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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) JANUARY 29 98 24622 Date.........................:.................................... 19........... Z Permission Is hereby granted to; ROBERT H KRUDOP .......................................................................................... 349 PENNYS RD .......................................................................................... RIVERHEAD,NY 11901 .......................................................................................... CONSTRUCT AN AGRICULTURAL BUILDING AS APPLIED FOR. to ................... ....................................................................................................................................... ..�;.. ...:.............. ... ......... .. ....j.....,. .................................. .......................... . .............................................................................................................................. REPLACES BP #22672 .................................................................................................................................................................. 1500 MARYS RD MATTITUCK atpremises located at............................................................................................................................... ................................................................................................................................................................ 7(�l19 114 0005 001 County Tax Map No. .......................... Section ........................ Block ........................ Lot No. ....,................... APRI L 13 95 pursuant to application dated .......................................................... 19................ and approved by the Building Inspector. 50.00 Fee$......................... ✓� Building Inspector Rev. 6/30/80 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) W 22672 Z s Date..........���.................................... 19.,%,�}�.. Permission Is hereby grante o: 9.. - ys.... D. ................................ A ............. .:....r�� ........... to .... — G%�'y 4�14 ......... �� ,�. ........ ..........................................................................................................................................................I....... .................................................................................................................................................................. ........................................................................... ;�, � , .................. �v` � /.......... ........ ......................................... at premises located at................ ..................... .................................... ... %�.....`...:...................................................... .............. County Tax Map No. 1000 Section .....&,(v......... Block..... .......... Lot No. ...Q/................. pursuant to application dated .......... , ��.....a269............ 19..J..�...., and approved by the Building Inspector. Fee $.. ;.............. . ..... .. ........................... Building Inspector Rev. 6/30/80 J.. ..`;�; ..... - ",•+�•+^s�+'r: :i-, .R^..,�.. � -.:,.+-t ^� �.�v y+ -spa"+: �,r7.,... - -...,. .�rr,�'._„ rr, �; 4. '�i}•.��•rn•,r�i.�.,:.+,:t r:=,.r.*. .,.r�„ ,.re,-,. 7 �` } r FORM,NO.3 TOWN OF SOUTHOLD'ya BUILDING DEPARTMENT %TOWN HALL SOUTHOLD,'N.Y. i BUILDNG-PERMIT t � yyyy �. FRr-- (.THIS PERMIT MUST,BE KEPT ON tHE=PREMISES UNTIL FULL .". COMPLETION OF THEMORK AUTHORIZED) Date. ..... Wll�-' ................................. 19.....;�.. 22672 Z r. r. ! 1' kit II . �, ;,n�,t d..,.'• Perm Is hereby�granted_to; � r • ? :' r....... '...... ............................... A .. � ".... ......................................... to ... • ,i ; ; "►+�!c' .............r �"�' `.......... ............ ';�- . _.... ............ ! ........ .� ........... .............. °`' !' ........I......................................................... ..................... :.............................................................. .......................................................................................... .................... b' °1 ................... ...................................... at pre ises to ted a .... f'f... .....rF;,%'!..... .,. . ........ a. ...................................... * ....� ...,, ....................... . ............ .. ........... .. .? ... ...... fr C un Tax Map No. 1000 Section Block..... .......... P .. ......... Lot No. purs nt to application dated .......... / .......................... 19..............., and approved by the f Building Inspector. Fee$.. `.. ........ ........................... Building Inspector Rev. 6/30/80 .. .. ._ .. ..... .._..� _... ... ..w_..._.,,tn.,.�...._., „. ....,. ,__._. _;y�.. ......,.,L,, ....... - __.,..r....-.,,+h:.� __ a .v.,,.......yp✓z �.,.'c.:ei...�,'. ..-...�.._u....... :.;yy.,.l...o,....,."m:.i:,�v. � a_., -- .. . I I I i i i I -- - - -- — - - -- --' - - — — -=-- - - —— --- - — — =— - - ! I • i i I D Jr -U 1S-U LAWFUL _ APpRO�ED'A_S NOTED I , ! —a— C—�-- -- - j !DATE: RTI I A �_-- - - - - - FEE: 1_7 I—;NOTIFY/ BUIfR - --------- .ARTMENT ATF C � NCB I ! DEP -I -18( 9O 4 PM: FOR THE ?FOLLOWING TIONS: LA TWO�9UNDATWO _REQUIRED vr• nr r Fld'A - I CONCRETE:Pill FOR POUNCR F �i!l1RED ' I, i - - -- - - - --�- - - - --'— - — 2.--ROUGH S. INSULAti 4.-FINAL ' STRUCTION-MUST ---- ---l-�E_COMPORC;O.-ALL CONS YHC RfHtIINTS- 3F-!T�I �I:Y.CONCTION 8e ENERGY I _ CODES. NOT RESPONIBLEj FOR- - -- - - - — - DESIGN-OR-- NSTRUCTIOk ERRORS—:— -- — - , .. - ' -- - - - t 32 i ---------- -------------------- .................. Fle', I- E---t7- 952 Qu�Nri7y X !v .1C,9 x /(o Q0s7Z p y X 8 x F/R P� Ywoc�► S i A/�y(o . T--/�/ 00 aX 6. F/2 02 X to "42 ,'C/k. STUDv/,q /(0 4,C, cax '� ��o �ooF sf�iN6.lES. - �.��cs. //�,� )C •2�/ � �.� ,SIN 7--J"oisr� . I ` I LX ✓�' ff0� �LA�1L. . r r T o W 7A/ Dn o.2 o�iYiH6S G�0�6�.�T M• !�.�vTj oe SEA �4COmPgNY�yG D"kAJ1116 N N ,544CA41- W iTW �s IZf�F.C/CE/!2E/YT D�/X �Q v, ROBERT H. KIRUDOP ma�yy,, RED Q, Box Riverhead, New York Iloo l 5,F-- .3��DiytiYs� n�"- 4 FIELD INSPECTION REPORT IIDATE II COMMENTS II II H FOUNDATION ( 1ST) II II - -- II I FOUNDATION (2ND) II II " II Il II II - II II 7a ROUGH FRAME & PLUMBING �� II II II INSULATION PER N. Y. II H STATE ENERGY II CODE l u II FINAL ri ADDITIONAL COMMENTS: tzl H N H H O x r\ d �\ ra b � H HEALT BOARD OF i: _ / FORM NO Jr___ (1 �c_L� (� a. : . 1 3 SETS OF/'PLANS , , , , ^L � TOWN OF SOUTHOLD SURVEY �! . . . . . . . . . . . t pe BUILDING DEPARTMENT CIJECK . . ' MR 2 019% ; w TOWN HALL SEPTIC FOR:! . . . . . . . . a SOUTHOLD, N.Y. 11971 BLbG r EE'7_ 2�; 9 TEL.: 765-1802 t:�<<F1� '�OlnIIN OF SOESTI ICE!_ J C A L L Exatiiined . . . . . . 19 / MAIL TO : • . . . . . . Approved . . . , 19/.✓. . Permit No. . . . . . . _ . . . . . . . . . . . Disapproved arc . . . . .. . - . . . . . . . . . . . . . . . .` ' ` . . . (B di nspector,) - APPLICATION 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 or areas, and giving a detailed description of-layout of property must be drawn on the diagram which is part of this'appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. �. 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. i,. 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 inspectors on premises and in building for necessary inspe ns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a orporation) (Mailing address of applicant) State whether applican is owner lessee, 'agent, architect, engineer; general contractor, electrician, plumber or builder. . .��' . .. . .���. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . ... . . . . . . Name of owner of premises . �47��� , . / . .:1 .� �.L.©.�o. . