HomeMy WebLinkAbout21448-z I~OEM NO. ~
TOWN OF SOUT~OLD
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~i'°. 21448Z
Permission is hereby granted to: ·
~......~..~.....~¢ ................
~o.~/~...~.......~ ~.~......~....:~~....~..~..~
:/~.~.....~.:...~.,~.~ .~ ....... ~...~_L~....~~....:~
at premises I~ated at ~.~Z~.~..~~j....~ .... T-~.Z ...............................................
......................................................... ....................................................................
County Tax Map No. 1000 Section ......... /~'.~.. ..... Block ........... ~'. ...... Lot No ........ ~/. ....
pursuant ,o application dated .... .~./.<.~....0. .......................................... , 19.?...'~..., and approved by the
Building Inspector.
Fee $,.~...~.~. .....
Rev. 6/30/80
TOWN OF souTIIOLD
BUILDING DEPARTbIENT
TOWN CLERK'S OFFICE
SOUTIIOLD, N.Y.
NOTICE OF DISAPPROVAL
Date FI.ay 10~ ' 19 9.3.
To .~l,~.V~9 Trombone & wife
9180 Nassau Point Road
Cutehogue, N.Y. 1]935
PLEASE TAKE NOTICE that your application dated . APRIL 30, 93
~r permit to CONSTRUCT A 6FT. FENCE IN FRONT YARD AREA..
9180 NASSAU POINT ROAD CUTCHOGUE, N.Y.
Lo'cation of Property ~Os~ ~o~ .................. Street ............ Ham/et
pN ~ II~ '
County Tax Ma o. 1000 S¢ctio ............. B.lock ............. Lot 5.1
Subdivision Filed Map No '
........ Lot No '
is returned herewith and disapproved on the ~llowing grounds ...............................
· .. ..~.,ER ,A?.TICLE XXIII SECTION 100-231A PROPOSED FENCE WILL EXCEED 4 FT. IN
HEIGHT IN FRONT YARD AREA.
ii .......I iiiiii'.. '..
RV 1/80
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~', ', 3 '";'" TOWN HALL
0 kt~i~ SOUTHOLD, N.Y. 11971
!..i'~,.., :,,. ,.~/ ' TEL.: 765-1802
Disapproved. a/c ~Z~...~. ............ f '
(~ilding ~ector) '
APPLICAT!ON FOR BUILDING PERMIT
INSTRUCTIONS
BbARD OF HEALTH ........
..3 SETS OF
SURVEY .................
CIIECK
sEpT,o';;;;,' ::::::::::::
CALL . · · ·
HAIL T :
a. Tiffs application must be completely filled in by typewriter orin 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 sti'eets
or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli*
cation.
c. ' The work covered by this application may not be commenced before issuance of Bui/ding 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 ~>y the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Departmeht 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, fo,r~,the, construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant a=rees to comply with all applicable laws, ordinances, buildj~g c~l~houff~g code, ~ and to
..... ' ' '~ ; ' ~dres~ applicant)
State ~,hether appl?caht i~ ow'flgr,'les~ee~, :~gent, architect, engineer, generaJ '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 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. Location of land on which proposed work will be done .......................................
. l-I;u;e' ~;l;~;; ...................... ~;r;;~ ....................... ~l'l;~ .....................
...: .... .... ........ ..:..
Subdivision-. - Filed Map No. ~ ~
---- (Name) .............. Lot ..............
2;. State existing use and occupancy o]'-premises and intended use and occupancy of proposed ~onstruction:
a. Existing Use and occupancy ................ *',~'~ ~ :' ~:~
~.~ .~ ............................ ,,- ,.~ ,'~ ,.,,.'~'-1 ~ .: .~'~ ....... '.
b. Intended use and occupancy ............ · ........ ~,t~.- .~ ...... ~ ,' ~;l,, ,~
'3. Nature of work (check which applicable)- New Building ' .
