HomeMy WebLinkAbout19603-z FOB~ NO. ~
TOWN OF sOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°- 1960~ Z
Permission is hereby granted to: ~--'%~
' , )1~
· .~.~.~.,..~..:~..~ ................. ~ ....... ~ ,~
,o
County Tax Map No. 1000 Section ......... ~ .~. .......... ~ Block ...... ..~ ........... ~ Lot No. ....c;~...,~ ..........
pursuant to application dated~,~....~'l~&d,~.......'~:...! ........... , 19..~..°...., and approved by the
Building Inspector,
Building Insl~ctor
Rev. 6/30/80
OFrFIC[::' OF THE BLJIL:DING INSPEC'."f'C~R
"FC)WN OF' E.'i~CJUTHOL..0
T'DWN HALL 53095 MA:I'N ROAD
I:::'0 BOX 1 :i '79
SOUTPIOL0, L,.:I'. N.Y,. 1.t9'7.[
RE: APPLICA"FION 'T[) II'4%'TAI_L. A NEW F.EIqUE A'T' 4.55 WES'F SHORE
DRIVIE, SOUTHOLD, N,Y. 1 19'7:1
GEtq]"I .EMEN ~
ENEtLOSED I'::'LIEASE F'IN:0 COPY OF A SURVEY SHOWING MY PROPOSED
L..OCAT'IC)NS F:'OR A F.'t=NC!2 .[NS]Y~I...L..AT]'CIN,,
I ZFFTEND 'T'O F:'I,I]" UF:' h SI:::'t,,ZT Rh~l.,. I:::ENC[;::~ APPRC)XIMATEI. Y 4.-..5 FEET
ABOVE GROL]ND ,,
ENCI.0SED AL,SO F'I.,.EASE F'IND A CHECK IN THE AMOUNF OF:' !~i¢::?',:5.()() r'o
[:C)VL].R SAME,,
'IHAI',tK Y[;JI,,I :~
(MA:IL TNG ADor.~ESS )
INSPECTORS
(516) 765-1802
VICTOR LF~SARD, Principal
CURTIS HORTON, Senior
VINCENT R, V~IECZOREK, Ordinance
ROBERT FISHER~ Assistant Fire
Building luspectors
THOMAS FISHER
OARY FISH
SCOTT L~ HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OP'P'iCE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 10, 1990
Salvatore DiSalvo
47-39 162nd Street
Flushing, NY 11358
RE: Fence Permit
Dear Mr. DiSalvo:
Please fill out the enclosed application and remit to this
office with the other papers I am returning.
Thank you for your cooperation in this matter.
Sincerely,
Lynda Rudder
2 e~c.
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTN1ENT
TOWN HALL
$OUTHQtj3. ~LYo 1.%97
TEL.: 765-1802
Exa,nined~.~..~. [., 19
APpr°ved~°~' '~' · · "~. J., 19c~-O- Permit No. ~ .~..(e .0.,~ .~
BOARD OF HEALTH .........
SETS PLANs
S3URVEY OF ..........
CllEcK ...................
NOT! FY ~
HAIL ·
Disapp?oved a/c .............
(Building Inspector)
........ ,~ :u,, u t-U}~ BU LDING PERMIT
INSTRUCTIONS
a. Tl~s application must be completely ~lled in by ~pewHter or in ink ~nd submitted to th~ ufldmg ~D~r,
sets of p~, nccurat~ plot plan to scale. F~ =~ing to schedule.
b. Plot pl~ showing location of lot and of build~=. · . .
_ ~r.areas, and =~vmg. a ~e~a, lea ae~enpt,o~, or la~-- ~, -~, o~ pr~p~Is, relahonsh,p to adjomin- nremi
ca~on. , ~ .... prop=try ,.u=t be drawn on the dia-m~=,im~.Y~ ~! ~oac stre:
....... · -- as paa ot tNs ap~
~. The work COVered by tNs application may not be Commenced before isSUance ofBufldNg Pe~it.
~. Upon approval of this applidation, the Building Inspector will issued a Building Pe~it to the app~c~t. Such peru
shall be kept on the premises ava~able for Nspection throu~out the Work.
e. No bulldog shall be occupied or used in whole or i~ part for any purpose whatever until a Ceaificate of Occupmm
shall have been granted by ~e BullriNg Inspector.,
APPLICATION IS HEREBy MADE to the BullriNg Depmment for the issu~ce of a B~tding Pe~it pu=uant to
Building Zone Ordinance of the Town of 8outhold. Suffolk County, New York, ~d other applicable
Regulations, for the construction of bufld~gs, additions or alterations, or for ~emoval or demolition, a~ here~ desc~bm
The applicant asrees to comply with all applicable laws, ordinances, buflflNg code; housina code, and regulations,
admit authOHze~ ~specton on premises and ~ builfl~g for necessa~ jnspect~s,. ,
~ to,gnature ox hpplic~ g~;~; :; ............
