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