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Home My WebLink About20656-zFOUNDATIO:~ 2. ~OUGH FRAME & .PLUMBING (2nd) ~NSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: TOWN OF $OUTHOI. D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERA~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_No. 20656Z Permission is hereby granted to,.: ..... . County Tox Map No. 1000 Section ..J..~...~. ............ Block .....~ ............ Lot No.....~..'...~ ..... pursuant to application dated .......... ..W./J..~. .................................. , 19.~.~..., and approved by the Building Inspector. // Building Ins~tor Rev. 6/30/80 9 1992. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (518) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 14, 1996 North Fork Housing Alliance Inc. 110 South Street Greenport, NY 11944 Re: Building Permit #20656-Z - (accy shed) Premises: 365 Rachels Road, Mattituck Suff. Co. Tax Map #1000-108-4-7.45 File previously under Paul Davis. 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. Examined ..... .0~.//~,? .... Approved ./~..~..~. ...... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1802 ., ly-~. Permit No ............ Disapproved a/c ..................................... BOARD OF HEALTR ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. t, Or F' · '1 . t'IA--fL T ' ~ .... T.o. ;.~:~ fi.l>. .... . (~d~Eling ~lnspector) APPLICATION FOB BUILDING PEHMIT INSTRUCTIONS a. This application must be completely 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 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 appll- '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 Department for the issuance of a Building Permit pursuant to the luilding 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 re!rt?val or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building~'Cd, housing~eod'~',-fn~l regulatio3as, and to dmit authorized inspectors on premises and in building for necessary ir3sp~'~tio~. /' // ? ,/ -- ~J~ff-Bi~nature 6f applicant, or name, if.A~corporation) (Mailing address of applicant) // grate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... as ,tt ............... reno of owner of premises ...~ ~3. . t . .1~. . ~ ~' ~. . . ~ ........................ ~ ~ ....... ~,z~ .~ , (a~ o~ ~h~ t= ro~ or~at~s~ m~~~'~ ~~ f applicant is a corporation, signature of duly authorized officer ~ VE~: ~ BY: .~ ' NOTI~ ~U~L,DtMG OEPART~NT AT 7854802 9 AM ~ 4 PM FOR THE (Name and title of corporate officer) 0CC[~PJi~JCV 0R Builder's License No. ~ d~/~.~~ ~S~ ~g, [~Lg~[~ ..................... ~;~{~)~$~ ~ERTff~C&T[ Plumber's License No ......................... 0[ 0~C~g[~C~ Electrician's License No ....................... FOLLOWING INSPECTIONS: 'j. FOUNDATION 1V, JO REQUIRED FOR POUllED CONCRETE 2, ROUGH ,. FRAMING & PLUM~ING 3. ~N,~i~ UI,.ATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C,O. ALL CONSTRUCTION SHALL Other Trade's License No. S ATE COnSTRUCtION & ENERGY .-.-.-, / CfJ..D,E~ COT RESPONSIGLE FOR . Location of land on which proposed work will be done .... ~, (z..~....../~?..c.n. e:[.~[~Si,G(~0tR CONS:r~UC,TIQN.F_,RRO~S ............................................................... ............... House Number Street Hamlet County TaxMap No. 1000 Section. J.0.~..li~4~ Block ......... ~. ........ Lot .... ,?.', ./4.~,. ..... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises a~intendefl use and occupancy of proposed construction: a. Existing use and occupancy .. ~. ~ . .WT??.~.r'f..~X.~. ': ~ , ~. _ . / -- / ............. ~...-....~...?,,, :~.~;:::~ ........... b. Intended use and occupancy ..................................... '!:~ .' ...... ~ [.':"~ . . . ............... 3. Nature of work (check which pphcable): New Building ......... Addition .......... Alteration .......... Repair .............. Remo~,al ......... Demolition ... Other Work ............... ~// ~oO - ' ' ..... '~f/ ........ (D ripti )esc on 4. Estimated Cost ........ ~7..~.t .................. Fee .. .I (to be paid on filing this application) 5. If dwelling, number of dwelling ulnits ........... Number of dwelling units on each floor ................ · If garage, number of cars ..... : ............................................... .. . . If business, commercial or mlxedioccnpancy, specify nature and extent of each type of use ..................... 7 ..... if any: Front Rear ·Dlmenstons of exmtmg structuresl .............................. Depth ............... Height ............... Nu nber of Stories ...... Dimensions of same structure witlh alterations or .................................................. additions: Front ................. Rear .................. Depth ..................... ;. Height ...................... Number of Stories ........... j~: ......... 8. Dimensions of entire new construction. Front.· ...~. [2,..F. Rear . ~ ~.~. J.~.~.~. Depth ..g ~; .......... Height lO ~k ~ ~e,~Number of Stories 9 Size of lot: Front i ........................................................ · .. .. Rear .................. Depth ...................... 10 Date of Purchase ' .......................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ............. 12. D°es pr°posed construction viola!e any zoning law, ordinance or regulation: .............. ~/~ ................ 13. Will lot beregraded.............. ............Willexcessfillberemovedfrompremises: Yes No 14. Name of Owner of prem~ses ..~'.~.N..~.t~,.~ .... Address ..~O..%7,¢~:..q...~ .... Phone No. ,2~ ~'£~.c~. . Name of Architect ........... i ................ Address ~ ~.~' ~ M ........ ...... 5L. .e/.......~.. . Phone No ............... Name of Contractor .......... i ................ Address ................... Phone No ................ i5. 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 1,uildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block n ~mber or descr/ptioh accoi'ding to deed, and show street names and indicate whether interior or coruer lot. !TATE OF NEW Y~R;K23 N.. .... .... ~.~.................. being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) hove named. [e is the . I (Contractor, agent, corporate officer, etc.) f said owner or owners, ~d is duly ~uthori~ed to perfom or have perfomed the said work and to m~e ~d file this ~plication; that all statements contained ~ tl[is application are true to the best of his knowledge and belief; and that the 'ork will be perfomed in the manner s~t forth'in the application filed therewith. worn to before me th~ ~',~' ~'~ ' \\ I ,:~ ~. ~. ~, ¢ ¢~o,- ~ I ,' ~' ~- ,J I ~ ~ '~/ / / ,, ~ p~, ~ J ~ 9 ' .~ / 0 ~ ,,~ ~ - / ~ ~ ~/.'. ~ ~ .~ / /