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,_si-nature of duly authorized officer.' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . : . . . . 'Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be"done. . . .. .. . . . . . . . . . . . . . . . . ... 'F //Y7 S GTTD�/ House.Number //`LStreet Hamlet County Tax Map No. 1000 Section . . . :��7. . . . . . . . . . . Block . . . . `S. . . . : . . . Lot . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. Filed Map No. (Name) . . . . . Lot . . . . . : . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy A, 15 4e l .ct,,z � L,-. . . . . . . :. . . . . . . . . . . . . . . . . . b. Intended use and occupancy' .`S �, , lTc �/��L UL ��� . . . . . -3. Nature of work (check which applicable): New Building Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal Demolition . . . . . . . . . . Other Work . 4. Estimated Cost . . . , • , 9006 --19 000 �v (Description) . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . (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, commercial or mixed occupancy, specify nature and extent of-each type of use . . 7. Dimensions of existing structures if , , . , , , , Rear . . . o. . • ' t , any: Front . . . . . . . . . De th 43 �� Heigh .�� . . . . . . . . Number Z P �lz•.�. . . . . . . . of Stories x � Dimensions of same structure with alterations or additions: Front ,/.y • • • • • ' ' ' ' Depth . . . : . . . . . . . . . . . . . . • . ... . bear . . . . . . . . . . . . . . . . • . . Height Number of Stories . 8. Dimensions of entire new construction: Front . . . Rear . .�� . Depth. 3;z • • • • • . • 9. .Height . . a 0f . . . . . . Number of Stories g /? '2 . . . . . . . . . . . . ' . Size of lot: Front jco�7�. �,g' �..eFs3o°"Kf ,3% r • . . ear. . Depth �` 10. Date of Purchase . . , , , , , , /9.�3 • ; • Name �� : ' ' ' 'of Former Owner 11. Zone or use district in which premises are situated . .2. ,;� fI6.2icu�rveE 12. Does proposed construction violate any, zoning law, ordinance or regulation: . . . . .. . . . . 13. Will lot be regraded �.�`� Will excess fill be r moved fr r mi es: Yes • No 14. Name of Owner of premises��.Q� e�h!'j���l!o�'AddYess :3f`9e�nys,��{ Name of Architect • • • one o. ?Z-3;jS�' • • • • • • • • • • • . . . . . . . Address . Phone No.`s Name of Contractor . . :5 • • " " " " " " " " . Address " ..Phone No 15. : Is this property within 300 feet• of a tidal tland?. • * " "we Yes.. . . . . . . . No. X. . . . . . *If yes, Southold Town Trustees Permit may-be required. 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. z lee TATE OF NEW YO OUNTY OF . 'v. . . /. . v . . . S.S �R� 7' • • • . . . . . being duly sworn, deposes and says that he is the applicant licant (Name of individual signing contract) ' )ove named. is the :,. . . . . . . (Contractor, agent, corporate officer, etc.) • ` • ` sai owner r owners, and is duly authorize 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 )rk will be performed in the manner set forth in the application filed therewith. vorn5tooreme is . . . . . .day of-, S Llc )tary . . �v . . . . . . . . . . County MITAROTONDO blio,State ofNew York'No.o1MI4761689 • • • • • • . . . . . . . . . . . . . . .ied in Suffolk po�o1 commission Expires jp / (Signa. •re of applicant) { 4' TY 54 -.84 CM SET �K C��N OF S�FF� � LAND o o �- m � z 0 0 750 37 44 E c!1 N CM SET r-2 7, C— CM FD C> Z --L tV kz Q TM-#1000-114-05-01 w w D FD. 34.1 3 0 RY 62.6 1 woo° -t� s ti Q, gAE r D � IZD w GARAGE 20.8 616 QQ ORIyE SP NAL1 V A ` `OQ V O MAP OF 0 o h6 Qp� DE n k9SCR/BED PROPERTY SITUATE It CM FD. WO.O l �'L MA T T/TUCK, TOWN OF SOU THOL D �p Top Broken Z GQ SUFFOLK COUNTY, NY 9 SCM FD. P' S6 Rz91, URVEYED FOR ROBERT H. KRUDOP —CM FD. E27 S1.3' SURVEYED 15 OCTOBER,/993 SCALE . /" = 50' AREA = 70525'Acres CM FD. = Concrete Monument Found GUARANTEED TO SURVEYED BY ROBERT H. KRUDOP ANTHONY W. LEWANDOWSK/ TI CDR TITLE GUARANTEE CO. TOWN OF SOUTHOLD try�$L0 LA NO glo *NDRVEYOR SOUTHOLD, N.Y. 93 R 522