HomeMy WebLinkAbout19920-z h~o~OSpfFOL~~OG~
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Town Hall, 53095 Main Road °y Z Fax (516) 765-1823
P. O. Box 1179 0 • ~ Telephone (516) 765-1802
Southold, New York 11971 y~O! ~ ~~0~
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
June 28, 1994
Burger Construction, Inc.
2515 Pine Tree Road
Cutchogue, N.Y. 11935
Re: Building Permit #19920-Z - Adeline Browne, Owner
Premises: 5050 Nassau Point Rd., Cutchogue, N.Y.
Suff. Co. Tax Map #1000-111-8-14
Gentlemen:
During a review of our files it was noted that the above
building permit has expired, and construction was never started.
According to the Code of the Town of Southold, A building
permit expires in 18 months from date of issue, but work must
begin within a 12 month period or the building permit becomes
void. We have voided out this permit.
If you have any questions regarding this matter, please do
not hesitate to contact this office.
Very truly yours,
SOUTAOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Sr. Building Inspector
1'08.M N0.
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)
N ° 1 ~ 7 ~ ® Z Date ...~T~,z 19.
Permission is hereby granted
t~
at Premises lacoted at .......~.'~~..~a.....~
County Tax Map No. 1000 Section .......llf...... Block Lot No......~f.~.........
pursuant to application doted 19..~~yJ, and approved by the
' Building 'In/spector.
Fee ~S~~r~
y..... ,~cG...r...............
B ding nspector
Rev. 6/30/80
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STATE ENERGY
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"__._.:~e...., BOARD OF HEALTH / ,
I(1w i~(`'~{ff g 3 SETS OF PL,1NS [f • •
~~~~L`=il_I~~,IL.`~,l~~i FORrnN0.1 SURVEY
1VI _ ~i i
s TOWN OFSOUTHOLD CNGCh
MAY 3 01991 `'•~yy BUILDING DEPARTMENT SEPTIC FORM
) ~l1 TOWN HALL
~ $OUTIiOLD, N.Y. 11971 NOTIFY;
FGDr.C•3~`rf' ~ • TEL.:7G5-1802
TUVJ[~ OF SOUiIdO.,,S1 AA// CA~ ..~~....J.~_~~ ~ .
Examine 19/<. t T0:
APProved 19~~/.PcnnitNo...~~7~~
Disapproved a/c
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.
(B[ dding I s ctor)
APPLICATION FOR BUILDING; PERDi11T
G
Date 1581..
INSTRUCTIONS
a. Tltis 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.
TI[e 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 inspe t[ ns.
(Signature of applic nt, or iha e, if a c r oraiwn) ~ •
(Mailing address of applicant)
Stante whether applicant is owner, ]essee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
~0~1°.-~i0h~~ ~ . .
'Name of owner of premises .G/1~eI1V1e, ,~V'CJLIf/)~:-.
.
(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. .
Plumber's License No . .
Electrician's License No .
Otltcr Trade's License No . .
1, Location of land on wl[ich proposed work will be done;
;SD5C7 .....~U~iGI;U,~~~1P, ~
(louse Number Street. • • • • • • • •
Hanilct 1
County Tax i\lap No. 1000 Section . i. ~ ~ BI'ock ~ Lot d.~......
Subdivision Filed D1ap Na.
(Namcj' Lot..._.......
State existing use and occupancy of premises and intended use and~loccupancy of proposed construction:
a. Exis[ing use and panty ~ ~ ! f.~/ J~„19~1A.t~ `
occu
N•iy~~r .'B .t{iP+4sei ytOt~N •
b. Intended use occu ant ~'1 ~,.,~.~~.n`~
and p y Q• ~ 4, ~ l ~,(/lJ(J• Gp.~(f(/~ ~ r."+:~sni?.,r7 Ysi t~~d9iSnsrl~
~Ot~sriw+rtaFSt7 ene~y:3 tat;ktuoaC} .
V
3. Nature of work (check which aPPlicable): New building • • • • • • • • Addition ~Utera[ion •
Repair R~mov~l Demolition ...........Swimming pool........... .
Tennis Court A~~c~~cessory Building.........,Fence .......Otli'et,~aoricr+•.,,.
4. Estimated Cost ~ ~~.p.U4.! S..l Fce
(to be paid on filing this application)
5. IC dwelling, number of dwelling uriits Number of dwelling units on each Poor .
Ifgarace.numbcrofcars
6. If business, commercial or mixed occupancy, specify n hue and extent of cacti ype of use ~
7. Dimensions of existing structures,lf any: Front . . Rear , ,~Q , Depth ~ , • , , , . .
Height Number of'Stories .1 . .
.
P alterations~gr additions: Front , ..~ca C~.~w.
1-L._..r~:. Rear . .
Du th Y'~tk ~
8. Dimensio s of entiresnc
v eonstnto lIcight ..:7.~YY1-.4-.r.{ .......Number of Stories • . , , , , , , , , , , , , , , ,
tion: Front Rear Depth .
Height dumber of Stories . . . .
9. Size of tot, Front ....~.Qv..... 1 Rear .......~D~............ DePth ,~?o .
10. Date of Purchase i .NVN~ame of P~
~r Owner . .
1 1. Zone or use district in which pretri~ises are situated ....+Ce,~j1 ,
l Does proposed constructio vtolate any zoning law, ordinance or regulation: ~ . .
l3. Nill lot be regraded ; , , , , \Vill excess fill be removed from premises: Yes • No . .
14. Name of Owner of premisesY-t~~~Qlv1 ~y~W~e,1.. Address ...................Phone No............... . .
Name of Architect ,Address ~ ...Phone No. . .
Name of Contractor?Uv~~~.rU?IS~;VUC..~,lil;1!~ , , ,Address ..~-1.~~'CXI:Q~~~J.. Phone No.~_J.~~ : ~.2: I\7....'
IS.Is this property locatgd within 100 feet of.a tidal wetland? *YL~S._..NO....
*If yes, Southold TownlTrustees Permit roay be required.
i 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 n>,tmber or description according to deed, and show street names and indicate whether
interior or corner lot.
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STATE OF NE~RJ~Q (I,~ S~ S
COU~Y OF . ~ '
• • • • • • "l • • • • • • • • • . • • • , being duly sworn, deposes and says that he is the applicant
• (A'amc of indiv d al signi~~g contract)
above named. ,
Hz isthc ...........I!L..
j Contractor ent, corporate officer, etc.) • • • ~ ~ ~ •
oC said owner or owners, and is duly'iauthorizcd to perform or have performed the said work and to make and fle this
application; that all statements contained in this application arc true to dte best of his knowledge and belief; and that the
work will be performed in the manner ~CCt forth in the application fled therewith.
Swom to before me this ' D,, '
`~v~V ~day,of 19~
~
Notary Public, County ~
tA101tly?IAJIItL 8tpti
p}~p}NNMMl711t :b-~.---. .
No.4ti796p6 .
Qwllfled to SutfolkCeu • • ~ (Signature of applicant)
On1MrNwbn Ettpkeri peoottWM t, tY~~.F~