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HomeMy WebLinkAbout15300-zNew York 1 I071-09~9 BUILDINO DEPARTMENT TOWN OF SOUTHOLD Telephone (62,1) 755-1802 MEMORANDUM TO' FROM: DATE' To whom it may concern Ed Forrester, Director of Code EnforcementS... ~ April 23, 2001 RE: Budding Permit # 13300Z, accessory Please be adwsed that the permit referenced above was issued for an accessory shed In 1986, this permit has expired. Under current regulations a shed of this size, for this use, does not reqmre a permit or C O. This permit (#15300) ~s closed TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, t~. Y. BUILDING F£1LMIT Cf HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Perm,ss,on is hereby granted tO~ .._//~ ..~. _ .'~...~ ~ ~.: ................ .~...~.~ ~..~.**~,.....L.~...~..~..~ .... ~ ,o .~~_....~.. ~.. _~..~ ...~ _~ ................. at premises I~ated at .......................... county Tax Mop NO 1000 Section pursuant to application dated Budding Inspector Block....0...~ ..... Lot No ..... f..~ ..... / O. ........ , 10~. ~., and approved by the Building Inspector Rev 6/30/80 765-1802 BUILDING DEPT. INSPECTION / [ ] FOUNDATION 1ST [ ] RO/U~H PLBG. / [ ] FOUNDATION 2ND [ ]/~SULATION [ ] FRAMING [~ FINAL [ ] FIREPLACE & CHIMNEY INSPE ' ?lELD INSPECTION DATE COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Ex am,ned '~'~,¢-~..& [ Approved~ .~Jo~ Disapproved a/c FORM NO. I TOWN OF SQUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y 11971. TEL,: 765-1803 , i9 ~, Permit ~4o )~/$.o~...~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be coinpletely filled In by typewriter 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 braidings on premises, relationship to adjoining premises or public stree[ or areas, and givmg a detalled description of layl~ cation, t'~ c. The work covered by this apphcatiolL*lnil~,J d. Upon approval of this apphcatlo~n~"~Bm~ shall be kept on the premises ava~ab~~il e No budding shall be occu~~ shall have been granted by the~ ~r. APPLICATION IS HE~~ .~ Budding Zone Ordinance of ~e~[ F~ Regulatmns, for the constmcU~ ~5~ The applicant agrees to comply ~ ,~ admzt authorized mspecto~ on pre~ t~ t of property must be drown on the diagram which is part of this appI ~l[~L~m~efore issuance of Building Permit. ~l}k'vga~.,gi.~2~'l'l ~ssued a Buildmg Permit to the applicant. Such II~l~?~he work. ~o.~'~part for any purpose whatever untd a Certificate of Occupa, ne lff~tment for the issuance of a Building Permit pursuant to th C,?unty, York, and other appncahle Laws, Ordinances tRl'~ns or alteratmns, or for removal or demolition, as herein described ~ttaws, ordinances, budding code, housing code, and regulations, and ~mg for necess ' '' _- (Signature of applicant, or name, if a corporatmn) ........... o. ..... gd ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED Name of owner o f premises ~.~ .d~,4/~Jt/~ If apphcant Is a corporation, s~gnature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... .~! 3 ..... Plumber's License No ............... Electrician's License No Other Trade's License No ............ 1. Location of land on which proposed work will be done. .. . ttouse Nmnber × County Tax Map No I000 Sectmn .............. ~,~.~ ',~' ..... (as on the tax roll q~t~t~B¥: NOTIFY BUILDING DEPARTM~T AT ~65-1~2 9 AM TO 4 ~ ~R THE FOLLOWING tNS~C~ONS: FOUNDA~ON ~0 REQ~RED FOR ~EO CONCRETE ~ ROUGH FRAMING ~ ~UMBING ~ tN~U~TION ~, FINA~ CONSTRUCT~N MUST ~ COMPLETE ~R C.O- _ ~ CQNST~UCTION ~A~ ME~ file REQUIRFME~S ST~ CONSTRU~ON & EN~{ COOLS NQT ~F~GN OR CC ~S~CTION ~RS Street Hamlet X x . Block ....... Lot ........ 2 Subdivismn · Fried Map No ........... Lot ........... State exlstmg use and occupancy of premises and intended use and occupancy of proposed construction a. Existing usc and occupancy X. / ,fro ~ '~ b. lntended use and occupancy X. ~"7--.O,4:. ~q.~ ~.. ~e/v ff ........ A~. ./,,'~ .. Alteration 3. Nature of work (check which applicable). New Bmldmg (~t~'4/ddiu,a,, ....... Repmr ..... Removal ....... Demollnon ........ Other Work (Description) 4 Estimated Cost ............. / OOO ~ Fee .'~4.~...' ...~. (to be paid on filing tha application) 5. If dwelling, number of dwelhng units ..... Number of dwelhng units on each floor ......... If garage, number of cars ................................................ 6. If business, commerc.ml or mixed occupancy, specify nature and extent of each type of use .... 7. Dlmenslonsofexmtmgstructures, lfany Front ....... Rear ........... Depth. Height .............. Number of Stones .................................... Dunensions of same structure with alteratxons or additions Front ............. Rear ........... Deptl~ ................ Height ...... ~ ....... Numberc~Stones ................... 8. Dimensions of e~tire new construction' Front . .4..2 .... Rear .... a ...... Depth ........... Height ...... t~ ..... ,Nu/nber of Stones .... -r. · · - ~ ,. ........................... ~i;~eOoffl : cF~aOs;t ...~[if. ZC. .......... ........ Rear m/..g.o~ ....... 5.eplh :./.7..~ ......... 9 .... --..Na e FonnerOwner ............ 10 ;tut ! 1 Zone or use dmtnct m whmh premises are mtuated ............... 12 Does proposed construction wolate any zonmg law, ordinance or regulat~on' . ../~.'~'ii'ii'.ii.'i'.i.'ii. 13. Will lot be regraded ...................... Will excess fill be removed from premises: Yes iX 14. Name of Owner of premises ........... Address .......... Pt~one 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 . .~e. No .. ~.~?' ........ · If yes, Southold Town Trustees Permit maybe required. PLOT DIAG RAM Locate clearly and distinctly all bufldmgs, whethe? ex~st~ng~ or propo~sed, and indicate all set-back dtrnens~ons fro )roperty lines Give street and block number or descnpt[~o~ according to deed,.,and show street names and indicate wheth nten,~r or corner lot. '~ ~' ;TATE OF NEW YORK, S S 'OUNTY OF ............ (Name of lnd~vldual slgnmg contract) tbove named bemg duly sworn, deposes and says that he is the apphc 1¢ Is the ............................................................ (Contractor, agent, corporate officer, etc.) ,f smd owner or owners, and is duly authorized to perform or have perfor, ned the said work and to make and file .ppi,cation, that all statements contained m tins apphcat,on are true to the best of his knowledge and belief, and that york will be performed m the manner set forth m the appl,cat,on filed therewith. ;worn to before me thru ;i~hc, '~'~ ' ~__yof~~ .... C2u~,tl9 .~"~ NOTARY PUBLIC, State ol New York No 4712983, Suffolk County ~ (S~gnature ofapphc Commtssmn Expires March 31, 19/1~'