HomeMy WebLinkAbout12486-zTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
5OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 124S§ Z
Permission is hereby granted to:
..~.~.~.=.~....~.~.~.~..~' ~,,~
.... ~..~.~'~..Z_~.~.....~.~ .................
...~.~,~..~..,~.~.~.../../..~ ..................
~o ......... .~.~..~. ,~...~....~....~.~..: ...... ...~..~ .//~..~.....z~.~.~,.~.Z..~... .............................................
at premises located at ... .~ ........ ? ..........
County Tax Map No. 1000 Section ~...~..' ........... Block ....~. ......... Lot No.~../.~...~.~.l.~.O~,~'
pursuant to application dated ..~.~.Z~..~.......~ ............................ , l&~, and approved by the
Building Inspector.
Building Inspector
Rev. 6~30/80
FIELd) INSPECTION
FOUNDATION ( ~ st )
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
COMMENTS ~ .~K
ADDITIONAL COMMENTS
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Fde No ................................ D~te.../--~.... ~ .......... , ~9 ~..
,__,., ·...~ ·. ~_ ~ ~f, ~. ~ -~.
~... ~ .~/~ ....................
for pemit to construct... ~~¢~.. ~4 ~~ ........... ~ ............. at
Location of Property...~...~((~... ~.( .......... ~.
House rye. 0/~ ~ ~tree~ .. ~ ~ H~let
co..~y Ta~ ~v ~o. ~0 S~ti ........ ~... ~ o k ..... ~q Y... tot .....
Subdivision ' Filed Map No ....... ":: ........ Lot No ......... ~. ........
is returned herewith and disapproved on the following grounds ./~.~/~7~.. -~Q...O.q .~: .5,-.~...~3~.'..c~.. ~'..~r~.
~.. ~. ~..~.z~...~.~ z ~..~. ~.~... cx.2¢.
~~.. ~..~ ~(~.~'.. ~.. ~. ~..~. ~.
Building Inspector
RV 1/80
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PERMIT
UNDER THE ENVIRONMENTAL CONSERVATION LAW
F ARTICLE 15, (Protection of Water) [] ARTICLE 2S, (Tidal Wetlands)
ARTICLE 24, (Freshwater Wetlands) [] ARTICLE 36, (Construction in Flood Hazard Areas)
PERMIT NO,
10-83-0681
PERMIT ISSUED 10
Orient-East Mariom Park District by Strang
ADDRESS OF PERMITTEE
Route 25, Orient, NY 11757
LOCATION OF PROJECT (Sectiml of stream~ tidal wetland, d~rn, building)
Orient-Past Marion Park (Truman's Beach), north side of Main Road, Long Island Sound,
DESCR~J~f'g~I~T
Install new toilet facility 40' seaward of Main Road and sanitary disposal system 8'
seaward of MainRoad, beth greater-~ah~-nfO0' landward of mean high water. Ail activities
as per supplied plan received 6/2/83.
East Mari~
COUNTY
Suffolk
work herein authorized,
JTOWN Southold
FIA COMMUNITY NO. DAM NO. PEP~IT EXPIRATION DATE
7/31/84
GENERAL CONDITION5
project.
free from flooding.
95.~0.4 (9/75)
SPECIAL CONDITIONS .
See addi~ional condit'ions A-J
PERMIT ISSUE DATE
JUlY 8, 1983
cc: USACE
Daniel J, Larkin NYDEC Bldg 40 SUNY Stony Brook NY
....
............
APPLICATION ~0R BUILDING PERMIT
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Application No. .......
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 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 appli-
cation.
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 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, anti, regulations, and to
admit authorized inspectors on premises and in building for necessary inspec~o~ ~ ~_~__
.... . .~. .~~ : . .~. . .5. . : ~.~:.~::. . . : .....
(Signature of applicant, or name, if a corporation)
' (Mailing address of applicant) //~?//
State whether applicant is owner, lessee, agent, a~hitect, engineer, general contractor, electrician, plumber or builder.
..................................... X~.,:..x: <¥ ./.:.~ ~:'" ". ~. :. ' .....................................
N eofowner o:premises . .................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... . .,~. ?..~.... :L.?'/?.~./.~..:....~.,-~- ~
Plumber's License No. × /
//
Electrician's License No .......... : ............
