HomeMy WebLinkAbout16712-zINSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. Vv-IECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
SCOTT l- HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 7654823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
october 29, 1990
Ron & Barbara Morizzo
P.O. Box 789
Southold, N.Y. 11971
RE: B.P.16712Z Accessory shed
Tax Map ~078 09 72
Dear Ron & Barbara:
I am writing to you regarding the above permit. The permit
has expired and you have never had a final inspection or a
Certificate of Occupancy.
Please call to arrange for an inspection and after it passes
file for a Certificate of Occupancy. I am enclosing an applica-
tion for you.
Yours truly,
Secretary
TOWN OF $OUTHOLD
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_O 16712 z
Dote ...:./....~.. .................................
/~'* ............
/
...........................
at premises located at ..~.....~.~. ...... .~g:~-~.....~-.~--.--.-~... ..................... /~..~ff'~"
..................... ~ ...... 'r~'"'~'"~ ............................................
County Tax Map No. 1000 Section ......... .~.~.. .....Block ...... ~.. ........ Lot No .......~....~.. ..........
//
pursu,nt to oppllcotion doted ...... :,/~...~..~..~.. .............................. ,
Building Inspector.
Fee $~...~
19.~, end opproved by the
Rev. 6/30/80
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
Ye
FINAL
ADDITIONAL COMMENTS:
BUILDER,INC.
P.O. Box 789 · Main Road, Southold, NY 11971 · (516) 765-5772
O~CUPANOY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
.'. !~' OCCUPANCY
y /-/£Z) /6
BOARD OF HEALTH ......
3 SETS OF PLANS
FORM NO, 1 SURVEY ..........
/OWN OFSOUTHOLD ~ CHECK ~9..~.~? ....
BUILDING DEPARTMENT sE,PT%C-'F~)RM ............. :
TOWN HALL
$OUTHOLD, N.Y. 11971
CALL
MAIL
TEL.: 765-1802
Approved . .'././:;~. ...... 19ff'.~. Permit No..4~ 7/.¢..~
Disapproved a/c .....................................
TO:
~Bukdir;~ inspector)
APPLICATION FOR BUILDING PERMIT
Date . ?.o.v.e.m.b.e.r..3.0., ..... , 19 .8.7
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with
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 stree
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app]
cation.
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 perm
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 Occupant
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 tt
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe,
The applicant agrees to comply with al. Il applicable laws, ordinances, building code hous~de, and reg_ulat~io~n_s, and
admit authorized inspectors on prelmses anT1 in building for necessary ins~oectm-'--~s.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is. owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
Owner
Name of owner of premises ...... .l}gn.. 9. B..ar. b..ar..a. ~9 .r'.xz. z. 9 ...............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of co,orate officer) ·
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No... ~?.7~ .~ ................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done] ...............................................
545 Columbia Road & 150 Liberty Lane Southold
House Number Street Hamlet
County 'fax Map No. I000 Section . . .0.7.8. ............ Block ..... 0.9. ........... Lot..7.2. .............
Subdivision ..................................... Filed Map No ............... Lot '
(Name)
State existing use and occupancy of premises and intended use and occnpancy of proposed construction:
~
a. Existing uke and occupancy ...................................................................
b. Intended use and occupancy Shed ( 16 ' x 15' ) ....
3. Nature of work (check which applicable): New Building ...X.' ..... Addition .......... Alteration ...... ~...
Repair .............. Removal ........... Demolition .............. Other Work ...... : .....q...
,
"-" (Descrip, ion)
4. Estimated Cost ....... Fee :. ...................
~ · (to be paid on filing this application)
5. If dwelling, number of dwellin~ units ............... Number of dwelling units on each floor ................
If garage, nomber of cars .... i ....................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensmns of ex~st~ng structures, ff any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
D~ensions of same structure With alterations or additions: Front Rear ..................
Depth ................... I.. · Height ...................... Number of Sto~es ......................
Dimensions of entire new construction: Front ' Rear Depth
H~oht ......... Nv~her o~Ston~
9 Size of lot: Front ...... , ............ Rear ' ~ ' Depth ................
10. 'Date of Purchase .......... ~ ................... Name of Foyer Owner ............................
1 I. Zone or use .......
d~stnct ~n which premises are s~tuated ........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ........ J .................... Will excess fill be removed from premises: Yes No
14. Nme of Owner of premises .g9~$~9 ............ Address .~ ~g ~ .~q~ .~,.~9~h~ne No...Z~[n~Z~ .....
Name of Architect ......... : .................. Address ................... Phone No ................
Nme of Contractor .g9o.~9~$$,9 .............. Address .... : .............. Phone No ................
15. Is thio property locate~ within 300 fee~ of a tidal weeland? *Yes ..... ~o .X...
· If yes, Souchold To~ T~usgees Permit maybe required.
' PLOT DIAG~M
Locate clearly ~d distinctly ~1 bu~d~gs, whether existing or proposed, and. indicate ~1 set-back d~ensions from
property lines. Give street and block number or description accord~g to deed, and show street nines and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.S
COUNTY OF .................
..................................... ............ being duly sworn, deposes and says that he is the applicant
(Name of individual si~ning contract)
above named. J
He is the
(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 cohtained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manher set forth in the application filed therewith.
Sworn to before me this
.. ......... County .
HELEN K DE VOl: ..............
NOTARY PUBLIC, S'lat00 f~ew Y0fk ture ~f applicant)
No. 47078'18, SuffoJ~ :County
Term Expires Mofch ilO,j