HomeMy WebLinkAbout13593-z 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, 13593Z issued to Frank Bisk
on 11/29/84 for AcceSSOry is completed
a final inspection has ( ) has not ( x ) been done.
and
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 $10.00 payable 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.
VL:gar
Very truly your.~,
Victor Lessard
Executive Administrator
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~3~ z ~o,, ..... ~~/'~.~ ........ ,,,.~..~
Permission is hereby granted to:
..~...z.....~....~~...L..:. .....
.~..~........C~.~.~..~...~ ............................
.~...~..~.~...~..%~.:....!.!.~.~..~- ..... ~
.......
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Coun~ Tax Map No. 1000 Section ...... ~..~,~ ..... BI~K ........ ~ ........... ~t No. ) ~
Building Inspector.
Building Inspector
Rev. 6/30/80
KlM D~ENKOWSKI
tO00 Cedar. D.ri.v .e ...,,.
EAST MARION, NY 1 t~=
AP?2CVLD AS NOTED
DATE: %?
NOTIFY BUILD'NG DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3. IN¢LJI. ATION
4, FIh~L - CON'S~PUqFION MUST
BE C'~k*P~ r:TE FOR C.O.
ALL COF'c~R~C'TION SNALL MEET
THE REO~m~r'M~NTS OF THE N. Y,
S~ATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
FIELD INsFECTION
FOUNDATION
FOUNDATION
2.
ROUGH FRAME &
FLUMBING
INSULATION FER N.
STATE ENERGY
qODE
(1st)
FINAL
COMMENTS
(2nd)
ADDITIONAL COMMENTS:
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined
BLIP. DEPT.
TOWN OF SOUTHOLD
Received ........... ,19...
Disapproved a/c .....................................
................................ i ......
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application mcst 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 16cation of lot and of buildings on premises~r~e'lationship to adj6ining-Fremises or public streets
or areas and giving a detail~ description of layout of prope[ty.,must be drawn On the diagrfim which is part of this appli-
cation. ~,
c. The work covered by this application may not be commenced before ~ssuance of Building Permit.
d. Upon approval of this application, the Building Inspector ~ill issued a~Building Permit to th~ applicant. Such permit
shall be kept on the premises avhilable for inspection throughout the work. .
e. No :building shall be occupied or used in whoIe or in part fd,~r any purpose whatever until a ~ertificate of Occupancy
shall have Been granted by the/Building Inspector. \
APPLICATION IS HERO'DY-- MADE to the Building Departmen~\ for the i~suance of a Buildir~g Permit pursuant
to
the
Building Zone Ordinance of/the Town of Southold, Suffolk County, New York, and other applid, able Laws, Ordinances or
Regulations, for the const¢ction of buildings, additions or alterations, or for removal or demol~'tion, as herein described.
The applicant agrees to co,mply with all applicable laws, ordinances, building code, housing cod,~, and regulations, and to
admit authorized inspector¢ on premises and in building for necessary inspectioh§~ '~ -~ '
:. ............
(Signature of applicant, or name, if a corporation)
1000 Cedar Dr., Eas~ Marion NY 11939
(Mailing address of applicant)
State whether applicant ~s owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
k. Contractor
Name of owner of premises . D.r.., . ~'.r..a.r~:. ~.J~k. & .g]J_£.e ................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
144D
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Ot~et' Trade's License No ......................
1. Location of land on which proposed work will be done ................................................... 1325 Gul5 t~nd Lane, Greenpor~
House Number Street Hamlet
County Tax Map No. 1000 Section 035 Block 4 Lot 10
Subdivision t~ordham Acres~ Sec. 1 Filed Map No. 3519 Lot t~art o:~' 14
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... .I.f.a.m..i.1X . d..w.e.l. 1. $.ng ........................... ....~,. ...........
Deck add ittion
b. Intended use and occupancy ....................................................................
Deck
3. Nature of work (check which applicable): N Building ..... ' ..... Addition X Alteration
Repair ............ Removal ..... Demolition ...... .. Other Work .
· ' ' (Description)
ti dC -.. $2000 00. ,
4: Es mate est · · Fee .................................
(to b~ paid on filing this application)
5. If dwelling, number of dwelling units~ . .... Number o f dwelling un!ts on each floor ................
If garage, number of cars ........................................... i .............................
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
Dimensions of same structure with alterations or additions: Front Rear
Depth ...................... Height ................... ... Number of Stories ......................
8 Di.mensions of entire new construction: Front Rear" Depth
Height Number of Stories '
9. Size oflot: Front ..fi. 93...6.~. .... Rear .1.QQ,33.'. IDepth J~2'
10. Date of Purchase .................... . ......... Name of Former Owner :
11. Zone or use district in which premises are situated..., .................
12. Does proposed construction violate any zoning law, ordinance or regulation: ... ~.. Ye s ..
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes
14. Name of Owner of premisesExanl~ .]3±$16 .&. W££e Address Fa~2oRocgaw&y. .... Phone No ................
Name of Architect ........................... Address .............. t ....Phone No ................
Name of Contractor .K J-re..~,. D~.e. nl~ o.w. ak j_ ..... Address El~a~. MB~..~9~ ..... Phone No. 477..~465 ......
PLOT DIAGRAM
Locate clearly and distinctly~ all buildings, whether existing or proposed, and. ifldicate all set-back dimensions from
h'
property lines. Give street and block number or description according to deed, and s ow street names and indicate whether
interior or corner lot.
Lo% I ¢-
>RoPo6te O
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
........... ~.../r~.. ...... da;~ ..... ~'~ .~. ~ ........... 19 ~..~
~B~ARY POStlC, State of New vor~
NO, 4~07878, Sutfol~ Cotml~ ~
lC/ill Expires March oO, t9~
....
~. ' ~'~ (Signature of applilmnt)
STATE OF NEW YORK, S.S
COUNTY OF....~u.f.$oZk ......
..... K.5.m · ~.,..3g en~.ow~k.i. ....................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named. :
He is the ....... ~. 9.n?.r.a.c..t.o?. .......................................... ............................
(Contractor, agent, corporate officer, etc.i
of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this
application; that all statements contained in this application are true to the best of hi~ knowledge and belief; and that the