HomeMy WebLinkAbout14334-z I~OB~ NO. ft
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COJ~PLETION OF THE WORK AUTHORIZED)
No- 14334 Z
Permission is hereby granted to:
...~..c..~.,.~..c.~..~.(~. ....... ~::~..
.... . .¢..Lc..d....b.~x....f~.....~ .......................
ot premises located ,,. ........ . ............................. , ...........................................................
County Tax Map No. 1000 Section ........ &.J .......... Block ........... ~! ......... Lot No...:/.~ ..............
p. rsuon, to application dated ...................... ~.~./.7. ..................... , 19...~.,C, and approved by the
Building Inspector.
~ee ,....~:...¢.L
Building Inspector
Rev. 6/30/80
from o...
BUILDING INSPECTOR'S OFFICE
TOWN OF SOUTHOLD
Town H^LL, SOOT~IOLO, N. Y. 11971
765-1802
6/10/86
To Whom It May Concern:
Building Permit #14334Z for a deck addition
was issued to George & Angela Megdanis on
October 7, 1985. The fee for the permit was
never paid for. A C.O. was then issued on
October 23, 1955. The C.O. was paid for , but
the building permit still wasn't paid for.
We would appreciate it if you would mail us
a check for $50 to cover the fee for the permit.
If there are any questions please contact us.
Thank You.
Bldg. Dept.
,'IELD INSPECTION
1.
~OUNDATION (1st)
'OUNDATION (2nd)
2.
,{OUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
Memorandum from · · · ·
BUILDING INSPECTOR'S OFFICE
TOWN OF SOUTHOLD
Town HALL, SOVT~OLO, N. Y. 1197l
765-1802
Oct. 8, 1985
Dear Mr. Megdanis: ,~,
Your final inspection for
B.P. #1433z~Z has been done. Every-
thing is O.K..
We have your application
for C.O. but we need your check for
Please send this to us and we
you the C.O.
Thank you.
.Yours truly,
$5.00
will issue
Secretary
~FORM NO. 1
TOWN OF SOUTHOLO
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
Disapproved a/c .....................................
..........
TOWN OF $OUTHOLD
Received ........... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Tins 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 tins 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 necessary inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, ~ngineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..................................................................
(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. · .~Y~. · ~..'~4. ~. · .0-ff~.. · ~ '~' .~ .....
House Number Street Hamlet
County Tax Map No. 1000 Section . .... cO !..--[- ...... ]o°. .... Block .............. ....; Lot ........ :-. .........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
: ...... '.-
a. Existing use and occupan y ....................... ./x .................
b. Intended use and occupancy .. i ~ ...........
z. S~al~rZa~ek'whioh applicable): New BuDding ..... ':....~d~tin~ .::r/:F... ~t~,~t~o~ ..........
R~d~r ....... Re~ov~: ............. Demolition . .~ .. OtherWork .............
"~ I$ I qj~ : .~ ~ (Description)
4. ESt~ated Cost ....... g ~ ......................... F~..~.~ .........................
.. ,~.. { ~ ~' (to be paid on filing this application)
5. If dwel~number of dwellin~ units ............... Number of dwelling units on each Hoer
If garage, number of cars ... ~ .... ,~.~ .............................................................
6. If business, commercml or mixed occupancy, specify nature and extent of each type of use .....................
7. D~ensions of existing structures, ifany~ ............... Rear .............. Depth ...............
'ght ~b '--
Nu er of St .....
D~ensions of same structure With alterations or additions: Front ................. Rear ..................
Depth ~ HeiSt Number of Stories
Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Size of lot: Front ......... ; ............ Rear ...................... Depth ......................
10 Date of Purchase i N~me of Former Owner '
1 I. Zone or use district in which p~emises are situated .....................................................
12. Does proposed construction viglate any zoning law, ordinance or regulation: ................................
13. W~I lot be regrade~ ....... ~ .................... Will excess fill be remove~ from premises: Yes No
14. Name of Owner of premises . .: .................. Address ................... Phone No ................
Nme of Architect ~ ... Address ................... Phone No ................
Nme of Contractor .......................... Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly a~l buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STAT~, OF N.E~Y,9.g.K,, S S
I ·
· .....................
~ , / (Nam~f individual sig~ing contract)
above named.
sworn, deposes and says that he is the applicant
He is the ..................... ..................................................
' ~ (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mannler set forth in the application filed therewith.
Sworn to before me this
.o*^~ ~u~L,,c. ~ ~ (Signature of applicant)