Loading...
HomeMy WebLinkAbout10739-z FORM NO. 2 TOWN OF SOU?HOLD BUILDING D£PARTM£NT TOWN ChrRK'S OFFIC£ SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10739 Z Permission is hereby granted to: ...... ~.,.,..~/.....~....~..../.~,,~.~,::~....~3. ................ ~......~,.~..5.,L..~.,...4... ~:.~ ........ .................................. ~c/~..~......~ .... v~ ~'-/~ ....... ~/~[......~ ......... r~ ....... ~....~.~(~ ........ ~:....:~:~ ........ ~.~...: ............... at premises located at ................... ~.~.~t,¢~?~ ...... /~.r~.~.~ .................... ............... ~ ~ ~:~. pursuant to application dated .............................. 0-Z.~'~' ~ -~ 19...~..?.., and approved by the Building Inspector. :'' ............ ' 6~ Fee $.....(:~ ....... Building Inspector I / May 13, 1980 Mr. George Fisher Building Department Town Hall P.O. Box 728 Southold, NY 11971 Subject: Applications for building and Fence Permits. Lot 12, Greenwood Road Fishers Island, NY dated 5/13/80. Dear Mr. Fisher: My wife, Kristine, and I would like to erect a 6' high stockade fence along our Northeast boundry line. As you suggested, we have enclosed a drawing which shows you exactly where we would like to erect the fence. Please let us know what must be done to obtain fence permit approval. As a separate issue, we have also enclosed a copy of our survey showing where we would like to build a deck which would look out onto Silver Eel Cove. Thank you for your help in this matter. Kristine B & Wilfred G. Gilman 22 Scotland Avenue Madison, CT 06443 WGG/cw Enclosure Home Tel - (203) 245-2966 Bus. Tel - (203) ~634 - 1155 FORM NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180:2 Application No. / 6 f ~ ~O~, lg . .~ermit No. . . / 0'7.'~ ~ 2L~ Approved --~' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .3~.~.e...3 ........... ]9.8.~ INSTRUCTIONS ~ a. This application must be completely filled in by typewritec or in ink and submitted in triplicate to the Buildinl~. Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedtulle. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets6.,. 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 issue a Building Permit to the applicant. Such peffn.it 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 Regulation% 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 buildings for necessary insp~ct~,on~, ,-, · tx~ ~ignature of applicant, or name, if a corporation) 3 .s. 99.t:.Z.a.n..c.d' Aye. ,..z4..a..d.i.s.qn.,..C.T... 9.6.4.4..3....~ .2.2, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises .W. iSfr.e.0. G,..&. Kr.istir~e..B ,..Gilman .................................... (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 ..... N.[& ................. Plumber's License No .... N/A ................. Electrician's License No...N/.~. ................. Other Trade's License No. t~/~k ................ Location of land on which proposed work will be done ................................................. 12 Greenwood Road Fishers Island, NY House Number Street Hamlet County Tax Map No. 1000 Section . 7.0.% 2.: 9.o. ........ Block. 9~.'. 0. 9 ........... Lot .~. ?.-93. ~. '. 99.q ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Summer Residence a. Existing use and occupancy ..................................................................... b. Intended use and occupancy . . .S.u.In~..e..r..R.e.s. $.d.e.n.c..e ................... ' ............................ ), Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair: .............. Removal .............. Demolition .............. Other Work..F. enc.e ~ (Description) 4 Estimated Cost ~300.00 i ........................ Fee $.$5...0.Q ............................ (to be paid on filing this application) 5. If dwelling, number of dwelling 9nits N/3, Number of dwelling units on each floor If garage number of cars I 6, If business, commercial or mixed occupa~ncy, specify nature and extent of each type of use ...Ixl/~ ............... 7. Dimensions of existing structures if any: Front ............... Rear .............. Depth ............... Height ............... Numlber of Stories ........................................................ Dimensions of same structure with alterations or additions: Froht ................. Rear .................. ·.. ' Height ............... · ....... Number of Stories Depth ................. .'. ....................... 8. Dimensions of entire new constrUction: Front ............... Rear ............... Depth ............... Height Number of Stories ' 9. Size of lot: Front ........... i ........... Rear ...................... Depth ...................... ' 12 27/79 F.I.D.C.O. 10. Date of Purchase .... / ........................ NaJne of F,o,~rmer Owner .. ............................ ..... ~ . · BUS 3.nes s/commercla, l 1. Zone or use district in which premises are situated ..................................................... 12. Does p:roposed construction violate any zoning law, ordinance or regulation: .... I~IQ .......................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises W..i.l.f.r..e.d..G.i..1.m.a.n.... a,t~r~22 Scotland Ave Phnne No203-2.45.-.2966 Name of Architect ............................ Address .a.d..1 .s.°.n. ,.. 9?. ...... Phone No.2 9.3.-.6. .3 .4.-.1.1..5.5.. Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate 'clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines, Give street and blocklnumbar or description according to deed, and show street names and indicate whether interior or corner lot. SEE ~TT~CHED PLOT DIAGRAM STATE OF NEW YORK, i COUNTY OF ................. i S.S .... ~ ........................ 1 ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ahoy6 named. : He is the ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly 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 beOperformed in the manner set forth in the application filed th~reC/ith. Sworn to before me this i~N~: 3rd .day Notary Public, . .............. f .... 3une ., 19 8.0. (Signature of applicant) t I /.