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HomeMy WebLinkAbout11041-z FOENI NO. ~ · TOWN OF~ S~OUTHOL BUILDING D£PARTME~T TOWN HALL SOUTHOLD, N!. Y. BUILDING PERMIT,~ (THIS PERMIT MUST BE KEPT ON TH,E P~,E~ISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? il041 Z Permission is hereby granted to: · ...... .... .~f.~.~ .~.~.z.. ~..,c,,~...~.,~ .~....~/...: ............ ; ..... .~a.~v~.~..~c..~ ....... ~....~ ......... ~z~z~Z,~.~.....~,~ ........... ~, ~,~i~ ,o~,,~ ~, ..~(.~......~.~.~~.,Z~ ............................. ...... ~ ......... ~ ........................................... ~ ....................... .~ .......... ~...~.~.~.....~..~ .... Co..~ ~ M~p No. ~000 S~.o. .... ~.~ ....... ~o~k ~...~.~ .......... ~t No....~.~..~ ........ pursuant to application dated ~. ~;(....~ ................ ....., 19, ~, and approved by the Building Inspector. Rev. 6/30Z80 FORM NO. 12 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, NY CERTIFICATE OF COMPLIANCE No 4 Date ... April 9 19 81 THIS CERTIFIES that the 4'0" Chainlink Fence Front Yard Area 1640 Calves Neck Road Location of Property '~oute Southold, N.Y. County Tax Map No. 1000 Section Subdivision ~enfoEns substantially to the .070 Block 04 Lot ~ Filed Map No. _~____Lot No. Application for a permit heretofore filed in this office pursuant to which t3uilding Permit No. 11041 Z dated March 2 19 81 , was issued, and conforms to all of the requirements of the applicable provisions of the law. The certificate is issued to Jocelyn C. Steinbml~ler 4/8o Inspe~ctor FIELD IN$PECTION FOUNDATION (1st FOUNDATION (2nd) 2. ROUGH FRAME& PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL March 2~ 1981 Request pe~emission to erect a three-sided anchor fence to enclose an area o£ 1,368 sq. ft. on the north westerly side of my house. The fence is to be 38x36x~feet including one access gate. (See attached plan) Shrubs are to be planted around the outside perimeter of the fence. The property has relatively dense 15 to 25 evergreens~ which would provide a natural screen of the fenced area~ as viewed from the street. Submitted by owner, 16~0 Calves Neck Ro~d Southold, New York 765-1127 Miss Jocelyn Steinbuehler 1640 Calves Neck Road P. O. Box 325 Southold, NY 11971 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1B0;~ Examined ..~.~/~.c. ~,[..~7.., 19~..~ Approved .~'~',~.~.~.[....~.., 19~.?. Permit No. ff./...~. Disapproved a/c ................................... ector) APPLICATION FOR BUILDING PERMIT Application No. ~/.d.('.~..~ ./. ........ 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 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 i~pections. ,t"fi~- ....... ,'., .............. y ' /~t~ignature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contr.actor, electrician, plumber or builder. · ..................................................................................... Name of owner of premises .~.'.~..C/.e.f/-~.. ~ ,_2~.~.,'./?~.~..~../~..~ ...................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officev)--~ Builder s License No .... C Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ................... . ................................. House Number Street Hamlet County Tax Map No. 1000 Section .... .O~7..~ ......... Block .... .O...~. ......... Lot....O..~.. ~. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~.q .,?..e: ........................................................... b. Intended use and occupancy/'/"~//'~ ~'/"~ ' '~:~'c~ .~7-e'~<'.C .e~. '/~'/'d~' '~~ ~'~''' '---- -- . .~. 7.~. ..... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alterat~qn .......... Repair .............. Removal .............. Demolition .............. Other Work .~ e'~.~ ~<. ....... ~..~.O. ~ / -- ~ (Description) 4. Estimated Cost ............................ Fee ... ~.' ...................... . ........... (to be paid on filing this application) $. If dwelhng, number of dwelling nnits ............... Number o f 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 ..................... ?. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... I-[eight ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ..... : .......... Name of Architect ........................... Address .......... ' .......... Phone No..: ...... ....... Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ali 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 intelior or corner lot. STATE OF NEW Y/)C)RI~,/~. a /_ COUNTY O~~ffgC~. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!y 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. Sworu to before me this .......... .~...~. ....... day of ..................... ,19 Notary Public _/ff~.Z~. (,'/ NO 52U~ , J ~lffolx Cotinb,/1 ' ' - . .-~ :.z: '.. ?,; ~t,;~ //~" '.~'-' (S~gnature ofapphcant) uoramlssion Expirc~