The URL can be used to link to this page

Home My WebLink About22835-z7GS.XS02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING ~'~AL REMARKS: FGBM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HA~L SOUTHOLD, N.Y. Ne 22835 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: .. ~. ~.,~...~..~ .....~~.. .... /,~.~..../.~¥.,. ~......~: .......................... ..... .~.,~.~..~f_... ........ ~ ...... //.~.:.. t o...~ .......... ~........~.~...,~./..~ .......... ~...~...= ......... ./~... .................. :.....'~-'~-- ...... ~...~,/,,. ........ ~.. ~.../.......~ .......... ~: ....... ~./..~.. CounlyTaxMapNo. 1000 Sectlon.../.~....,~... ......... BIock.......~....~... ............ LotNo ........~.....~..... ........... pursuant to application dated ................. ~./~... ......................... 19.....~.~.. and approved bythe Building Inspector. ~ee ~.....Z~.~ ...... Rev. 6/30/80 Il FOUNDATION (Is'r) FOUNDATION (2ND) ROUGH FRAME & I PLDMB f NG II INSULATION PER N. Y. STATE ENERGY Ii CODE II FINAL ADDITIONAL COMMENTS: h 765-:[802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST []ROUGH PLBG. FOUNDATION ;ZND []INSULATION []FINAL ~ ~' ,~.3 SETS. Of" PLANS !:~ : FORM NO. 1 dlJlq -7 1995 TOWN OF SOUTHOLD SURV£Y :' BUILDING DEPARTMENT L- ......; ;,, ' ........ TOWN HALL S EP'r i C ORtl ; TO~,rN Ot:$ou'rt, otD , SOUTHOLD, N.Y. 11971 CALL ~ . . · ....... Disapproved a/c ................................ ~ .... , P APPLICATION FOR BUILDING'PERMIT .. '' 'Date .......... 19~ INSTRUCTIONS ': ~, Thi~ ~ppli~fion must bo ~omplotoly filled i~ by typewriter or in ink ~nd submitted to th~ Building Inspector, wilb sets of plans, a~oumto plot plan to s~M~. Feo ~ording to sdmdul~. b. Plot plan showing lpoation of lot and of ~uildings on premises, relations ~ p to adjoining premises or public sffeets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ' e. The work covered by this application may not be commenced before issuance of Building Permit. d. Upou approval of this application, the Boilding Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for iuspection tbrongbout the work. e. No building shall be occupied or used iR whole or in part for any purl)ese whatever nndl a Certificate of Occupancy shall bare been granted py the Buikling Inspector. APPLICATION IS IIEREBY MADE to the Building Department for the issuance of a Boilding Pe~it pursuant to the Building Zone Ordinance of the Town of Soutbbld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatious, for the construction of boildings, additions or alterations or for remora ~[ demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances,~uilding code, bous nz, code, and regnlations, and to __ . .......... (Signature of applicant, or name, if a corporation) Slate whether applicant is owner, lesse~, 'agent, architect, engineer, g~neral contractor, electrician, plumber or builder. (as on tim tax roll or htCst deed) APPROVED AS N ED ; NOTIFY BUILDING DMPARTMENT ~ 765-1802 9 AM rO 4 PM FOR THE 1, ~OUNDATION - ~O REQUIRED Plum bet's License No ......................... FOR POURED CO~CRETE 2, ROUGH'- FRAM~NG & PLUMffiNG ~]ecffJcJan's ~Jcense No ....................... 3. INSU~TION 4. FINAL - ~ONSTRU~T;ON MUST Oflmr Trade's License ~o ...................... BE COMPL~E FOR C,O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENT~ OF THE I. Location ~f land ~n which proposed work will be'done ..................... S~A~E ~ONstRU~;iON. &. ;~E~,, . ......... " '~ ~ .~y. ~;, ~ ~o~ ~ . ' 1 louse Number ' . 1 tahoe t Snbdivision . ./~. dd...~.V,~4.~, . .', Filed Map No:q.~)t~.g ..... Lot (Name) 2: Slate exlslhlg use and occupancy of premises a~ld hltended use and occupancy of proposed construction: a. Existing use and occupancy / b. Intended use and occupancy ......................... ,; . ; . , ~ _ . r . ., ~ ,...*.y./~..,~.,z.~ ......... l~,itolb oi . ~.,~ [.g~.~.lx ,.,ll~.~ ,,lft~tlt. dule): ].qtP, V DUtittlllg .......... Addition .......... Alteration . ~ .... Repair .............. Removal ........ shmate est ..... · ..... , Demolition ..;..: ......... Other Work ............... (Description) (to be paid on filing tbia application) If dwelling, number of dwelling iunits ............. .. Number Of dwelling units on each floor.. .............. Ir garage, number of cars ........i ........................... ...................................... If busiuess, commercial or m~.xed occupancy, specify natnre and extent of.each type el~ use ..................... Dimensions of existing structures if a ~y Front Rear Depth Height Nuntber of Stories Dime,Jsiousofshmestmctur. e wRh alterations or additmns Front Rear Depth ' tleigbt . Number of Stories ' ' 8 Dimensious of entire new co ~stlmchon: Front . P, ear Depth IIeigbt Nu,iber of Stories 9 Size of lot: Fro it ' Rear Depth 10. Date of Purchase ........... i ......... . ....... .. Name of Former Owner 11. Zone or use district in which pr6mises are situated .............. ' ................................ i ....... 12. D.o. es proposed constrncti?ntviolate any zoning law, o,'dinmlce or regulation: . .tN/..D.'. .......................... 13. Wall lot be regraded ... sM ,~P,..!..~. ...... t.~ ......... Will excess ill] be removed from premises: Yes . Name of Architbct '.. ........ , ..,~ ..... ~..I ........ Address .................. Phone No ............ : .... 15.' I.s this property within 300 feet of a tidal wetland? Yes ........ No.....~-cv~.... *If yes, Southold Town Trustees Permit may, ~e required. ., I' PLOT DIAGRAM Locate clearly and distbrctly alii buildb~gs, whetl~r existing or proposed, and. indicate a I set-back dimensions £rom property lines. Give street aud blocklnumber or descriptio,i aecordh~g to deed and ?how street names and indicate whether interior or corner lot. STATE OF NEW YOF, K, ~S.S COU~I'Y OF '. '" ' ..., .....},,.*'-.Q(9~. 8, r/-.~,. '.~:~ C~ ~.¢,1:1 t9 ~ ..... · ......... being duly sworn, depose~ and says that he is the applicant (Name of indivklual sigttisg contract) above named. . lie is the " (Co, tractor, agm~t, corporate officer, etc.) of.said o)~ner. .or owners, and ~s duly authorized to perform or rove performed tim ~id work and to m~e and file this appli6ati.dn; that a~l gtatemCnts contained in tlti~'application' are true to the best o[lus ~owledgemul belief; and tba't the wo}k w~[ bd performed in the manner set forth in the application filed tlierewith. Sworn to before lue this ......... .............. '. . NotawPubli;~...'..~ ... ~ ~? ' . . Y '~-'~7~;' ' ' ~ignature ofapphcant) . 7 . ii