HomeMy WebLinkAbout18633-Z FORM NO.
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)
NO 18633 Z Date ....&/...................................... 19
Permission is hereby granted to:
.. .........................
-...., ,
to .� ...4/4 t... . ......�..C+aC .........ltr als ....
.1............................................................................................ .................................................
at premises located at 30 3Ve.;
I pgr'
........................................ . . . ....... ....................... ...........................................
I `� .. ..
................................................................................................................................................................
County Tax Map No. 1000 Section ....... Block 9! ....... Lot No. ✓4? '�
pursuant to application dated .... ............................. 19.9e.?, and approved by the
Building Inspector.
Fee
.... .. .. n. .... ... .�/C_......................
ildi g 1 for
Rev. 6130180
v a Y
VICTOR LESSARD1..'tE Town Hall, 53.095 Main Road
PRINCIPAL BUILDING INSPECTOR
y 5 - P.O. Box 1179
(516)765-1802 yam,." Southold, New York 11971
FAX(516)765-1823
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 26, 1989
Robert Bohn Cont .
P.O. Box 55
Peconic , N.Y. 11958
Dear Bob :
I am returning your check # 1444 which you gave us for
the permit for Murray Klappers ' s fence .
It seems the pool never had a permit so Murray came in
and filed an application for the permit and gave us his
check for $ 150.00 to cover the pool "and fence. (Must
.have a self closi -self latching gate . )
Yours trunly,
Enc . Secretary
Memorandum from . . . .
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN HALL, SOUTHOLD, N. Y. 11971
765-1802
Dear Mr. Rlapper:
In regard to the Notice of Disapproval ,
contact the Building Department for alternative-
in place of a variance from the Z.B .A.
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date . .lz/e3- . . . . . . . . . . . . . . . .
a�
.�� ,. /. . i //93S`
i Dq
PLEASE TAKE NOOTTICC.Ethat your application dated . . . , ,aJ� , , • , • . • • • , , 19 .Q!
for permit to u.j�• GJ? at
Location of Property . .,-3.Q.a p. . . . ..� yl�rtc.�(�• • •
House No. v " ' • • • • ' •i• • • •
Scree[ H�
County Tax Map No. 1000 Section . . . . . . Z . . . Block . . , . . . ; . . , • , Lot . . . . .(o..
Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . ...
is returned herewith and disapproved on the following grounds 4..�,eiL, . . ,��f4 l
. . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
: . . .: : � : : : : .: .: : : : : : : : : : : : : : : : : : : : : : : : - . : : : : : : : : : : :
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BU 1 nspector . . .
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COUNTY OF SUFFOLK SOUTHOLD
Real Property Tax Service Agency
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C..., C..,., 1000
L.1,N..Y.,k
7
Memorandum from . . . .
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
' TOWN HALL, SOUTHOLD, N. Y. 11971
765-1802
a�.
November 6, 1989
Dear Connie and Murray:
Enclosed is the Building Permit for the
fence .
Also Tom said you gave him two checks . He
wrote void on # 1380 and I am returning it to
you.
Yours truly,
i
D V f BOARD OF HEALTH . . . . . .
3 SETS OF PLANS . . . . . . .
FORM NO. 1 SURVEY . . . . . . . . . .
Off 25 M TOWN OF SOUTHOLD CHECK • - . . . . . . . .
BUILDING DEPARTMENT SEPTIC FORM - - - ;
BLDG.DEPT. TOWN HALL
TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 NOTIFY
' TEL.: 765.1802 CALL MAIL . . pp �.
Examined A/� . . . . . . . . . .. 19u/. .
Approved . _<//.6/. ... . . . . ., 1 ermit No. . ./ �? 3 9, � e--0-
Disapproved a/c . . Z� . ,
APP Q AS . . . . !. . . . .
DAZE: 6 gpN �� (Bu' ding s ector
FEE: BY APPLICATION FOR BUILDING PERMIT
NOTIFY BUI ING btPA AT 766-1802 9 AM TO 4 PM FOR THE Date . . . . . . . . . . . . . . . . . .. 19 . . .
FOLLOWING INSPECTIONS: INSTRUCTIONS
1. FOUNDATION - TWO REQUIRED
F P U 0 ONGR
_ I• R Pp �pty� 4tely filled in by typewriter or in ink and submitted to the Building Inspector,with 3
sets fl � ra e p o p an o sca e. Fee according to schedule.
t • F A[P an "Opt and of buildings on premises, relationship to adjoining premises or public streets
or areE�rjYi� l� description of layout of property must be drawn on the diagram which is part of this appli-
cati
fHET f Q- 'pgyiqution may not be commenced before issuance of Building Permit.
