HomeMy WebLinkAbout18736-z msas xo. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPLETION OF THE WORK AUTHORIZED)
No ~.8~36 Z Date ./~7 19.94
Permission is hereby granted t
to ...~^Q~:c^y.~~GG ~~......~R.........G~~P,aCf..~.+~G......~~......f:~7~v~~••....•••,f~~•`•.c...........
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l
.
,
. . .J . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~v/
. . . . . . . . . . . . . . . . . .
of premises located at ....el...~../~P....~y~..~....~!45~~.....1.~,
County Tax Map No. 1000 Section ........~~:6.... Block Lot No........ll?..........
pursuant to application dated 19.~~., and approved by the
Building Inspector. ,
Fee $,p~'J!
Buildi Inspector
Rev. 6/30/80
oc~~FFO(/~~0
VICTOR LESSARD ~ < Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR ~ P.O. Box 1179
(516) 765-1802 ~ ~ ~ Southold, New York 1 1971
FAX (516) 765-1823 ~Ol ~ _`~Q
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 18, 1990
Mr. Robert P. McGowan
2060 Bray Avenue
Laurel, N.Y. 11948
Re: Building Permit #18736-Z
Premises: 2260 Bray Ave.
Laurel, N.Y. 11948
Dear Mr. McGowan:
Enclosed is your fence permit and a CO application. Our
records show that a CO was never issued for permit #9338-Z. You
can complete the application and return with a fee of $25.00 and
schedule a final inspection on the addition.
You can also request a 6 month extension on permits 17395-Z
and 17394-Z in writing. They will expire in March.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
encl.
'
~ lv...;(~
e~ x
u~
~.e~ ~ 23ti~3,3
p N 5 ~ Vl K +y.
A Y
L 'V Y , * t.-.,-.~ `r' a fix T H i.~E~l
' A ':.Ft. r ~ C " "k ~ .
w A ~ ~ 9 rt
¢
~P ~ P _ F
'Zs ~ ~ e ,
}
sa' V ~
• ~ +y.
1` ~
~ ~
~ ~ r~ ~
Y'
~1n_ _ ~
~
i~ 4,,,~ t e"
• ~ ~ ~ ,
~
ti ~ ( ~
.;'+k ke
h ~ ::fit o W ~ ~
T
~
t ~
1' ~ tl~' i ~ A h`~.
I~ ~ a
' BOARD OF HEALTH
~ ~ ( ~ ~ 3 SETS OF PL.\N
FORM NO.1 SURVEY
TOWN OF SOUTHOLD CHECK 3. , , , , . , , ,
BLOG.OrPT. BUILDING DEPARTMENT SEPTIC FORI-1 .
TQWN OF SOUTHOLO TOWN HALL
$OUTHOLD,N.Y.11971 NOTIFYo ~g~ °~~.3~
TEL:7G5-1B02 C
Exantincd ..~/l~~. • • • • • l9~~ MAIL TO c. 760 C~~-
Approved ~~7......., 19,!/(!/. Permit No. ~l~ca,~'?-?-:~-......... .
Disapproved a/c
.
Oy . ..~~G-~.
B+~il ~ Inspector)
APPLiC TION FOR BUILDING PERMIT
Date IS' .
INSTRUCTIONS
n -
a. Tlus application must be completely filled in by typewriter or In ink and submitted to the Building Inspector, with ~
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 perr.:St
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 far removal or demolition, as herein described.
Tlie 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 ~ sp ctionst~
r: (Signature of applicant, or name, if a corporanon)
M ~.N....._.w.:a._.._
• Tt, t~}~ta'iTnFwr13t1 ef~'~'Uhi:a ";s~~ ~i (Mailing address ofapph ant)
State whether appli~anb'is'owner;rles`see, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..~!1 :4.~~.~: ~ u.4... ~I. ~!sQ:Y:~: d.~ .
3 "E+: ` u">''~ (as on the tax roll or latest deed)
If applicanF is.a,corpQ ~ation;,•siggatpre.,of duly authorized officer.
(i~~me and•.til~e~ of„corporate officer)
Builde'r's Liecrise No. ....~-~??t!~'!) .
Plumber's License No.
Electrician's License No . .
Other Trade's License No .
1. Location of land on which proposed work will be done;
Ifouse Number /Street. Hamlet
County Tax \lap No. 1000 Section 4? Bluck , , , , , , , , , , , , , , Lot , ,
Subdivision . . Lot . .
.Filed (\tap Na.
~(Namc) . .
Slate existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing '
,use and occupancy C~"^:1.. .
JJ ~ t;~°"~~ .
b. Intended use and occupancy _ .
3. Nature of work (check which applicable): New Building Addition y ~eration
Repait ' Removal' Demolition ............i'mn.~i o01 .
Tennis Court .....~Ac~essory Building..........Fg11ce .....Other Work.....,......
. Fec iZ.Q;• o0
4. Estimated Cost ...5 dQ:~ai• ,,r:~~,. •.a:.................... •
(to be paid on tiling this apptication)
S. If dweltin;, number of dtvclling units . . Number of dwelling units on each floor
If garage,numbcrofcars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front Rear Depth . .
Hci;ht ...............Numbc~•ofStorics.....................,.................................
Dimensions of same structure with;altcrations or additions: Front . Rear , . .
Depth . ....................~i,Hcight ......................Number of Stories .
8. Dimensions of entire new constriction: Front Rear Depth . .
Height . Number of Stories . , .
9. Size of (ot:.Front ..1.cSF? . : Rear ..1Gt U..... , . , D~e,.B'th,~~~~
lo. g}une or use district in t~tic~~rcm • • ~ ~ • • ~ ~ ~ • ~ • ' ' ' • Narne of Former Owner .~!f?^;egv , .
} ices arc situated .
I2. I)ocs proposed construction vio'latF any zoning law, ordinance or regulation : .
i3, oJi11 ]ot be re~rade P ~1.~~. , 1Vi1} excess tlll~ie re oved from premises: ~ Yes , ; No•. .
~t f(f yg
14. Name of Owner of remises Address .2dtfd '~J'~ ......Phone No..~`l~.'.~:~d... ; .
Name of Architect , . ,Address ..........Phone No.. .
Name of Contractor , ...Address ..Phone No.. • . < .
- IS..Is this property located within I00 feet of a tidal wetland? ~Y);5...`~'NOX..
*If yes, Southold TownlTrustees Permit may 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 number or description according to deed, and show street names and indicate whether
interior or corner lot. -
~ G~„ ~
~ _ _ .
~
A gR~ED AE MOT~D
Ur®D e
~ NOTIFY BUI IN bEPA
766-1802 S AM 'Ip A PM OR THE
FOLLOWING INSPECTIONS:
t. FOUNDATION TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH -FRAMING de PWMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
i BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N•Y.
STATE CONSTRUCTION F. ENERGY
• i CODES. NOT RESPONSt ~Si,E FOR
QESIGN OR CONSTRUCTION ERRORS
STATC OF NE1V YORK, S.S
COUNTY OF • .
• • . • . • , . . being duly sworn, deposes and says that ]te is the applicant
• (A'amc of individual signing contract)
about named, j
Fkistltc
(Contractor, agent, corporate officer, etcJ
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and Gle this
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
..............~~........day o(.h.~.. x/.........,19 ~O
Notary Pubtic, .7(:..: f/.!~.. County r~.J/ ~j
NEIENKDEVONeMYalt ..~P Y.. !C: .
~M~4 07878, SIk~Cou~y,~~
7amExpiresMueh38%18...7L {Signature of applicant)
- -