R~ · . ......... A.'ddition .......... Al terat!.g,p_. .... ;..
Repair .............. moral .............. Demolition., .: ........ Other Work ....
'"" L (Doscr ption)
4 Estimated Cost
.......... ~ ....................... Fee ~ ~'-~ . .
5. If dwelling, number of dwelliOg units (to be paid on filing this application)
If business, commercial or talked occu~ ............ . Number of dwelling units on each floor ...............
· If garage, number of cars ...!... ~
6. ' .... 7' '-U '4'"; '. .... , ......................................
7. ' ' ' .-- Fruit, y, SpCClly nature ami extent of.each '" ' '
Dzmenmons ot existing structures if any' Front . .., type of use ............... , ...
, , ................... Rear ............ Depth .......... j~...
Height ............ ~.. , - . ·
,-,. . . · ·. v~umoer of Stones ........ .. ' '
lJlmenslon$ of same structur~ kvlth ~.~ ~. , ,..' ' · ...............................
Dentb ' '- ..... .murauons or anqlhons: Front ...... ,, ..............
....... N st' es ........ '.::
7" ................ , ....Hm t . . . . ....... ~ear ..................
8 D f ~t ................ ,.. umber o ori ,
· lmensions o entire new con ructinn - . ...
Hight ' Nu ~- "~-~,m ............ Rear .............. D pth .....
. e ........... m er f St . . e ......
· 0 Dries ............. . .............
9. Size of lot: Fro';~t .. ~Z-~d~r:rg~. '~0.~ .~ ~ . . Rear
10. Date of Purchase .. 00//~,/19~ {zl.. i.. i.. '.' ....... ..;. ~.~} ¢,..0~ i... Dept!L .9.,~. t/.~,...
11. Zone or use district in which p~emises are situated., j~ · ~ .
.12. D.o. es proposed construction vi61ate an .... :-~ ,_ ,. . .
13. Will lot be r,~rad%dp.;~n..;..' .! , ~,-,,,~ ,aw, oratnance or regulation .....................
14. NameofOw ero r les ' ' ' '' '' ' ' '
Name of Architect .......
Name of Contractor ....... :.. j j .............. Address ........... . ........ Phone No ........... ..;.....
15. ' I.s this property within 300 .......... 't' ' ' Address ............. , ...... Phone No .... '
feet of a idal wetland? ............
· If yes,' Southold ' *Yes ........ No .... '
iTown' Trustees Permit may be required. ' ....
I.
' PLOT DIAGRAM '
Locate clearly and distinctly ali buildings, ~heth'er existing or proposed, and, indicate ail set-hack imensions from
property lines. Give street and block?umber or description according to deed, and show street names and indicate whether
interior or corner lot.
~ 7' ~?~ i ~ ~ · NOTI~ BUILDING DEPART AT .'
' ' - ' ' ' ~ULLOWING INSPECTIONS
~ ~ ~ · . FOR POURED CONCRETE
~ .. 2, ROUGH - FRAMING & PLUMBING
;rATE OF NEkV"!~RK~
s..S
...... c x o. . . .'V. co-,o, b, o. . .........
(Name of individuals' ' '
lgnmg con tract)
bore named.
3. INSULATION
FINAL CONSTRUCTION MUST
8E COMPIoETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF. THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES, N,OT RESPONSIBLE FOR
DFSIGN OR CONSTRUCTION ERRORS
being duly sworn, deposes and says that he i~ the applicant
(C
: ontractor, agent, corioorate officer, etc.)
f said owner or owners, and is duly aluthorized to perform or have performed the said work and to make and file this
~plication; that all statements contalndd in this application are true to the best of his knowledge and belief; and that the
'ork will be performed in the manner se:t forth in the application filed therewith.
worn to before me this
. ~ommi~lon F.~lre~ Deoemb~. ~ 19/~f h' , - ~jignature of applicant)