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HomeMy WebLinkAbout15044-z I~OIR~ NO, ~ TOW'H OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15044 Z Permission is hereby granted to: ,o ot premises Iocoted ot .......... (~.. ..... t ....... ~; ...... County Tax Map No, 1000 Section ........ L../.../. ......... Block ........ ./.,/. .......... Lot No ..... ,./~.. ............... pursuant to application doted .... ..~..~..~.....~.. ................... , 19.~...~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 2, 1988 James R. Lechmanski 14 Central Ave. Garden City. Park, N.Y. 11040 Dear Mr. Lechmanski: I am writing to you regarding B.P. #15044Z issued June 28, 1986. If work has not been started within one year the permit is void. Since you have not begun any work under this permit and the year was up on June 28, ]987 the permit is now void. VGL:hdv urs trl~l~L~y,:',/ .~ Victor G. Lessard Executive Admin. FIELD I~SFEC~~ON FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & ?LUMBING INSULATION ?ER N~ STATE ENERGY CODE COd ~E~S FINAL ADDITIONAL COMMENTS: 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined..~gd~L-4 ~., ,~ ..... 19 ~.~. Approved . . .~...,3.~....~..~. ,., 19 ~.~. Permit No. ! .~?}..q.~..~.. Disapproved a/c ..................................... (Building Inspector) APPL.CAT~Orq FOR EJJ!LD]NG PERMIT Received ' ,19 Date ................... 19... 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 authorized inspectors on premises and in building for necessa~inspection~) ~. ~ _ . . .~...,T,x.,.,.,.,.,.,~ .q.~. ~,~-x r'y~.. ~'..,'.,~.. ..... ,~. . ~ z) ~- ,_ \ ~(Signature of applicant, or name, if a corporation) _.,............,., (Mailing address of applicanf) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .O...V~..617.-V: ............................................. , .................................... Name of owner of premises .\1..~..h?~..x.--x .~...~,..L .~..¢-.k .~'h..~.~...~..~.~. .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ....... ...................... ..... ....... e.,/.. ................................ House Number Street Hamlet County Tax Map No. 1000 Section ........ /.I.I ........ Block ....... I't ......... Lot. ~.:....~. .... SubdivisionL~.-.~...F.~..~ ........... Filed Map No. ?.0.~. ......... Lot ..k].~...~. ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................... : ................................................ b. Intended use and occupancy .... O^ff_ ~t'v4 1-~ Locate clearly and distinctly all buildings, whether existing or proposed, and. in property lines. Give street and block number or description according to deed, and sho, interior or corner lot. 3. Nature of work (check which applicable): New Building .: .... Addition ..... Alteration . .i.. . Repair .............. Removal .............. Demolition ........... !... Other Work , (Description) 4, Estimated Cost .............................. Fee ..........i ............................ ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... [ ........ Number of dwelling uniis on each floor ................ If garage, number of cars ......................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... i ....... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ............ : ..... Rear .................. Depth ...................... .Height ......... ,; ........... Number ott'~Stories ...................... --~8, Dimensions of entire new construction: Front .... ./2.~.': .O ...... Rear .... (a.~..°. ...... Depth ...~ .6.'.O. ....... Height l~. . .'... Number of Stories . . .I ~ . 10. Date of Purchase .O.e.T.,..0.~.~. [ .cl.~.l ............... Name of Former Owner ~.l?n[.~.t9 ..~: .nTvYMt. ........... I I. Zone or use district iu which premises are situated.. S.o 9.~. o [ d.. iH, Ut.. i..' . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~p .......................... 13. Will lot be regraded ........ ~/.0. ................. WilI excess fill be l:emo~te~ from.ureinlses: .- Yes No Name of Architect ........................... Address ............... I ....Phone No ............ . .... Name of Contractor .......................... Address ............... ,;.... Phone No ............. ' PLOT DIAGRAM ticate all set-back dimensions from ? street names and indicate whether STATE OF NEW YORK,/ q ~ COUntY OF ................. ~'~ ~ ~ ................................................. being duly sworn, dep6ses and says that he is the applicant (Name of individual signing contract) abuve named. He is the ............................................................. , ...... .....' .................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application; that all statements contained in this application are true to the best of hi! knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ,,-.2'~ (Signature of applicant) 'i . . ¥~ J'Jl~s I~/~Si~leE will C,o~F~r,,rl t~ I~ ~I/~N'cJ~tR(ts RODER(CK VAN TUYL. P.C. oF TIq~ S,,F~:oit{ Co~t,ii'~, b~F, o-F' I-t~.n L%," ~. '~'~.-- GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL h S. NO, STATEMENT Of INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS For THIS RESIDENCE WILL CONFORM tO thE STANDARDS OF THE SUFFOLK CO DEPT. Of HEALTh SERVICES. (si SUFFOLK COUNTY DEPT. Of HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY~.! [r~ APPROVED ~ /~ ~ ~ SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT BLOCK PCL OWNERS ADDRESS: 14- .5: ~, /?/~' .' ~"i ~': DEED: L. ~'O'7L P....~ :. TEST HOLE [ STAMP I SEAL SOLDER 'USED IN WATER suPPLY SYSTEM cANNOT ,: c.~,~UPANCY.OR 2/10' of 1% LEAD. EXCEED ,, }:;: .,,U,$E~ IS UNLAWFUL' WITHOUT' CERTIFICATE /',OF'OCCUPANCY : . PLUMBER CERT~CA ON LEAD CONTENT BE_F~RE CERTIFICATE OF OCCUPANCY ~, ' , , ~OTIFY ,BUILDING DEPARTMBNT AT ?*;5.1802 9 ,AM TO 4 PM' FOR THE , ~,~lplng I~ll ~ 2 ROUGh FRAMING b PL _ 3 ~Nsu~no~ , ~" '' " ' BE COMPETE FOR C.O. , ALL CONBTRUC~ON SH~ M~ ' THE ~EQUIREMENTS OF d / .) Phone 477-0400 ~, Main Road ;," GREENPORT' N'¥1'11944 ' t''i T Pfione 477,0400 ~ Mai,l GRFENPORI~ N.Y. t 1944