HomeMy WebLinkAbout19891-z rOB~ BO, 0
TOWN OF SOUTHOLD
BUILDING D£PARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No_ t 9891 Z
Permission is hereby granted to:
.... .............
...~1.~..~.
~" r"-"~'/'l"" "~i .............
.~ ~ .......... ~. ...... L....~.~...~ ......
,o .~.~.......~.~' ...~. ~~.~' ' . ...................................... .........
at prem,ses located at ..~..~ .....................,g~ ..............................
County Tax Map No. 1000 Section ...... .~. .......... Block
~ ')'- ..... ..(~.....~.. ....... Lot No..LI. ...................
pursuant to application dated ........ ......~.....~.......-~.... ................ , 193..l.., and approved by the
Building Inspector.
Rev. 6/30/80
To:
RVFCO Inc.
o/./^ ItlVI I HF. AD FENCE
421 RIV~RLEIOH AVeNUe, ~IVERHEAD, N.Y. t1~I
~ 16-727-3798 Fax: 727-2688
Tel
We hereby propose to furnish and erect a feace on your property located
As set forth in the followieg apecification~
Style
QuanityHeight ....... :~~ _._..~
Gates ~single ...... w~de
~, double wide
o p R a i ] --~-- ----~Z__.~~- _
T
~ste Post's
End Posts
Corner Posts
"'pets Set
Braces
Coil Wire
Barb Wire
__J -._~" _~.__ spaced
every4. ......... _/~ft, apart
.... ~feer '~ep in concrete
REHARK$
EreeHn9
Conditions
Tqrms
The a .c,v~ p~:>posal ;s hereby accepted this
day rpf ....... 199
RIVERHEAD FENCE "~r '~ !''I:: Pu~chase~
?.
Purchaser must provide RVFCO with survey of property, unless property lines
ere properly marked by ~urveyot stakes or monuments.
All ob~frtlcf .~vhk!'l might in 0ny m~nner interfere with the erecting of the fence or gete~
~h~l~ be ~on, ~ by the Purchaser, prior to the con n:.~ncing o{ the work. The price quoted in
this e~firna~e ~ based upon normal erecting conditions. If, however, It i~ necessary fo drill
ledge rock for settlng posts, or t~.make special provisions for s?ing fence In swampy or soft
ground~ or lo perform a.y add,t,o~al work not covered by th,s conttad~ e ¢easonble charge
II fo be made fo the Purchaser for ~uch work or spec;-~ ~onslrucfJofl a~ ~ extra, Onte~s elhe(~
wise provided d... ¢~mce Is *o follow the exi~ting Orca.rd lines, if grading ~f'fflllng of the
grouqd is n~ 'o the proper tn~fetlelion of the ~eq:e, thl~ work to ~ done by the Pur-
theist. RVf'r" . are not responsible for ~ny underground damage Of wire,
pipes ets. Unle~ properly ~taked or marked by owner or contractor.
1/3 Deposll Required. Total Price $ .... /~ '~.~,..~ ~ ....
B~lence on C,:rnplelion. Deposit .............................
Balance .......................
con~racf be~,een
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALE
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
;xamincd ,~'~ '~'~ .... 19~.. ).
"pProved J J; ~ ~ .~'.' .~..., 19c['.. Permit No. } .C~ .~..~k ~..~.'
)isapproved a/c .... . ............................. ~
............................... ........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CIIECK
S E R H
Date ' ~(~
.............. 19
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3
s 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
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
!ion.
t c. 'rb, e work covered by this application may not be c'bmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to thc appLicant. Such permit
ill 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
:11 have been granted by the Building Inspector.
APPLICATION I$ HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
gulations, for the construction of buildings, additions or aiterations, or for removal or demolition, as herein described.
e applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
nit authorized inspectors on premises and in building for necessary inspections.
