HomeMy WebLinkAbout13027-zTOWN 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? 13027 Z
Permission is hereby granted to:
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,o ........................
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ot premises located at .......................... ~
County Tax Map No. 1000 Section ...... ..(~....~...~ ..... Block ...... ~ ............ Lot No ...... ~ ..............
pursuant to a~lication dat~ ...... ..L,,.}.~.= .......................... , 19.~...t., and approv~ by the
Building Inspector.
Fee ................
Building Inspector
Rev. 6/30/80
FIELD INS?ECTION
FOUNDATION
(1st)
COMMENTS
FOUNDATIOn! (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C,ODE
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
t'.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-I 802
Th~s in to advise you that the job under building
permit no. 13027Z isnued to Brewer Yacht Yard at Greenport,
on 4/12/84 for Accessory is completed and
a final inspection has ( ) has not ( x )'been done.
In order to complete this file, it is necessary that
n Certificate of Occupancy be issued. Please fill out the
enclosed form, return same to the above office with a cheek
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 he/p us to clear up this matter so that
legal action does not have to be taken.
Thank you for your prompt attention.
Var! truly~,
Victor Lessard
Executive Administrator
VL:gar
oriel .
Inc
DATE
FEE: /,,V.
NOTIEY
745 ~
1 Fo'
ALL r
THE P'
CODEs
DESIGN
AT
-- 'FtC)Ns:
FWO REQUIRED
& PLUAADING
C. O.
SHAI L A4EET
~DF 71[U N Y.
& D~IERGY
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'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1803
:xamined.~..~]a '!"~''"19'~'q
,pproved .~..~. · )..~. ·., 19~. ~j. Permit No../..-~.q .~.~..~..
)isapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ..... .~.-?.o. ......... 19~.~.
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
;ts of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relatiofiship to adjoining premises or public streets
r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
~tion.
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
~all 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
aM1 have been granted by the Boilding Inspector.
APPLICATION IS HEREBY MADE to the Building Depactment for th~ issuance of a Building Permit pursuant to the
uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
_egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
flmit authorized inspectors on premises and hi building for necessary inspections.
.$'¢.e.w.e.~;..Y.a~q',gt !c..Y,q..r ¢..a.t;. 9.r.e.e..np~o.r, t. ,..I.q9 :..
(Signature of applicant, or name, if a corporation)
.M~an..s~e.t..,~,y.e.,.. ~,. %qa. 9.h' .B.d :..G.r.n.p.t... ~ .Ny..
(Mailing address of applicant)
grate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Wa/ne of owner of premises .......... grey. qr..Y.a, ql9 !:..Y.g ¥ 51..a.t.. 9.r.e.e. gp p. Kt. ,..I.n.q: .....................
(as on the tax roll or latest deed)
f applicant is a corporation, signature of duly anthorized officer.
Edmond R. Vianney M~nager
(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 .............. ' ....................................
House Number Street
County Tax Map No. 1000 Section . .4 .3...-: ~ :-,2 ......... 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. In tended use and occupancy .... .T.rAr~ s. ;f 9.r. nl~ r..V.a u 1 t ............................................
3. Nature of work (check which applicable): New Building .... ~ ..... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
(Description)
4. Estimated Cost ..~..o.e...:~. ............................ Fee ......................................
i °" (to be paid on filing this application)
5, If dwelling, number of dwelling units., f. ...... ' ...... Number of dwelling units on each floor.: .... ' .........
of ca ·
If garage number · .......
6 If business commercial or mixedioccupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front...'w-~-... .......... Rear .... ........... Depth . .--~'-. ...........
tteight ·. .............. Number of Stories .-~.: ...................................................
Dimensions of same structure wi~h alterations or additions: Front ; ................ Rear . :-. ..............
' Number of Stories --"
Depth '., .": ................ ,. Height .........................................
8. Dimensions of entire new constrUction:. Front. ~g~. .......... Rear . A2,° ........... Depth .............
Height . ./~.~ ........... Number of Stories .'w... ~. .................................................
0. Date of Purchase . .,7.'q'.4,Y'.~.~. ' ................. Name of Former Owner . ~6:/V~....~F~ZIE/ ..........
1. Zone or use district in which premises are situated.. ~7(t~i?~'d/. ~/,4/A/ ..................................
2'. -.Does proposed construction violate any zoning law, ordinance or regulation: .. 3,~ ...........................
3. Will lotbe regraded · · ~.o. .... ........... ~ ....... Will excess fill be removed from premises: Yes ><,No
4. Name0fOwnerofpremises ,~'~uT~.)/a4~.~'4~.D. .Address ~77. ........ PhoneNo..,~/?.7.*.?..~.~. .....
Name of Architect .... ..S"~q.H..O-'.: ................ Address ................... Phone No ................
Nmne of Contractor ...~.//~K.: ................ Address ................... Phone No ................
PLOT DIAG RAM
Locate clearly and distinctly alllbuildings, whether existing or proposed, and. indicate all set-back dimensions from
,ropel~y lines. Give street and block nmnber or description according to deed, and show street names and indicate whether
~terior or corner lot.
;TATE OF NEW YORK, : S.S
...... ~.D.O'O~.~../~..~4N'.~IrY~. ........................ being duly sworn, deposes and says that he is the applicant
'(Name of individual signing conlract)
.bore named.
(Contractor, agent, corporate officer, etc.)
ff said owner or owners, and is duly authorized to perform or have 15efformed the said work and to make and file this
pplication; that 'all statements contained in this application are true to the best of his knowledge and belief; and that the
vork will be performed in tl~e manner set forth in the application filed therewith.
to before me this ' /
;worn ~ ~' /3^ r j
, {Y~C) . 19
..... ~ ............... day 9f ......
qotary Public .~. ....... ,Gemrt7-~ ~4-x, .
IqOTARY PUBLIC, State et New Yor~ ...... l "q:'~"".: '- ....~' ...........................
Ho, 52-4524771 ] (Signature of applicant)
Qualified in Suffolk County · ~
Commission Expires March 30,, 19111.~
~ vidnity
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' //////
SUHVEY FOH
BREWER YACHT YARD'
AT GREENPORT, INC.
TOWN OF SOUTHOI D
SUFFOLK COUNTY, N.Y.
SCALE l = dO