HomeMy WebLinkAbout22661-zFOUNDATION
FOUNDATION (2nd)
ROUGH FRAME &
~LUMBING'
INSULATION PER N.
STATE ENERGY
CODE.
FINAL
FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
N_O
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
22661 Z Date ........~..~. ..........................................
Permission Is hereby granted to',
County Tax Map No. 1000 Section ...... ./..~ ....... Block ......... ,¢~ .............. Lot No..~../.~ ..........
pursuant to application dated ..... ~,,f.'f..../.. .......................................
Building Inspector.
Fee $ ...........
19...~...'~....'~....., and approved by the
Rev. 6/30/80
SPECIFICATIONS FOR SUPERLITE COLD FRAME HOUSES:
Superlite 14'0" Cold Frame
GROUND POSTS :
RAFTER BOWS :
RIDGE RAILS :
PURLINS :
CROSSTIES
RASE RAILS
GABLE RAILS
TOTAL HEIGHT
Houses:
1" RIPE (1.315" O.D., WALL THICKNESS 0.072") 3'0" long.
1" PIRE (1.315" O.D., WALL THICKNESS 0.072") 2 piece bows.
EXTRUDED ALUMINUM.
1" TUBING (1.315" O.D., NALL THICKNESS 0.065") 4- 8'3!' ends.
OPTIONAL 2 full runs.
~LABLE.
OPTIONAL EXTRUDED ALUMINUM.
OPTIONA~L EXTRUDED ALUMINUM.
8'4".
SUPERLITE 14'0" COLDFRAME
FORM NO. 1
TOWN OF SOUTHOLD
BU!LDIHO DEPARTMENT,.
TOWN HALL
,~..~..._.,.~,. SOUTHOLD, N.Y. 1197J
TEL.: 765-1802
Examined 19~.~,,, ' ' '
Approved ....... , 19~.. Permit No...~..~.~...~..//
Disapproved. a/c ................................ ~..:.
. (Bu~di~Ynspector) '
APPLICATION FOR BUILDING'PERMIT
BOARD OF HEAI. TH ........
3 SETS OF PLA~IS ........
SURVEY ...... .~ ..........
CHECK ..................
SEPTIC
CALL . . ·
HAIL TO;
INSTRUCTIONS
a. Tkis application must be completely filled in by typewriter or in ink and submitied to the Building Inspector, with
set~ ~f 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~'eet
ot areas, and giving a detailed descriptioh of layout of property mu~t be drawn on the diagram whichis part of this appk
cation.
c. ' The work covered by this application may n~t 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 perm/
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 Occupanc'
shall have been granted ~,y the Building Inspector·
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th
Building Zone Ordinance of the Town of South6ld, Suffolk County, New York, and other applicable Laws, Ordinances o
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, andreguiations, and
admit authorized inspectors on premises and in building for necessa .ry.~~..~
-- ' . ' ( °nature of a~Iic'ant, or name, i;
(Mailing address of applicant)
State whether applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builder.
Name of.owner of premises ..
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authori;/ed 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. Location of land on which proposed work will be done.
ltouse Nmnber Street Hamlet
Cou'nty Tax Map No. 1000 Section .O I b ~ ~ ~
......... ' ..... Block ~
................... ' ·.. Lot ..... ~..~.: ..........
Subdivision ...................
· · ....... ' ......... '. Filed Map No ...... Lot
(Name) ........................
State e~isting use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ' t'-~e,O/4ott~,' ' W:.q~ .t ~*;:~ ~3
b. Intended use and occupancy ' ~-r-e e ~, l~'*w 5 ~ ... ~t,a:~.o~ i t,i ~,.. ..~, ~.?,¢,t~9
.3. Nature of work (check which applicable): New Building Addition ..... Alteration ..... '
Repair Removai ' · · .' Demolition Other Work
' escr tion
4. Estimated Cos PF.o.... !. Fee
: /(d~ .~. (to be paid on filing this application)
5. If dwelling, number of dwellin unit . ~ , .. Number o welling units on each floor ........
If garage, number of cars
6. If business, commercial or roi.xed occupancy, specify nature and extent of.each type of use
· Dimensions o! existing structures if any: Front ' Rear
Height Number of Stories . ': ......................... Depth ............. ,.
Dimensions of shine structure With alterations ;; .................................
additions: Front ..................
: Denth ' . ..... . ................. Rear .................
8. ~l.men. slons ~f entire new construction: Front .... /.%, Y..~. ~',; Rear ............... Depth .... .... ~ ......
.height ............... Number of Stories ... .......... ' .
10. Date of Purchase ../.~qq.~. I . · ..... .. .oep_th, .....................
11. Zone or use &str, ct in which premises are situated ~.q. F/.c.% ~r,~,-~ ~- ,~ks..,C'~n/'r~ r ~ ' '
D.o. es troposed construction wolate any zomng law, 0r&nance or reoulation .. ..~.~ ... ' ....
Name of Contractor .... Yl/'Pff..~. ........... Address .................. Phone No... .......... ' ....
15. I.s this property within 1300 feet of a tidal wetland? *Yes....'.~... No .........
· If yes,'Southold ;Town Trustees Permit may. be required.
i * PLOT DIAGRAM
Locate clearly and distinctly alI buildings, ~heth'er existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE O F NE~L-Y-O R.K ~/9_. /,/~_ S S
.... f~[~(.Na~ffo~f ii ~ .,.~.~..~..~.(d~)~. f.'[., being duly sworn, deposes and says that he is the applicant
(N e olinaiviauai signing contract) '
lbove named.
{ (CJniractorl ...........
agent, corporate officer, etc.)
)f said owner or owners, and isdulyIauthorized to perform or have performed the said work and to re.eke and file this
~pplication; that all statements contaiued in ttiis'application are t'rue to the best of his knowledge and belief; and that the
.york wflf be performed in the manner get forth in the application flied therewith.
;worn to before me this ] ,
~otary Publ ~
Cemm?m ,fled ,n Suffo k Co. (S gnature of applicant)