__ . ..... .................
(Signature of applicant, or name, if a corporation)
.../:a,,L
(Mailing address of applicant)
,re whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ·
me of owner of premises R,E.(,ko, y-c~ ~..u/[,~d..4'r.
(as on the t~: roll or latest deed)
.pplicant is a corporation, signature of duly authqrized officer. ,'
· .....
(Name and title of corporate officer)
Bu'lder s License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ..................................................
/4.o. 44.
rouse Number Street Hamlet ........
?ounty Tax bfap No. 1000 Section ... ~.' .~.~ .......... Block .... ~ Lot
;ubdivision... Filed Map No.
(Name) .............. Lot ...............
rate existing use and occupancy of premises and intended use and occupancy of proposed construction:
xs n use an occupancy . . . ,-
3. Nature of work (check which apl~licabte): New Building .......... Addition .......... A teration ..........
Repair .............. Remoyal ............ Demolition .............. Other Work...'.~. ..........
· s mate Dst ...... . ...................... Fee ..............
[ (to be paid on filing this application)
5. It' dwelling, number of dwelling u,its ............... Number o f dwelling units on each floor .....
· If garage, number of cars ...... 1 .... · ..........
~i If business, commercial or mixe CCUpa ~ ........
· ' iii ~,.~, y at rcanaextcnto~cachtypeofuse ..................
Dm~ensmns of existing structures, any; Front ............... Rear .............. Depth.
Height ............... Num b~er of Stories ............... ' .............
Dimensions of same structure with alterations or additions: Front ....
~ ................. Rear .......
Depth ..................... ,. Height ............. · ..........
8. Dimensions of entire new construction: Front ......... [ ........ Number of Stories .....................
..... Rear ............... Depth ............
Height ............... Number of Sro es
9. Size of lot: Front ..... ? ............ 1~ .............. '"
10. Date of Purchase ..... ' ......i ............................. pth ....
....... t ....... ......... Name of Former Owner ......... ' ' '
I I. Zone or use district in which prem.'ises are situated.. .
!3. Will lot be regraded ... ~4,J(> ~' ~ ....... s ,~w, ormna,n, ce or regulatmn: . ,h/.o·: ............ ~ .........
x~ .... r c~ ......~ .' ' ' ~.'.2i2221' ';.' 'ti .... . ....Will excess fill be removed from premises: Yes
Name of Architect
..... · ..................... Address ....... 3.~.' ......... Phone No ................
'5. Is this property within 300 feet of a tidal wetland? *Yes ........ No..~..,
· If yes, Southold Toyn Trustees Permit may be required. '''
· ". I PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from t
>roperty lines· Give street and block nu nber or description according to deed, and show street names and indicate whether
ATE OF NEW YORK,
.UNTy OF S.S
(Name of individual signing ct ntract)
ye named.
,t.,t. DINC D[PAmM ,T Ar
5-1802 9 AM TO 4 PM FOR
FOUNDATION TWO REQUIRED
FOR POURED CONCRETE
ROUGH ~ FRAMING & PLUMBING
INSULATION
FINAL CONSTRUCTION ~UST
SE EOMPL~TE FOR
being duly ~ ~a~[ll[t/l~FtI~e appl~[cant
THE REQUIREMENTS OF THE N.Y.
STALE CONSTRUCTION & ENERGY
~s the CODES NOT RESPONSIBLE FOR
' ........................ DESIGN ~Jt. ¢01~I.8.TR.U.C. TION ERRORS
(C ffi ) ....
ontractor, agent, corporate o cer, etc. ' .............
aid owner or owuers, and is duly autl or/zed to perform or have performed the said work and to make and file this
lieation that all statements contained in this application are true to the best of his knowledge and belief; and that the
~ will be perfo~ed in the manner set f~rth in the application filed therewith.
m to before me this
........... day of ............ , .
.
No, 4961364 i .........
Qualified in Suffolk ~oun~y
Commission Expires A4~,, ?9 ,~ ~ (Signa~rc of applicant)