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Home My WebLink About18011-z FOBM 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) N~ 18011 Z Permission ~s hereby granted to: , ~ ........ ................. .....~.a.~..~......~.~;~....~..~......~..~ ~ ........ .... .~~~....~..,.~..,...~./..t.v.l. ........ :. _ , o~p.m,ses,o¢oted ot...~l.~ ....... .~..~.....~....~. .......... ..~~...~... ........... County Tox Mop No I000 5ection,~....~,..~..O. Block ......... J....~... ..... Lot No ..... ..~..~, .... pursuon, to oppl~cotion doted ...... (~,~.....~ .'~. ................ ,, 19.~.~., ond opproved by the Building Inspector. B~llcllng Inspector Rev 6/30/80 FOUNDATIOX {1st)~ FOUNDATION 2. ROUGH FRAME & (2nd) PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ~DITIONAL COMMENTS: INSPECTORS Victor Lessard Pnnc~pal Building Inspector Curtis Horton Semor Bmtdmg Inspector Thomas Fisher Bmldmg Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-I802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 8, 1991 SCO'rI' L. HARRIS, Superwsor Southold Town Hall P.O. Box 1179, 53095 Matn Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mr. Richard Peddle 3290 Pine Neck Road Southold, N.Y. 11971 Re: Building Permit 918011-Z Premises: 3290 Pine Neck Road, Suff. Co. Tax Map 01000-70-12-3 Southold, N.Y. Dear Mr. Peddle: Please be advised that the above building permit has expired and a Certificate of Occupancy has not been issued. Kindly contact this office so that we may make an appointment with you for a final inspection. Enclosed is the application for the Certificate of Occupancy. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. GJF:gar Gary J. Fish, Building Inspector encl. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVUY ..................... CHECK ...................... SEPTIC FORM ................ · SOUTHOLD, N,Y 11971 NO~ , TEL,: 765-1802 ~CAL~ . . [: .~.~ .... ~. ~. ..... / Examined D~sappro /c .-~ , ' ....... ................ 'D' ~ ~ / (Bu,ldmgInspector) ~ 7~ APPLICATION FOR BUILDING PER~IT Date .................. 19,. INSTRUCTIONS a~~letely~ in by ~pewnter or ~n mk and submitted to the Buddm= Inspector, w~th to b~~ ~z~s on premises, rel~tmnsh~p to adjmmng premzses or pubhc street ~z~zon of layout of ~e~y must be drawn on the dzagram whzch m pan of t~s appl ~Q~~mn may not be com~ced before tssuance of Building Permit. d. Upon approval of tins apphcatmn, the Braiding Inspector will zssued a Budding Pe~zt to the apphc~L Such pe~z shall be kept on the premmes ava~able for mspectmn throu~out the work, c. No braiding shall be occupzed or ~ed zn whole or m part for any purpose whatever untd a Ce~cate of Occup~c shall have been granted by the Bmld~g Inspector. APPLICATION IS HEREBY MADE to the Bml&ng Department for the zssuance of a Bmldmg Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appI~cable Laws, Ordinances o Regulanons, for the construction of buildings, ad~dttmns or alteratmns, or for removal or demohtmn, as hereto described The apphcant agrees to comply w~th all apphca, bte laws, ordinances, building code, housm~ code, and regulatmns, and t~ admtt authorized mspecto~ on premises'and in bmldmg for necessary ~nspect~ons. (Stgnature of apphcant, or name, ~f a corporanon) (Matlmg address of apphcant) State whether apphcant Is owner, lessee, agent, architect, engmeer, general contractor, electncmn, plumber or budder Name of owner of premises . - (as on the tax roll or latest deed) if apphcant ts a corporation, stermture af clu, ly, ~uthonzed officer (Name and title of corporate officer) Builder's L~cense No ........................ Plumber's Ltcense No .................... Electrician's L~cense No .................... Other Trade's Lmcnse No.. t. ,~, .~.~.~. ..... i~/~- I Locatton of land on wluch proposed work wtli~¢ done ................................. .................... ra ............ }louse Number Street Hamlet County Tax Map No 1000 Secnon ............... Block ................. Lot ................ Subdtvtslon ............................. Fried Map No ............ Lot .............. (Name) State existing use and occupancy of premtscs and mte:~ded use and occupancy of proposed construc£mn. a Ex~stmg use and occupancy ...... ~ ..... . . b. Intended use and occupancy ............ . ......................... 3. Nature o~j:~k (check v, hzch apphcable) New Budding ..... '.. . Add~tmn ....... Alteration ....... Rep:ur .w: ............ Removal ............ Demolmon ............. Other Work .......... .~.~ (Description 4 EstJmatid Cost ~ ~ Fee (to be paid on filing thru apphcat~on) 5. If dwelling, number or dwelhng umts ...~ ....... Number or dwelling units on each floor ............ If garage, number of ca~ ................................................................ 6. If bus~ness, co~nmercml or m~xed occupancy, speedy nature and extent of each type of use . . .~ ........... 7. Dimensions of ex,sting structures, ff any Front .............. Rear ............ ,. Depth ............ HmgJ~t .............. Number of Stones ................................................ Dimenmons of same structure w~th alteratmns or addihons' Front .... } '. ........ Rear .............. Depth ...................... He~t ..................... Number of Stones ................... 8. D~menmons of entire new constmctmn Front .............. Rear ............. Depth ........... Height .............. Number of Stones ............................................... 9. SJzeoflot. Front ...................... ~_~ .~__ Rear .................... Depth ....... .~_ ~..... 10. Date of Purchase · ~.~1~. ~ ............ Name of Fo~er Owner . .~..~. 11. Zone or use dmtnct m which prem~ses are mtuatefl .............................................. t 12. Does proposed construcnon v~olate any zomng law, ordinance or regulatmn' ....~ ..................... 13. Will lot be regraded ...... ~.~ ......... Wdl excess fill b~removed from premmes: Yes 14. N~e of Owner of premises ~ ~i~ ~. ~ ~ lC. ~aa~ a.~ ~.~. ~*~ ~. Vbo~ No..~.~.~*. N~e of Architect ........................... Address .................. Phone No .............. o, ............ z SXff 15.Is this property located within~OO feet of a tidalwetland? mil yes, Southold Town Trustees Permit may be required. PLOT DIAG~ Locate clearly mad distinctly all buddings, whether existing or proposed, and indicate all set-back dimensions fro~ property lines. Give street and block number or descnptmn according to deed, and show street names and intimate wheth~ interior or comer lot. 'To APPROVED AS NOTED FEE ,-~,,,~ BY ,,,~- ~.&, NOTIFY BUILDING DEPA~MENT AT 765 ~802 9 AM ~ 4 PM FOR THE FOLLO~'iN G INSPEC~IONS t ~OUNDATION - ~ORE~IRED FOR POURED CONCRETE 2 ROUGH. FRAMING & PLUMBING 3 INSU~TION 4 FINAL CONSTRUC~ON MUST 8E COMPLE~ FOR C O ALL CONSTRUCTION SHALL ME~ USE tS UNLAWFUL. WITHOUT CER'I'IFtCA'TE 01: oCCUPANCY S'~'-"r"-OFNE~ffkkrr~I~I~OUIREMENT$ OF ~E N.Y. COHNTYOF S~E ~ONSTRU~& ENERGY ....... COb~ "N~' ~BLE FOR ........... ~IG~OR~U~N ER~R~ ...... being duly sworn, deposes ~d says that he ~s the apphcar (Name of mdw~dual s~gnmg contract) above named. lie ~s the .................................................................................... (Contractor, agent, corporate offmer, etc.) of smd owner or owners, and xs duly authomzed to perform or have performed the said work and to make and file th apphcat~on, that ali statements contained tn thru apphcat~on are true to the best of hts knowledge and bchef; and that tb Work wdl be performed m tire manner set forth m the apphcahon filed therewith. Sworn to before me ttus H~I. EN K. DE VOE - - NOTARY pUBLIC, Sla~e ~ ~'~ Y~ No 4707878, Suffolk CountY~ i (Signature of apphcan Term Exp~,,es M~mh ~0,1~..---~