Other Trade's License No ........ ././. ...........
Location of land on which proposed work will be done ..................................................
. . ./. 7. . ............ : .*. . . : ./:?. *' ·
House Number '' ~;r;~t' :'?'~I~n'l;i ..................
County Tax Map No. t000 Section . . ~. ~.-.-5. ......... Block .... ~ ............. Lot...-~.~,../. ~..~ .......
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......... ... :~. ?? .~'m..,:~...:~ ....................................
b. Intended use and occupancy ........ ~..~."..~.~..~./?. ...... ~.~..~.~.~..~..:~..x(?.~ ..............................
' ...~...Addi'
3. Nature of work (check which applicable): New Building ... tion .......... Alteration ..........
Repair .............. RemOVal .............. Demolition .............. Other Work ...............
: ~ Fee ....................
4. Estimated Cost ............................... Z~...'.'...
(to be paid on ~ing this application)
5. It' dwe!ling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars ..... . ...................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . ._~.,q../,,/.z?~..~...~.~. ¢./.~ ./.~
7. Dimensions of existing structur6s, ifany: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories .................................................. ' ......
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth .................... ~.. Height ...................... Number of Stories ..................... .
8. l:)imensions of entire new construction: Front .... './...~7. ......Rear .... /..F~-. .......Depth .... ~-.~ ......
Height ..... /. 6c. ...... Number of Stones ......... ;. ~.."42..,'~-~ ................ ..................
._
9. Size oflot: Front ....... ~..~U. .~.r. ........ Rear ......... 5~..~.'~.' ....... Depth /..F?.'~.C. ?..~...~:.. ....
10. [)ate of Purchase .......... /..~. ~..~. ............ Name of, Former Ow~ner .............................
1 1. Zone or use district in which pr~mises are situated .... /~....~.¢... ~. ................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .. ,.~'.~.5.. :./:c.~.~?.~.. ~.~.,~,..~....
13. Will lot be regraded .... /~ .,(.~; ................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .~.//~./.~.. ~.~.~...~. ~, Address . .z~.~...~.~....c~.,(. <,.~¢~?7. Phone No ................
Name of Architect ~d./~./<'.~.~f....z"~...~...~.~'/.~ .~e.ff.. Address 2~,~../.~/.c.. ~..~. e ¥<~?.~. Phone No. ~..~.~.
Name of Contractor r"/.~;..'C. ??. ,e~,,~. ,~, .
..... :,, ...... ?2.... Address ................... Phone No ................
PLOT DIAGRAM
Locate clear/y 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 corner lot. i
STATE OF NEW YORK,
COUNTY OF .................
...... ~?../z.G'?...~... ~.-... ~...7~.,~..,q..,,~. fiT. ......... being duly sworn, deposes and says that he is the applicant
(Name of individual sig~ing contract)
above named.
He is the ............... ~-/-d /7'/~./~- ~ .,-ff...?~. .~..~7..~.:..-.
(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 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 manner set forth in the application filed therewith.
Sworn to before me this
.................. ~ .... day or....d~..~...,~. ......... , 19
o r Su. ffolk /
N ta y Publ~, .., .... ~..., ...,~..~.~_, ....... / ........ County
Barbar~-A. Strang, I~otary P_~Dlic
Sta~e of New York, County of Suffolk 'j~''~''~-' ....... ~''~'~'~ .............
R.eglst~a~on ~ 4730095, Expires, 3/30/84 (Signature of applicant)
, OCCUP^I~C¥ OR
USE tS UHLAWFUL
OF OCCUPANCY
~ ~55-T802 9 A~ TO ~ P~ FOR THE
' 1~ FOUNDATION - TWO ~EQUIRED
" ' ' ~. ROUGH - FRA~IHG & p~U~B]NG
, ', 4. FINAL - CONSTRUCTION MUST
Section 7209 Subd vs on 2 i I~.~--"~ Hqad P, 0, BO~ ~!¢ ~B[hOlO N,Y, ./i, ¢ I DA~ - , ?"~ , ' I r~'~
..ro_._ec. ,, ..~ .,. ~,. ~ l
: Al~erabon of th~s Document except
visionsdrawing'toChangeS'or ~ alterationsof drawings°rwith-re' ~ion~l Engineer, is illegal". :',;~ ,- ~ > ~Y~: ,; ' , "
.euse , ~ecbon 7209 Subdivision 2, ~,~ ~.'-~ ~,~."'. M~n. Read
out Architect or Engineer's Approval ~, Y.' State Education Law ....
r: , ' '
:
__________--.,,
...................................
