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Home My WebLink About26392-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 FU/SL COMPLETION OF THE WORK AUTHORIZED~ J PERMIT NO. 26392 Z Date MARCH Permission is hereby granted to: GAIL PORT GREENPORT~NY 11944 for : CONSTRUCT A SECOND STORY ADDITION TO AN EXISTING ONE FAMILY 15, 20~/ DWELLING ATTACHED GARAGE. (UNHEATED). THIS PERMIT REPLACES BP#18335. at premises located at 1975 County Tax Map No. 473889 Section 033 pursuant to application dated MARCH Building Inspector. MCCANN LA GREENPORT Block 0003 Lot No. 020 15~ 2000 and approved by the Fee $ 75.00 Authorl~ Signature Rev. 2/19/98 COPY 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. 26392 Z Date MARCH 15~ 2000 Permission is hereby granted to: GAIL PORT GREENPORT~NY 11944 for : CONSTRUCT A SECOND STORY ADDITION TO AN EXISTING ONE FAMILY DW~nT.ING ATTACHED GARAGE. (UNHEATED). THIS PERMIT REPLACES BP#18335. at premises located at County Tax Map No. 473889 Section 033 pursuant to application dated MARCH Building Inspector. 1975 MCCANN LA Block 15~ 2000 GREENPORT 0003 Lot No. 020 and approved by the Fee $ 75.00 Author~ Signature Rev. 2/19/98 ORIGINAL ?iELD ~.,,S,~..~O. IID~ It FOUNDATION (lst) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 0 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) N~ 18335 Z ~,,,;~.....,~......./~..~.~...~~....~....,.~.~.......~-.---- --~ ,t premises ,~ated at ../~.~ ......... ~~.....~.= ......................... ~.~.~.~.~ ~ Coun~ Tax Map No. I000 Section .... ~ ......... Bilk ...~ .......... Lot No...~ ............. Building Inspector~ -- p Rev. 6130/80 INSPECTION FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY / DATE ~,~~,~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTH 3 SETS OF PLANS SURVEY ............... CHECK .......... SEPTIC FORM ................ /. NOTIFY TEL.: 765-1802 CALL ·..~.?.~.--..1.T.~..S.. Examined ......... , 19 .~ MAIL ~ TO: Approved .... 'P.//~-~. ~..., 19 ~ennit No..dZ~ .... Disapproved a//.. ......... . ....................... [ ~~]~[~~ .......................... ........ INSTRUCTIONS a. T15s application must be completely filled in by ~pewfiter orin ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot pl~ showing location of lot and of build~gs on premises, relationship to adjoining premises or pubic streets or areas, and giv~g a dethled description of layout of property must be drawn on the diagram which is pa~ of t~s app,- cation. e. The work covered by t~s application may not be commenced before issuance of Bu~d~g Permit. , d. Upon approval of this application, the Building Inspector will issued a Bulldog Pemit to the app~c~t. Suc~ pe~it shall be kept on the premises available for inspection throu~out the work. e. No build~g shall be occupied or used in whole or in part for a~y purpose whatever until a Ce~ificate of Occup~cy s~all have been granted by ~e Bulldog Inspector. APPLICATION IS HEREBY MADE to the Building Dep~m~nt for the issuance of a B~lding Pemit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws~ Ord~ces or Regulations, for the construction of bufld~gs, additions or alterations, or for removal or demolition, as here~n deschbed. The applicant agrees to comply with all applicable laws, ordinances, bufld~g code, housing code, and regulations, and to admit authorized ~specto~ on premises and ~ build~g for necessa~ inspections./ (Signatu o{ applicant, ' d, k'ddo 6& dd )" ' (Mailing address of applic~t) State whether appli~ is owner, lessee agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ....... ......... 2 .... ' ................................ ................... .... ...... ". .......................................... (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 License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locationlo.~.of land on which proposed work wiIl.~..