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Home My WebLink About18524-zTOWN OF $OUTHOLD BUILDING DEI'ARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18524 Z Permission is hereby g.o3~: ~;~ ...... .~.~~......~.&.~. .~..~..~...~ ................................................... ...~~.....~.:.~..,..../.~,~..2./. ........ ,o .... ,, premises located at ../....~..~.?....~.........~.~......~..~ co..~ To× ~o~ .o. ,000 See.on ......O..~..: ........ ,,~k ....... ~.: ....... 'o, No. pursuant to application doted ..... ..~..~...~....~....~. ........ , 19..~....~., and approved by the Building Inspector. Fee $..~**~.: .....'.~ Rev. 6130/80 FORM ~0. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ................................ ............................... ..... (Buildin~ Inspector) APPLICATION FOB BUILDING PERMIT BOARO OF HEALTH ........... 3 SETS OF PLANS ........... SURVEY .................... CHECK ..................... SEPTIC FORH ................ NOT%FY CALL ..................... MAIL TO: Date September 13 19.8.' INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to sct~eduie. b. Plot plan showing location of lot and Of buildings on premises, relationship to adjoining premises or public street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tkis appii cation. ¢. 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 permi shall be kept oa the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for a~y purpose whatever until a Certificate of Occupanc2 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 th~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, ad~ditions or alterations, or for iemoval or demolition, as herein described Tile applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc admit authorized Inspcctom on premises and in building for necessary inspections. : Ron Morillo Builder, Inc. · (Signature et applicant, or name, if a corporation) .,; P.O. Box 789, Southold,. NY 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. G~neral ContracboJ: '-~ ' Ron '& Barbara Moriz"zo Name of owner of premises ........................ ,- ................................................. (as on the tax roll or latest deed) If ap/pilcant is a corporation, signature ofdul~) ~'u~ho~ze,d/PffiCer. , Builder's License No. 67~90~ ~v~[,V, ., 1~?: Plumber's License No ......................... /~ctrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. 1555 Founders Pabh Southold tlouse Num bet Street Hamlet County Tax Map No. 1000 Section 064 Block 04 14.. 3 .................................... Lot .................. Subdivision... Founders Estates Filed Map No. 834 B6 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construct[on: One family dwellin~ a. Existing use and occupancy .................................... ~?CL' %' ~ ':~i$ ......... i.n.9 ,~ ,., ~..~-t..,,~v* b- Intended use and occupancy One fami.ly, d.~f93.1 with ............... 3. Nature of work (check which applicable): New Building .......... Additicn .......... Alteration ....... Repair .............. R~moval .............. Demolition .. ........ Other Work..F..I~,N~:E ..... (Description 4. tstimat d ......................... Fee ................................... (to be paid on filing this application) 5. It' dwelling, number of dwelling units ............... Number of dwelling units on each floor ............. If garage, number of cars ..................................................................... 6. It' business, commercial or mixed occupancy, specit`y nature and extent of each type of use .................. 7. Dimensions of existing structures, it` any: Front ............... Rear ............... Depth ............ Height ............... Number of Stories ..................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ............... Depth ...................... Height ...................... Number of Stories ................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............ Heieht ............ Number of Stories ..................................................... 9, Size of lot: Front ...................... Rear ...................... Depth .................... 10. Date of Purchase ............................. Name of Former Owner ........................... I 1. Zone or use district ill which premises are situated ................................................... 12. Does proposed construction violate any zoning taw, ordinance or regulation: .............................. 13. Will lot be regraded ............................ Will excess fill be removed from premises: 14 ..................... Address ................... Phone No. 76'5 72 Name of Owner of premises Ron Ivior izzo ............ Name of Architect ................. Phone No. ;/16,.J- 57'7'2" ' Name of Contractor ...R.o.n. 'I4I~[-'i'~5' ' ~ ........ Address ......... .................... Address ................... Phone No ............. 15.Is this property located within~00 feet of a tidal wetland.* ~YES .... NO.i~.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly amd distinctly all buildhngs, whether existing or proposed, and, indicate ali set-back dimensions fr property lines. Give street and block number or description according to deed, and show street names and indicate whet interior or comer lot. APPROVED AS NOTED FEE: ,,-~n,~. ~-' BY: ~. ~.L. N~IFY BUILDING OEPA~MENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLO~NG INSPECTIONS. 1. ~OUNDATION ~O REQUIRED FOR ~URED CONCR~E 2. ROUGH - FRAMING & ~UMBING 3. INSU~TION 4. FINAL CONS~UC~ON MUST 8E ~MPLE i i FOR C.~ ALL CONS~CTION SH~ ME~ THE REQUlR~E~8 ~ ~E N.Y. STA~ ~N~ · ~E~Y CODES. N~ ~~ ~R DESIGN ~ ~i:~N ~ STATE OF NE~,~'XFOR~_.~ /7/ e o COUNTY/~i)F..,,~fX. r. ~4 ??/,P~.,.. ...... ~../"..~...~'..~.....~{ .0.(! ~ .~..~.9 .............. being duly sworn, deposes and says that he is the applic (Name of individual signing contract) above named, He is the of said owner or owners, and is duly authorized to pe~rform or have performed the said work and to m~e and file application; that all statements contained in this application are true to the best of his knowledge and belief; and that Work w~} be perforated in the m~ner set forlh in the application filed therewith. Sworn to before me this, ~ ' , .............. ..... ~g~ ............ U .... y~./ ...... ~ ~ ~ ~ ~ t. (Signature of applic;