HomeMy WebLinkAbout24684-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)
24684 Z
Date ......FEBRUARY.....17........................... 19...98...
Permission is hereby granted to:
JOEL BRAVERMAN
•.............I...........................................................................
5700 ALVAHS LANE
...................................................................................I......
CUTCHOGUE,NY 11935
..................................................................................
to .,,,,,CONSTRUCT FENCING TO CODE AS APPLIED FOR;
.. ... ........ ..... ......................
..........................................................I,....................................................................................................
..........................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................... . ..........................
at premises located at................5700 ALVAHS LA CUTCHOGUE
............................
............................................... ................................................................................................................
County Tax Map No. ..,,473889 Section ., 101 „ Block .....00Q2........ Lot No. .Q18:004
pursuant to application dated ....JANUARY 29 19......�J8..... and approved by the
Building Inspector.
Fee$........35...��....
....... ..... ..... ...... ....... ................,. .....
uilding spector
Rev. 6/30/80
FROM AP ENTETERPPISES/PRTC0 01 . 27. 1998 12. 39 P. 2
U%JLI I VW-
NORTH FORK FENCE AND SUPPLY COMPANY
fT, Wholesale & IRMO
P.O. 13OX 476 - NORTH ROAD (14T 46)
MATTITUCK, NEW YOFIK 11052
L�JAN 2 9 (5 16) 298-4777
FAX #(516) 298-2291
VL D-G—D E P T
----TOWN OF solim LD�
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E
'I LLEPHO
oo
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...................
A I I N', �-YL(Y1 C-�) �JvA.�5 Jjx.ne- I*a5e
an HOW5e
alliao) I n
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VIC\L41 0-fh o 14AL
W1 C)fk I V
.:�4jKt 42-
1.4,deposit required before start, Ballallce due upon completion of Job.
f'ur the correct fence lines by stakes
c, properly mark or designate;s("r is to pr
Or other means. rl,-jo- with the erecting ol the fence Or gates
All obstructions wiliGI-1. I'llight in any'ritarmor i . . e 0 9
iaser, prior to the e.(r)jjTn(jjj0ijjg of the work, Th pri e quot d In
shi,111 be romoved by the PUrcl- ; ever, it is necessary to drill
itils (,istlmate Is based upon normal erecting condiflons. 11, how
ledge rook for setting posts, or to make sp I eclal provj.-7,Ion,-, for setting fence in swampy or soft
ground, or to perform any additional work not covered by this contract, a reasonable charge Is
Purchaser for SLICh work or special construction as an extra. This company
is not r(.i5ponsible
tr.) be mado to the
PUTGI for rain or wind dt111jage to wood fencing. Unless ototherwise provided, the
fence is 10 follow the existing ground lines. If grading or filling of the ground is necessary to
tho proper Installation of the fence, this work ins to IDO done by the Purcilaser. We are not
r(isponsible for any underground damage of wll,(, pipes, etc. unless properly staked or
marked by ciwnar or contractor.
ACCEPTED
Owner of Properly
.mow ... ..r.. ...... .. ...I ... <r..L...... .r•F.v�.....„.'W +.4cr:w�irnwlw� ..
t`
� I
Long /slc7n Inc. I
PQJe 33-31,40 175' 1
Fr Wood fence v
61rt I
Off;fly Wood Fpenrt -w
I t
utility,
Pole hood r.
s out Bldg.
Fd I I !
Cr4f
L7Mir 43
CIS
I c I i 1
.�' I I I
Fr.
Sf
I ood Fr.
W ;r, ReS I
�
Q
1 ( I
I I I I
14
1
! Fd
CAf _
Tie
i N 33'31 '40" V'✓ 1.52'
72.96' AL VAH'S LANE
GucranNms indicated here on ~hell t'Tm
only to the person For whcm, item survey
Is preepar•Nd, and on his bAWIF to the
lithe comptny, Coverrr•c•nha /'.;I:nry,
Icnding inslitvtion, -if lislrcf hcrco++, cInd
to the assic-,neNS of the I'vtclir+cl ii151401,01i.
C•tiarunlees are not transit rerhle' I:'
odditiocWl inslituticns cr sLbsequ^nt owners,
1000— 101-02 - 18.004 SURVI KEO: 2 Jaruory;, 1998
SCALE: 1"=40'
AREA= 49,087.628 SF OR 1. 127 ACRE::-
SURVEY OF
DESCRIBED PROPERTY
51TUATE
CUTCHOOUE, TOWN OF SOUTHOLO
Vnaulhorized altorallon or adr7ititn to this ' S(1FFUILK COUNTY, NEW Yr)RK SURYr r'F_D 6Y.-
survey is a violo!ion of Settion 7209 of STANLEY J. ISAKSCN, 'Jr.
the Fleur fork State Educa►ion Low, SURVEYED FOR: JOEL. RRAVE:RMAN p,0. BOX 294
i New Suffolk, N.Y 1 9 6
Anrinct 5 =5
GUARAINiEEV TO: Copies of illis survey Iiaci> ,
Joe! Braverman !ho land. Surveyors ar;l!>_sscd seal steal r
J5►end c6lprtg49e Network T,dt be con9itleretl 1b be a valid trap L.iCW d lrOnd Sur ve r '
Atlantic Reality MO Cor,�. copy N1'S iC. No. 492.73 9$R6 ?