~be d°ne' ~' 1' ' ' ' House Number Street, Hamlet County Tax Map No. I000 Section .... ----...~..'~....' ........ BIOck ...... ~.. ........... Lot...q~.O. ............ Subdivision . .~..~...,e--r~r~. .... ~... .......... Riled 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 b Intended use and occupancy ( pp i ) , 3. Nature of work check whic a cable: New Building ...... Addition Alteration ..... Repair ............. Rymoval .............. Demolition .... ~, ......... Other Work .......... .~/e'.OT~..' , Description) 4. Estimated Cost .... //, ...... : ..................... Fee ....................... r/..1 ............ tto be pazd on fihng plication) 5. If dwelling, number of dwell ng units ...... If garage, number of cars ~ ~ · ...... Number of dwelling units on each floor .... 6. If business. Commercial or mixed occupancy, specit'y nature and extent of each type of use .......... 7 Di i f isti ~ iu,~ if y Fr R · Hmens°ns° ex ng~,c r s, an °nt..I ........... ear ............. ... Depth .... 'eight ............. N~lJer o f Stories ..................... D of d with It ti .......... ~mens:ons same structur a era oas or additions: Front ............... Rear ....... Depth i Height .................... ........... Number of Stories 8 Dimensio~smc~/'~htire new cofistmction: Front .......... ' .................... ............... Rear ............... Depth .............. Height ............... Nm~ber of Stories · 9 Size of lot: Front ......................................... · . .... i ': Rear .............. 10 D,Ste of Purchase I ! ..... ' .................... Depth .................... · ' ............. Name of Former Owner Zone or use district in which 'premises hre situated ....................... 12 4i gl ..... ~ ...................... · Does proposed Construction olate any zonin aw, ordinance or regulation: ... 13. Will lot be regraded ....... I .......... Will excess fill be removed from premises: , Yes Nc 14. Name of Owner o remises 'l ........... ; ....... Address ................... Phone No ............... Name of Architect. ....... i ................... Address ................... Phone No ............. '.., Name of Contractor ...... i ................. Address .................. Phone No .............. IS.Is this property logated within.,'~O0 feet of a tidal wetland? ~YES .... NO .... mlf yes, Southold Town Trustees Permit may be required. ...! PLOT DIAGRAM Locate clearly and distinctly 011 buildings, whether existin or ro osed ' · r e ' · - g P P , and.~nd:cate all set-back dimensions from pop rty lines Gwe street and block number or descnptmn according to deed, and show street names and indicate whethe: interior or corner lot. STATE OF NEW YORK, / COUNTY, OF ,-. / ~ ... S.S . /'/ .(.tqtam e o f ,h'~'vid/h~ signlng con t tact) being duly sworn, deposes and says that he is the applicant /6/ (Contractor, agent, corporate officer, etc.) .... ' of said owner or owners, and is duly hut ~orized to perform or have erforme ' application; that all statements contained in th; .... u~,;,,, ,~ P . . d the .smd work and to make and file this ;ork will be performed in the manne~set forth ;~ ~i~'~7;{i~t~or~ ~2~ tt~et;~v~;~t ofhm knowledge and belief;and that the worn to before me this ~ . . ............ ~. ....... day of,...~-~q . . Notary Public ..... ~. ~..~. ~ ~.~.' .'~.' .'. ' ...... . County 14EtEN K. DE i ork . . . NOTARY PUBL C, Stat~ o~ ~ Y ............. No, 4707878 Suffolk C~ntYc// ~/ ~./ (Sign re ~16~ic Tlll'm Exp ('es ~F, al'ch 30,111.~2-~/ atu ant) CERi% {CAIE 766-1802 9 AM 'l~ 4 ~ {~O1{ 1file FOLLOWING INSI~C'rlON$: 1. FOUNDATION ~ REQUIRED FOR POURED CONCI{EI'E ...... .2_:..R._O_U_.~.H._.:__FRAMING & PLUMBING 3. INSULATIO~ 4, FINAL - [2-ONSTRUCTION MUST {3E COMPLETE FOR C,O. ALL CONSTR{ F ?r/~F~ CONS'[ NOT ICTION SHALL MEET ~IENTS OF THE N,Y. qUCTION & ENERGY ~FSPONSISL~E FOR ~STRUCTION ERRORS