........... ii ;: i' ';a 7; ........
. ting fl ss f H '''
Sta~e whether ~ppHcant ~s owncL lessee, agent, ~chftect, engineer, gcne~aJ contrnc~or, e~ect:[c~an, pJumb~r o:
...........
..........................
(as on the tax mH or ........................
lrapplicant is a corporation '
, Signature of duly authorized of~cer.
........ i i g; a' ..... gg i
title of co rae
Builder% License No
Plumber's License No .......................
Electrician's Lkenxe No .............
Olher Tradc~ License No ........
1. Loealion of land on which proposed work will bo dome:
..... . . o ~R ~Z
llous= ........ o ,
Num bet Slreet .....................
Hmnlet ................
~ Co=rayTex ~l=p No: ~000 s~ction-', q~q .... ~ nio~k ..'-i~?.~ ........... Lot..
SubdNision ................ . ............ ~...
' ' ' · ................. Riled Map No.
St (Name) L
xa ma use and occupancy o remises and intended use and occupancy o~ pr0pos~d construction:
I. ~xisting use and occupancy ................... .
................. ' .......................
B. Intended use and occup y .................
3. Nature of work (check which applicable): New Building .. . Addition.-~-~- -' zLItcration , · .
· ----..~eessory Building .......... Fence ..f~.....Other Work; .........
4 E~timated Cost ~, ~o ~ e~o
(lo hc paid on filing this appli:at:on)
5. If dwelling, number of dwelling units ............... Number of dwelling unit5 on each floor.... ............
If garage, hum her o f cars .......................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...................
7 Di f if R
Hei:ht........ ...... Number of Sto~cs . ..............
Dimensions of same structure with alterations or additions: Front Rear ............
Depth ..... tlci~t ......... Number of Stories ·
8. Dimensions of entire ne~v construction: Front ............... Rear ............ Depth ............
. i ht .......... ....:. ......-- '
-o I ~'' ~ ................................ ~ b~ ~ ~''
9. S~z¢ f ct: ~iont ....... $-~ ........... Rea." ...................... p ........
10. Date of Purchase ...[f~ ..................... Name of Foyer Owner .. ~~¢~ ...........
I I Zo~c or t)¢c d~stHct in xvk~zh premises a~e situated...... .
12. Does proposed construction violate any zoning law, ordinanc~ or regulation: ...............................
13. WHI lot b~ regraded ........ ~...' .............. Will excess fill bo r¢moved from uv~:
N~eofArchiteet ......... ..................Address .... ............ ... PhoneNo ...............
N~e of Contractor .... ' .
· If yes, Souchold To~n Trustees Permit may be required.
PLOT DIAG~bi
Locate c;e~Iy ~fl dist~ctly ~I buHd~gs, whether existing or proposed, ~d. indicate ri set-back d~e~g~or.:
prope~y tines. Give street ~d block number or description accordhg to deed, ~d show street n~es and Militate
interior or co,er lot.
.JL.t)WING I,' >PEt .... N
',:OUNDATION 1 ,,dO 2~-OUIRED
-'OR POURED
ROUGH - FRAMING & PLUMBING
IN': '" '
4. Fl:',,, ' 5;',.
~r:t .....
ALI_ R. 'fa ~q,')['d 5.,,'qAkk F,/IEET
TH['- .,FC:UJ,qFMENTS OF THE N.Y
STA:E ,C;f.)NSTRUCTION & ENERGY
:',~,.. -.,,-,.,.r'cc: qOT RESPONSIBLE FOR
rJk3!GN OR CONSTRUCTION ERRORS
STATE OF NEW YORK. S.S
COUNTY OF ./y~.~ s,a.o(... .
(Name o£ individual signiug con tract)
above named. .~.~,~..~.
i ttie .. · . ........................
(Contractor, agent, corporate officcr, etc.)
of said owner or owners, ~d is duly authorized to perform or bavc pcrfo~ed thc said xvork and to m~c and file
application; that all statements contained in Ibis application are true to Iht bt:st of his knowlcdgu and belief; and that
WOrk wfl! be peri'om:ed m thc mmnncr set forHt in Iht application filed therewith.
Swo~ to before mc dlis
........ /~.~t. ~. or 0*~,~.-~ ,~ 9~
· , ~,~ ~.,, ....... ~: ...... :~.:. ~..; ..........
~;~f, ..' ~ ~ (Signature of applie~'
g 107