The URL can be used to link to this page

Home My WebLink About15744-z IrOI~M NO. ~ 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~ 15744 Z Permission is hereby granted to: ......... / I "~ "~ , .. at premises located at .......... .L...~..~,,.~,..~"-......~~...,~...,~.. ·6 .............................. County Tax Mop NO. 1000 Section .... 3...../.. ........ Block ..../......~J. ......... Lot No ...../.........~.. ..... pursuant tO application dated .....~..~'~('ZJ, ......... /../. ................. 19.~'..Tond approved by the Building Inspector. Fee $..~..~. · .~...-~X ~. · .. ·~ Rev. 6/30/80 OUNDATION ( 1 s t) OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FI;IAL · ADDITIONAL COMMENTS: / / .J "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETI~N BEFORE '%*JATER SURVEY FOR IRENE Mc KASTY AT EAST I~:,~RION, TOWN OF SOUTHOLD SUFFOLK COUNTY~ NEW YORK NU~UTH~tZEO ALTERaTiON OR AODITIOH SURVEY · A VIOI.AT~ON ~ ~CTION 7~O~, ~ THE MCOPIES ~ ~lS ~VEY NOT KARW~ THE LAND. SURVE~R'S INKEO(SEAL OR EMBOSSED NOV. I~ ~ 198§ NO¥. :~1 ~ 1~84 I~ ~0~ fl4 ' 116~ GUARANTEED TO~ UN~ON SA~INGS BA~K~ AOS *Ct. ~ BOARD OF HEALTH ...... '! ~ 3 SETS OF PLANS ....... · 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL,: 765-1802 CALL ................ MAIL TO: ,amined 19. . 7 ,,,,roved ./~../.{..., 19~. Permit No../.~. ~...~.' .7.._~-.. isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by Wpewritcr 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, relationship to adjoining premises or public streets 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 app/'oval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pg,,rmit 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 all have been granted~b.y'th~e.'.Bujlding Inspector. APPLICATION IS HEREBY MADE to ~he Building Department for the issu3nce of a Building Permit pursuant to the ~ilding 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 i'emovai or demolition, as herein described. ne applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to lmit authorized inspectorS on premises and in building for necessary insppet-i,ons. , .. (Signature of applicant, or name, if a c(u-'poration) ........................ .... (Mailing address of applicant) tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. of owner of premises .Z0...4~/.~'..-~...~· .%~M'. · ...-~..~.'.~..~?.w--...~ ................................... lame (as on the tax rc~l or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S I~IUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ..... i ~..41~)/~.'. ............ Electrician's License No ..... .~.~?. ............ Other Trade's License No ..... ~ .~.J.q ........... Locationoflandonwhichproposedworkwillbedone~ J.,,.~c~. ~?~O ,ffT t~ /~O ~ d ' ~'7 . t/~ ?t' .~.t O /O ltouse 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 ...... ~9./~.~. ........... bU.(~ ,[ ............................ b. Intended use and occupancy .............. ~).O O, .~ ............................................... ! 3. Nature of work (check which pplicable): New Building ..... ' ..... Addit: .......... Alteration ,..t ...... Repair ............. Removal .............. Demolition ............ Other Work..~._ O.Q .L;... , ~ lc/h~.c. Fee Y//C'~,, ~'~ 4 Estimated Cost (to be paid on filing this application) 5.If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... If garag robe of cars ' 6~. If bus~ness, commercial or m:x~d occupancy, spemfy nature and extent of each type of use .. ;.; ............. 7 i Dimensions of e isting structut if any: Front 'ght Number6fSt ' /. Hel ............... ones ............................................. Dimensions'of same structure With alterations or additions: Front ................. Rear ................ ~ Hight Nu r of Stori Depth ...................... e ...................... mbe es ................... 8!~' of '--- Dimensions entire new cons ructlOnl rent ........... ear '. .......... ............ 11: Hight ,'9.'" e ............... r es ......... ~-.v.:' ~'~'.,.'~ .................. ~'<' ~ ............. Sizeoflot: Front ...... ~. .......... Rear ........ ; ...... Depth ,~,~, .............. 11.i ...... 14.~ i ' ,d,' ........ ' .................. .... ............. .............. I~ th±~ propert:y locat:ed w±tM.n 300 feet of a t±dal wetland? ~¥es .~ .... ! ~:If, yes~~ Scut:hold Town T~ust:ees Perm±t: may be requ±red. ' : ' , I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ail set-back dknensions fron propeity lines. Give street and block number or description according to deed, and show street names and indicate whethe Date of Purchase .. ~ .&.Z$~.¢/:. ................. Name o£ Former Owner ..................... ' ' · · : · ' lge.~.i de~,'t-/~ .q Zone or use district ~n which premises are muated ............................. Does proposed construction viglate any zoning law, ordinance or regulation: .~d. ~ ............................ Will lot be regraded .... .,~i,~. ................. Will excess fill be remowd from premises: Yes (Nt Name of Owner of premise~ . ../~ .~./d.~. f~..c~<'~)/Address . r~ ~..~.. ~[ .~-(~.~;/.. Phone No. ,~-~ ~.-.,.~ ~. ~ ~-... Name of,Architect ......... I .......~ ....... '...: Address ...'. ;. .......... .rO~... Phone No ............... 0t:;CU? NC¥ WiTHOUT" CERTIFICAIE 01: 0CCU?ANC¥ "IMMEDIATELY" ENCLOSE POOL TO CODE . ~ ",',r',~t,~ r'r~M P;..ETION A:RP~OVED, AS NOTED M~ ~ILDING DEPARTMENT 786-1~2 9 A~ TO ~LLOWIN~ INSPECTIONS, ~UNDATION FOR POU~ED ROUGH FRAMIN() 3, INSULATIO~,~ 4, FINAl, CO~¢T~IK . ALI, (:(~AiS ~' · STATE OF NEWoYO.RI$, · / COUNTY OF.~...c., S.S .i '. ........ .--~'i .~..'~.'~. .~... ~ .Z ~(-~.~-7.: ............. being duly sworn, deposes and says that he is the applican' [ ~ (Name of individual sig0ing contrac[) ~,~. .. a~ove named. : ,, , ~.. ', Heisthe ...~.~.... ..................................................................... . , ..~ ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dhly authorized to perform or have performed the said work and to m~e and file thi. apphcatmn;,that all statements contmned m th~s apphcatton ar~ true to the best of hts knowledge and behef; and that th( work will ~e performed in the m~n ~r set forth in the a~plicatidn filed therewith. Sw6rn t0 before me this 'X ~ "'/~ day 'f ~~ 19 , Nota, Public, ~ ................ County ~ : ,,: ;': UN~A J. ~O~R ... : ' , i" N~ Public' S~t~ °~ N~ ~ (SignOre of applica : :t; No.~8~563, SunmK ~ "~A A "~ : Term~ires~m~r31,19~u interior or corner lot.