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HomeMy WebLinkAbout24706-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) PERMIT NO. 24706 Z Date FEBRUARY 23, 1998 Permission is hereby granted to: DAVID KELLERAN BROOKLYN,NY 11211 for CONSTRUCT A POST AND RAIL FENCE TO A SEASONAL DWELLING AS APPLIED FOR AND WITH TRUSTEES APPROVAL. at premises located at 570 RICHMOND RD EAST SOUTHOLD County Tax Map No. 473889 Section 135 Block 0003 Lot No. 006 pursuant to application dated SEPTEMBER 9 1977 and approved by the Building Inspector. Fee $ 35 . 00 Building Insp for ORIGINAL Rev. 2/19/98 .. .. - - - - A1, T6!rt J. Kt-napEd l�l 3c r.* �w^ �c" r� :?095 ;tir;�iTl'iioa'� .�'Ame5 King, `,,i"2e..P. 1 .uII?i t.. ' `'��� I i.�. Bw- 1 V f t3 f l".L.. 3 mg ,G.p�PT. ®, .���:,.IRI D Off" TOV1.7 TRUSTEES TOWN OF SOLA TOW IN J'� �"`,.7' 10LU, tJ t�11Y_Y i'yr 29 p 1 9S�8, - :�''a����: RE S D5 T.he f-.,lJ.iDw2,Tig a ct:it;i7 wa Oaken by the Sou Llj*io d Towz, Bpi•^.-rd !'?':?15 t eat- t,i1f' T'et�'lllc3..r ITIFe 1 Ie� On i1�c lnc'z d,a � '•2.0 'a.p;(;� r i _ - c , '� .-17FT7 that th-'e' S�Du--hold Town Board O-'� Ti:,u .t F,�e„1 � c�. Y.0 i a Y'L't_., a.�Z'_: '7"r"-s _ 1,+'.;'P i_4^y" !-,' .,,. - ..'�:i;'.acai',' t_,lltc, app1.4%`.�,� 1,_ C;1 . a—ve any f"u 1 r 5 i .t,.. -1 J 2 i�.F Dc is ,f.'.'a.! '-'.yip F_t,=1 MK� ]mt i an%vatas a a.. r ...........W............. ... r xI*+Q C Taw:, Hall' Albert J. Kati sLi. Prrziident , A�/ 'Cm �, P ' `i095 Bain Roam James King, trice-Pre i6ent P.O. Box 1179 TIgnm- Smicb w $ou hold, New Fork 11971 R Telephone 0516i 765-1882 w IS a, `�•=.. iflQ,� Fa.Y ia36) 765-1825 NG.DEPT. BOARD OF 'rOKIT TRUSTEES SU TOWN OF S0111HOLD TOWN OF SOL'THOLD Ianuar� 2?, i998 David Kel Leran Kellerar_ A Associates 240 North 10th Street Brooklzln; NY 11211. RE: S%CITI 41,35-3-6 Dear :fir. :{Pllere'In: a The following action was taken by the Southold. Town Board of. Trustees at the regular meeting on Wednesday, jar,,,tiary -28, 1999: RESOLVED that the Southold 'Pawn Board of- Trustees Grants a Waiver to install a split rail fence around property, relocated outdoor shower and extend -.xi,st i rg porch as per ;5ur%-r y submit:~ed January i4, 1998. LQcat,:F�d 570 Ricfanon-ri 4; This does na: co istitiite appxwval _:n y ate e.�,:- . � 3s. I .�°ou have any further ques ticns, please do not "'2 it P r_e t-, contact this office. i Sincerely , . Albeit ;7. Krupski, Jt . President, Board of Trustees AJK! j and ' (I BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORti . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . Examined.................. 19.... ,;1 n� r -I - MAIL TO: . . . . . . . . . . . . . . . . . . . . IL Approved.................. 19.... Permit No.` ./.l V .................................... Disapproved a/c .. J C ;yb7 .................................... il.ding Inspector) AP ICATION FOR BUILDING PERMIT o� Date.,W . . . . . . . . . . 19 / INSTRUCTIONS a. 'this application must be-completely filled in by typewriter or in ink and submitted to the Building Inspector wit' 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 mist be drawn on the diagram which is part of this application: c. 1he work covered by this application may not be coumrenced before issuance of Building Permit. d. Upon approval of this appliication, 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 IxrrTose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICNrION IS HERESY MEE 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 inspector§ on premises and in building for necessary ins ions. �v�iL'nl'�dr� CocJV611114G.. ...............' • `. � ....... r Signature of applican , r name, if a corporation) PGA-Gv/j 1 L, 7 . ............. . ... . ... r....... . ....H�� (Nailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... .. . ... ...... .........L'.vr�-� ............... ����............... Nameof owner of premises ... ................... ................... (as on the tax roll or latest deed) FEE: EY NOTIFY BUILDING DEPARTMENT AT If applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: - - • • FOUNDATION - TWO (Name andtitleof corporate officer) 9 FOR POURED CONCRETEEOdJIRE1� 2• R003H a FRAMING & PLtlMBING S. ;NSULAIION Builders License No. ......................... 