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Home My WebLink About20106-zTOWN 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) N*_ 20106 Z pursuant to application doted ....... ~../...~ ................................. , 19...~./.., and approved by the Building Inspector. Rev. 6/30/80 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building I~pex~tor Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 9, 1991 SCOTT L. HARRIS, Super~so~ Southold Town Hail P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mr. Michael Devine 1275 Ruch Lane Southold, N.Y. 11971 Re: Building Permit Application Premises: 1275 Ruch Lane, Southold, Suff. Co. Tax Map ~1000-52-3-14 Dear Mr. Devine: We are returning your plans for re-design. The 2" x 8" roof rafters 24" on center that you have indicated are not adequate in this snow zone for this span. If I can be of further assistance, please call. Very truly yours, SOUTHOLD TOWN BUILD~N~ DEPT. Thomag J. Ffshe~, ~L Building Inspector TJF:gar encl. FOUI~DATION FOUNDAT~O[J 2. ROUGH FRAME & (1st) (2nd) -PLUMBING INSULATZON PER N. STATE ENERGY CODE FI~AL ADDITI0~A'L COMMENTS: t~O~.J~ oe s__~O~uZ._O,y2 ............ ~xamined ~./~. Z .......... Approved .f/.~...~. ......... 19~./. Permit No..,~_~./.O.. ~. FORM NO. I ,, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765~1802 BOARD OF HEAl-IH - - -,. · 3 SETS OF PL.'dS {~;1~.,..--..''' SURVEY ..... %--~, ...... ... C;IEC~ . .~..~.~.c, ............ SEPTIC FORH .............. ~ .i°.:. ./..~?.t ~ ~. Disapproved a/c ..................................... · APPLICATION FOR BUILDING PERMIT Date ......... ! ......... , 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 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 c~mmenced 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 Orr;nonce 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 appl/cant agrees to comply with ali applicable laws, ordinances, buQ~qling code, housing code, ~a~t regulations, and to admit authorized inspectors on premises and in building for necessary i~j~fi/ons./~ ,~] /-/~ / / -- (Signature of appilcan , oV,-6'f-ffame, if a corporation) ...~.:~>z..gz.. ~ ./,,.. ~..,~..c..-_~, ..,'..~../-:<'. ~'./. (Mailing address of applicant) State w~her applicant is owner, lessee, agent, architect, engineer,' general contractdr, electrician, plumber or builder. Name of owner ofpremises...~./~ ..~..~..~. L....~...~....~'.(~'.r.../~.. ................................... (as on the taxx roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~2tzm'ue"t~ Plumber's License No .......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ......................... : ........................ ... ;..;.w_~.. ............ ?v..c-.~.. ~~.. ........... /~ .................... House Number Street Hamlet Cotinty 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 and occupancy b Intended use and //gc~c-~S q:--~-- ~. ...c~. ~,.' · occupancy 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteratioff .'?.W ...... Repair .............. RemoVal ..... Demolition .............. Oth~c~r?: ~.~..~...~ ..... 4. Estimated Cost ............. r~. ............ Fee ............... · . i . , ~ . (to be paid on filing this application) 5. If dwelling, number of dwelling Umts..gc~mk (/Number of dwelling units on each floor If garage, number of cars . . . ~ . .[-~0 ~.%. ~.. ....... ~ ......... 6. If bumness, commercml or mixedi occupancy, specify nature and extent of each type of use ...... 7 Dimensions .... if any: Front Rear · et exmt~ng stmcture~ ' Depth Height Number of Stories ' Dimensions of same structure wil;h alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... N 'er_of Stories ...... ,.~ .............................. ' ............. Height ............... 10. Date of Purchase ...... ~..~.. 7., ........... Name of Former Owner ........................ ./~.,~o.~-'~ ......... 1 1. Zone or use district in which premises are situated 12. Does proposed construction viola!re any zoning law ordinance or regulation. ' . . .. . 13 Will lot be regraded i nt, .... ' ' ' ' j";. .......... ~ ............ .......... ~ ................. w,l excess Illl oe removed xrom premises: Yes No 14 -Name of Owner oforemises .~.0~ ~c '-DX?, .~C. dC-~A,~ .... l'~ame o/^rcnltect t.t ,~tu_OAddre~q ,~[ Name of Contractor .......... i ................ Address ................... Phone No ................ 15. Is this property within 3Q0 feet of a tidal wetland? ~Yes ........ No ......... ~If yes, Southold Tbwn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propp~ed, and. indicate all set-back dimensions from property lines. Give street and block r ~mber or description according to ~leed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. API~I~OVfD AS ~OI*ED NmlVY BUlL.DING O[~PART~' AT 765~1802 9 AM ~O ~ PM FOR THE FOLLOWING 1, FOUNDATION TWO REQtJIRED FOR POURED CONCR~T~ 2, ROUGH . FRAMING & PLUMBING 3. iNSULAT]O~ 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. NOT RESPONSIRLE FOR DESIGN OR CONSTRUCTION ERRORS .................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) tbove named., {e is the ~ (Contractor, agent, corporate officer, etc.) ff said owner or. owners, and is duly huthorized to perform or have performed the said work and to make and file this tpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. ;worn to before me this .............. · ~ ........ day of..i..~ ............. 19 .~.~. ~,~RY I~BLIC, ~ta~e of New . ~. 4707878, 8uffolkComttv.~ ~ (Signature of applicant) ~m'm Exptre~ M~rch 30,1~