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HomeMy WebLinkAbout14451-zFIELD IN~FEC~ION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY ADDITIONAL COMMENTS: FORM NO. g* T(~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 14451~ Z Permission is hereby granted to: ,o ....~.o~srz<_~..~r.. ...... ~.o..~....~/.....~s~ ...... ~.~ ............................ .t premises Iocoted at ...~.,~,~..~. ...... c~--...{~/~..~....~...~.'-~.---~-.....¢.~¢~/~...c~. ..................................... ........................... ...... County Tax Map No. ]000 Section ..1~...~...~.. ....... Block ~...../.. ............ Lot No....~..~...:~.. ...... pursuant to application dated /~/Z2...~..~[~1=(.~.. '~ ....... ~ ......... , 1 ..~.....~-~d approved by the Building Inspector. Fee $. ,...~,...... · .~. · .. i'~.~... Building Inspector Rev. 6/30/80 Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 January 25, ]988 Dear Mr. Van Cleef: I am returning your check dated Nov. 7, 1985. Our inspector went to your prop- erty on November 30, 1987 and found the shed was not constructed yet. How- ever your permit expired 6/6/87. Since the work was not done and the permit has expiredj I am returning your app- lication for a Certificate of Occup- ancy. Yours truly, Secretary "FORM NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLO, N.Y. 11971 TEL.: 765-1802 Examined~..4~, .~...~ ..... , 19~.~ Approved .~.. ~.~.'. :4 .' .... , 19~...~;rmit No..~ .q~..~. ~."?..~'~ Disapproved a/c .......... '~ .....'~. .................. .,] APPLICATION FOR BUILDING PERMIT Received ........... ,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 (~r 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 ~t 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 necessary insvections. admit authorized inspectors on premises and in building for ..... '~-'-~'~-'"~ cp (~Sig~nature of applicant, or name,~f a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ... 9~..1~.../~...t~.....'~. :..?....~.. ~..~..~....~...'..V...~....~.~ ............. (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 LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. l,O,¥/. ............... Street ....................... .... i ................ County Tax Map No. 1000 Section ~ O "~--' Block t Lot ....~. Subdivision .............. " ....................... Filed Map No ............... Lot ................ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~, .~ ?..~..~..~-....~....ty~...~.~.~. ....... .~..~..~..~..~.*~. .................... b. Intended use and occupancy ~ k. 3. Nature of work (check which applicable): New Building .. ddition ......... Alteration ....... ~... Repair .............. Removal ......... Demolition ............ :.. Other Work ............. 4. Estimated Cost ................................ Fee . . " (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ............ ................................ i ........................... 6. If business, commercial or mixed occupancy, specify natqre and extent of each typ~ of use .... 7. Dimensions of e~isting structures, ifany Front . ..~."1. Rear . ,~.'J... D;~t'l~ ~.~.' ........ Height ...~.. ......... Number of Stories ,...~.~ .................... i ........................... Dimensions of same structure with alterations or additions: Front ............ ~ .... Rear .................. Depth ...................... Height .......... , ............ Number o[ Stories ........... ~ ....... 8. Dimensions of ~ntire new construction' Front [ .~. . Rear Height ~$ ' Number of'Stories" ~ ..... . ..... i'i . w,,v ................ 1 1. Zone or use district in which premises are situated .. 'i ... i . . 12. Does proposed construction violate any zonin~ law, ordinance or re~ulatio'n" ' '1~'~ ....................... 13. Will lot be regraded .... ~4.! i~,'4-t. · '.' ',~ .... .,...~. :.. .... Will ex_cass fill_be remov.e0¢ from premises: Yes (~o) Name of ArcTM........ ~:q~, ~ar~ , ' __ . ' ...... ,m¢~[ ........................... ,~aaress .................. Phone ~o ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, ini property lines. Give street and block number or description according to deed, and sho~ interior or coruer lot. ._~ ~..~t icate all set-back dimensions from street names and indicate whether STATE OF NEW YORK ' '~' S.S COUNTY OF ~. ~'F .~.~)~tq . · .. ................. ~."'~"~ · '~- · '~ '~ ........ .~:~. being duly sworn, depo~esl and says that he is the applic~t (Name of individual signing contract) ~bove namea. He is the , ' ~ .. (Contractor, agent, co~orate officer, etc.) ~ of said owner or ownem, ~d is duly authored to perfom or have perfo~ed the said work and to m~e ~d file ~pplication; that ~ statements centred ~ this application are true to the best of his ~knowledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application filed therewith. gwom to before me this · ......................., dayof .......... ~...~ ..... 19.. qot~ Public, .... ~ ...... : Qualified in Suffolk County ' ' ~ ~ommlsslon Expires March 30, LeFT e. 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