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Home My WebLink About22257-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........ ................................. 19... .... N® 22257 Z Permission Is hereby granted to: NORTH FORK FENCE & SUPPLY - AC - GIARDIELLO, ALFRED ........................................................................ P.O. Box 476 .......................................................................................... .......... MATTITUC.K,,..wx,,,,,,..MP52 ..................................... to ...CQNSTRUCT.A,FENCE,,TO,,CODE AS,APPLIED,,FORr....................................................................... ................................................................................................................................................................... .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. GIARDIELLO, ALFRED at premises located at.......165-WALNU...LACE.-NATTZTUC,K................................................................ ................................................................................................................................................................ County Tax Map No. 1000 Section ..........1..4...2.......... Block.......................... Lot No. ................1.......... pursuant to application dated ................ ........................... 19....9A........ and approved by the Building Inspector. Fee$... r ........' �........................ I uil Ing�I spe or Rev. 6/30/80 175 2", -T-A A us , pp f CAD >i �xl 1:131 LU 0 M Z> IMN LL Lu N Wz k Zo --jj rx V-1 C-IJ z cc L5 z 0 �3 z- cr, cc 'a. 2 Lu ........... 5 nc- 1 8 a 2 x K-, 13 It E ea DM ?e 00 0 tf7 u-, LS. tf -j C4 .13 1111 251994 BLDG.OEPT. T N OF§OLJTHOLI?------ NORTH FORK FENCE & SUPPLY CO. Wholesale & Retail P 0 Box 476 7470 North Rd. E* , MATTI-rt)CK, W 11952 SURVEYEDFOR:- LOCATED AT /�I T7'�T11 , 7/0 S UT O Lf�, S U FFQE•f'' �� LOT MAP OF SCALE 1"-20 $rMFp ,A$UC LURES Ti3 r MY,ARE'L?A USE � r.;5'_ T«.IDS'� 1:;.'_._v.:•r-T 2E t, � r� 8•a \ r u 3S•6 !�at � 1 � No 73 G U14AUTHORIZED ALTMAT1011 OR ADRF'i .1�5� S, (7 (I M 2 F0 itlIS SjR,cY IS A VIOLAT.IOM OF u V LC 3�C710M IZ y n I'09rOF THE Mc�I YOfLK.SfJ.7'E ; T�y� +�,�� !<1r !y !I r1z .� 'r ' r ,IaT swilxe r -- " -. r Fi� 2 5 Ifpl Bf CONS CS i, J r^- i t� ...IL ,.zu= ';ur1'. to r6 nc RU)m SHALL SLDG.DEPT. TOWN OFSOUTHOLD D 7-1 TC -6- T ANDs' CI.,LL /I1F,:nr11. w.�l.,d nl 4 YED�U 0di 19s64S BY �tif LU.M .a _ .. TG I.y� �R.J113��ALE WILLIAM R. N 1 S 11 TC a,�.,,,.. . 70 WEST MAIN STREET OWNERS. ... . ....�,..VJ�fC EAST ISLIP, L.I., N.Y. f Ft!E NO. /�� PAGE GRID BOARD OF HEALTH FORM NO. 1 ' ' ' �'3 SETS OF PL1:7S TOWN OF SOUTHOLD SURVEY . •BUILDING DEPARTMENT /CHECK . . . . . - _ _ _ . . . . TOWN HALL SEPTIC FOR:I j TOWBLDG•OEPT . . . . . ., 19 . . . SOUTHOLD, N.Y. 11971 NOF I LD' TEL.: 765-1802 Eme r:a CALL A<LFLY ; _ � .�=/�; ' . . . . . . MAIL TO Approved .� . . . . . ., 19 . . . Permit No, 4`R.:2 Disapproved a/c .O- A5 7 . . . . - �� t C Ii* � �(B ' ding Inspector) APPLICATION FOR BUILDING PERMIT Date . . . .7 "� . . . . . . . 14 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink acid 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 or areas, and giving a detailed description of layout of property must be dra•,vn on the diagram whi h is part of hissappli- cation. c. The work covered by this application may not be commenced befo ;<; <: ce of Building Permit. d. Upon approval of this application, the Building Inspector will issued a : ,in permit shall be kept on the premises available for inspection throughout the work. g to the applicant. Such permit 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, •Suffok 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, housing code, and r gulations, and to admit authorized inspectors on premises and in building for neces ry i spectio s . . .qv-*� . . . . . . . . . . . . ... . . . . (Signature of applicant, or name, 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 . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If appI' t is a orpo / ra ' n signature f duly authorized officer." \. z4 l • . C,. . . . . . . . . . . . . (Na a and title of cbiporate officer) Builder's License No. Plumber's License No. . . . . . .... . . ... . . . . . . . . . . . . . Electrician's License No. . . . . . - Other Trade's License No. l. Lo/caattioonn of land on which/proposed work will be done. - House Number . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . /� :r`.-. . Street Hamlet County Tax Map No. 1000 Scction _ : • : j cfi Block . . . . . . . ./ . . . . . . . . . Lot . . . . . . . . . . . . . . . . Subdivision . . . . - . . . . . . . . . . . . . . . . . . . . . . . . ... Filed Map No. Lot (Name) . . . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . v'� �R.A _ - , - - • • - • • b. Intended use and occupancy . . . . . �P a_CF;`• yC�'- • • - -3. Nature of work (check which applicable): Pp icable): New Building Add Repair . .. . . . . Rem' . . . . . . . . Addition . . . . . . . . . . Alteration mova�l . , • • , , • • , • • , • , Demolition ... . . . . ... . . Other Work �YI/� yjs ,. 4. Estimated Cost . . . . . . . . `�; �� (Description) • • • . . . . . . . . . . . . . . . . Fee _. . . . . . .. 5. . If dwelling,number of dwelling units . . • /N/y (to be paid on lilies this- 5- application) • . If garage, number Iti'umbcr of d�vcllins units on each floor . of cars , • /(J/�. _ _ . . • • • 6. If business, commercial or mixed . • . . . . . . " . . . . . . • • • • • • • • • • • • • • . . 7. Dimensions f e occupancy, specify nat re and extent of each type of use . . . . . . N, o existing structures, if any: Front . . . ./U�7 /V / ��' Height . . . . . �U . . . . . Rear . . . . .l ". . . . Depth ; . . . . . . . �d� • • • • . Number of Stories .f , Dimensions of same/structur, with alterations or ad itions: Front . . . . • . . . . . . . . . • • • . • • • - 8. Dimensions . . . . . . . . . . Height . . . . �� . . . . . . . . . . . ' . . ./.��`'? . . . . Rear .!Uj%i`;. . . . . . . . . of entire new constru Number of Stories . . . ,/. . . . . • , .Height construction: Front . . . . . . . . . . . . . . . Rear . . . ;�,.. . . . . . . • . . . . . . . . . . Number of Stories Depth X 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . 10. Date . . . . . . . . ... . . Rear. . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . of Purchase . . • • . Name ' ' • • • • • • ' 11. Zone or use district in which ' ' ' ' ' • of Former Owner . ./. , ,SiE%Jd premises are situated . •12. Does proposed construction violate any zoning law, ordinance or regulation:• . . P).. . • . . • • • . • • . • • • • . ' ' ' • • . 13. Will lot be regraded .{'!J,C�• • • • - • • - • • • • • • . . . . • • - 14. Name of O • • • • • Will excess fill be removed from re ises: Yes Owner of premises� .F�0Qrr,�//Q, . , Address ./ :/,�b• �r/ccf PCaeE/� cT .5o Name of Architect . . . . . •- • • • • • • • •y• n No. .�$k-acs� Name of for NQ?`f� �or?1!• . . Address . . . . . . Ph ne . ._Contractor �Q No. . . . 15. Is this propertywithin �4 " "'VJq Address 2�70"--RM. �°aec!jlif f/Ppne N :� ';�7 7 7 300 feet of a tidal wetland? ,� • • • • • •'. . *If yes,- Southold Town Trustees Permit may be required. • • • • ' No. . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or property lines. Give street and block number or, description—according to deed,la a a?; ;.,,_: ate,all set-back dimensions from interior or corner Iot. _t names and indicate whether O 1 1 ;TOTE OF NEW x0 P S.S '—lt�- ��— 'I� C :O UNTY OF . . .�?c� • • • . . . . . . , being duly sworn, deposes and (Name of individual signing contract) says that he is the applicant bove named. ,e is the . :,... . • said owner or owner (Contractor, agent, corporate officer, etc:) • • • ' ' ' ' ' ' ' ' ' ' s, and is duly authorized to perform or have performed the said work and to make ,plication; that all statements contained in this application are true to the best of his knowledge.and belief;and l}at this the )rk will be performed in the nner setforth in the application filed therewith. "Orn to before me this . . . . . . . .day . . . . . . ., 1916( 'tary Public .� St'�tCUI • • County r ROBI:RT I TT,A . . . . : . . . . . . . . . . . . . . . . . . . .. NO'IARYP IC,Stateo�N,r. (Signature of applicant) erm Expires M 9u�y, _