HomeMy WebLinkAbout21449-zTown Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 13, 1995
Mr. Alvin Combs
2500 Peconic Lane
Peconic, NY 11958
Re: Building Permit #21449-Z
Premises: 2500 Peconic Lane, Peconic
Suff. Co. Tax Map #1000-73-3-24.2
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
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)
°. 1449Z
Date .....~.. ~'.~Z.~.. ......................................... , 19.?~
Permission is hereby gra~ntec[to: _
County Tax Map No. 1000 Section ....... ~ .... Block ....~ .......... Lot No.......~.. ..?~......
pursuant to application dated .... ~..Z.~. ........................... ~ .............. , 19..?..~..., and approved by the
~/ ~lding Inspector
Rev. 6/30/80
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
· BUILDING DEPARTMENT
gO 'KD OF HEA~TH
~.--'3 SETS OF PLANS .........
'/SURVEY
~ .... ,~¢ SOUTHOLD, N.Y. 11971
TEL.: 765-1802 ~:OT~ FY
~ ' , ' ~. ' ' CALL
-........ ....
................. . ..............
.~~~~ . ..
APPLICATION FOR BUILDING PERMIT '
~[, ..... X-. ~ ....... ... ~,~.
'. INSTRUCTIONS
a. Tids application must be completely filled in by ~pewfiter ut in ink and submitted to thc B~ild~g Inspector, with 3
,~ts ~f plans, accurate plot plan to scale. Fee according to schedule. ·
b. Plot pl~ show~g location of lot and of build~]gs on premises, rehtionship to adjoining premises or pubic streets
~or are~s, and giv~g a det~lcd description of layout of property must bc drawn on th~ diagram which is ~a~ of this
~ cation. ·
c. The work covered by t~s application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, thc Building Inspector w~] issued a Bu~d~g Pe~it to the app~cant, guch
sh~l be kept on the premises ava~able for ~spection throughout the work.
~. Hq building shall be occupied or used in whole or in p~t for any purpose whatever until a C*~ificate of Occup~cy
shall hav~ been granted by the Building inspector.
APPLICATION IS HEAEBY MADE to th~ BulldOg Dep~tment for the issuance of a B~]ding Pc~it pursuant to the
Building Zone Ordnance of the Town of Southoid, Suffolk County, ~w. ~orA, ~d other app~cable ~ws, O~d~ces or
Regulations, for the construction of bu~d~gs, additions or alterations, o~ for removal or demolition, as hcre~ described.
The a~p~cant agrees to comply with al1 applicable laws, ordinances, bu~d~g code, housing code, and regulations, and to
admit authodzcd ~spectom on p~em~ses and ~ bulldog Eot neccssa~ ~spections. -
_. .........
(Signature of app~cant, or name, if a co~poration)
(Mailing. address of applicant) /
State whether applicant is owner~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly auth~orized officer.
(Name and title of corporate officer)
u' ' · .~.¢//¢.
B dders Lmense No ...................
Plumber's License No .........................
Electrician's License No
Other Trade's License No ......................
Locatign of l~,.~_on which proposed work will be done.....~.~....~.....~9...~...~......~..~ .....
llouse Nmnber . ~treet . Hamlet ~ ' '/' ' '
County Tax Map No. 1000 SectJo~ .... 7~ .......... Block ~ ' Lot..
Subdivision ..................................... Filed Map No.
(Name) .............. Lot ...............
, State existing use and occupancy of premises and intended use and occupancy of proposed constructii~n:~
a. Existing use and occupancy...~/~ ~.~... ~ ~ ...... ~ ~:.'~ ~re~/~.~ ~...
Repair .............. Removal .............. Demolition '' '''
· ,,. ~ . ~ . . .... ' ......... Other Work ...........
f ' ' (D ipti )
4 Estimated Cost ..... :~" *~ ~ :..'.. . . escr on
~ '' ' .................... Fee ......................
' ~ ""'~//'/'? mb (to be paid on filiug this apphcation)
5. If dwelling, number of dwellin units ............. Nu er of dwelling units on eac eot .
Ifg h fl
· arage, number of cars .... , ...... · ..........
6. If bus/ness, commercml or mi~6d occupancy, specify nature and extent ofeach type of use .~v' .,./~2 .....
7. ~Di.mensions~o~'e~is,!ingstructuies, ifany: Front. '?.fi/ .' ~ ~q ~ -
Hmght ...'7....~ ........ Nulhber of Stories ('/)" ..... i ' ' ' l~ear ............... Depth .... ~ .........
· ?mensmns of~ saom,e structure With alterations or additions. ~ro~,; ' ' '~'4 '~ .... : ....... .~ ...... '~'h ~ ...........
xaepth /O.' 7 ' ~ . ~, ~ ~z /~ ...................... r~ear
8. D~mensmns of entire new eonst'mntlrm ~ .... ~I~/~ .... Number of Stones .... (':,~. . .[ . .
~,.. _ o//, - ..... : ......... ~aunt...~.~:~ .... .Re~. o>~' ..... , o,,"
nmgnt .../.. 2. ........ Nmnber of Stories... / ,- ............... uepm . ./q..: .........
9. S~zeoflot Front /.,GED eel ' ,- ..... ~;--k~"3b ......................... .
~ ~ · · ...~ · ..,. ........... ~ear... ~..x?. ~. ,. r~ +~ o q~ ~te~ .....
10. ~ate of Purchase 7/_7,~ ,, ~. ............ _?.ep; .... ~ .,.~.; .·... .
11. ? ............... '.'./'."~'". ................ c4a~meolFormerOwner .-&~Y.~O~.q, ,~:'/c/) '
~u.~ ui u~ UlS[rlc[ In WhiCh premises are situated ,~'e c ~/< /~ ~o · , -,- ' .......................
12. Does proposed construction vie!ate any zoning law, ordinan~6 or regulation' A/t3 .. . ...
13. 5111 lot ~b~regrade~ ...g~.d)~! ~'.~ .... '.4 ....... Will excess fill~be removed from premises" Yes No
14. ~ameo~Uwnero~premise,stl, q..~.C2OgTl/.O.~... . Addr,,~D-q-,^/-'6r,~.,~ ~ ......... : ....
Name of Architect .~,~..~. ' ' ' 'Addr~-~.~,~,,~4.,v~. tvwv~rnone
Name of Contractor . ~.v../~.' 'I .......................... ' ........ Phone No ............ ;. .
. ' ...... : ................. Address .................... Phone 'No... ......... .
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No.
· If yes, Southold Town Trustees Permit may be required. ''''
Locate clearly and distinctly all lbuildings, whethe~ existing or proposed, and, indicate all ~et-back dimensions from
property Hues. Give i . .
street and block number or descnphon according to deed, and show street names and indicate whether
interior or corner lot.
,rATE OF N~O~/P ~ ~
. .. r~...~...~. ~ (~C. (e. ~..(}.~ ~ ~ S...: ....... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)' '
bore named.
te is the
........................ ~' (Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly ~uthorized to nerfo~ ~ '
~ . . ~ . ,. -.. ~, have performed the said work and to m~e and file this
~ phcatmn; that all statements contained m this application are true to the best of his knowledge and belief; and that the
'ork will be perfo~ed in the manner s~t forth in the application filed therewith.
wo~ to before me this ~ , _
CLAIRE g GLEW *i
Note~/Publlo, State of NeW Yo~
No, 4879506 ,I
Qualified in Suffolk County
Commission Expires De~embe[ 8,
County
(Signature of applicant)