HomeMy WebLinkAbout20377-z t'p]sDL NO. 8
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPLETION OF THE WORK AUTHORIZED)
N 0 2 7~ Z Date 19.9,E
Permission is hereby granted t
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' at premises located at ....~...~1.~.Q...~.....`.::~'
~.'.l~ ..!®J..!<.~.:~'.t....."f~v...........~ocJ
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County Tox Map No. 1000 Section ......j.~.~/...... Block Lot No.........1..!~T....,.
' pursuant to application dated G'.~9C 19........, and approved by the
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Building Inspector. /
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~ Fee $..~!..1..!
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Buil g Inspector
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Rev. 6/30/80
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INSPECTORS
Principal Building Inspector O~pSUFFO(,~-COG
Curtis Horton y~ SCOTT L. HARRIS, Supervisrn
Senior Building Inspector y x Southold Town Hall
Thomas Fisher ~ P.O. Box 1179, 53095 Main Road
Building Inspector ~ •
~ O~ Southold, New York 11971
Bu'
d
ng IrFistpehctor ~O•( ~ ~a Fax (516) 765-1823
Vincent R. Wieczorek Telephone (516) 765-1800
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
November 23, 1993
Mr. Paul Annunziata
296 Summit Avenue
Mt. Vernon, New York 10552
Re: Building Permit #20377-Z
Premises: 2403 Camp Mineola Road Mattituck, N.Y.
Suff. Co. Tax Map 1000-122-9-7.14
Dear Mr. Annunziata:
Since construction has not been started on the above
premises, the building permit has expired.
According to the code of the Town of Southold, a building
permit is good for 18 months, but construction must be started
within a 12 month period or the permit becomes void.
If you have any questions do hesitate to call this office.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
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D FORM NO. 7 -3 SETS OF PL 1NS• .
~N _ 9 ~ TOWN OF SOUTHOLD -SURVEY rr//~ .
BUILDING DEPARTMENT ~-CIIECK .
TOWN HALL ~-serTlc Foarl
BLDG. DEPT. SOUTHOLD, N.Y. 11971
70WN OF SOUTHOLD TEL.: 765-1802 t: D'^ I Cy~~~_~~~,_~~ ~ )
CALL / f
Examined ..l/~ 19 .~c~ L TO: Z/L-j~e~-J~C~Q
Approved ,199 PermitNo.,~?s~~~
Disapproved a/c
uil ~ Inspector)
APPLICAT?????TION FOR BUILDING PERMIT ~j /
Date f/U~.U57!'; 19
INSTRUCTIONS
~a. This application 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 streets
~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
~atian.
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
;hall 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
;hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Che applicant agrees to comply with all applicable laws, ordinances uilding code, housing code, a regulations, and to
idmit authorized inspectors on premises and in building for necessa nsp iq~s. °
(Signature of app ant, or name, if a corporation)
f~~cc/ ~?~nGr/~~//.izt~f-2
° ~ f , ~e(Ma~iliong~addr~Q f~pli~oa~~ ~o Ss3
State whether ap l~~iyycant is owner, lessee, agent, architect, engineer, general contractor, electrician? plumber or builder.
Vame of own r of premises ..ez.4 u. vj•.z.! ~.fQ °
(as on the talc roll or latest deed)
If applicant is a cor1p~oration, signature of duly authorized officer.
/~C
(Name an title of corporate officer)
Builder's License No..1.V9.f..o~'P?>e4'.~~~ ~R'~E
ii
Plumber's License No . .
i~
Electrician's License No . .
~r
Other Trade's License No . ,
I . Location of land on which proposed work will be done . .
~~03 GAmP. •M.
.l~l~'aC~ 1~0 mow . ........./.??at.{; fu.~!G
Ilouse Number Street q Hamlet /,J
County Tax Map No. 1000 Section ~°.z. Block ! Lot ' . ``77~ .
Subdivision Filed Map No. Lot .
(Name)
3. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . -........~1~ ~k'.?1
b. Intended use and occupancy .......U.~~...Ta.?~?!,/t~,,,,~calQ-11i!2~,,,~;,,;y,,,,,,,,,,,,,
/ +
3. Nature of work (check which ap licable :New Buildin gIg';~~'~ .
Remo ) , , , , , , , Demoli~ Addition ::::2^~'(.'.Yr Alteration ~.y'
Repair bal G~~l~e k4~9rkr f~/~&
16d ~ 4R *tn,n_ry f '.J(DOS~n . .
~j 1~
4. Estimated Cost . ,}J•~//DI~ Fee .....r,, .
/ (to be pail on f~ing'this applicaYY6
5. If dwelling, number of dwelling units Number of dwellin units on each floor .
g
If garage, number of cazs • ' ' ' '
6. If business, commercial or mixe$ occupancy, specify ~~npt r and extent of each type of use ~
7. Dimensions of existing structures, if any: Front jV.~~,'. , , , ,Rear Depth~• .
eig t Num
ber of Stories .
Denth lions of same structure with alterations or additions: Front N t~....'...... Rear .
P ..............Height Number of Stori s .
8. Dimension of entire n~w construction: Front ~lo../,iya:r f,~•- Rear !'P.-~v~ ; Depth w'~~ :Kr*.-!' ;
Height ./i:~-?H•!: ; Number of Stories . , , , , ,
s~
9, Size of lot: Front ....Q Rear , . ,
10. Date of Purchase !,~`~,/!r , , , , , , , , , , , ,Name of Former Owner .~~~~'i', ~:..!~!e .
0o g
1 I . Zone or use district in which remises are situated !...5~...... .
~ p P p
l Does ro osed construction violate any zoning law, ordinance or re ulation: /U.°.
13, Will lot be regraded ....../.v.Q Will excess fill be remove from premises:N~fl Yes N
14. Name of Owner of pr miles ~ ui! ,~/nrr Viz; u~K-. Address~/~~~la'y'M"~ Phone No.~ s~' 6~.`~-6 g~~
Name of Architect ~ear9,~. , FtS./t eY......... Address %G
~~rs~~a~~ . , Y .Phone Nos/~ 7G -36 ~
.Se~u-i-k, f~d~a
Name of Contractor .i1Lei. f...5e lf~ x~.r1, ,?•-p o!~Y,-eAddress , . .........Phone Nq. r.- , , .
15. Is this property within 300 feet of a tidal wetland? eyes,,,,,,,, No..
*If yes, Southold Town Trustees Permit may be required, y
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. - .Je p G ~fq ~ /~-p d eta ,
f
TATS OF NEW YORK,
;OUNTY~ OF S• /7f~Lt~""~ ~nccn r; amt
' ' • • • • • 8 • • • • • • • being duly sworn, deposes and says that he is the applicant
(Name of individual si nin contract)
above named. ~ f ~r--
lc is the E!~!~. ('....7.4 u. /~yl !.I . . `.L.`~ .
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
vork will be performed in the manner sit forth in the application filed therewith.
~wom to beforQe me this
``4c'~.. .daY o ~~!J..'°Y~.... 19q.2
Su~1~
rotary Public, .County
R08ERT I. SCOTT Jk. • • • • • • • • • • • • • 4,~•Ga//-r
Na472508911gg~uH~o~
Cpu r (Signature of applicant)
Term Expires Mey 8I,19-
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