4. FINAL o CO NSTRUC11ON MUST Plumbers License No. ......................... BE COMPLETE FAR C.O.ALA, COhISTRUCTION SHAM MEET Electricians License No. ..................... THE REQUIRWENTS OF THE N.Y. Other Trade's License No. .................... STATE CON STRUC`10N & ENERGYtI �, --7 E F1ti34� 1. Location of land on which proposed work will be done......... -�..... .I :I� ERA( ; '----... ....................................................................................)G�i............................. House Ninlber Street 3� Hamlet County ....Coty Tax Nap No. 1000 . Section .. .. Block ...*-JA .3.. Lot .. .. ....... Subdivision ...................................... Filed Nap No. ............ Trot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...SL. S�.Y.II!�L...IZE_,OIL N7/ %.............................. .... b. Intended use and occupancy .. ............................... ...... .....a.................. 3. Pature of work (check whidh applicable): New Ikiilding .......... Addition ....... Alterati n .......... Repair ............ Removal ............. Demolition ............ Other Work ..... �.1�1G ................ _ j O (Description) 4. Estimated Cost.... .•.....: . ....... fee .............................................. (to be paid on filing this application) 5. If ohaelling, mxnber of dwelling units ............ Number of dwelling units on each floor ................ Ifgarage, 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 any: Font................ Rear ............... Depth ................. height ......................... Number of Stories ....................... Dimensions of same structure with alterations or additions: Font ............... Rear ............... Depth .................... height .................... Knber of Stories 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 9- Size of Iqt: Font .................... Rear .................... Depth 10. Date of Purchase ..................... Name of loner (leaner ........................................ If. Zone or use district in whidh 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. Nix»es of Owner of premises ........................... Address .............................. Phone No. .............. IJ.-nhe of Architect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address .................. ..........Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IT YES, SOLMIXD M4N 71211 M-3 PERMIT MAY BE RGQ nR[g). 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 ualhether interior or corner lot. f v 02 ;� ©i/t=�At-f.- I f 154 HNS H 4Mo MVC-)< Parr D SImli Ole Miw Y( COIRNLY (A ... .-•....�JO�-• •.•.•�C� .................being duly sworn, deposes and says that he is Lhe.applicant (Name of individual signing contract) above named, lieis Cl he .ca..� j.v .. / .........................................................................•- (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 appl.icatiom; that a.11 statements contained in this application are true to the best of his knowledge and.belief.; and LhaL Lhe work will be performed in the mrnmher set forth in the application filed therewith. Siworn to be .ore me this q ..._.... ,clay ..19.` Notary Pub ..... ...... .... .. . �.. . .......... 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