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Home My WebLink About13573-z II'O]IIM NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, hi. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL. FULl cOMPLETION OF THE WORK ^UTHORIZED) N~ i3573 Z Permission is hereby granted to: / J ~ ~, ........ .................... .... ~.~........~.,..~-,.~....~ ........................ ,o ...... ~Z~.......a..~..~../.7...~'-~Z~ .................................................... or premises tocarea ar ................................................................ r-.,~j.~.. .............................. ~ ....... cou,~, To,, Map ~o. 1000 Se~t,o, ...~..ff..~... ........ ~,o~k ...d~.~ ......... ~-o, ~o. ~..O ............. pursuant ,o application dated .~..~ .................... ;.i...., 1~,~...~**, and approved by the Building Inspector. Rev. 6130/80 FI ELD~ INS'~ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ?DE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13573Z issued to Mildred Kiernan on 11/21/84 for 'New Dwelling is completed and a final inspec'tion has ( ) has not ( X ) been done. An Underwriters Certificate is Needed. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25~00payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear-up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly your,_{, Victor Lessa~d Executive Administrator VL:gar encl. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 AppI'ICAIION FOR BUILDING PERM~I INSTRUCTIONS a. This 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, and regulations, and to admit authorized inspectors on premises and in building for necessary i~pections. , , ,., ............... (Signature of applicant, ~4fc cortaoz,xtio~). ' (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 ...... .N..~ .1.d.r.e.d...K.i.o.r..n.a.r[. ................................................. (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. Electrician's License No. [~ Other Trade's License No ...................... Location of land on which proposed work will be done ............................... .~ .................. ~ ~°°'5" S.t.i:kJ-w. etter. Ay.e,.,..Cu.t.o. h0g.u.e.,..L, I .... ,. House Number Street Hamlet County Tax Map No. 1000 Section ..... 1-..3.7, ......... Block .... 3. ............. Lot. 10 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 Vacant Land b. Intended use and occupancy House, Dwelling . 3. Nature of work (check wtlieh applicable): New Building ...X.X. ..... Addition .......... Alteration .......... Repai ~ ~ .. if.: Removal ........ Demolition ............. ._ O~hcff Work ............... . . '- ' i..~nr_~ ! - (to4~ paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage, number of cars .... i..~2wo .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories'. ....................................................... Dmnensions of ame structure Wjith alterations or additions: Front ................. Rear .................. Depth.. .................. [.. Height ................. Number of Stofi. es ....... 2.4..:f'l;,..W.,. erad 8. Dimensions of entire new constrUction: Front. ~0. f..t: .,.8...~.n.,. Rear .. ?.0.f.t.,., .8. ~..r~, Depth 3J..f.'i;,. ~.,.~r~O.. * Height ............... 'NumberofStories .... O..n.e .......................... ~3.8,8.? .f.t.,...W: .qi, fl.e. .9. ~zeoflot'Front J~O fti. ~a~ 122.98 ft. n~nth 180.50 ft. E. s~de 10. Date of Purchase .......... i ............. Name. of l~o. rmerOlvner .H.a.r.r.y...A.n.n.a..b.c.1. .......... 11. Zone or use district in which ~es~aen~;a3- premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: No. ............................. 13. Will lot be regraded .. 1~o .... i ................... Will excess fill be removed from premises: XXes No 14. Name of Owner of premises .l~Ii~.clr.~d. J~i ~TD.a,l¢. Address11..~h~.s.~]7..L. ar~e.. Phone No. ~h..9'~ 69.9.8 .... Name of Architect ~ .ngql .l.e ......... ~ ................. Address .,.. I}I, .Yghone No ................ Name of Contractor self .... Address ................... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensmns from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STALE' OF NEI~/YOJ~K., COUNTYO ., . j S.S ~. (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant (Signature of applicant) He is the ..................... , ....... .~-~....~t.~.. ........................................ ~ ........... ! . (Contractor, agent, corporate ,officer, etc.) of said owfier or, owners, and is duiy 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 Notary Public, ~ .~/... .County · ! 3',.i(:!:?'=2 ::::" .... b · ~ ~<o $~8 m "r