HomeMy WebLinkAbout14037-zCOMMENTS
FOUNDATION (2nd)
2 o
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
Q,ODE
FINAL
, ,ADDITIONAL, COMMEN'TS:'
FOIr, M NO. 0
TOWN OF SOUTHOLD
BUILDING D~.I)ARTMENT
TOWN HALL
SOUTHOLD, H. Y.
BUILDIHG PER. MIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPL~I~ OF THE WORK AUTHORIZED)
No 14037 Z
Permission is hereby granted to:
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County Tax Map No. 1000 Section ..~...~.....~. ......... Block .Q.~. ............Lot
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Building Inspector.
Fee $.....~.....~....~ ....
Building Insl~ector
Rev. 6/30/80
VICTOR LESSARD
PRINCIPAL BUILDlNG INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 13, 1990
Ronald A. Garsik
1170 Eugenes Road
Cutchogue, N.Y. 11935
Re: B.P. #14037Z Above ground pool
1170 Eugenes Road, Cutchogue
Dear Mr. Garsik:
I am writing to you regarding the above Building Permit.
You are in violation of the Code of the Town of Southold. You
have never called for a final inspection and you do not have a
Certificate of Occupancy.
Please conctact our office immediately to resolve this mat-
ter. Thank you.
Yours truly,
Secretary
?
Oov Sm~h $~ate Ofhce/3u~lC~n(/, Albany New York 12244
IN REPLY REFER TO
IN THE HATTER OF APPLICATION FOR
ACC[DENTAL DISA~ZLITY RETIREMENT
NAME
REGISTRATION NUMBER
POSITION
DATE OF APPLICATION
DATE OF DETERMINATION
RO~ALD A
POLICE OFFICER
01/02/85
DETERMINATION
THE APPLXCATION FOR ACCIDENTAL DISABILITY RETt'REMENT FILED
THE RETIREMENT SYSTEM ~Y THE ~L~VE~~ ~ ~ECEZVED
HEREBY FOUND THAT 1*HE APPLICANT IS ZNCAPACZTATED FOR
PERFORt~ANCE OF DUTY ~ THE ~AL AND PROXZ~ATE RE~T OF
THAT THE ABOVE NAMED APPLICANT [$ PERPUU~ENTLY ~J~CAPACI*TATED
[:OR THE PEAFORMANCE OF
IT TS HEREBY DETERHINED ANO DIRECTED ~HAT THE APPLICATION FOR
ACCIDENTAL DISABILIIY RETIRE~EN~ BE AND THE SAME ~S HEREBY APPROVED.
EDNARD ¥* REG~I
STATE COMPTROLLER
.~GHN ::$o NAUH$ -
~E~U~¥ ~O~P~'ROLLER
JORGE S. CErRUTI. M.D. f.A.C.S.
173 Mineo~a Blvd N~~~
Feb, 6, 1984
RE: RONALD GARSIK
TO WHOM IT MAY CONCERN:
I am recommending Nr, Garsik participate
in mild physical activities such as
swimming and bicycling which may be
b enef/t~l~l
S incerel
O ORGE-S.
JSC/mcd
for his conditiQno
yOUt'S ~
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-180;~
BLDG, ,Ii E P'L
Approved . .J.(4.~.(7.../..0..., 1 .~.'. Permit No..~..~..~..
Disapproved a/c ..... '~ ........... ?v ........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
~ Date
Received ........... ,19...
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 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 demolifion, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, 13o~sing code[land r~xfions, and to
admit authorized inspectors on premises and in building for necessary inspects. ~'~/~ ~ ~ .~ ~
, ' , (Signature of applicant, or name, if a corporation)
(Mailing address of applicant) '-~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..e~..~.g -. ........................
Name of owner of premises .~(~. ¢~. ~: ...... ~.~.1~.,~1 ~ /~.~.1..~..~..~.... H~l~lff. Jj~ ...................
(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 .... ::f~.V~ .~... ............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
4~.1.. t~?.o. ............. ~,..~a~..~o ~r~ ............. .~. -r..~-o~,~. ....................
House Number Street Hamlet
County Tax Map No. 1000 Section .. ~.7 ............. Block ... 0..~ ........... Lot. t~0[ .-..OO.I ........
S,bd~vis~o~..h~..~g... ~ .6,.q ................. ~i~ed ~p No ............... Lot..~ .............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . OJt-~.~.~. ~..~..~. I~.~....~.~1~./~'~.1~, .L ....................................
b. Intended use and occupancy ~$t~l~:..~.l~.O~..{~....q~...'~. I.~...~.. [~., .~&~,~.(~...~...~O[,-,..
3. Nature of work (check which a )plicable): New Building ..... ' ..... tddition .......... Alterati.o~...' ........
Rjr~ ._. ~ ........ Remloval .............. Demolition ............. Other Work..'r~L, ......
(Description)
4. Estimated Cost ........................... Fee ......................................
,J ~" (to be paid on filing this application)
5. If dw;lling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage,, number of cars .... i ....................................................................
6. If business, commercial or mix{d occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structurbs, ifany: Front ............... Rear ....... Depth
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ................ ~ . Height Number of Stories
8. Dimensions of entire new consiruction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ..................................... i ........ ~ ..........
9. Size of lot Front .... j.~t~f.j ............ Rear ....... /.~. .......... Depth }~..~..}.C~ ...........
of P
10. Date urchase .......... i ............... ,..,.. Name of Former Owner ............................
11. Zone or use district in which premises are situated ~ .~. I.~l~ .t~.L.': .~.l~.k~..gll~. 0.~...2q:>./~.~ ..............
12. Does proposed construction violate any zoning taw, ordinance or regulation: .... t~JO .......................
13.
Will
10t
..... /~1~, ................... Will excess fill be removed from premises: Yes '{~"-'
be
regraded
14. Name of Owner of premises .~P.t:~CA:2t.I~. ....... Address ................... PhoneNo ............
Name of Architect Address Phone No
Name of Contractor ' Address Phone No
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether
interior or coruer lot.
being duly
STATE OF NEW YORK, S.S
COUNTYz~F .................. ,
(Name of individual sig~ing contract)
above named, j
sworn, deposes and says that he is the applicant
He is the ..................... ! ....................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d~ tly authorized to perform or have performed the said work and to make and file this
application; that all statements con rained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith·
Sworu to before me this
.~.~ . .d~ay/~f~.. ,~.~_ ........... 19ff~.~- r .....
levin [x0~{es.Mareh 30, t9mt (Signature of applic~t)