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HomeMy WebLinkAbout13686-zFIELD INSPECT%ON COMMENTS FOUNDATION (ls%) FOUNDATION (2nd) HOUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,gBE FINAL ADDITIONAL COMMENTS: FOR3~ NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MuST BE KEPT ON THE PREMISES UNTIL FULL COA~PLETION OF THE WORK AUTHORIZED) N9 13686 Z . ......,~-~_.....y.,~ ......................... ..... ...... ...... /.. ............................. ,or prom,,e, I=t,d ot ./~Z~~_,'Z~.~..~/-- ............................. .................................................................................................................... ..z~~/....~.~... ~n~ To× Mop No~ ,~ Sect,o,~ .i~..~. ...... ~,~ ..~..Y... ............ Lot No..~..Y.. ........... ~u~,,on, to o~p',~ot,on doted ....~...,Z...~ ........................... Building Inspector. Fee $ .................. Building Inspector Rev, 6/30/60 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. _~lR686g issued to Hughes & Hulme on 1/25/85 for Relocate is completed and a final in.spectlon has ( ) has not ( X ) been done.- An Underwriters Certificate is needed In order to complete this file, it is necessary that a Certificate of Occupan'cy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly~, Victor Lessard Executive Administrator VL:gar encl. ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ../d~.. 1-.~~ Approved. ~..~.~..?. ....... , 1~. -~.. Permit No. · -/~~. .d.~.~ Disapproved a/c ....... ~ .......... '~,,' ' i '" APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ............ , 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 st'feets 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 rejlmvgl or dent~on, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bu~('hou?ing co~l~, and regulations, and to admit authorized inspectors on premises and in building for neces~s. , ~-~ (S'~r~f pa plican~ or,;~me, if a corporation) . / ...... ~ (Mailing address of applicant) State whethdr applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER . Name of owner of premises ...A.N..T.H.O.N.Y...D....H..U.G.H.E.S...~..S.U..S.A.N..H..U.L.M.E. ......... ' ......................... (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. NOT SELECTED Plumber's License No ......................... Electrician's License No ....................... Other Trade s License No ....................... I. Location of land on which proposed work will b.e done .... ~. ............................... .... · I ........................... ? ........... ... ................ House Number Street Hamlet County Tax Map No. 1000 Section .0¢,.8 Block 3 . ~ ......... ~ Lot.. 3 Subdivision ..................................... Filed Map No .... ~ ...... ) ..... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed cohstruction: a. Existing use and occupancy ........ S.i..ng.l.e...F.a.m.i. 1. ¥..R.e.s..i.d.e.n.c..e .................................. b. Intended use and occupancy Single..F.a.m.i. 1. ¥..._~Residence '(.R. eloc~.'tion ) .. ~' fldi~ 3. Nature ofwork (check which a~plicable): NewBu .......... Alteration .......... Repair ' , Removal Demolition Other Work Relocation d'[db~t ~ .~.~9.: 0.0O' 4, F. stimate' ~. ............................... Fee ........................... (to be paid on filing this application) 5. If dwelling, number of dwellinglunits. ONE ( 1 ) 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..4.3.'.-:Q'.' ....... Rear . .4.3. '. 7.0.'[ .....Depth ...... 42' -:0" tteight ....... . .20 ' ( .+-.)... Number' of Stories ........................................................ ONE ( 1 ) Dimensions of same structure With alterations or additions: Front . .~ ~ :-0" Rear 43 ~ -0" Depth 42'-0" ' ight 2.0'. (+) ONE (1) ................... i · · He .................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... tteight ............... Number of Stories ........................................................ Size of lot: Front .. 8.5... p.O.. i ........... Rear .... 7.8.:.6.© ............ De,,th . .3.99.. 0.9 ............. Date of Purchase ?,~'~.' .a..47g.'tit. 1.9 .~?. ......... Name of Former Owner .. ~..~.'~.,'4.~... i .,~.'< .~.~F..~'..~..~m .... Zone or use district in which premises are situated...I~.~4~I~.1.a,}, g ................................... i · . No Does proposed construction rio ate any zoning law, ordinance or regulation: ................. ............... Will lot be regraded ..... .Y.~ ................... Will excess fill be removed from premises: Yes Name of Owner of premises .S$1~. ~1~I~9~..* ....... Address ................... Phone No ................ Name of Architect .Dg..ng.l.d..A, i .D.e.n.i.s,..A.I.A ....... Address . .A.q.u.e.bggg.es. ~ ..... Phone No.7.~.?.3.5.1.1 ........ .NOT. SE~,r Address Phone No Name of Contractor ~ ' **Anthony D. Hughes & Su~an Hulme, 1250 Salt Marsh Lane, Peconic, NY- 212-752-6500 .. (N.Y. address - 61 Irv:[nF, Place, NYpL~ Locate clearly and distinctly al1 buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block!numbar or description according to deed, and show street names and indicate whether interior or corner lot.i xl0. 11. 12. 13. 14. STATE OF NEW YORK, S.S COUNTY OF ................. ANTHONY D. HUGHES ............... being duly sworn, deposes and says that he is the applicant (I~.ame o, indi~idu,, ~igl ting contract) above named. He is the ............ q .N.E.: :.O?...T.H.E. ,q ,W,N,E?,S, ......................................................... (Contractor, agent, corporate officer, etc.) I~IKXaX~X>v~iqK~K~t~I~Kt~d is duly authorized to perform or have performed the said work and to make and file this application; that all statements confained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann6r set forth in the application filed therewith. Sworn to before me this ......... /~...'~../J ...... day oy..-~.~... ............ 19,~ Notai~Pub lqo,~g~fi., ' . County~f-/~/"~--~f'~ ' ~ ~ugtlltt~d in ,Quee ~i2~r~ Expf,rea March 30, ~ff';g~ ANTHONY D. HUGES ~ignature of applicant) ·