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HomeMy WebLinkAbout22268-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 ....,AUGUST...16.'.................................... 19..�4..... N2 22268 Z Permission is hereby granted to; RICHARD LEE .......................................................................................... 152 HUDSON TERRACE .......................................................................................... PIERMONT, N.Y. 10968 .......................................................................................... to ,,,,,,CONSTRUCT 6' FENCE TO CODE AS APPLIED FOR. ................................................................................................................................... .................................................................................................................................................................. ......................................................I..........I.........,...................................................................................... .................................................................................................................................................................. ..........................................................................................................................................I....................... at premises located at...........3050 RENNEYS ROAD SOUTHOLD N.Y. ...............................................................a....................................... County Tax Map No. 1000 Section .....I...59............ Block.........Z..:............ Lot No. ....3,...................... pursuant to application dated ......... ................................. 19....94........ and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 0/0-.�fl /i I NSPECTION . , i 6'5 DING DEP"To i FOUNDATION 1ST ROUGH PL8G, , FRAMING . FINAL REMARKS11-4 � .� 745 i DATE- w / INSPECTOR % --� i INSPECTORS Victor Lessard �SVFFO��C Principal Building Inspector ��. pG Curtis Horton =� 'y� SCOTT L.HARRIS, Supervisor Senior Building Inspector y Z Southold Town Hall Thomas Fisher P.O.Box 1179,53095 Main Road Building Inspector 0 • ?� p! Southold, New York 11971 Gary FishBuilding Inspector ��l �►a Fax(516) 765-1823 Telephone (516) 765-1800 Vincent R.Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD D 0 s_ AUG E : I99Q Mr. Richard Lee Z -= ' 152 Hudson Terrace BLDG.DEPT. Piermont, N Y 10968 TOWN OF 3OUTAQLD y Dear Sir: Please have your signature notarized. What kind of fence, how high is fence, three copies of plan. Thank you Southold building department 1 I P. N;'� [3EE; i_E�L � � Ul po � r�F t`=:�{CF_ i ;/-� i- �-I! I���� ����� �' D x IZVEYyr.J .�.2 H O U 5 E 0_ I i } I N 1 r'^� r r ;-'--r r-• .41 49 40 t f n ^Y 01 -------- - "` W nC. TrMBE FT - of w J m: i i�. :_ to�9�ORzsd survey �N:��{A��/MEDIATELY" Ed, 720 z o 3 UPON PMTOCODE —� _ :� t(Cj°p�d f ��,� n e 1- 5702Y 3 ® N COMPUMN ©� D A A/Al S 2 to be ">IAIA'tER - a Y'-did�Q t FfZAME G� / Gunte °nlY to the s to 1 is Prep r, PGr� �� HQU W000 title cotr, d..and an 3 LL pcGVG ondingiPa �.,aver I \ C� lam. tutipnsc tU z/ s ( to Gua,: ` adCrtio • r * LIJ g L - - - - - - CA AC KTp p or,,_ t V E Z I GARAGE O Z �CA�` n / a G) D .; 00 r_e O o 2 1994 t'r m,f.. } TITLE NO. 94C8-0 i8�,8 BLDG. DEPT TOWN OF SOUTHOLD � ----- GV'P,/'\lTrEE✓' To CHICr-tG-'' -r` i-1 E. �rj1, r' F•1C CO, J-r� 1.=, r+, �G SU t aV C "U ----------_- - - ------_ 5U FF.-00.TAXJiViAP Dfii(4, pa If I = BOARD OF HEALTH n Q RM NO. 1 3 SETS OF PLANS . . . . . ... . 11 r.- TOWN OAF SOUTHOLD SURVEY . . . . _ _ - - . . . . . . . . . . CHECK�I �i�, BL�IL©�I�NG�DEPARTMENT • - - - - - - - , - . . . . . . . . I! �� + 8 1994 ��_. Tow'N'HALL SEPTIC FOR:1 _ _ _ . . . . . . . . . . SQ1 ITHCILD, N.Y. 11971 BL G. DEP7 j; BLDG.DEP L,: 765 1802 r:�T I F•f ; 1 I_ �/ i TOW F SOUS.�(',IL� ,F TOWN OF SOUTL�1 CALL .�I LI. _ l gvy Exa'iiiincd C�/ 19 K , . . . MAIL TO ; , Approved . . �(�G . . . ��Ck. .�.. . . . . . . . . ellx . . . . . . :, 1 .. Permit No. Q . Disapproved a/c . . . . . . . . . . ti f.�a• �� (Building Inspector) PPPLICArION FOR BUILDING PERMIT- Date 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 premises or public streets c1r areas, and giving a detailed description of layout of-property mus cation. t be drawn on the diagram which is part of this appli- 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, housing code, and regulations, and to admit authorized ins pectdrs on premises and in building for necessary inspections.