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Home My WebLink About23327-z FORM NO.3 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) Date.................... .f��/t.: .�........... 19 NG 23327 Z Permission Is hereby granted to t.!&2z................................ .............°o. ......... . .................. ............ .... . .. . ,.... r 9 to ... e ..... ........ ?' ..� ........ r <� ........... �.... . ... ..... .... ........ .............I....... 45 ..........� ��.... ...... . ....................... ... ........ ................................................................................I........ ..................................................................................................... ....................................................... at premises located at................. ®, .......... ..................... ....................... ....................................... �.............................. , ............ County Tax Map No. 1000 Section ......../.1....3..... Block......... ............ Lot No. ..../(/................. C� pursuant to application dated ................. ............... 19 and approved by the Building Inspector. � �- Fee$.. ........�..... ............. ... .. .. .... ... ...... ..�........... Building Inspect r Rev. 6/30/80 � EK or 160.0•.A..� _ f kFrtiuYED AS Rl ITED N —Y� DATE. 9 B.P.1l 7 FEE BY ✓ G.,� NOTIFY BUILDING DE A ENT �+ 765-1802 9 AM TO 4 P A FOR Ti �o FOLLOWING INSPECTION S. 0 FO UNDATION OUNDATION - `f J REQUIR( FOR POURED CONC M rE 2. ROUGH -FRAMING PLUMBU\ 3. INSULATION o \^ 4. FINAL '- • CONSTR ON MU: �D $ BE COMPLETE FOR _ l!` ALL CONSTRUCTION ALL MEE J THE REQUIREMENTS THE N. STATE CONS'TRUcnc•` ENERG o3� CODES. NOT RES IBLE FO � t n �4 DESIGN OR CONSTRU N ERROR o 0 r 0 y � A n N ii Q�'ACUPA t y on us Y ;f?'Ti011-is T t �FI1iC+Q!Z aRcpcu lfey N O \ \ Y N.17•It'JO'E y ; tSM ' \ \ 00346�ww rO0 Tor 6 661.60 ""w•1OM' YOUNG A YOUNG ' Pe^nY df/L:J/,/177t goo OSTRAHDLR AVENUE.RIYGHLAO,NEW FORK ALD[N W.YOUNG HOWAw0 W.YOUNG PWI•••."w��•MM•r Awe 11M ruwY•Mw ' w-•rtrr.M.ri{IL w0.1•Mr SURVEY FOIL• y.►�a or NLti, . JOSEPH G.MUN2 a��pwG a/G`o4 rrwl W wal IUM � � O . '��•NONUNCMT ••rr w mn . w-m•. w••r AT MATTITUCK x.A a vm i�t o or c A t�{lil Ilfl NA [E[D r..,.. • r •n f•'M I Tnwn^r d l l If-1 I. R�, i 1� .. FI0•w � I ' CREEK Iso.0 iv14•0'ao "o"d �1 ,WOVEDAS ED -'� DATE: Ii0 B.P.# /7 e FEE: Z� , BY: -�� NOTIFY BUILDING DE A TMENT N 766.1802 9 AM TO 4 PM FOR Ti F FOLLOWING INSPECTION : Z 1. FOUNDATIONT V REOUIRI FOR POURED CONC IF TE 2- ROUGH - FRAMING & PLUM13M 0 3. INSULATION 4. FINAL CONSTRICTION MU,, a BE COMPLETE FOR , ALL CONSTRUCTION I ALL ME[ o'\ 'THE. REQUIREMENTS N THE N. STATE CONSTRUCnop k ENERG CODES, NOT RESPO 4.4 ISLE FO o= DESIGN OR CONSTRUC 11 IN ERROR cl N N - N � _ � 3 D N 14 P OCCUpA -y O . O a n �• h gg c+ Iv UI' � ;Ie�FUL. • , I%.fly a I SOU:CF IFICAT€ Wl cccU ? micy Y 1 U 25 ` .N \ y O \A \t.+.t� 16 o t01.0 '� S.jOI� je E•r'�%- �s'GGNw• G 6(vwll , �� N m r' F KE^^elh V. peR^1 w[vu ONe YOUNG A YOUNG i w.!/•/Ort 400 OSTRANDER AVENUE,RIVERHEAD,NEW YORK AlD[,W.YOUNG HOWARD W.YOUNG ICOI[\bN\\INCiNEIw ANC aANO•UAY[YCn IANC IUNYII•w.M.l.l.ll1-NO,IElll M.•.l.LN,.NC.lull q wwnw un..nn,e.•bns SURVEY FOR: yl��E or hE NNaM Iw,NOYCM nCi"•o�N.n k JOSEPH G.MUMZ .. a A'n NNnI•.•Nn wIw Oat } f �rE• �is-,r,..,,.,l..,..m w 1 s °° ••MONVNENr �: • u lu•N ttirl AT UA ^N a•.�.x\��N..iai.«:In wlq MATTI7UCK I-L . L 'vino of I•,. . .I .a.it l`ryr If1Wf1^( d11o1kII 11R3 RF r.E CO 1,1 111111,1 1 dI v V4 �O_Vj M,AINIE � Style #800 Stockade ! f� �.i� ( �i I•I• i a i .i •, � ( �� I�rre! • I, ,''�I !,`I r f 1,;I• '�� "I r. '' ' I I ff: ! II 'y i j 1.I�i l� � + I� �j� �,' � �li ' !jI +.; I' �' •� I-0 °.� '.� :,: ' 1• A �t ii lil of I, � �t j: ` ! !I i•il. i j' f I D� jlr 15 !. tt •!i ii j I. ii !i . �'it I l i °';I} t l l '.i ji ,I' I 1 I!!�1 11 �;�;:i; �� "� �+ '• :i �' ji �F �.�' � ! I !' ao ' I ��I �� • ' II �,; II � 1j I i , I it � � f i'll: l; :i ji,l�' ll' !Ij'lllllxll `I i' p li ;I} ,iy lii I f I ,. 1 L IL i ROBERT G. SMITH v slel rlelva- OL 7da'.ImIlleof, Ale G ;J,•.) ' 7!f'.-.mn t"`eklet.i'M spa a?=>;srSA, c 1 As• [)0 A R l) OF HEALTH . . . . . . . FORM NO. 1 J SETS OF PLANS SURVEY TOWN OF SOUTHOLD . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CII•ECI. . . . . . . . TOWN HALL SEPTIC FORK . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 //// TEL.: 765-1802 N i FY . . _ . . . . . . . . . . . Examined . . .`JG L l 19 NA I L . .T O . Pl I_ Approved . . .� � 2 1S6� Perniit No.6;�. .'.L ✓. " . . . . . . . . . . . . . . . Disapproved•a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APP ATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . INSTRUCTIONS a. 