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Home My WebLink About10592-zCOMMENTS FIELD INSPECTION FOUNDATION (lsd) FOUNDATION 2, ROUGH FRAME & PLUMBING (~na) INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL COMMENTS: FORI~ NO. ~ TOWN OF $OUTHOLD BUILDING D~PARTME~T TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING P~.RMiT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUT~-IORIZED) N? 10592 Z Date .............................. , 19. Permission is hereby granted to'~ ....... ............................................................................ at prem~,e, Ioco o~....(..Z..:.~ .......... '~'~.~'"' ~":':: .... pur,uant to oppl,cotion dated.,t~.../,.:VZ:~/......L~.:."'. ............ ~., and appro',ed by ~:e Building Inspector. Building Inspector W~t~ J. J,coBs BUILDER DEPOT L.ANB CUTCHOGU£. NEW YORK 734-5815 B.p. 765-}802 9 AM TO 4 P~ FOR FOLLOWING INSPECTIONS: 1. FOUNDATION ~ TWO REQUIREQ FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSUI.AT[ON 4. FINAL - CONSTRUCTION ~U~ ~E'Co~3PLETE FOR C O. 0~[~..~i~C~ ALI. CONST~ICT ON SHALl: MEET OF ~:" THE' R~OU,?.~MENTS OF THE N. ¥. STATE CONSTRUCTION & ENERGY · ~ CODES. NOT RESPONSIBLE FOR ~ DESIGN OR CONSTRUCTION ERRORS, .fl o~ Co ~ ~oOG, W~u~,~ J. J^co~s DEPOT La, NE CUTCHOGUE. NEW YORK 1193~ 734-5815 t:?.ICP1AP..D A. F1ED[_E~~ .~.2.7 ,.5EYEI',iTH ST.-, DEED. [ IBEI~ 'rE B7,'PAG_E. 167. NOTE: ELEVATION~ AI~E'E~5~D ON',,kN~ELEVAT'IO N HAP OF LAND GF<EENPO?.T 5,8 D: ~D2NU M PIPE A,5 S4JP...VEYED ' S~m"(~4,19"'/'6 P_ODE,qlCK VAN TUYL, RC, SEAL ,J', FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined d...Z.:.., t9 Approved ./.~.~...'~.~....~..., 19 ~.. Permit No.../.O..-~..'7.~..~. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date..~.~..~. 7.~.... (...~.., 19& INSTRUCTIONS 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 buildmgs, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply wi{h all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and m buildings for necessary,.hlspections. ................. (Sign'ature of appl~Oant, or name, if a corporation) '?' :"'' '~ ' ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises &~ / Cf.{ ~{ B.LT). . . - 5J.~.-!~) ~-- ~ .............................. ' (as on the-ta~' roll-or latest If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..l~./.~.(, ./f2.~./....~:...cT../~.c..O.~ Plumber's License No.'"~.. Electrician's License No ....................... Other Trade s License No ...................... 1. Location of land on which proposed work will be done .................................................. ......... I .o. ................ / . . P.O : D. .............. ?. .E:.e ............. House Number Street Hamlet County Tax Map No. 1000 Section ..~...~..~. ......... Block .~ .{~. ~ ........... Lot...O.././. ........... Subdivision Filed Mal~__N_O..._~ ..... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... 0.~{,~ .... .~.-.~.~ /./.~. .,cf. ..... ~.o. ~,C7 ................................. b. Intended use and occupancy . .Off.~' ..... .~ &j.t'~. ,c<.. ./7(.O.t(.-/'.~- ........ .Z~..~...t' .................. 3. Nature of work (check which applicable): New Building .......... Addition .... ~..... Alteration .......... Repair .............. Rem?al .............. Demolition Other Work 4. Estimated Cost ~.0t d~) Fee ......................................... i (to be paid on fling this application) 5. If dwelling, number of dwelling iunits ...... .~ ....... Number of dwelling units on each floor ................ If garage number of cars ' ..~.v ................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dlmens~ons of ex~sting structures, ~f any: Front ..... ~.O. ...... Rear .... ~4 ....... Depth ...... .~ ........ /.~. ' Number of Stories Haight ..................................................................... Dimensions of same structure with alterations or additions: Front ......... F~. ~ Rear ..... J .... ~2 ....... Depth.. ........ ~. ............. Height .. .~ ............ Number of Stories ........ ~ ............ 8, Dimensions of entire new construction: Front .... ~.~.. J,2.'.' .... Rear ........ I[: ..... Depth .... .,~.~.~. ...... Height ........ .~. .....Number of Stories .................... , ............... S~ze of lot: Front .......... /.~ .......... Rear ................... [)ate of Purchase .... AO.G....! .~... l??.2 ......... Name of Former Owner ... ~..O(-14Lt~... (zJF~.4 ~.~ ...... Zone or use district in which premises are situated ............ .5'O ~...F~.. r~.O .... "/O ¢q)/t/. .................. r)oes proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded ......... i/,Z. (..I ............... Will excess fill be removed from premises: Yes Name of Owner of premises ...'Ric. dA RI>..~.l~P.L~Address . .~.'~.~/.J~9../¢_.~. ..... Phone No..'t7.7.: .t~.6 37. Name of Architect .......... I ................. Address .................. Phone No. Name of Contractor..b~.x(~..~.'.i. ~/l CO. I~.~. ....... Address...c..oT.q~!.o.~. (J~... Phone No. PLOT DIAGRAM Locate clearly and distinctly allI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines· Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. : K~oONTz-~ ~," , STATE OF NEW YORK, t~, JS.S ....... ~'/.d./~/~.. ~.... ~~ ............ being duly sworn, depose~ a~d says that he is the applicant (Name of individual signing con~act) above named. He is the ...................... , ................................................................... : (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ au~odzed to perform or have perfo~ed the said work ~d to m~e and file this application; that all statements cont¢ined ~ this application ~e true to the best of his knowledge and belief; and that the work will be perfomed in the m~ne:r set forth in the application filed therewith. Sworn to before me this Not .~ ..... ~ ...... County~ ~0TAaY ,UmC.No s2-4S24,nstate o, ,ew V;r, . ~ ~l'.~4~/Z ....... / ('g ature'" ' ' '1"--of iCanapp' Qualihed m Suffolk C0untF ~ , I C0mmrssma Expires ~]arch 30, 1~80 ~ / ~Lo~ ~