Ih(! 11G1111H!1• Be(: for(h ill the appli(:al:iorl filed lherewli111.
;ko1"n to Ix:Inlc ux! Ihis
. . . . . . . . . .1_6th _ . ..(I;IY of: ..January. . . . .. N. .97.. . .
fk 11 a r y IN II I i c .. .. ...... . L
. �- ,,
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. ..4,--.
DEBORAH DO'(Y (Sigoalore of; AIrl11 i(:anl.)
Notary Public,State of New York
No.02D048229478-Suffolk County
Commission Expires February 28, 1��
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249.40, m�^ as�ha/t �10
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CERTIFIED TO, (n
NOBERT A. HEINTGES m 1 ba /
MARY McLEOD 01
PHH MORTGAGE SERVICES CORP. f�
COMMONWEALTH LAND TITLE INSURANCE
COMPANY
. 00.19, MNWM.
1� along
u 0" Iloilo
S 68,3
HANNE '
_ G
pEN
S
H��p
SUR VEY OF
PROPER T Y
AT CUTCHOGUE
TOWN OF SOU THOLD
SUFFOLK COUNTY, N. Y.
1000 — 103 — 10 — 18
Scab; 1" = 30'
.Jan. 14, 1997
I
N. W..
-,.Msrz,NO
01
ANY AL rM TO OR ADDITION TO THS SINVEY IS A VIDLA7XV Arta,„ 4,
OFb6cTmN TPO,4 OF 77E NEW YOfiK STA TE fWil6' IM LAW, - N. LIC. NO. 49618
simL rT A9 PER SECM* W M0'9-SLBL 109CMl Z ALL LF.141FAZ4IX�AtS //
hFy IX ARE VALD FOR TNS AMP Alin COJPIE'S Ti<,L�RECIF OAEY F :
SAD AMP OR COPES BEAR ThE#A°RESSED SEAL OF 77E SMVEY01? IPE S Ynp
M7lOSE RM 7L14E APPEARS WE014 i °500b$�Q
ADOT)6VAi4Y Tpp cmaY M1TH SW LAM' RE MW 'ALTEW BY" P. 0. E
A"t BF WO BY ANY AAD ALL 1"VEYORS U aff A COPY 1230 TREET
OF ANOThO SLAVEYOIM MAP.. 'raw sum AS 7KSPamr Ann SOUTHOL'D, N.Y. 11971
WROMr-TID-DATE'ARE NOT Iv COAA°L4ow M7TH Tic LAW.