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Home My WebLink About21636-zyiELD .~,,S,~-~.~-~u,i IIDATE Il COM~£NT~ FOUI~DATION ~lst) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING 3. II~SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: FO~M NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT IOWN HAU. $OUTHOLD, N.Y. N£ 21636 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] CountyTox Map No. 1000 Section ........ ;....'-~..../. ....... Block ,....,/... ,~... .......... Lot No ...... ,/,, ................... pursuant to opplicatlon dated ........~.//.,~ ................ .................... I ...... Building Inspector, and approved by the / ~,/Bulldlng nspec or Rev. 6/30/80 "IMMEDIATELY,, UPON ~OMPLETIO, BEFORE "WATER" ~I~Rc l~v r LoT' 37'~ " Town 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 27, 1995 Ms. Athena Sellis 223-11 59th Avenue Bayside, NY 11364 Re: Building Permit #21636-Z Premises: 11600 Main Road, East Marion Suff. Co. Tax Map ~1000-31-14-1 During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has 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. ^U6 I 9 1993 :IJ¢ Examined' ~ .......... , 19~ Approved..~. ......... 19~ Permit No. ~.~.~~ Disapproved. a/c ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180:3 . J~udlgi/ng Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS SURVEY SEPTIC FOR~! CALL ...... · ¢.,-.d..,.. '... · .¢-¢,¢-f. .... INSTRUCTIONS Date ......... ~././.~..., 19.~.'S. a. This apl;lication 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 sti'eets o:r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app[i- c, ation. 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 Dep~rtment f~r the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Law% Ordinances or 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, and regulations, and to admit authorized inspectors on premises and in b~ilding for necessary inspec~ff ,///~/~ / . -- (Sig~ a ~e o~'iic'~n ~n'e~ }~ ~ ~;;~;~a'ti'o'n') .... (Mailing address of applicant) State whsther applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builder. ........................... .~ ¢.~ $¢.~. .................... · .............. . ........................... N~me of owner of premises . . . ~:~...,5'¢.(.g.(,Sj .................................... '. ..................... (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 Dcense No .......................... Plumber's License No ............... . .......... Electrician s L~cense No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ·.. ZZ &4o ................z*q.~.z4,5. . . ~ ~ ...................... z~. z~.~r4/.o .~. ........ //.£,X.~. .... ' Itouse Nmnber Street Hamlet Cou'nty. Tax Map No. 1000 Section ....'~.~ ............ Block .... ./..~. ...... i... Lot ..... ./. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ /~.~,.q/~.e~.'ir~..~.~... ' b. Intended use and occupancy ..... ./'-'~.~.~,'.~. ¢.,¢4..~,r,6{4 ...~.Z¢. q.O'.~.. ~.C.~.~.~... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work.. · .. (Description) - 4. Estimated Cost ....~,.~1170 ¢ ~20. .......' .................. Fee ........................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .A//~ ..... . Number of dwelling units on each floor...-f/cl..~.~. ........ If garage, number of cars ............ .~ff/..x~. ...................................................... 6. ' If business, commercial or mi.xed occupancy, specify nature and extent of.each type of use ..... z~Y//,,'?. ........... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ..... t',{//~ ........ Rear ... ~.,./z~. .......... Depth ........ e~r,/~ .......... Height ....... ~Vf~. .......... Numb'er of Stories .... ~//.~. ,'. ........... 8. Dimensions of entire new construction: Front ... A//.~q. .: Rear .. ,,y,~,7. Depth . Height ..... 4/'/~ ...... Number of Stories ........ ~/x~.. ........... . ............................ 9. Size of lot: Front Rear ...................... Depth ...................... 10. Date of Purchase ........ .t.4'~,~wo~ ............. Name of Former Owner ..~'N.~.o. ud~. .... : ...... 1 1. Zone or use district in which premises are situated ....... ,q ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... d(O ........................ 13. Will lot be regraded ..... ~ ....... Will excess fill be removed from premises: Yes ~, No 14. Name of Owner of premises . ~.. ~.~. {-~-~.,~'. ........ Address .... ~3/'$t.~... tV'J(.... Phone No, ~.t~.~.~..,:7{ 77.Z, .~,.f(. ' Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... 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. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Al)PROVED AS NOTED 7~;~-1802 9 AM ~ 4 PM FOR THE ~OLLOW~NG tNSPECTIONSJ 1 FO[~NDATtON ~O REQUIRED FO~ POURED CONCR~E 2 ROUGH - FRAMING & PLUMg~NG z,. FINAL CONSTRUCTION MUST BF COMPLETE FO~ ALL CONSTRUCTION SHALL THE REOUIRE~ENTS OF THE STATE COr-JST~UCTION ~ ~ERGY CC, DES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S.S COUNTY OF ................. ......... '...'.,:~..O. ~..~...../~'..../'A?.,//.~..'~.... ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ~.¢'~.~'.,~r~'~: ........................... . .............. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained Ln this'application are irue to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this '~ t ; ,' · ' '