�n, the Building Inspector will issued a Building Permit to the applicant. Such permit
sh Spt��die r&{g,ab,,*r inspection throughout the work.
® used in whole or in part for any purpose whatever until a Certificate of Occupancy
IRAT
shal y� r�gAyt�hy PM $p*IgEInspector.
F ! P � to the Building Department for the issuance of a Building Permit pursuant to the
BuildiT divn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regg��rt1 t g�, uildings, additions or alterations, or for removal or demolition, as herein described.
The`a e �o o p rah'"I'll applicable laws, ordinances, building code, housing code, a d regulations, and to
admt � �re i and in building for necessa spec ' ns.
BE COMPLETE FOR C.O. . . . . . . . . . . . . . . . . . . . .p.
ALL CONSTRUCTION SHALL MEET Signature of applicant,or name, if a cor orat n
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY `S�'
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS (Mailing dress of applicant
State whether applicant i wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
2
Name of owner of premises �u . . . .
e tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . `R -:: . . . . . . . . . . . . .
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. . . . . .�. V�, -�,1' , , ,
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . 0 .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . .
.130
1 House Number V
Street Hamle �.
County Tax Map No. 1000 Section . . . . . . . Block . . . . . .� . . . . . . . . Lot .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and i tended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . : . .�i.�y' � . .
b. Intended use and occupancy
. . . . Rem
Repair . . . . . . ( oval . . . . . . . . . . . . . . Demolition . . . . Ot ion <. . . . . . . . .
p I pliable): New Building . . Addition . . . . . .
3. Nature of work checl.,which a
t escriplion)
4. Estimated Cost . . . . . ..e".d.� :V. . . . . . . . . . . . . . . . . . . . . . Fee . . ..",,. . . . . . . . . . . . . :. . .
P' (to be paid on Piling this application)
S. If dwelling, number of dwelling lunits . . . . . . .1• . , , , , , Number of dwelling units on'each floor. . . . . . . . . . . . . . . .
garage, . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If a si e, number commercial car or s mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . I . . . Depth . . . . . . . . . . . . . . .P
Her ht Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front Rear .
Depth . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . .
S. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth
Height . . . . . . . . . . . . . . . Nun%ber of Stories . . . . . . . . . . . .
9. Size of lot: Front. . . . . . . . . . . ... . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . DggftN.9A (j4i ,q:).$A . . . . . . . . .
10. Date of Purchase. . . . . . . . . . . .'',. . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . .
11. Zone or use district in which promises are situated . . , , , , . ,
12.. Does proposed construction-yiol'are any zoning law, ordinance or regulation: Yq r; ,¢,.,
13. Will lot be regraded . .'vY. . nT Td:gM1.ir�0t' t { `1"i. t` No
. . . . Will excess fill be re ve s
Name of Architect Address . . . . . . . . . . . T. � �
14. Name of Owner of,premis�es
. . . . Address . . . . . . . . . . . i. e No.Mt, tt, q,
Name of Contractor � . ! , . , , , , , . . . Address04.A ?3�
15. Is this property located o rR+( o•r3 '�'P P Y Within 300 feet of a ti al wetland. .�`r�t9i7,PtYS'�,4t *,�Q�i�,, , , ,,,,;,•x; ; i .
*If yes, Southold Town Trustees Permit ma be be reg u�ired.
PLO"1' DIAG1tAM Tz
Locate clearly and distinctly all ',buildngs, whether existing or proposed, and-indicate all}set'aback'dimegsions from
property lines. Give street and block number or description according to deed, and's)� 0 st49PRiar'6e hfig i`cW whether
interior or corner lot. ,•to 'INT ?+. ;"'r 1'
13 4, mill ..i:0 . . .
-
+, r.," 3E4£,,14 e. ...
', I.J.fI-IV/per �tiVLJC.�'0'��'l..fr r
o ,
STATE OF NEW YORK, S.S
COGNTY OF . . . . . . . . . . . . . . . . .
(Name of individual si .. . ' • • ' • ' ' • • • • being duly sworn, deposes and says that he is the applicant
g 'g contract)
ibove named.
ieisthe . . . . . . . . . . . . . . . . . . . . . . .L . . . •
_ (Contractor, agent, corporate officer, etc.)
)f said owner or owners, and is duly'liauthorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief;and that the
vork will be performed in the manner set forth in the application filed therewith.
;worn to before me this
. . . . . . . . . . . . =/
. . . . . . .day of.l.4.r . . . . . . . . . . . . . . 19e.�
otary Public, . . . . ,�?e . . . . . . County
lNo 4 0 8 le S3rflte DE of New York
. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Term Expires March 8q 10Un (Signature of applicant)