HomeMy WebLinkAbout13839-z TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
February 5, 1988
~as% L~nd ~8~truction, Inc.
Cutchogue, Inc. 11935
Dear Sirs:
Building Permit #13839 has been cancelled for
lack of payment. .It cannot be held any longer.
. Yours truly,
Building~partment
l~O~'~r NO. ,a
TO4~N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 13839 Z
Date ..................................... 19..
Permission is hereby granted to:
............ ~ ......... ~...Co~.~.~ ....... .l~
~.0.. ~o',/, ~o
ro ..... ~..~.~:~.W.~~`~.~...~..~.~..~.~:~.T.~.~ ......
...... .~.~.-~.~.,..,~..% .......... ...4..%r~ ....... f.~_~-.z..~.~,~.~......L~.U.,,..~.,.~
at premises located at ..... .?...~ ....... ~cJ~.,.~_,./~q~,~,.~.,.....~l~.-. .............................................
........................................................................................... .~.u~c~..o..c.~. ~.~......a/.:..~: .......
County Tax Map No. 1000 Section .....(~....~....~. ...... Block .....~..~. ......... Lot No...~...~. .........
pursuant to application dated ...... ...~.....'~.....~..~. ......... J ................. , 19..f.~Uand approved by the
Building Inspector.
u d ng Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
June 10, 1986
TEL. 765q802
East Land Const Inc.
P.O. Box 1021
Cutchogue, N.Y. 11935
Dear Sirs:
We have contacted your office on 4/1/86, 4/2/86
and 4/10/85~and left messages on your recorder.
The permit for Mr. & Mrs. Prilucik has not been
paid for. Please either send us your check for
$50 for the permit or stop in to pick it U~o
The permit was issued April 5, 1985 and we
cannot hold it any longer.
Thank you for your attention to this long over-
due matter.
Yours truly,
Secretary
PIELD INSPECTIO~
,FOUNDATION
(lsd)
COMMENTS
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
(2nd)
FINAL
ADDITIONAL COMMENTS:
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c ~.: ...--:-~-...~ ..... ~ ........
APPLICATION FOR BUILDING PERMIT
Received..~../.(..
Date .... .~//. .......... 19..9~-.
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 °f 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, engineer, general contractor, electrician, plumber or builder.
.fie, ' r. .4e-r ,'6 ............
Name of owner of premises .../..~..'~.~..~...//.. ?..~..S .... .~./.....~...~./..~.~.&..'/. ~: ...............................
(as on the tax roll or latest deed)
If ~P.~li~ca~ is a c~)~°rati°n'z4~gzture ° f duly auth°rized °fficer'
Builder's License No ........ ~..~..~. ...........
Plumber's License No .........................
Electncmn s License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done... ~ dd~n./~.. ~,~ ~)/~,
House Number Street Hamlet
County Tax Map No. 1000 Section ..... .O..~..Z ...... Block t:~ Lot. (--)~. 1~
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 occupancy ....... ~)./~. ~ .... ~.~ (.~. ~/~.....~..O~..~./././..,~...~. / .......................
b. Intended use and occupancy ........... ~.~.~.~.~...~..~?~.~../. ~. ..............................
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work.. · '~.~'~-/~'.t. · ·
, ~ (Description)
4. Estimated Cost ..... ~ ~> ..... Fee ...............................
· " (to be paid on filing this application)
5. If dwelling, number of dwellin~ units ............... Number of dwelling units 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 .............. Depth ...............
Height .............. '. Number of Stones ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth .............. ; ....i... Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
9. Size of lot: Front .......... i ............ Rear ...................... Depth ......................
10. Date of Purchase ............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated
12. Does proposed construction Vl{)late any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ........ l .................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises . .: .................. Address ................... Phone No ................
Name of Architect . ' ...... 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 block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, I S.S
COUNTY OF .................
I being duly sworn, deposes and says that he is the applicant
(Name of individual si 'ning contract)
above named.
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
a.~plication; that all statements coqtained in this application are' true to the best of his knowledge and belief; and that the
work will be performed in the manqer set forth in the application filed therewith.
Sworn to before me this ,.
NOTARY PUB?, State of New gortl . ~. ]'~.-H ............ ~' ~';' u
Iq0 4,0?s?a S,,lr, lk co,ntv_ / / / I" [olgnat re of applicant)
,./,'
IT'
765-185.'2- ? AM TO 4 PM, FOR. THE
FOLLOW:;"G ~x~EFECT~ONS:
~o FOU~ZAT[ON - ~WO REQ~JiRED
FOR POUTED CONCR~T~
~. ROUGH - FqAM~N~ & PLUMBING
3. iNSU~AT~~'4
4. FINAL - C~x~-;7~:?-[~'N MUST
ALL CCN~Tq'ZC'F~O~ S~ALL MEET
THE REQC]2~*~F;TS 0~ THE N.Y,
STATE CO~CSTRUCT~ON & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTiCN ERRORS.