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Home My WebLink About12387-z ~rOB~ NO. ~ TOWN OF SOUTHOt. D gUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12387 Z Permission is hereby granted to: ......... ~.~..,~,~:~.:.,,~-....~....~.: ...... ~f~..~.../~.~. ........ /..¥ ............. ..~ff. .................. to ................ ~.~...~...,.aZ. ~c,,.cX..-U. ....... .~..a:~ .~. :~............~..~,:~X,~...... ~c~.ff~..../.. ........... ........... ~.~....~~,~,.~.~......~..~. .............................................................. ~t premises located at .,.ff~_ .~....~..,~../~.....~.~..~.~..~.G~...~ .~... ....................... ........... ~....~....~b.~_.......~..~ ..... ~.~.~......~........~..~..~z~.~,../.~...: ..... County Tax Map No. 1000 Section ..... ~.,.7...~.. .... Block ....(~...~.... ..... Lot No..f~.~.~... ........ the Building Inspector. Fee $...Z..~..~. .......... Rev. 6/30/80 FIELD INSPECTION COMMENTS _. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOI~ TOWN I~,., L L SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NO. Z~1642 4/28/83 THIS IS TO CERTIFY that /--/ Land /-/ Building(s) I~_1 425 located at 25 Main Bayview Road Pine Neck Road Southold Street Hamlet shown on County tax map as Distrint 1000, Section 070 , Block 05 Lot 028 , does(me~)conform to the present Building Zone Code of the Town of Southold for the following reasons: a o~e-famil~ dwelling and its accessory structure is a permitted use in this 'A' Zoned District. On the basis of information presented todhe Building Inspector's Office, it hasbeen determi~edthat the above n~nconforming f~_/Land /--/Building(s) /~_/Use(~) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FUBTHEI% CERTIFIED that, based upon information presented to the Building Inspector's' Office, the occupancy and use for which this Certifi- cate is issued is as follows: one-family dwelling with an accessory The Certificate is issued to the Estate of Rose Mailes (owner, of the aforesaid building. Suffolk County Department of Health Approval UNDEIiWHITERS CERTIFICATE NO'. .... N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances~ other than the Buildin~ ~one Code, and therefore, ~no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. ,~ Building inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1801~ Examined .JrQ..~7../..~ .... , 19~.~.~ Approved ~'~'~ ~... ............. , Permit No. Disapproved a/c ............................. , ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 promises or public streets o7 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 tins application may not be commenced before issuance of Building Permit. d. 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. 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, and to admit authorized inspectors on premises and in building for necessary inspections. .. (Signature of applicant, or name, if a corporation) (Mailing address of applica~ht) V State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner o f premises . .~..~.~'..~.~..~....~..(..('.~- .~ ~ ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No.. , ~ .............. Plumber's ~icense No. , .~.,.. ................. Electrician s,License No__ _. ~ ......... House Number '"~ Street X~t Hamlet County Tax Map No. 1000 Section ....... . .C~.D..~ .....Block....~.~ ............ Lot i . .~...~... ' (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................... b. Intended use and occupancy ................. .. . .. t ................ . . 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4 Esti d C F · mate cst : ......................... ee .............................. i (to be paid on filing this~application) $. If dwelling, number of dw~ ~nits ....... ~ ....... Number of dwelling units on each floor. ;.~ ......... If garage, number of cars 7. Height ............... Number o~ Stories .~ .................................................. D~ensions o~ same st~cture with alterations or addit~s: Front ................. Rear .............. Depth .................... ~ . HeiSt ........... ) .......... Number of Stories ...................... 8. D~ensions of entire new const~ction: Front ............... Rear ............... Depth ............... Height .............. Number of Stories ........................................................ 9. Size of!ct: Front ........... ~ .......... Rear ...................... Depth ...................... 10. Date of Purchase .~.~. ~.~. y. ~ .......... Name of Foyer Owner %~ .OY ~. ~. 11. Zone or use district in w~h premises are situated ~ .................... 12. Does p~oposed constructmn vmlate any zomng law, ordinance or regulation... ~ ........................... 13. Will lot be regraded ......... ,'. .................. Will excess fill be removed from premises: Yes No 14. N~e of Owner of premises .................... Address ................... Phone No ................ N~e of Architect .......... ................. Address ................... Phone No ................ N~e of Contractor ......... ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clemly ~d distinctly fll ~bu~d~gs, whether existing or proposed, and, indicate fll set-bae~ d~ensions from property ~nes. Give street ~fl block ~umber or description according to deed, ~d show street names and indicate whether interior or corner lot. STATE OF NEW YO~RI¢,/ ~ // ~S S COUNTry 0~; .'. ~d~".C..:,.. ! '~ ... ............. beingduly (Name of individual sign:lng contract) above named. I sworn, deposes and says that he is the applicant He is the ...................... ; ................................................................... : (Contractor, agent, corporate officer, etc.) i 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 all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manndr set forth in the application filed, th6rewith. Sworn to before me this , · ' 'JUDITH To TERRY .... Notary Public, ~ate of/~tew York / (Signature of applieanD No, 52-0344963 euffolk Countar'~ I i~o~mlsslon £xpims March .30, 1~.,~