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)