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Home My WebLink About10578-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON -I'HE Pt~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 10578 Z Permission ~s hereby granted to: ...... ~.:..~.~~... ~. ~ r. ~.±~/,,/,,c. .... ._&.~.~.....~rz...a.. ................................. .... ....... ~o...C.'.~.(~Z.L~,....9.~...a-...~'L~.z.~. ...... ~k~c~a~-/~.)/.~. ' ................... .......................................... ~','L~' ........... .,....../~/z:~7- ...... '~"~'~ ........... ~' .................................. at premises located at .~..%..~...~.....C~......~z.z.~.~.~....~J ........ ~/~'-~./l~z~.[.'~.'w..~J ~. pursuant to application dated .. ,/,. ,L~,,~,',,,~,,,~.,~,,,....,"~,,,~, ............... , lC~..~.., and approved by the Building inspector. FIELD INSPECTION 1. FOUNDATION (~s*) COMMENTS FOUNDATION (2nd) ROUGH FRAME& PLUMBING INSULATION PER N.Y. STATE ENERGY CO E FINAL 1652 Edro Court East Meadow, N.Y. October 1, 1980 11554 Building Department Town of Southold Main Road Southold, New York 11971 Re: Permit NO. 10578 Issued to North Fork Equities, Inc. Gentlemen: Please be advised that we have purchased the property subject to the above-captioned permit from North Fork Equities, Inc. In that the winter season is fast approaching and construction of the dwelling will be difficult, we respect- fully request a twelve (12) month extension to the subject permit and that same be transferred to us. If you have any questions, please do not hesitate to contact us. Very truly yours, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:a Approved/¢..~/~¢~'.' i i i?i i., 19 &Permit No./.~,..~.'~.77 Z Disapproved a/c ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ^pplication No. Zd ...... Date ................ , 19 BO. a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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 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, ordinance~building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for nece~'~rJ inspections./~ ~ /'~ ' ~ ~. F~~.~u.:.44~.....:~ (Signature o~/~pplican~, or name, if a corporation) ~ (Mailing address of applicant) State whether applicant i~ ownet~, lessee, agent~ architect, engineer,general contractor, electrician, plumber or builder. Name of owner ofpremises ~~ ..... ~....'~. .... t .................. (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 ......................... Plumber's License No.C~..:[4~-Z~..L .~.~. ~,. Electrician's License No. ~.,..~.t~...~.. Other Trade's License No ...................... { SO 1. Location of land on which proposed work will be done. ~/~. ..... tt4. c~-/7...~..~. ..... .g..v~ ...... -~.r.~..o..,, H..k.~ t4:~. ,..~7.... fi¢.6. ....... .~..~...~?~. ¢~. ~%.. ............ ~.v. TrC¢.~. 6 ....... House Number Street Hamlet County Tax Map No.: 000 Section .... 0./~.3. ......... Block ...~. ............ Lot .... 3 .~../.7 ...... 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 . . .q..~...0'...~.~..~ ./z'.(3(~{-~ b. Intended use and occupancy ..... .~ .~.' ~.(. ~ ~ ~.' [ ~(i ~.' :[ ~ .' ~.'~: ~ .~ .~i~..' 3. Nature of work (di~eck which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ' ~..~. ~.00' ~.~_.~ ~ (Description) Estnnated Cost ~. .. ......................... Fee .~..~...-.."A'~.. ........................... I (to be paid on filing this application) 5. If dwelhng, number of dwelhn~m!s~/A? ............ Number of dwelling units on each floor ................ If garage, number of cars .... L,~.O.i.~L .2-r~. .......................................................... 6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use ............ ' ......... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nun~ber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i. · Height ....... , ~, ~ ........... Numbar;a~ Stories ............ ~, ~ ........ 8. Dimensiontst ~[f, entire new constm~ ction: Front....~. ~ .. ....... Rear....L/~' ........ Depth . ~.~. ......... Height . .L~ .......... r Nur~ber of Stories ....... I ................................... , .............. 9. Size of lot: Front .. ~. ..... : ........... Rear ..... .~.~.. ~. ............ Depth .. ~q ............... 10. r)ate of Purchase ........... , .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ........................ ~,~. .......................... 12. Does proposed constructiq~j~!ate any zoning law, ordinance or regulation: ... ~q. ....................... ~ 13. Will lot be regraded .... q.r-r',~.~,~.. ,~ ,, ............ Will e~.cess fill be re2aoyed, from premises: ~, ,.,Y~ ~, ~ 14. Name Of Owner of premises ~0 .[~..~....~..K...'.~..~! (~dress ~ t lt.'?~....~.'~ Phone No..~..~.~..'.c~..~. I~ .... Name of Architect . .: ....... i ................. Address ................... Phone No ................ Name Of Contractor .~?{~.~-..: .--~-. ............... Address ................... Phone No ................ PLOT DIAGRAM Locate cleariy 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. STATE or 'NEW Y~2~Kre-,~-~ [~ CO9 T¥ OF..'---? , W-ATVl.&, ..~.~ ~ ~3~ ~ ~i~[.~ '.~. ~ ............. being duly sworn, deposes ~d says that he is the applicant (Name of individual sig~ing contract) above named. He is the ............ , ~(Contractor, agent, corporate officer, etc.) of s~d owner or owners, ~d is duly authored to perform or have perfomed the said work and to m~e ~d file this application~ that fll statements contained ~ this application am true to the best of his knowledge and belief; m~d that the work w~l be perfomed in the m~n4r set for~ ~ the application filed therewith. Sworn to before me this ................ day o~ ............ 19 Nota~Pub!ic, . .............. ~ ~ ,~um~,~ / ~,'S~f0~ ~0u~ Term Explre~ March 30, 19~ ~ ,/.7 l?T' [,~'E~'~,'-tc~ CO, ~t~cY -e~ ROD_~ICK,VAN TU~J~.C. ~ GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT APPROVAL h S NO ST A T_E_M_.E N_T 9Z !HIE_N__T THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOr This RESIDEN. CE WiLL CONFORM TO THE STANDARDS OF THE SUFFOLK tc/p../~DE~_ OF~H. EALTH SERVICES ?' SUFFOLK COUNTY DEPT OF HEALT: SERVICES FOI~ APPROVAL OFf CONSTRUCTION ONLY DATE ~"~ --3-J~ H.S REF NO lO ~ % n,~ ~. ~ . APPROVED. SUFFOLK CO TAX MAP DESIGNATION DIsT SECT. BLOCK PCL~. ,,.<C¢"C, O 4'. ~ '~' ~, ,'7 OWNERS ADDRESS DEED: L?//-7~ P .~ ~,~ j (~:::<,,.::'-'~ TEST HOLE STAMP SEAL DATA '7. - PE $ I O ErA CE' '-,- b~IPLY ~r'r¢, . S~ COBE.":..j,~',,1 ~ph'~ ~ ' V~[~i'~?i~'i' C~RI"~FICATE 6F OCC~AN,CY 765-1802 9 AM TO 4 PNt FOR ~E FOLLOWING I NSPECTIOF~S_. L1. FOUNDATION - ~/0 ~E~D ~ FOR POURED CONCR~ ~. ROUGH - F~MING & BLU~DNG ~. INSULATION 4, FINAL - CONSTRUCTION M~ BE COMaLETE FOR C.O. ~LL CONSTRUCTION S~ ~'~, THE REQUIREMENTS OF TH~ ~.~.~ STATE CONSTRU~ION & EN[R~ CODES, NOT R~PONS]~E ~; DESIGN OR CON~RU~I~ ~O~, ¸7: Il ,.l l,