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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