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HomeMy WebLinkAbout16096-z VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 27, 1989 Mr. Norman Stone 14 Oak Street Setauket, New York 11733 Building Permit %16096-Z County Tax Map %138-02-3.4 5055 Skunk Lane. Cutchogue, New York Dear Mr. Stone: During a review of our files, it was noted that the above building permit has expired. According to the Code of the Town of Southold Art. XXXVIII Section 100-281H, every building permit shall expire if the work authorized has not commenced within twelve (12) months after the date of issuance. If you wish to do any construction or alterations to the above premises, please resubmit your application to this office. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Vincent R. Wieczorek, Ordinance Inspector VRW:gar FOBH ~0. O TOWN OF SOUTHOLD BUILDING DEPARTMEHT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PEPO~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 16096 z 77 Permission is hereby granted to: /'~ d ,o ..~ ........... ~.....~~. .).....~ ..... County Tax Mop No. I000 Section ...... l..j~a,.~.. ...... Block ...... .,C~,..~. ....... Lot No....~..: .............. pursuant tO application dated ...... .....~. ..{~d~...'~.....Tm'... ................. , 19~.~.., and opprov~ by the Building Inspector. Rev. 6/30/80 OUNDATION ( 1 s t) OUNDATION (2nd) OUGH FRAME & PLUMBING 'NSULATION FERN. STATE ENERGY CODE FI.AL Ye . ADDITIONAL COMMENTS: NORMAN L. STONE P.E. LICENSED PROFESSIONAL ENGINEER -- N.Y., N.H. 14 OAK ROAD, SETAUKET, N.Y. 11733 CONSULTING DEVELOPMENT BUILDING INSPECTION DATUM APPI; DISt, ~OOO, I~LOCI~ 2 lATE sq,ft 3.004 d~Vellings (~Vells) ~ LOTI04 I 5LOTio5 · 08 o~,, ,, DATUM APPROXIMATE LOT AREA: 17,5,63 sqft TAX MAP DIST. 1000 SECT 138 BLOCK 2 LOT 3 004 ' I ~l ~ ~ oj TEST BORING (BY OTHERS) z I0~ ~ ~ '~ } I sand& set (?0) ~ 105 ' ~ I I gravel 0.4E mo~ N.06o~i ~. ~ I0 ~ DIST 1000 SECT 138 CRCC~ ~LOCK 1 LOT 15 The existence of right of ways and or easements of record, if any. no, t shown~are not §uaranteed. NOA/ 7~ 19,5'4 REVISED NOV 5,1984 SUFFOLK COUNTY DEPT. OF THE WATER SUPPLY & SEWAGE HEALTH SERVICES FOR DISPOSAL FOR THIS RESIDENCE APPROVAL OF CONST, ONLY WILL CONFORM TO THE STAND- DATE A.DS OF ..s. REF. DEPT. OF GUARANTEED ONLY TO N4ATHIS CONTRACTING CORP FIRSTAMERICAN TITLE INSURANCE CO Of ~NEW YORK j N!Y. LIC. NO. 048992 H?ROI. O F, TRANCHON, JR. PENN. LIC. NO, ,2111S-E THE SUFFOLK COUNTY HEALTH SERVICES. J.0B Nd. 84~559 ,FILE NO. NASSAU FARM~ SURVEYED FOR MATHIS CONTRACTING CO PART OF LOT NOS 104rind105 MAP OF NASSAU FARMS SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD SCALE 1" = 60' FILED MAP N0.1179 BOOK NO. LL, SUFFOLK COUNTY, N Y DATE OCT 31,1984 DATE MAR 28,1935 PAGE HAROLD F. TRAN(:HON JR. P.e. LAND SURVEYOR SUCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD - WADING RIVER NEW YORK 11792 (516) 929-4695 ALT. 473-3626 BOARD OF HEALTH -. 'FORM NO. 1 SURVEY [~'.' .~::,~,;~O~ ' ' ' TOWN OF SOUTHOLD CHECK · ....~.. . BUILDING DEPARTMENT SEPTIC FORM ........ : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ~i i~ .~.., 19~.'). Permit No.]...~.?.?.~..~. Disapproved a/c ................................. '4 (Building Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY CALL ~-- . ~, ~, '~ -.-,'' - MAIL. TO; ; .... INSTRUCTIONS a. This 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 this appli- 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 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 regulations, and to admit auth°rizedinspect°rs°npremisesandinbuildingf°rneces3~ Z ~~ ..... ~. ~.: .~:~.~ c'r) ~.,.