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HomeMy WebLinkAbout12986-z FOR~ NO. 9 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) N? 1298~ Z Permission is hereby granted to: .............. ~.... .~ ........ .~.H.....~.....~?[... ...... ....... ..... ~r2~/.~Z:.~.~..~: ,~ . ,. ~ ...................... ro ,L. .... ......................... at premises located at .. ..................................... /....7..~/..Z/.d..~<~'>/~ ..~./~..~.~J..... ~ .... 'J.. ..~/.. ......................... ............................................. County Tax Map No. 1000 Section ...... ../..(?..~ ...... Block '"~"l' .......... Lot No. (~..(2'~ ....... pursuant to application dated ...~, .~..-~.~../,~.-.~..; ....... ~,,,,, 19 and approved by the Building inspector. Fee $../.. ............. ~. ..... Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1 $02 March 20, 1984 Cairo Mobile Home Route 23B Cairo, N.Y. Att: Woody Fraleigh, Marelitte #2802 Re: Sophia Tibas Dear Mr. Fraleigh: Mr. and Mrs. Tibas submitted the set of plans you sent to them on March 13, 1983. We can not issue a building permit on a modular home unless the plans contain a "New York State Division of Housing and Community Renewal Stamp of Approval". We are enclosing copy of the section from New York State Code that sets the Requirement and a copy from set of approved showing stamp of approval that should appear on each sheet of at least one set of plans. Please comply with this~requirement so that we may i~aue a building permit. Their application has been held up since Dec. 14, 1983. If you have any questions regarding this matter contact me. EH/hd cc: Gus & Sophia Tibas Yo~uly, Ed Hindermann Building Department TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SCUT[][OLD, N.Y. NOT~CE OF DISAPPROVAL File No ................................ . ~.s:. . z.a ...... :~,~ ..... G'.~ : .... .,,~To ,~,~ . ~ . .~u..~. . . u.~. o6 . . . ~ ~s~ ~0~ ....... t' ...... ~t~t ' Hamlet County Tax M~p No. 1000 Section .[~ .... ~.. Block .... 7 ........ Lot .: .~s' is returned herewith and disapproved on the following grounds ............................... · .~::~-,...,,~T. _~ t:~.,~P.....,D"~/~. ~ Building Inspector RV 118~ FIELD .,INSPECTION DATE COMMENTS FOUNDATION ( 1st ) FOUNDATION (2nd) ROUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY _ IODE FINAL ADDITIONAL COMMENTS: 7ss.~8oZ BUJI,DING DEPT. INSPECTION FOUNDATION ZND [ ] INSULATION FRAMING [] FINAL RE~4~RKS: L ' DATE INSPECTOR L ' ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1B02~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ..... ~.... ,19. INSTRUCTIONS a. Tins 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 tins appli- cation. c. The work covered by tins 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 regulatip~, and to admit authorized inspectors on premises and in building for necessary inspections. ...................... ~Signature of applicant, or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, a~chitect, engineer, general contractor, electrician, plumber or builder. .......................................... m/am~ of owner of premises. ~.~.~.~..~... '~'' '~,~..~....//~. ~?. ................................... -- / (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'.. ~....~A~....(~'r~....~. ......... Piumber's License No ......................... Electrician's License No .... .~ ! ................. Other Trade's License No .... ~. ! ................ I. Location of land on which proposed work will be done ...... ....... .................. . , . . ........... House Number Street Hamlet County Tax Map No. 1000 Section .... ].(~ .(e ........ Block ....... ~ ......... Lot ...... ~ ........... Subdivision .~,/.d,~.°~.. ~'../~.... ............... Filed Map No. ' Lot ..... ]..~.~.. ..... (Name) 2. State existing use and occupancy of pr, emises and intended use and occupancy of proposed construction: · ng use and occupancy ........................ ,-..~ ,~ ,; ............ t ::~'~r ;r .~'*'~.,~[.' ............... b. Intended use and occupancy ....................... '1 ..................... ................ 12. Does proposed construction vio 13. Will lot be regraded ...... ~r 14. Name of Owner of premises ~/./ Name of Architect ......... Name of Contractor ........ 3. Nature of work (check which applicable): New Building .~ ........ Addition .......... Alteration .......... Repair: .............. Removal .............. Demolition .............. Other Work .............. I (Description) 4. Estimated Cost.....~..,,.~ ....................... Fee ..~../.././.o..O,~.. ......................... (to be paid on filing this application) 5. If dwelling, number of dwelling pnit_s . ~. ............ Number of dwelling units on each floor ................ If garage, number of cars . . .~.~.!. ~'~-'~.. Ce~./¢.?<~-.. .................................................... 6. If business, commercial or mixed occupancy,C~pecify nature, and extent of each type of use ..................... 7. Dimensions of existing structures, if any' Front ~.~./?:.~f. Rear .... De th 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../-'f.~ ......... Rear ............... Depth . ~-[-.7 .......... Height . ./~. .......... Number of Stories / ...... i .................................. 9. Size of lot: Front ....... i .......... Rear ...................... Depth .~..tp ............ 10.Date of Purchase ..... ............... Name of Former Owner 11. Zone or use district in which pr~mises are situated ..................................................... ate any zoning law, ordinance o~' regulation: ,~.W ............................. Locate clearly and distinctly all ,property lines. Give street and block interior or corner lot. ........ · ~...; ..... Will excess fill be removed fro~ urem4s~:a/Z," Yes No ~.~¢.. ............ Address .~.'.~....,:,5.~,. Ph~o~7'~.'...~..~Z. ................. Address ................... ' Phone No ................ ................. Address ................... Phone No ................ PLOT DIAGRAM buildings, whether existing or proposed, and, ii number or description according to deed, and sh(~ dicate all set-b street names tek dimensions from ~nd indicate whether STATE OF NEW Yg, RK,/,/~,, ,~/_ , ,, S ~ · ...,,~f~~....' ..................... being duly sworn an~ says t at he,!,s the applicant ~ f/(Name of individual signing contract) . above named, j; He is the ..................... ! ............................. ~ ..................................... jl (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in th,!s application are trug to the best of his knowledge and belief; and that the work will be performed in the manner set forth tn' the application flied therewith. Sworn to before me this ............ ~ ......... day olf ..... ~19 . .~.---~' ./ .%. . I~lota~/P',bll~, ~t.le of I~iJW York ........................ · , No..li2.-03_449.03 Suff~ ~-.~un~ ~f '/ , (Signature of applicanf) · -omm~ssmn ~xp~res Maroh ~0, 19.rd.'° . Cairo Mobile Homes Division of Greene County Mobile Homes, Inc. Route 23 B CAIRO, NI~W YORK 12413 Marc~ 30s 1984 518/622-9011 914/246-9820 Mr. Edw. Hindermann Buil ding Department Town of Southold PoOoBox 728 Town Hall Southolds New York 11971 Re: Sophia Tibas Dear Mr. Hindermann: We have today received from Marlette Homesslnc. the enclosed prints for the home in which Mr. & Mrs. Tibas are interesteds showing the "New York State Division of Housing and Con~nunity Renewal Stamp of Approval". We trust this meets with your requirementss and gladly offer our services for any other information you may require. Very truly yourss CAIRO HO ES E. Madge~ Novack EMN/hfd Enc: GG. Mr. & Mrs, Gus Tibas