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Home My WebLink About23513-z FORK NO. f 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° 23513 Z Date ............... ../ ........................, 19 Permission is hereby granted to: ... .... ..� , .. ..................... ..............,S":....��.�............... ... ...................... ...... f71 ....�............ . ....1..971.......... .. ., . .. �` .. v. . c �� ....... ...� :.......to ... ...... .......... �' ..... .... . . .......%° � ��.......... . ................................... ........................................................... at premises located at ............. L ...........11. .. �'f-............... F................................................... ................................................................. .q ............................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ...A .4 ........... Block ..../..0........... Lot No. .......... pursuant to application dated .. ..... ............................ 19.(�. ..., and approved by the Building Inspector. Fee $.. ...... ...................... ........ ............................................. Building Inspector Rev. 6/30/80 BOARD OF HEALTH . . . . . . . . . . . .. . . _ FORM NO. 1 �3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY 6' BUILDING DEPARTMENT CHECK . . . . �I TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . MAY 1996 ' -`•� 2 8 _' � SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: BLDG.DEP7. CALL . . . . .:3 . . TOWN OF SOUTHOL Examined..... , •...., 19... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved. ., 19� Permit No. ..3 5-1 ........................... Disapproveda/c .................................. .................................... ................•..................................... (Building'In •tor) APPLICATION FOR BUILDING PERMIT -Date. . . . . . . . . . . . . . . 119. . . . INSTRUCTIONS 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 promises 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 application. c. The work covered by this application my not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 HERESY MAIE 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 demlition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on promises and in bui ing for necessary inspections. ,,�n'`^37 c 'A .,t.';,r,�,o-+,hb.5 a Y+j •.•• •.•...•..•••••..••••- ,, , (Signature of applic or name, if a corporation) „O k (Mailing address of applicant) State whether applicant,:is owner,_lessee.,.agent,, architect, engineer, general contractor, electrician, plumber or builder. ............... ............D .............. ............................................. Name of owner of. , . . . .�Xrc� .. l. ..... ....................................... hreDni . • ! ;- (� • tax.roll or latest deed) If applicant is a corporation, signature of dimly authorized officer. • . .(Naneandtitle. •••-of corporate officer) Builders License No. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. .........1.� .......................A t�.l�P,��./�:Z c ...................... j��.��.................. House NLuber Street Hamlet County Tax Map No. 1000 Section .....��........ Block ........ Lot ..... ....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupy of promises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ................................................... b. Intended use and occupancy ................................................. ................. 3. Kahire of work (d►eck uhich applicable): New Wilding .......... Addition z Alt Repair ......... Removal .....-...... Demolition ............ Other Work �ii. .. GF➢f` i -C� .. (Description) 4. Estimated Cost ... (��.... .`... fee ...........................:... (to be paid on filing this application) 5. If ckaelling, nunixer`of dwelling units ............ Nurber of dwelling units on eadi floor If garage, nxnlber of cars ...................................... G. If Ixusiness, commercial or mixed occupancy, specify nature and extent: of eadi type of use...................... 7. Dimensions of existing strictures, if any: Front................ Rear ............ Depth ................. Ileight N-Eiber of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Ileight .................... ldmi>er of Stories .. a. