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HomeMy WebLinkAbout21075-z FORM X0.3 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) WN9 21075Z Date ...0 a- Permission is hereby gr ted to 4 le art-. oa..o...'.... , to.. 4.0........ o................................................................................................. a premises located at ..c J~_.... r~~~...../ . 71 G..~ County Tax Map No. 1000 Section .....rs~ Block s.-.3............ Lot No......,/ / Pursuant to application dated ......ll~ 19~ and approved by the Building Inspector. Fee $..rSf.J! !•.rf. g Inspector Rev. 6130180 ~ ETJ ODUDATION {1st) :~OUNDATIOiJ (2n d) { { o` ZOUGH FRAME & { •PLUMBINC ~jl H • n LJISULATIOa PER N. Y. { • • STATE ENERGY 1V ` CODE { 1~~°`• CsiJ ,14 FINAL { N ADDITIM L COMMENTS: m ~ x ~ f :12 A m r~ '-1 .9 o~OgUFFDt t o~ Gyp y a Town Hall, 53095 Main Road p ` Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765-1802 Southold, NewYork 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 6, 1996 Mr. James O'Keefe & Ms. Elaine Pryhocki 54300 County Road #48 Southold, NY 11971 Re: Building Permit #21075-Z Premises: 54300 CR#48, Southold Suff. Co. Tax Map #1000-52-3-1 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 KXVIII 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. aF, Ac..,'~~ BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS ...V'..... TOWN OF SOUTHOLD SURVEY OV "'"CJ B BUILDING DEPARTMENT CIIECi` .(Ofo.7::~~5. • TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765.1802 r:OT I FY Examined.///? Z- CALL 191n MAIL TO: JbIA Approved , , , , - , , 19l`. `zPerrnit No.. ~,~OjZ6~ ' T(qq i2S00 J AX JW . Disapproved a/c EAST /-t+Z10AJf J4, ~rq (Bu' ng Inspector) APPLICATION FOR BUILDING PERMIT Date ..~~V 199 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 or areas, and giving a detailed description of layout of property must 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 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 Department 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, 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 building for necessary inspections. (Signature of app i name or oration) 1. ~Sfo Jy~~nl./Lsa .rte . M9~Zi0~?. f N l~ ..,?0.~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~Ft1geal,~. 6nlrrr.4UDn! . 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. ...14t `y 7n CI J. . f.. Plumber's License No . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . 540oa A10XV1.. tea.W......................~ d~-....... House Number Street Hamlet County Tax Map No. 1000 Section .......5-;? Block ........3 Lot f Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...;'466x. rlo-.0L f A G4!N4r . b. Intended use and occupancy .........`1 1a " Removal New Building Addition Alteration Repair oor f woo (check . which applicable): • • • • . Demolition Other Work AWE. /KL 4tvr? / (Description) 4. Estimated Cost...... / q5) Fee 6?:!~._...............,............ (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories . . Dimensions of same structure with ;alterations or additions: Front Rear Depth ......................IHeight Number of Stories 8. Dimensions of entire new construction: Front Rear Depth . Height Numbelof Stories 10. Date of Purchase . . ~ Size of lot: Front Rear...................... Depth 11. Zone Name of Former Owner vipremises are situated 12. Does or use o ict -In which PrsPseed any zoning law, ordinance or regulation: . 13. Will lot be regraded Will excess fill be removed from premises: Yes No of Architect . . . . • • • • Address Phone No............... . 14. Name of Architect remises . . Address Phone No, . Name of Owner of p Name Address . Phone No. 15. Is this property within 30Q 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 frpm property lines. Give street and block nummber or description according to deed, and show street names and indicate whether interior or corner lot. i -P # NOTED DATE: A-~ AS FEE: ~ FEE: B I BY, NOTIFY P 785-18802 9 AM TO 4PM FOR THE FOLLOIrJING INSPECTIONS: 1. FOUNDA'NON - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMPING 3. WSW ATION 4. FINAL - CONSTRUCTION MUST 6E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE MY, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S COUNTY OF ..5:/FrbaCL......... . Tony.. ~1A.,....... . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe..... 6)117 17{ - (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 contair~'ed in this application are true 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 : .day of. . N0.. Notary Public, County R08ERT ROB L 472BL1 OINK ignature of applicant) ff'or Expi res s May 81119 i CGR Zvi) n' I V ~~OO N„ON. FO 0.7' S. A, k.A-CO 0.a a. L: 2 \a71.~ 3 ror, rYe'' AREA = 42,055 SG. w co' 0. 9(a 5 Aci E O .a 0 . \ JI m D. 9 OA T p ~o Rooceo ~ Am ~ SGREEN wooo sTOOV I'I PORGH A CD n iv p Ja..s W Z Stoat a ,n m ° LA. O o. zv~ ~,z S' pv MTS7' /G Q Z.o E. a z4.S w U woo0 OGGK MON. p o. ,pE L p.v'w. S v ?`0. ^ cowc. 0, 17.1 p, g• g, P i 2 moo, 4 QS L E-R Boa. a fl,' ZOZ MON.FD. O O~ N Qb• A p~• N (9 O O Os ~`UES 111. ~ ~6 paWy. Zp•2 A~ UNTNONHEO ALTERATION OR ADDITgN TO THIS SURVEY M A VglAlgn • A~~ of THE NEW YORK STATE EDULAIgN LAW Q COGIEB OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMW_ Nnl BF 9UNSIDEREOTOBE n'AUDIRUECOPY .II _l GUARANTEES ORCEPTIFBATIONSINDICATEOXEREON SHALL NUHUNLY tU ENIC SURVEY AND LENgHO INSTITUTINLISTED HEREON GUARANTEE BEHALF 1. THE TITLE ..AA, O O•E `E~ \ OAD 1Al S ON q ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUUEOUEN! ON ao `0 l A2 = CERTIFIED TOELQINE PRYNOGKI ~ J&F1ES Oak 5' ~ L_ONGE ISt_taN~ SL1~/WG.1S E3 [~fv K. r.Y 4~ CITgTION 40S"CRpCT Q CHIGOCGO TITLE INS, GC>. N oN FO o.q•s• ' p Q, fly MAP OF LAND LOCATED AT 'QL ti`s SOUTHO L.O TOWN OF SOU'CHOLO COUNTY OF SU Y SURVEYED FOR O EL.WNE PRYHOGKI JOMES O'14E J _ / DflAWN 8Y TEE OFFSETS FROM PROPERTY LINES SHOWN r HEREON ARE NOT INTENDED TO GUIDE IN ! , L LUTZ, 171 E P.C. DATE. 7 S O PIPE ERECTION FENCES. RETAINING WALLS S LICENSED LAND $ V OHS POOLS. BUILDING LD ING ADDITIONS OR ANY orEEH SUFFOLK COUNTY TAX MAYA 125 ROIiTE 25 A P AWER N SCALE: u.'N'iuFNl I nN[TRUCTION OE PIANTING AND SHOULD TFSTFOIL LOCATION OF WATERLINES WELLS . - LtYB[) f.7T~5 anrMv Dnlnrt 117'9 _ t„pJ 4;>; .,any ~j ~ V _n a L J .Z 4 • ear~~ mr-..~:..i~ awe.:. ~J ~ {11 lee)) H ~ _i ~ I~ tc F All OO V,'J ao , vo N ~ a ;r °N