HomeMy WebLinkAbout24563-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)
DECEMBER 17 97
24563 Z Date.............................................................. 19...........
Permission Is hereby granted to:
ENVIRONMENT EAST A/C J.GULMI
PO BOX 190
........................................
PECONIG,NY 11971
......................................................
to ...... ONSTRUOT...AN ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
...............................................................................................................................................................
..................................................................................................................................................................
........I........II. ............r........-..............................•...............................I..........................f .........................
................................................................................................. ... ............................................................
at premises located at.....I...............50 PINE TREE CT ........................... CUTCHOGUE
................................................................................................................................................................
County Tax Map No. ....473889..... Section ...09$.,.......... Block ,...:0001,,,,,,,, Lot No. .007...011...
pursuant to application dated ....NOVEMBER 14 9......g7...., and approved by the
Building Inspector.
Fee$........75.:��....
Building In$ ctor
Rev. 6/30/80
.: r/tPdP/lUvk� 7Lte /TQdt
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= Environment East, Inc.
2885 Indian Neck Lane
P.O.Box 190
Peconic,New York 11958-0190
516-734-7474
Fax: 516-734-5812
TOMMOF
a�oa.Deux �x.;.
July 31, 1998
Southold Town Building Department
P.O.Box 1179
Southold,NY 11971
RE:Permit 24563Z
Dear Sirs,
The permit listed above dated 12/17/97 to alter an existing dwelling owned by J. Gulmi has been turned
over to the owners. We have not undertaken any work on the project to date and do not expect to be
involved with any future construction covered by the permit.
If any addition actio is giure us,please let us know.
Sincerely,
Peter R. Stoutenbi 459"
President '
Environment as 1-"
PRS:jm m ^
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Environment East, Inc.
3075 Indian Neck Lane
P.O. Box 190
Peconic,New York 11958-0190
516-734-7474
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
�J TEL.: 765-18
1la�. 1. . . . _(� ..
lix:mnincd . . . . [f D Recei
Approved . .yd�1' / ., 19 . . . Permit No. . . .(, 'z NOV
4
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . ./ . . . . . . . . . .
BLDG,DEPT•
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FSOUi 'OLD
. . . . . . . . . . . . . . . . .
(Building Inspector)
APP I ATION FOR BUILDING PERMIT p
Date . N•Q\). . .i A. . . . . .,19 1 T
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 dfawn on the diagram which is part of this appli-
cation. I g,
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 constriction of buildings, additions or alterations, or for removal or demolition, as herein described.
The tipplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildung for necessary inspections.
� . �(�1v(2oNMC-�C ��T acJC. . ���.�✓
(Signature of applicant, or name, if a corporation)
T-0: ox. . .t 4o . 'G4� ?tc . .wy. . .m-.7.(r. . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
NG(Lht . . . .LONG? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises QV5;!5.t4t GruL_ml
(as on the tax roll'or latest deed)
If a ,lin 0t'
n si nature of duly authorized officer.
I
Q
' ame and title of corporate offm
i!
Builder's License No. . . �J�J�. . .� . . . . . . . . . . .
Plumber's License No. '
E'lectrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed wort: will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . . . i . . . . . . , . . . . .
House Number Street Hamlet as
County Tax Map No. 1000 Section . . . . . . .l Q?. , . . . . . . Block . . . . . . . . . . . . . . . Lot . .7' : . i . . . ,`. . . . .
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 . . . . . . (Q cl ec l.. . . . . . . . . . . . . . . . . . . . . . .
.
. . . . . . . . . .
b. Intended use and occupancy l (e.. .t�!rrv4 . . .G�W? 4 . . . . ?. . . N�!h+.!�'�� caw-S.C�.. . . . . .
kidin_ <vv� te(oco { c2� s1q.i�S
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
(Description)
4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_ (to be paid on filing this application)
5. If dwelling, number of dwelling waits . ,:`;. " kk� Number of dwelling units on each floor . . . . . . . . : . . .
If garage, number of cos . . . . . .
C. If business, commercial or mixed occupancy, sp, $( ,pature a td extent of each type o� use . . . . . .
7. Dimensions off exisSSu�ng structures, if any: Front ,, �� �i. Rear . . . . . . Depth .
HeighNumber of Stories . Y tlZ. . . . . . . . . . . . . . . . . . : . : .
Dimensions of same structure with, altexatio additions: Front . . . � . . . . . . . Rear . . . .
I `
Depth . . .,.S0-yA-e. . . . . . . . . . . ,I HOW " yN CLn v p ' Number of Stories . . . . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new constructioir n •11... . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . , . . .
Ileight un bor of Stories . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front . . . , � ;3I. J . . . . . , . . Rear . . .2.SA-a�a . . . . . . . . . . Depth . . . . . . . . .
IBI, at a or use distract in which nrenni. . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
, .
{ ses are situated . . . .f--. .`�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . I . . . . . , . . . . .
13. Will lot be regraded . . . . . . ice, . . . . . . . , . . . . . . . . . Will excess fill be removed from premises: Yes
P
14. Name of Owner of remise D
* .�:(fwl . . . . . . . Address .?56 ,P,he Cfe e Codd Phone No. :7.3.
rtrchitrct . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . .
:;.uue of Contractor ... . . . . . . . Address TP:L�Q.Peconcc: . . . .'Plibhe iv U: . tWA.7:A'74':
4
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back diineiisions from
property lines. Give street and block nu'nber or description according to deed, and show street names and Mioate whether
interior or corner lot.
,
I ,
;TATE OF NEW YORK, 4ontract). . . . , being duly sworn, deposes and says that he is the applicant
(Name of individual s
above named.
ie is the . . . . . . . . . . . . . . . . . . . . . . . .
(Contracto gent, corporate officer,
)f said owner or owners, and is duly authornz�rm or have performed the said work and to make and file this
Ipplication; that all statements contained in this application are true to the best of his knowledge and belief;and that,the
vork will be performed in the manner set forth in the application tiled therewith.
'worn to before me this
. ./. . . . . . .day of.
Votary Public,4Z0<• • • . . . 0unty'
Sig ure;of applicant)
HELENE Q.HORNF
Ngl..fy Public,State o;New York
" No.4961,1664
CQytalified in Suilk C:ountf 9C/
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1 AT CUTCHOGUE 07- H0836
JOSEPH GUL u1 8
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