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. lleight ......................... Ntither of Stories ..................... 9. Size of lot: font .................... Rear .................... Depth .................... 10. Dale of Rurdiase ..................... Name of Former Owner ........................................ 11. Zone or use district in whidu premises are situated .............................................................. 12. Does proposed axustnuction violate any zoning law, ordinance or regulation: 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO Ili. Names of Owner of premises ........................... Address .............................. Plxx)e No_ .............. Name of Arduitect ...... ...r..... ................. Address .. .......................... Plane No. .............. Name of Contracto. ...... 1-.r k.................. Address ...............................Plane No. .............. 15. Is this pmperLy within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOUL T)11) IMN '1141SIM-13 PE134I717 MAY BE RE(XIIRI-. PI.O'I' DIAGRAM Locate clearly and distinctly all lxuildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and Mock ntA)er or description according to`leed',rs"aiid'sliaa street names and indicate wluether interior or corner lot. APPROVED AS DOTED DATE: / 9.P.8 FEE: BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS S['A'lE OF Niel YORK, (7(AlnlY OF .. SS .••-C'e?u- ......being. duly sworn, depx)ses and says Lhat he is Lhe appl.icanL (Name of individual signing contract) above named, lie is the nagent, ..................................................................... (C NWracLorrporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed Lhe said work and to make and file Lhis application; that all statements contained in this application are tnue to Lhe best of his knowledge and belief; aril Lhat Lhe work will be perf-onned in the urmner set forth in the application filed therewidi. Sworn to lue -ur me, this .. .d. f ......... NotaryR is ........ ..... ... . I CL.AIRE L.GLEW .. 4 Notary Public,State of Now York (Signature of Appl.i.cant) No.4.879505 Qualified in Suffolk County Commission Expires December q,19 Wp BAYVIEW F• 647o2l AVEEN 01. 130.00' IUTIpo� 2 Lj p0 sf •p LL .ei I F cam' � 4=Q 3 C* c° _4� Qi D; 7g 2 Qr _(Q O ((\� Q cco 00 a� I = XO N. C7 1� LL O mZ 046 ia........... ... fv �• O 3 � � oOr ` i 0 ,0 Zo c a . -..0..4 .. .-.s. �..;:.rprrrr'r.."a!-��•,. >gr n, - _ - 41, �occ Area : 91932 s,f, to F M O o � O cd 3 o N.84034'30 'W. / 213.00' now or formerly Deborah Reilly ellly _ ° MAY -� _ _r_ sQUT v r .J- p� �o�fl SURVEY FOR GREGORY OFRIAS a PAULETTE OFRIAS MAR, 4,1993 AT MATT ITUCK DATE: SEPT. 12,1988 TOWN OF SOUTHOLD SCALE: I "= 60' SUFFOLK COUNTY, NEW YORK NO. • 88 - 0727 N UHAUTHOR12E0 ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THENEW ( A'E�� NCOP ESKOFTTHIS SURATE CVEYONOT ABEARING THE LAND `� SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL w NOT BE CONSIDERED TO BE A VALID TRUE COPY *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO ` HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED �J 0'� AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- *NEAREST WATER MAIN—MI.± *SOURCE OF WATER,. PIIIMETE __ UBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED `F V*SUFF CO. TAX MAP DIST IOOO SECTION 108 BLOCK�_LOT 1�3 HEREON,AND TO THE'ASSIGNEES OF THE LENDING NERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE Q. OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT 6 N THE WATER SUPPLY AND SEWAGE D16POSAL SYSTEM FOR THIS RESIDENCE OWNERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY'LINES S OF HEALTH SERVICES, TO EXISTING STRUCTURES ARE FOR A SPECIFIC APPLICANT+ PURPOSE AND ARE NOT TO BE USED TO ESTABLISH L S PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS TEL. TRANDER YOUNG YOUNG RRI ERHEAD, NEW A K OR E NOTE: G = MONUMENT •=STAKE FOUND Q=STAKE SET ALDEW W:YOUNG,PROFESSIONAi4-40GINEER RE: LOT 3, " MINOR SUBDIVISION.FOR MARK IEWICZ AND LAND SURVEYOR, IY ESTATES." .S UCNSE NO.I284S ., *THE LOCATION OF WELL(W),SEPTIC TANK(STIA CESSPOOLS(CP)SHOWN HEREON HOWARi71�'iOUN ,ANY SURVEYOR14 N.Y.S.�ICJkNSE NO.�ISB93 ARE PROM FIELD OBSERIATIONS AND OR DATA OBTAINED FROM OTHERS BRANDIS d, SONS INC. NHS