� �� (Signature of applicant, or name,/ii a corporation)- oli (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / . . . . . . . . . . . . . . Name of owner of premises . . . . . . . . . .l�� 1.0. . . (as on the tax roll or latest deed) • • - If applicant is a corporation, signature of duly authorized officer. • . • . (Name and title of corporate officer) Builder's License No. • , , , , , , PIumber's License No. . . . . . . . . . .�. . . , , , , , , Electrician's License No _--......_.___......_.. ..'-. . _ ..._...----___.__.......... _ Other Trade's License No. . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . `.7� � , , ; /6 � House Number . . . . . . . . . . . . . . . . . . . . . . .Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:. . . . . . . . . . . . .. Hamlet County Tax Map No. 1000 Section . . . :. .�. /. . , . : , . Block . . . . . . . . . . . : . . . Lot . . . . . . . . . . . . . . . . Subdivision -- �T--- --- — ). . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No Lot —.. (Nae m ; . . . . . . . . '-: State existilig use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . :. . . //I��Lf . . . . . .rl . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... b. Intended use and occupancy -- -3. Nature of work (check which applicable): New Building .. . . ' ';: .,,; +4 '7,•. Repair . . . . . . . . . . . . . . Re �.; Addition . . . . . . . . . Alterafiion . . . . . . . . Removal Demolition' . . . ... . . . . . . . Other '�' 4. Estimated Cost . . . . . . �S (Description) Fee . � . . . . . . . . . . . . . . . . . . . . . . . . . . . S. If dwelling,number of dwelling units . . . . . . . .+ . �-.., to be-paid on filing this application) If garage, •1 • • • Nui-- . otd`tvelling units on each floor . -- g g , numbero�'cars •�• • • • • • • • - • • . . . . 6. If business, commercial or mixed• • . • � • • - � - • � • • • • • • • - • ' • - " " ' - " " ' - " • • • • • • • • • • • • • - Occupancy, specify nature and extent of-each type of rise .: -:—• - 7. Dimensions of existing structures'if any: Front S j{`i Height . . . . . ... . . . . . . . . . . Rear . . Depth . . . . . . . . . Number of Stories . .C�.j�• : SE 1J ;Y Dimensions of same structure with alterations or additions: Front - • • • • ' ' ' ' ' ' ' ' Depth . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . _ . Height' . . . . . . _ . Number of Stories . � � • � • • • 8. Dimensions of entire new construction: Front ' ' ' - ' ' ' ' ' ' ' • • • • • • Height . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . .. . Number of Stories . ' . 9. Size of lot: Fr"t . , . _ , . • .: 1�� . . . . . • - • - . . . . . . . . . L . . . . . . . . 10, Date of Purchase Rear . . . . .� . . . .-. . . . . Depth . . . . . . 1 1__ . . . . . . . /J:���'.y. ... . . . . . . . . Nn.r^_c of r,011116,r Owner . . fir- . -�f L �tl . . . . . Zone ::se dic::.ct 4n which premises are situated . • • • • - 12. Does proposed construction violate any, zoninglaw, o • • , _ .,AQ• - • • • . . • • - - • ' ' ' ' ' ' ' ' ' ' ' ' • • • • • • • 13. Will lot be regraded - • • • - : • rdinance or regulation:. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: 14. Name of Owner of premises . . . . yes •o I.Ctla9✓.�d.� � Address ��a. n�.%�.�f1 3,s�• .Name of Architect � ' ' ' Phone No. �1 � Name of Contractor eV�!,4K.'F!eC. • • ' ' ' ' ' • • Address hFY—MN {'V, ',,/d%O/Phone No. . . Address �: .�1 ���C.�=% ':. . hone No. S16 2q 15. Is this property within 300 feet of atidal wetland? No . . . . . . . . *If yes,, Southold Town Trustees Permit may be required.- PLOT DIAGRAM F' 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. i,+/ G /r v 0 SEcTIb,JI ell d.J .,4 s 'V4 S7�jLF 3.Dr# 31ILS. , lA1 I-r# . /-1 GCA 447 IC- Xu2rLh i^1�6 G/r U, b l4K • T� T�� 13vr—rc�/'1 ut% ��� �-.s � r/��. ���:c� .�S � G'/�4�E -s<.or"�S'� kw rm a races (D ( � i .`� O � i1a`. r ra: L Q 'a: a: N r LU - u� rac E"'� i . a LU �, `y U. era a . + u EdIR F tx ,�r '•"9 0 _j LLE Z to itat e? coedou Eli M C ¢" � rc v e� Bm. 1 o c= �a i� PJC; e� 0 E C + r? C>d f.1 P® Ee Cl; CC t �;: ' ;' Y;f 0 cb (no � p,• U. LIJ �' &" 0 QI tee rc s eo '� 0 l.Cl t Ii (� W..; 6S9 I-- : E'M E Ci7 h- e3 r i F %y 0 �i L Ef9 So! iTa. a •j X s sms �ASCh STATE OF NEW ORK BOUNTY OF . . .'. . .C��i S.S 12 • • • • . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (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 ;)Plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the •ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . .41 . . . .day of. . . . . . . . . . ., 19 JESSICA M. LEE otary Public, . , • Notary Public,:State of New Yor Residing in•l?oci;land•County• —:-, . - County / Commisson expir � vaxsk-�, 1973 CL �• .. . . . . . . . . . . (Signature of applicant)