'I'iiis application must be completely filled in by typewriter or in ink and submitted to the 13uilding Inspector, witl sets of plans, accurate plot plan to scale. Fee accorcding.to Schedule. b. 1'10t plan showing location of lot and of' buildings on premises, relationship to adjoining premises or public stre ' Or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap; cation. c. 'File work covered by this application may not be commenced before issuance of 13uilcliilg Permit. d. Upon approval of this application, (lie Building Inspector will issued a Building Permit to the applicant. Sucli per,- sliall 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 OCCrlpan shall have been granted by the Building Inspector. APPLICA'PION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, -Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for tile construction of b1111di11gS, additions or alterations, or for removal .. demo 'lion, as herein describe The applicant agrees to comply with all applicable laws, ordinances, di g code tlo 1 1ng c de, and regulations, and admit authorized inspectors on premises anal,in building for necessai ins e ion . . . . . . . . . . . . . . . . . . lgnatil O a p 1ca1,t, o nle, if a corporation) cAlalling address of applicant Slate whelher applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builde ®c� .e4... . . . . . . . . . . . . . Name of owner of premises as on the tax roll or latest *deed) If applicant is a corporation, s'lgnature of duly authorised officer. (Name and title of corporate officer) Builder's License No. Plumber's License No. . . . . . . . . . . . . . . . . . I=lectrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other "Trade's License No. . . . . . . . . . . . . . . . . . . . . . I . Location of land oil which pro losed work willbe done: —. . . . . . . . . . . . . . . lion • . . .��'. . . . . . . . . . . . . . . .�� . . . . . . . . . . House Number Street Ilanilet County Tax N-lap No. 1000 Section . . . : L>. . . . . . . . . Block . . . . . �. �. . Lot . . . . ,f . . , . . . . . . . Subdivision , . . . . .V'.6tvi% /alt lYm . . . . . . . . . . piled Map No. ! . . . . . . . Lot (Name) .21 Slate exiSliug Use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .y1",)ue/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building • • • • Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal Demolition . . , . . , . . . . Other Work<Z;5.t9A.J2-. (Description) d. 1_stinlated Cost�/99{.{Z/ • (to be paid on filing this application) S. If dwelling, number of dwelling units . . . . . . ./. . . . . . .. Number of dwelling units on each floor . . . . . . . . . . . . . . . .If garage, number of cars 6, if business, conlnlercial or mixed occupancy, specify nature ar►d extent of tacit type of use . . . . . . 7. Dimensions of existing structures, if any: front . . . . . . . . . . . . . . . . Rear Depth 11eight . . . . . . . . . . . . . . . N►rrnber of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimen sions of'sa ,, W nle strueturilli alterations or additions: front Del)Of . . . . . . . Rear . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . : . . Number of Stories 8. Dimensions of entire new construction: Front . . . . . . Rear Depth Ileight . . . . . . . Number of Stories 9. Size of lot: Front . . . . -a r6. Rear . . .,� ��.t Depth I . . : . . . . . . . . . . 10. Date of Purchase Nr e of F,orner wrier 1 1. Zone or use district in which premises are situated �5'j /' T/ . 12. Does proposed construction vp late any Zoning law, ordinance or re on . ./��0. . . , . . . . , , 13. Will lot be regraded . . .� . . . . I. . , . . . . Will excess fill b rer loved from premises: Yes No 14. Name of Owner of premises �.�j,g.��(,.�yy►y i• , • , . Address�I.�s� /�41)�� ,{�� Phone No. Name of Architect '%'° ' ' Address Phone No`. Name of Contractor ✓.0� 4 o C� . . . . Address Zt?,I�j�, !� � Phone No, �6��$ 15. Is Lhis property within 300 feel of a Lidal 'vieL].and? *If yes, Southold Town TrUSL'ee8 Perurit may be required, No. . . . . . . . . PLOT DIAGRAM 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. 9V STATE OF NEW YORK, , S '0UNTY • • • • • • • . . . . . . . . . . being duly sworn, deposes and says that he is the applicant ame o i dividual signing contract) ibovc named. ,, ,C p,^ 10 is OIL!C . . . 'A�.'{',do/f S . . . . . . . . . . . . . . . . . . . . . ... (Contractor, agent, corporate officer, etc.) -f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this Irhlication; that all statements contained in this application a.re.true to the best of his knowledge and belief; and that the lone will be performed in the manner set forth in the application filed therewith. wore to before n►e this .clay of. . . d '�°54 . . . . ., 199.E . . . . . . . . . lotary Public, � County goelskr unmm . . . . . . . . . . - Nmm Public,State of New** 9(�igna� ►re f1 ) No:30-7b72040 o f a > >l i c a n t QuBHW In Nanou County Comn4mion ExOrm October 31.14