HomeMy WebLinkAbout20574-z IrOK~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
Ne-N°, 2057~Z
Permission is hereby granted to:
~~~.....~...~....y.~
...;.:~...~.~..~.../..~....~..~
,o .................. .....................
at premises located at ..?...~..~. .......... ~..'..~.~..~... ......... .~.~.., ........................................................
Counh/ Tox Mop No. 1000 Section ...... ~,,..,~.,, ........B)ock ..... ~ ............. Lot No... ,.~... .................
pursuant to application dated ...... .~....././../... ................................ , 19..~.....~.~-- and approved by the
Building Inspector.
Re~ 6/30/80
John T, Me~ger, L.S.
PECONIC SURVEYORS, P,C.
P.O. Box 909
54655 Main Road
Southold, N.Y. 11971
516-765-5020
FAX 516-765-1797
April 22, i992
Southold Town
Building Department
Main Road / Box 1179
Southold, NY li97i
Re: Lakkas
1000-$8-05-07
To whom it may concern:
Attached please find survey maps shoping a proposed
fence at the above captioned property at Eaet Marion.
Please feel free to contact me if you require any
additional information.
Sincerely,
JTM/tas
Att.
ii [ii: ........... TOWN OF SOUTHOLD
;.} ,,, ! ,: BUILDING DEPARTMENT
APR I Z11992 TOWN HALL
t bi_V: .... , TEL.: 765-1802
.... ,
Disapproved a/c .....................................
A, r LI',.,AI ION FOR BUiLDiNG PERMIT
INSTRUCTIONS
BOARD OF RKALTI{ .........
3 SETS OF ?LA:IS ..........
SURVEY ...................
ClIECK ....................
SEPTIC FOR~! ..............
CALL ...................
~IAIL TO:
~ ~ a. 'Tiffs application must be compIetely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
ets 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 pr~mises 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-
ation.
c. The work covered by this application may'not be cbmmenced 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 Depm'tment for the issuance of a Building Permit pursuant to tha
;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or
:egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with al/ applicable laws, ordinances, building code, housing code, and regulations, and to
~mi~auth~ri~dinspect~rs~npremi~esan~inbui~dingf~necessaryinsp5t~ns.~ /.g4~././:~/~
...... . ......
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
.tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber Or builder2
,amc of owner of prcmtses .... t~l'_(~/( ~ t
(as on the t.r¢ roll or latest deed)
Tapplicant is a corporation, signature of duly authorized officer. '
Builder's License No ..........................
Plumber's License No ...........
Electrician's L,c..n...; e ~ No .......................
Other Trade's License No ......................
Location
which l~roposed work will be d"
of land
llouseN nb ...... ~t ..............................
m er reet Hamlet
Connty Tax Map No. 1000 Section ............. Block ..... 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 occupancy ... . ...
property lines. Give street and block
interior or comer lot.
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .........
Repair .............. Rcmov~l .............. Demolition ............ Other Work .o/
4 Estim ted C ' , ~.9,~3~. ~ ~ ,, ~ ese
· a o ' .......... +... F
~ (to be paid on filine this application)
$ If dwelling number of dwelling u~its
· ' ............... Numbcrofdwelling units on each floor
If garage number of cars '
6. If business, commercial or mixed 9ccupancy specify
7 Dimensionaofexistingstructures ;if any: Fr;nt Rear
· nature and extent of each type of use ...................
g.e,ght .............................. Nmnl~r of Stories Depth ........... . ..
maensions of same structure with alterations or additions: Front
Depth !Height ................. Rear·'i~ ...... "'i .....
8 ........................................... Ntmlber of Stories ............ ~i} ......
· Dimensions of entire new constmqltlon: Front
Height Number of Stories ' Depth
............... Rear
9. Size of lot: Front ............. i ....... Rear .....
I0. Date of Purchase ... ' ' 2, · ................. pth ...
.-~ ............. '.' ............. ......... tmanle of Fenner Owrier .......... t ........
12. Does proposed Construction vmlat any zoning law ordinance or re-u/o*;,',-. ' .....................
Will lot be regraded ........... l ........... Will excess fill be removed from premises: Yes No
14, Name of Owner ofpremises.2...j, J Jill ..... [...Address ................... Phone No ................
Name of Architect ............ i ............... Address ................... Phone No ...........
Name of Contractor ........... ! ............... Address ................ :.. Phone No ..............
Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... ''
~If yes, Southold Togn Trustees Permit may be required.
' PLOT DIAGRAM
Locate elearly and distinctly all bfiildings.'whether existing or proposed, and, indicate all set-back dimensions from
nu nber or description, according to deed, and show street names and indicate whether
NOTIFY SUICI~G
76~-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOtJNDATION TI/VO REQUIRED
FOR POURED CONCRETE
2, ROUGH . FRAMING & PLuMBING
3, INSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONsTRucTiON & ENERGY
CODES. NOT RESPONSIBLE FOR
OESJGN, ~O~R CONSTRUCTION ERRORS
gATE OF NEW~ORK,. x S S ' ' ' ' '"
UNT¥ OF .... ' I '
...... . ~'~5'~.... being duly sworn, deposes and says that he is the applicant
.(Name of individual s~gning 9ontract)
'~ . ' ' '
, ~~agent, corporate officer, etc.) ........
said owner or owners, ~nd is duly a~ll orlzed to pcr[o~ or ]lave perforated the said work and to
flicalinn~ tba~ all statements contained in this applicaHon ar~ /me ~o the bcs~ o[h~ knowledge and belie~l and lha/the
rk will be pcrfo~cd in the manner ~et~ forth in ll~e application filed therewith.
o~ to be[ore me this
< . -
..................... ;day of.. . ......... ,
.. ,.. .
...................... , .....
': ......... (Signatur~ of applicant)