~,.lr. y ~2> ........... (Mailing address of applicant) State whether applicant is_owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .... .................. Name of owner of premises . ;~....~...777.c.~. ...... .¥..~9.AJ.? .7~..,~. ~.~.F.(.o.~..., ~ .~... ......................... (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No[ -, ........ - .... 'R 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~ ................................................. House Num bet Street Hamlet County Tax Map No. 1000 Section /~;~ Block ~ Lot. ~:.~e ~ S,bd:~:s:o, .~¢.e ~ ~..E~?~H... ~4~.. F::ed m~ ~o. Z(.Z~ ...... ~o~ ~.. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ~ .~..~ .~5 .... ~.i.~.P .............. ~-- ........................ b. Intended use and occupancy ...... ~ (~ .... ~. ~. ~.~...~F~ (~j~ ~ ................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ............ ... Other Work ............... 4. Estimated Cost ...... Fee ...................................... · (to be phid on filing this application) 5. If dwelling, number of dwelling units .. / Number of dwelling unitsion each floor ............ If garage, number of cars ........................................................................ ~i If business, commercial or mixed occupancy, speci,~21~t~nd extent of each type of use .................. .... Dimensions of existing structm'es, if any: Front..~.~..'. :¥?. ..... Rear ........ ' ...... Depth ............... Height Number of Stories ' Dimensions'of same structure with alterations or additions: Front ..... ,. ....... :.'... Rear. ................. Depth .............. Height ...... '....., .......... Number of Stories .................... 8. D~mensmns of ent~tre new constructmn: Front .... ~cp.... ..... Rear .. ~.O. .... = ......Depth . ~. ~../. ........ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ./?'...O. ........... ~... 13. Will lot be regraded .... ,~..O .................... Will excess fill be removed .from premises: , ( Yes rd No 14. Name of Owney~_.f premises ~.f. r0.'v.eT..d.o.~.r.~.,.c.(. (d~g~ress .tr.3t. ._O..,T. K_.g.P.....,.,-. Phone No..0 .g~O. 7-.~.. Name of A-~ldt~c'~./.~.~..°?..~: .5;.r.°.'q'. C'. ..........Address .... ~..~-..g..-'~. ~??'~..~'..?'. Phone No ................ Name of Contractor ~, .~.'tO~ ~. ............... Address .... : .......... ~ i... P, la~ne No ................ 1.5. Is this property located within 300 feet of a tidal wel:land? ~Yesl ..If~... No ..... ~Tf yes~ Sour:hold Town Trustees Permit may_ be required. : PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from )roperty lines. Give street and block number or description according to deed, tu~d show ~street names and indicate whether nterior or corner lot., ,TATE OF NEWjf.O.R~,/. ~d. :;OUNTY OF ..~dd,~[,'~. S.S .. ~..~ ./fl...,5..A~. .... .Lt..~ ....... '~...'7j-.~9..,t.,(. -.~... ..... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) tb ~ve named. te is the .......... ~..O..zC:/..T-..~..~..C'.7'. ...... ~ .~..d~. ?..&.~ .~.. ~ ........................................ (Contractor, agent, corporate officer, etc.) >f said owner or 'owners, and is duly authorized to perform or have performed the said work and to make and file this :ppl/cat/on; that all statemer/ts~contained in this appliqation are true to the best of his knowledge and belief; and that the york will be perfohned in the manner set forth in the application filed therewith, i IDALIA EHRMAN ;worn ,to before me this Notary Public, State of New York ") tr~ ' ~/1 .,, ..~/'// ~ Noi 52-4773674, Suffolk CoIlll. ll/ ............. ~ 7. ...... day or ..... ?..//.o~..?.~. ..... 19 ~.. l, tm t?~.e? Se~t. ~, 19.1bY (Signature of applicant)