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Home My WebLink About12997-zFIELD INSPECTION FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & FLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY C,ODE FINAL COMMENTS ADDITIONAL COMMENTS: FOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12997 Z Permission is hereby granted to: .............. ~ ............. ~......~...~ ...................... .... ~.. ~1.~ ..... ~. ~ .................. .~. .... ,o ..~~.....~.....~.~....~.~....~....~...~~.~.~ ....... at premises locoted at o~.~ 10~dL~ ~-h~% ~.?~..I.~,,~,. ~**~**.,~.., County Tax Mop No. 1000 Section ..... ..~.1...~ ......... Block ...... ..~. ........... Lot No .....~ ................ pursuant to application dated ... ~.~......~. .......................... , 19~..LJ..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 This is to advlae you that the job un,er building permit no. 12997Z issued to Robert DeMarxa on __4__~.10/84 for New DwelTing is completed and a final inspection has ( ) has not ( x ) 'been done. In order to ,complete this file, it is necessary thn~ a Cert£flcate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please {ndicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection (late Occupancy or use ia nn].awfnl without a Certificate of Occupancy. Ptcnne help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Vet! truly~, Victor Le~sard Executive Administrator VL:gar earl. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y, 11971 TEL,: 765-1803 Approved .... Permit No. / Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS a. Tins application mnst 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 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 heroin described. The applicant agrees to comply with al/ applicable laws, ordinances, building code, housing code, 0tad regulations, and to admit authorized inspectors on premises and in building for necessary inspe .c~tions. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... ..... ..... ............................................ Name of owner of premises '~O t~ ~ ~/ ~.~ ~/~_L- -~-' (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 *¢rade's License No ...................... Location of land on which proposed work will be done.. F4~3 .~.4/'. j .............. .~.0.0. ..... 1/?. .... House Number Street Hamlet County Tax Map No. 1000 Section .. ~ ~.~ ........... Block .... ~ ............ Lot .... ~ ............ 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 ~ ~ b. Intended use and occupancy ..........~ ....... .,~ ............... ~ ........................... 3. Nature of work (check which applicable): New Building .... ~.'. .... Addition .......... Alteration .......... Repair .............. RemOval ............ Demolition .............. Other Work ............... !~ (Description) 4. Estimated Cost ........ ~ .............................................................. ~ 4. (to be paid on filing this application) 5. If dwelling, number of dwelling Units .... ~.. ........ Number of 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 7 ' ' ' ~ if any Front Rear Depth · Dlmens~ons of ex,sting structures, ............................................ Height Numlber of Stories. Dimensions of same structure with alterations or additions: Front ................. Rear ................ Depth .................... !.. Height ...................... Number of Stories ........... }...,~ .... 8. Dimensions of entire new construction Front ~..~/: 2- '~.. Rear .,~.~./7 Z" De,~*h ot'-O - Height . ./.q ~ ." ....... Number of Stories ..... ] ~':2~. ............................... 9. Size oflot: Front ..~.o._.~...~.1 ........... Rear ..... O: .... D~gth '/id.~'~ ..... 10. Date of Purchase .. ~q.7.O. .... ii .................. Nanle .of Folcm~r Owner .. ~'.~.m~ ~. ig.t~.' i~--.~ i. 11. Zone or use district in which premises are situated ~,~. t.~_~¢.~ J.T~,..~ . 12. Does proposed construcnon wollate any zoning law, ordinance o~ regUlation: ...~.~ ........................ .~. 13. Will lot be regraded ... r3.0.2 .~:..._....<... .......... Will excess fill be removed £rq]12,fl~remises: Yes 14. Name of Owner of premises J~, t.E;':..~..t¥.xa:.c. Lc~... Address t.O. 6...U.,p..~t/.o.r.~. ,~..l~.: ~ ~]~ne No. e/2~g.':. 5.%60. .... Name of Architect ...........................~ Address ................... Phone No ................ Name of Contractor · · ..~¢.{~. ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alll 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 interior or corner lot. STAT OF YORK, COUNTY OF ........ .................................................. being duly sworn, deposes and says that he is the applicant ','(Name of individual sigr ing contract) above named. He is the ' ' i (Contractor, agent, corporate officer, etc.) .: '?. owners, and is duly. authorized to perform or have performed the said work and to make and file this of said owner or 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 manne.r set forth in the application filed therewith. Sworn to before me this ' ........ ......... dayo! .... ......... Nota . >.*. ........ County NOT,~RY PUBLIO, State of New York Ne, 47078/8, Selfdk Celerity ~ ; Term Expne~ ~,/la;ch ~0, 197-2; (Signature of applicant)