.....
I[ copper tubing is use~ ;
K or L only_ .', ~
types
.. ~~,~ ~,~ ~./ ~'~T~-.-'~'
~ '~['~ ~, Si.atureonly~oodforin,tialuseof' ,~1 ' '
drawing. Changes, ~lterafio~s or re. i by an Arch~tec[ or bcensed
voids Seal and Signatur on same. , .'; N. Y. State Education Law.
i!
7
ii II I,i I I IT I IiiI r i I i ri i Itl I
I
Architect andEngineer'sSeal and 6AIClI::IICTT A STI::IANG
Signature only good for initial use of "Alteration of this Dom lent except . .r ' "
' ' architect
drawing Ckanges, alterafie~s er re- by an Architect or Licensed Profes. ',
.... ' ' ~' :' ~, . ' ~'~ ~,~ '.' _z~- ~ ~ , -. ,. , ' '
out Ardfitec[ or Eagineer's Approve ,;Section 7209 Subdivision 2,, t :~;:,,Mqm Road RO, Box 1412 Southold N 1971 '
'N Y. State' Education. ~w~ "' , 516 - ~65 - 5455 ,',. ,' ,~ : ~ '
voids Seal end Signature on same, , "' ' ' " ~', ' "~( '
- : ,, ...... . .~,~ ,,- ,,- :,, s: ,,
~" ~ ~
~.~ .=.,. ~.~.~. ~ ,~,,~ ~
Architect,and[n~ineer's Seal and "Alteration of this Documont oxcept GARRETT A. STRANG, ,
drawingS'g"af~re on~y go0d for initial use of Changes, alterations sionalbY an Architect or Licensed ProfeS-Engineer, is illegal", architect
visions to or re-use of drawings with- Section 7209, Subdivision 2, Main Road;R 0. Box 141,2Sou~hold N,Y. 11971
out Architect or E.gin~r's ~proval N.Y. S~te Education Law. ' '
5~ 6 ~ 7~: ~ 5455
voids, Seal and S ~at~fe on some. ' '
r ~ '" '
~/ ~ ~ . I~ ~ m ~ ~J .~ ~ ~ , ~ ~ ~ ~.~'.~,~ ~ . ~ ........ -~- ~,~-~-,~
~ / ~TUD~ ~ I~"
.0 / ~';"~ '~'~ ........ ' ' "'~+: ~' ~ ...............
.GARRETT A STRANG
S gnature only good for initial use of "Alteration of this Document except
- by an Arch tect or Licensed Profes ' r~ ~'
~rawing Ch~nge~, alterations or r~- a~ ~ e ~
out Architec~ or ~n~ineer's Approval $~ction 7209, Subdivision 2~ "' Main Road P.O. Box 1412 Southoid,,N,y. 11971
voids Seal and Signature on same, N, Y, State Education Law~ 516 - 765" 5455 ,,,
' ; ,
Architect and Engineer's Seal and
Signature only good for initial use of
drawing. Changes, alterations or re-
visions to or re-use of drawings with-
out Architect or Engineer's Approval
voids Seal and Signature on same.
"Alteration of this Document except
by an Architect or Licensed Profes-
sional Engineer, is illegal".
Section 7209, Subdivision 2,
N, Y. State Education Law.
GARRETT A. STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516- 765 - 5455
SUFFOLK COUN~ DEPARTMENT OF HEALTH SERVICES
"It should be noted fhof s~nce this
property is iocoted in on ogriculturol For Construction Only
oreo, the possibility exists thor the
omounts o~ pesticides ond/or nit,ores, d~s~osa~ and water supp!y [ac,l,t,es
Main Road P.O. Box 1412 Southold N.Y. 11971
516. 765 - 5455