HomeMy WebLinkAbout24680-Z gvoc� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y _ TOWN CLERKS OFFICE.
o . SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 24680 Date: 2/17/1998
Permission is hereby granted to:
JOHN F DEREEDER
PO BOX 1322
MATTITUC, NY 11952
To: CONSTRUCT AN ACCESSORY SHED AS APPLIED FOR.VOID SHED IS 10 X 10 NO
PERMIT NEEDED
At premises located at:
240 NORTH RILEY AVE MATTITUCK
SCTM # 473889
Sec/Block/Lot# 122.-3-37
Pursuant to application dated 1/20/1998 and approved by the Building Inspector.
To expire on 8/17/1999.
Fees:
ACCESSORY BUILDING $35.00
Total: $35.00
Building Inspector
Fi BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. I 3 SETS OF PLANS . . . . . . . . . . . . . . .
s '. c TOWN OF SOUTHOLD SURVEY
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL. SEPTIC FORM . ... . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: 11__� `f
CALL . . .V V.> I . 981ad1.
Examined........ ...., 19.J.� MAIL TO: S'�.:g,lev. .' ev►�
Approved...... y�f�...; 19�G Pern>i t No. .1. ... ......`: .; .�- �.........
Disapproveda/c ................................... ....................................
......................................................
tt
....(Iiuildi I pe or) :.
APPLICATION FOR BUILDING PERMIT
V Da t e. .'J.`�' . , 19 9 .
INSTRUCTIONS
a. '11iis application must be canpletely 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 application.
c. 'llie work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Tnspector 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 wlwle or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICNfI0N IS IIEREBY MN)E 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
der,cribed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and
regulations, acid to admit authorized inspectors on premises and in building for necessary. inspections.
......._.... :... ...........................
(Signature of applicant, or name, if a corporation)
;le���e:.
(Mailing ress of applicant) .
Slate whether architect, engineer, general contractor, electrician, plunber or builder.
.......1� � .;� .......................................................................
Nameof owner e:CA'e r ............................................................
i
roll or latest deed)
If applicant 10 authorized officer.
.. ..
.(Name and
ti .... ..
. 03
0 Iowa
Builders .iIdense �'.. ...................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on which proposed work will be done...ay�.. .:. !.Ie. :..k�veal e:... a:� c K...
.... ON p..........:............�l.w..fZb le .. s���� ...........................
llouse Number Street Hamlet
County Tax Map No. 1000 Section ...j. ....... Block ... ....... Lot .2 7.........
Subdivision ...................................... Filed Map No. ............... Lot ................
(Name)
2. State existing use and occupancy of premises intended us and occumnev of proposed construction:
a. Existing use and occupancy .....Z"l��R...(� .. t.1`: ..4?�u,J�. �.Y.�.d.1!�: ...........................
b. Intended use and occupancy .....0 C C. ... .............................................
3. Nature of work (check airier applicable): New lkhilding .______... Addition .......... Alteration ..........
Repair ............ Reniwal ............. Deml.ition ............ Other Mork ... 4G`,�.. ...... ............
(De rlption)Pu
4. EsLihhhated Cost ... ........... fee .......... ad................:...........
(to be paid on filing this application)
5. if ckaelling, rnniher of dwelling units ............ tlurber of dwelling units on each floor ......,..........
Ifgarage, nuhiher of cars ......................................
6. If business, eomnercial or mixed occupancy, specify nature and extent of each type of use..:..::.'..............
7. Dimensions of existing structures, if any: font................ Rear ............... Depth .................
height Nuriber of Stories ......................
Dimensions of sane structure with alterations or acklitions: front ............... Rear ...............
Depllh .................... Ileiglht .........................
Ntnber of Stories ...............
£3. Dihhhensions of entire new construction: Front ...«.�' , ....... Rear ....(U.......... Depth .. ......
lleitoht ......................... Numi)er of Stories ......L__.........._.
9. Size of lot: front .................... Rear ................._.. Depth ....................ff
10. Date of Purchase ...�/� 6�' ........ Name of Dormer Owner _.... . ..................... .........
If. Zone or use district in wbieh premises are situated ...............................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...1j_C2................
