HomeMy WebLinkAbout5638-z FOR~ NO.~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
5638 Z
Building Inspector.
................................................... ]~ut..~a,~;t~a. .................................................................................
pursucm~ to application dated ......................... Jj~'. ......... J~ ............. , 19..~J.., and approved by the
Aox. ~3~ ~qV¥-2:. -
Permission is hereby granted to:
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
April 19, 1990
Mr. Howard King
P.O. Box 15
East Marion, N.Y. 11939
Re: Building Permit ~5683 [1971)
Suff. Co. Tax Map ~1000-31-6-19
Premises: 530 Old Orchard La. East Marion,.Y.
Dear Mr. King:
The above building permit has expired and a Certificate
of Occupancy has never been issued.
YOU are in violation of the Code of the Town of Southold
as this building permit has now been voided.
Please contact this office immediately to avoid legal
action.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VL:gar
Victor Lessard,
Principal Building Inspector
FO~M NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................................ , 1~ ........ Pemit Na .....................................
Disapproved a/c ............................................................................................
Application No....~....~.....~........~.. ........
APPLICATION FOR BUILDING PERMIT
Date ...........
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 ofproperty must be drawn on the diagram which is part of this application.
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 issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the progress of 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.
(Signature of applicant, or name, if b cc~rati~i ........
........ .... .................
(Address of applicont) ..........
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
- ............................................................................................. , ........
:.
Nome of owner of premises"'- O-~...~.~Z.,.,.,~... ...... .~....~.~ ................................................................................................
/
If applicant is a corporate, signature of duly authorized oCficer.
.................. ......... -
1. Location of land on which proposed wor,kc~ be clone. M,a~_o.: ....~..~ ...................... Lot No ..... ..~...X ...........
Street and Number .... 4~.(~ ........ ~_._~.C.~...~......~..O _~ ..................... '~'"'"'~"~Mun c pa ity ............ ........
2.
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ~.~ ~.. '
-
b. Intended use and occupancy .......................... ~r-'-'~ ............................................................
10.
11.
12.
13.
Nature of work (check which applicable): New Building .................. Addition..................% Alte~tion~. .................
Repair .................. Removal .., ............... Demolitiar .................. Other Work (Describe) ........................................
Estimated Cost ...................... ~....~..~ ................. Fee ..~... .................................................................................
(to be paid on filing this application)
If dwelling, number of dwelling units ..../~ ....... Number of dwelling units on each floor ............................
If garage, number of cars .............................................................................................................................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use ~ ...........
Dimensions 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 ................................
Dimensions of entire new construction: Front ............... ~/...~ ......... Rear ......... L.~ ....... Depth ~
Height .................... Number of Stories ,......~.~.....~. .........................................................................................
Size of lot: Front ............................ Rear .................................... Depth. ...............................
Date of Purchase ..................................................... !.~'n~ o~rm~vner ........................................................
Zone or use district in which premises are situated .....~.a .........V..-~,~....-m.. ......................................................................
Does proposed construction vi~te..an/~ ~,ning law, ordinance or regulation.;> ......... ~ .........................................
Name of Owner of premises ~......~..k'.~( .......... Address ...c~..T.../~..' ........................... Phone No
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor ................~.;....%,~ ................. Address ............................................ Phone No .....................
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 comer lot.
STATE OF Nk-V~/~F'OJ~'n/~- 1
COUNTY OF ~z~,.~..~...}TM
.~ .................... ~/.....~.s~/Cgrf. en~..~...J.~...% ................ being dui; ,orn, d~oses and says t~t he is the applicant
(Naif ind~ signing application)
above named. He is the ........... ~:..~ ........ ~.~ ........................................................................................
(~ntmctor, agar, co~orate officer, etc.)
of said owner or owners, and is duly authorized to perform Or h~e pe~ormed the said work and to ~ke and file
this application; that all statements contained in this application am t~ to the best of his ~owledge and belief; and
that the work will ~ performed in the manner set fo~h in the ~plic~i~ filed therein.
Swam to before me this
................... ' ....... ...............
~IZAB~ ANN N~fLLE r~
N0. 52-8~25850, Suffolk C0~
Term Expires ~nrch 30,