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HomeMy WebLinkAbout16464-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TH;: WORK AUTHORIZED) N~16464 z Permissmn ~s hereby granted to: ~ ..L...f...~..~~ ................. ~'XF'~.,-, ~.'4. I q .~.,..~..,.~_.~., ......... ~., ........ ., ....... L ...... ~.~ ..... ,o .~.~....~.....~.,,~,.~.~.....~.,.,,~....zt~.....~. ..... ....... i ........ Ot premises located at ....'~...~.........~..~...~..~...~. ...................... ~ ...... ~, County Tax Map No 1000 Section ..... [ (~....~. ..... Block ...... ,,C~,....,~. ...... Lot No......,~-...; ),.I ... pursuant to application doted ..~;~ .~-- ..~ ......... 19.~.1. ,nd opp,~ by the Budding Insp~tor, Fee $....c~..~Ra. .............. Building Inspector Rev. 6/30/80 POWER, MEEHAN ~ PETRELLI, September 28, 1987 Bumlding Inspector Town of Southold Town Hall Southold, N.Y. 11971 Re: Bld. Permit 916464~-- Dear Slr: I recen%ly recemved a bumldmng permit to erect a sa%elite dish mn my rear yard. Due to mnterference from trees we have decided to erect mt on a rear roof. The disk will no% be seen to the front of the house. I have the followmng questions: 1. Do I need a new permit or can the present one be amended. 2. Do I need a permit at all. Thank you for your cooperation. PJP:tk Very ~ Pierce J. Powe~~ ~ FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BLDG OE~T TOWN OF SOUTHOLD FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y 11971 TEL 765-1802 Examined .~'~-~ ~.~, 19'~ ^pv ove Pe=,t No. ) 1, q6 q Dmapproved a/c ........ (Bud&ng Inspector) APPLICATION FOR BUILDING BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ............... ~_ MAIL TO: Date ~ \'~ . , 19' INSTRUCTIONS a. Tlus apphcatmn must be completely filled in by Wpewnter or in ~nk and submitted to the Bmldmg Inspector, w~ sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc str or areas, and giving a detmled description of layout of properW must be drawn on the diagram whmh cation. c. The work covered by this application may not be commenced before issuance of Budding Permit d Upon approval of this application, the Bmldmg Inspector will ~ssued a Budding Penmt to the applicant Such pea shall be kept on the premises avadable for inspection throughout the work· e. No budding shall be occupied or used in whole or In part for any purpose whatever until a Certificate of Occupn shall have been granted by the Bmldlng Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Bml&ng Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk CounW, New York, and other applicable Laws, Ordinance Regulatmns, for the construction of buildings, additions or alteratmns, or for removal or demolmofl~s hereto descnl The apphcant agrees to comply with all apphcable laws, ordinances, budding code, housing code,~nu/regulatlons, an, admit authorized inspectors on premises and m budding for necessary ins ns. (Signature of applicant, or name, if a corporation) \ UR~,P~ pc_. . t-~o~oT~o~-x-0t~-. .. (Madmg address of apphcant) gq State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or bulh .... © Name of owner of premises ~ \ ~'- ~3r ~r ~ ~ ~ ~ ~ ~V~ ~ ~T~ ' (as on the tax rdll ;; 1;t~ded~)~a~ ~.P If apphcant is a corporation, s~gnature of duly authorized officer ~ ~' / .BY ..... .... 765 1~2 9 (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No ~ ...... Plumber's License No ...... Electrician's L~cense No ........ Other Trade's License No Location of land on which proposed work will be done House Number Street County Tax Map No I000 SecUon [ 0.~ . LICENSED Hamlet Block 2 Sub&vis~on Filed Map No Lot (Name) State exmhng use and occupancy of premises and Intended use and occupancy of proposed construction a. Existing use and occupancy C5 ~ ~ ,--T~'I'-L kc.."R. , . .[~. ?~..~.S.I.~.~"- .~. C,..~ b Intended use and occupancy 3. Nature of work (check which applicable) New Budding P, epa~r . Removal 4 Est~matedOost. .~ [~0 S. If dwelling, number of dwelhng units ....... Addition ....... A/teratlon .... Demolition . Other Work .. ....... Fee ... ' (to be paid on filing this apphcatmn) ..... Number of dwelling units on each floor. .. If garage number of cars · · 6 If business, commercial or mixed occupancy, specn~y nature and extent of each type of use ................ 7. Danenslonsofexlstlngstructures, lfany Front.. .; . Rear ............ Depth .. Height .. Number of Stones .......... D~nens~ons of same structure with alterations or additions Front ......... Rear ........... Depth .... Height ............ Number of Stones ................. ~- 8. Dimensions of entire new construction Front ....... Rear ...... Depth ........ Height ..... Number of Stones 9 Size of lot Front .......... Rear ............ Depth .................. 10 Date of Purchase ................ Name of Former Owner .... 1 1 Zone or ilqe dmtr~ct m which premises are * 12 Does proposed consiructmn wolate any zoning law, ordinance or regulatlon .................... 13 Wall lot be regraded ............... W~I1 excess fill be removed from premises Yes N. 14 Name of Owner of premises ..... Address ....... Phone No .......... Name of Architect ................. Address . . .' ........ Phone No ..... Name of Contractor ................. Address .......... Phone No ............ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Peramit may be required. P LO~' DIAG RAM Locate clearly and d~stinctly all buddings, whether ex~stmg or proposed, and indicate all set-back d~nens~ons froJ property hues. Give street and block number or descnptmn according to deed, and show street names and indicate whethe interior or corner lot. STATE OF NEW YORK, COUNTYOF...-~.O~::~.~-~.. SS .. ~. [%- .~r. .~ . {PO..q~ .t.~ .C~-. .......... being duly sworn, deposes and says tha~ he is the apphcan (Name of md~wdual s~gmng contract) above named ~He ~s the O ~ (Contractor, agent, corporate ofhcer, otc ) of smd owner or owners, ~d m duly authored to perform or have perfo~ed ~e sa~d work and to m~e ~d file th~ apphcatmn, that all statements continued m thru apphcat~on are true to the best of hm ~owledge and behef, and that th work will be perfo~ed ~n the m~ner set forth ~n the apphcatmn filed ~erew~th. Sworn to before me ttus ...... [[ ...... dayof Nota~ eubhc ........... ~ County N~A~ PUBLIC, State ~ m Uahfi~ ~n Suffolk ~ ~