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . ... . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL . . . . . . . .
MAIL TO: . . . . . . . . . . . . . . . . . . . .
Approved....... 19.. Permit No. ............. ....................................
Disapproveda/c ................................... ....................................
......................................................
. .......... .. ............
(Bui - gi nspector)
'JAN 2 9 1��, 42 u APPLICATION FOR BUILDING PERMIT
/ -- 4'107
Date. . . . . . . . . . . . . . . . 1911.1'P
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wilt
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
1). 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 application.
c. '-nie work covered by this application may riot be commenced before issuance of Building Permit.
d. Ulm 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 througjiout 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 MATE 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
Regulation?, 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 bui d ng ssary inspections.
f
;p........ ... ............
t
i�j, or
•
n-a;i,, �igttature of applicant, or name, if a corporation)
.......................... ....................
—I..!-.-(Mailing address of applicant)
State whether applicant is owner, lesl neer,F'general contractor, electrician, plumber or builder.
gi--,-
............................................. ....... ... ...............................................
..............................................
Nam of owner of premises .. ...., . . ., -. ,3 F-.
(as I .,1,!
If applicant is a corporation, signatuW ff_qMd6 40
..................................
(Name and title of corporate officer) "FA 3W IC P-Tt. 4i
Builders License No. ........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on xAiidi proposed work will be done...............................................................
....S7............... . . ...... ....................................
House Number Street IL-inlet
County Tax Map No. 1000 Section ................. Lot ................
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... h(le............................
b. Intended use and occupancy
.. ......................................................................
3. Hature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair ............ Removal ............. Demolition ............ Other Work ..............
dL�Q, O� (Description)
4. Estimated Cost r.. _ ....... fee ..............................................
(to'be paid on filing this application)
5. If &selling, nr>tdher of dwelling runts ............ Rimber of dw-elling units on each floor ................
Ifgarage, rxnber of cars ......................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimhensions of existing structures, if any: Front................ Rear ............... Depth .................
Height • .. Number of Stories
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height .................... Number of Stories ..........
8. Dimensions of entire new construction: From-. ................. Rear ...`. Depth .............:
lleight ......................... Mxdher of Stories .......�� .. �
9. Size of lot: Front .................... Rear .... Depth ....................
10. WLe of Purchase ..................... Name of Former Owner ..._.......... .......:........_... ..
11. Zone or use district in which premises are situated ...............................................................
12. Does proposed construction violate any zoning -law, ordinance or regulation: ........................
13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO
14_ Names of Owner of premises ........................... Address ............................. Phone No. .......:......
Nameof Architect .................................... Address .............................. Phone No. ..............
Name of Contractor ................................... Address ...............................Phone No. ..............
15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .........
*IF, YES, SOU1110 D 11014N Tws m iS PERMrr MAY BE. REQOIItfm.
PI.OT 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
uAhetlher interior or corner lot.
b
APPROVED AS NOM
DATE: B.P.'N.�.....,,,..,,,�„
FEE: By.
NOTIFY BUILDINQ Op
765-1802 9 AM TO 4 PM fft'In
FOLLOIMNQ IN$!! *AM
1 FOR POiilI��
2. ROUGN . RA
3. INSULATII,'IM
4. FINAL - Ct)#!S�'lllfC'flQt� MUST
BE COMPLEtE !!C�
ALL CONSTRUCTION Susia MES1'..
THE REQUIREMENTS oil TM
STATE CONSTRUCTION & &*RGY
CODES. NOT RESPONSIBLE FOR
slnn: (A. Mw Y(IRK, DESIGN OR CONSTRUCTI• SS ON ERR("
001IN1Y OF ..
.......•\ tl...!..... .:.........being duly sworn, deposes and says Lhat. be is Lhe applicant
Nine of individual signing contract-)
above runned,
lieis Lhe ............... ...................................................._........................
(Contractor, agent,-corporate officer., etc.)
of said owner or owners, and is duly authorized to-perform or have performed the said work and to make and file this
application; that 'a.11 statements contained in this application are true- to the best of his knowledge .aril.belief; arx]
Lhat. Lhe work will be perfonneol in the rrrhnner set forth in Lhe application filed therewith.
Sworn to bef. r this
,--�
........ .1av of ....... 19.
Notary IN lic ........... ... /� ........
.... . . .
(Si•' at:ure of Applicant)
sms
1FoAc
Qhglitied in Sofidk C,oun
C,mmission F.xpi m Dec.0,