13. Will lot be regraded ...................... Will excess fill be removed from premises: YES
14. Names of Owner of premises ;.4ift.1�.Q. �?c4;e .... Acklress .�G Sq lX:�C' .. Pit NoC.
Nameof Architect .................................... Address .............................. Phone No. ..............
Name of Contractor ................................... A(klress ...............................Phone No. ..............
15. Is this property within 300 feet of a tidal xaetland? * YES .......... NO ..........
*Ir YES, Si10' ELD M4N IMSIII;S PEIMIT MAY BE REQMRI-0.
FIAT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set—back dimensions
from properly lines. Give street and block rnniber or description according to deed, and show street names and indicate'
u.ihether interior or corner lot. -
AM
FEE-
4 FOM !!
ALLr
THE Y!1!��: ��+X•p.
STATE ��'I11i1�;110N ,:
Sl'�lE (V NU Y(M?K
' SS
(lUU1417 (M. .......................
..__..._t_�_t.._1�Q. .......................Ix!ing (July sworn, (lelx)ses and says Lhat be is Lite appl.icanL
(N zix- of individtial. signing contract)
a biwe nark 1,
'Ile is Lhe ...................e.v:\%:V ............................._...---..._.....---.........-•-----
(Contractor, agent,-corporate officer, etc.)
of said (mx.r or owners, and is duly authorized to perform or have performed the said work and to make and file Lhis
application; that all statements contained in this application are tnie to the best of his knowledge aril belief; and
LI►aL Lhe work will be performed in the manner Set forth in Lhe application filed therewith.
Sworn to before me this
--.---a ...day of 377
19.. 7F.
,
Notary Public
JOYCE M.WILKINS (S i l r4 t ure of Applicant)
Notary public,State of New York
No.4952246,Suffolk Cou
Terra Expires June 12, 19
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TM01000-122-03-37 SURVEY OF SURVEYED 16 MARCH 1991
SCAL E / 20
AREA =_B,036, SF
■= CONCRETE MONUMENT
(�4 ACRES)
FOUND DESCRIBED PROPER T Y
SITUATE
MATT/TUCK, TOWN OF SOU THOLD
_ SUFFOL K COUNTY, NY
SURVEYED FOR JOHN F. deREEDER
GUARANTEED TO SURVEYED BY:
✓OHN F deREEDER STANLEY ✓. ISAKSEN,✓R.
CHIGAGO TITLE INSURANCE CO. Guarantees indicated here on shall run PO BOX 294
TOWN OF SOUTHOLD NE,N% SUFFOLK,NY., 11956
only to the person for whom the survey 516-734-5035
Unauthorized alteration or addition to this is prepared, and on his behalf to the
survey is a violation of Section 7209 of title company, Govermental Agency,
lending institution, if listed hereon, and
the New York State Education Law. to the cssignees of the lending institution, LICLI EN ED LAND SURVc Y
opies of this survey map not bearing Guarantees are not 4ransferable to N,O. 49273
he Land Surveyors embossed seal shall additional inslitutions or s:bsaquent owners,
of be considered to be a valid true
91 R 450
Fner's Manual & Assembly Instructions
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Model No. C0108-A ❑ HY108-A ❑ LB108-A ❑
LX108-A V VS108-A ❑ WV108-A ❑
697.68729-A 11 697.68747-A ❑ YT108-A ❑
N 3 0 [Q9
BLDG.DEFT.
TOWN OF SOI.iMOLD
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ARROW
World's Leading Maker
of Storage Buildings®
CAUTION,SOME PARTS HAVE SHARP EDGES.CARE
MUST BE TAKEN WHEN HANDLING THE VARIOUS PIECES
I TO AVOID A MISHAP.FOR SAFETY SAKE,PLEASE READ
SAFETY INFORMATION PROVIDED IN THIS MANUAL
709040397 BEFORE BEGINNING CONSTRUCTION.WEAR GLOVES
BUILDING DIMENSIONS •Size rounded off to the nearest foot • WHEN HANDLING METAL PARTS.
Exterior Dimensions Interior Dimensions Door
•Approx. Foundation Storage Area (Roof Edge to Roof Edge) (Wall•to Wall) Opening
Size Size Sq. Ft. Cu. Ft. Width Depth Height Width Depth Height Width Height
10'x 8' 121"x 92 3/4" 74 487 123 114" 95 114" 87 7/8" 118 114" 90" 86 5/8" 55 1/2" 60"