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HomeMy WebLinkAbout27927-Z FORM NO. 3 TOWN 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) PERMIT NO. 27927 Z Date NOVEMBER 21,. 2001 Permission is hereby granted to: KENNETH MCDONALD 280 SHIPYARD LANE EAST MARION,NY 11939 for CONSTRUCTION OF A REAR SUNROOM ADDITION AS APPLIED FOR at premises located at 280 SHIPYARD LA EAST MARION County Tax Map No. 473889 Section 035 Block 0008 Lot No. 005 . 006 - pursuant 05 . 006pursuant to application dated NOVEMBER 15, 2001 and approved by the Building Inspector. Fee $ 150 . 00 aj Authorized Signature COPY Rev. 2/19/98 INSPECTION REPORT WE .:.�_•��_a' ----COMMENTS — — — lr � � FOMATION• ( 1ST) lAUN ATION _—(2ND) ROUGH FRAME •PLUMBING :`r , (4' T r INSULATION PER N. T,,' � .STATE ENERGY H CODE. (z' 'FINAL APDITI40NAL COMMENTS: I0- I��D3 o �. - ,fieSSor s Q r V , C. . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following;before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets o\f Building Plans TEL: 765-1802 Survey V PERMIT NO. Z 7q-- Check Septic Form N.Y.S.D.E.C. Trustees Examined I 2 U ,20 Contact: Approved 2 1 ,20_!U_ Mail to: Disapproved a/c n/ Phone: 2 7 Z Building kispvaDr { PLICATION FOR BUILDING PERMIT Date ,20 SLo OUT NO 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupanc, is issued 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) by a,eX (—/L/ (M 'lin address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber oi.builder OW Y\E!1r 11 (� Name of owner of premises ke V\VN e�� � + ?e u.\e�T� (� V,\0A C (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. �e c�e v►� v�e� Plumbers License No. ' Electricians License No. " Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 35 Block T- Lot Subdivision >Lkm m►J FSS S Sc:Q& ! Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructions a. Existing use and occupancy rCg arcL b. Intended use and occupancy Y es cemcsz — '�Ince e SBe� Swv� Y�e��m - 'Nature of work(check which applicable):New Building Addition Alteration Repair RemovalDemolition Other Work (Description) Estimated Cost 1 coo Fee (to be paid on filing this application) If dwelling,number of dwelling units l Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. .N � (Vor'Ien s► e 33. S Dimensions of existing structures,if any: Front ��, l Rear 5 I DepthlSo Height Number of Stories one Dimensions of same structure with alterations or additions: Front Rear " Depth,N,,.-rh 42, S Height Number of Stories b he- 741 7 .l :... Dimensions of entire new construction: Front �`�, Z Rear 9. a Depth Height Number of Stories o ►'� �. Size of lot: Front . I -3. 3 Rear l L/ 3 7� Depth No),-A Dy• A ^o u all/, 7 0. Date of Purchase Ig.1q 8 Name of Former Owner 0Snip A-re i T`/ 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3.Will lot be re-graded If l U Will excess fill be re o ed from premises: YES . 4.Names of Owner of remises �C�A We + keyi n�fldress gv h' one No. 477-9277 Nanie of Architect V)S. A hal- F._'446 ddress ,-r- Phone No o Ya a Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO X • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. TATE OF NEW YORK) 'OUNTY OF �6-- �rr�� ��j being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, S)He-is the.• v 1 (Contractor,Agent, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn to before me tbis day.of O 20©( Z . fa"�" Notary Public Signature of Applicant Rebecca A.Wolfram Notary Public, State of New York No:01W06039106 Qualified in Suffolk County Commission e=xpires March 27,CW �uDERWRITERS CERTIFICATE REQUIRED AMROMAS NOTiFT-SING DEPARTMElIff TW11882 • AM TO S PM FOA THS FOLLOWING INSPECTIONS: t FOUNDATION • TWO REQUIRED FOR POURED CONCRETEIZ I ROUGH - FRAMING i PLUMSING �W S INSULATION c ua J< ( � 4 FINAL • CONSTRUCTION MUS! SE COMPLETE FOR CA ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NX STATE CONSTRUCTION • ENERGY CODES. NOT RESPONSIBLE FOR swam an Y1IMIRM OCCUPANCY OR a= a USE IS UNLAWTUL WITHOUT CERTIFICATE 01: O+CCI�t�i�CY iK (all Y W // C? 1�M ui V l /J cc l x s U. 0 0 or; � o fi { z � i � i i c9 c4C E cc Fo 032254-1 9°F�ssro�P`' r I z 17 1 W 7 J O Ll,. -\ 7 O 5 Q N U1 Z 1 4 l COQ z• W 7 fQ too 0 Ow 00 'NI cc 1 4 Wim„ cfl 1 = w cc V- U) � a -gym.--- -- _ — — 00 h ALT F r t e '"j% �..�• '+r t r��L; t,.e to t Q 6✓`• it LTO _ Pit /Z i F: ". h f PS-1 Dj ., n _ 3777 ANCE E ,, 9� i YL, ,� t s 3'• , ✓ 4.'w ����fir` r 1 � r' r d X?#.'� .� .�st��t ' x.'. � s _,..,. »��,. 1,. , , F " � - �" 032154-11 OFE Mo -.__ E GIVE Q !R w - z a� a m i - i 971 } Q i co LO k �y © , { ZLU �. LLJ cc � Ilk retsOKI a� 10 cc i W 1 F 3 P-44W 1 j .i ii it LU � f j r I 4� 632254-1 }. A9OFESSIV . . 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