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HomeMy WebLinkAbout18190-z ,'1cLD li~.~i :':.C:lUiJ IIDniC ~ Lvd _ kM~Nr . . ry 'O - - - -a b FOUtJDATION (1st) c rOUNDATION (2nd) m ~ P - - - ..o j' ~ „S z o N ROUGH FRAME & r~ ~1 PLUMBING ~l 3. ~ m IIJSULATION PER N. Y. y STATE ENERGY CODE 4 . y FI;JAL p ADDITIOPIAL COMMENTS: ~ x c n m x H ~~N H H O v ' r y S C7 -v H gossi xa s 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 ~ 819 0 Z Date ~,u..->~,....9 19. 9 Permission is hereby granted to: Q<C:,.......... .Q.~4.......~~r~R, . I ro . CO:~-~. a-~-t......~t...4.:~-Q:o.-~....1~:.,,r~~r-~.q...kta...t~9.:..h..F.:arSr........ of premises located at .....~-5.~~.....~a:4~/.4!lel.:~.ir4.....~..........~w.t.f..C~.l~~....,,,,,,,............ County Tax Map No. 1000 Section ©.9.l1t..... Block ~..I....... ppLot Na.... pursuant to application doted ..........~..~...~.0 19.~i..1., and opproved by the Building Inspector. i Fee S..°~.J Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART2IENT TOWN HALL • SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.. H,d y_ Yr. r9lf f NEW CONSTRUCTION .OLD OR PRE-E%ISTING BUILDING......VACANT LAND..._.... Location of Property.........~;/~i~c-S,•/~0i0J ,,..,.~TG/'vblst/~~ HOUSE N0. ~ " " STR/E~ET HAMLET Owner or Owners of Praperty.....~'?;`?v~~- l?2ouJn~' County Taz Map No. 1000 Section P`~. / Block Lot Subdivision Filed Map ........Lot........,, Permit No. ate of Permit Gs U4SNS /-2A2YiN' D ....---•-•APPlicant Health DepC. Approval Underwriters Approval.........._... Planning Board Approval - Request for Temporary Certificate Final Certificate Fee Submitted: APPLICANT rev. 10/14/88 Vj. y FORM NO. 6 TOWN OF SOUTIIOLD i BDILDING DEPARTMENT TOWN BALL „ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must bA~ filed in typewriter OR ink and submitted to the Building Inspector with the folldwing; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual ',natural or topographic features. - 2. Final approval of Bealth Dept, of water supply and sewerage-disposal(S-9 Form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from~,plumber certifying that solder used in system contains less than 2/10 of 1Z lead: 5. Commercial buildings,i industrial buildings, multiple residences and similar. buildings and instal)ations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Boar Approval of completed site plan requirements. B. For existing buildings ('Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land ';uses: I. Accurate survey of pr'~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completedi,application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C_ For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of~,the entire lot prior to April 9, 1957 shall also accompany [he application. If 'a Certificate of Occupancy is denied, the Building Inspector shall state the reaso~s therefor in writing to the applicant. D, FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Acces'~SOry buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential i $50.00 Commercial APPLICATION ON BACK rev, 10/14/S8 li ° i~ ; i ~ ~ N ~ , i in y - i~ ~ - it l N; ~ , o r7P r x ~ a' ,Qa. s J~ .n ~ I r- o ~ " N 5~ ~~f U) D awn~~ ~.mvzm .Am~~~~^.z2000n~Hm m , A y p n OObCGfvz~a{~ ~ ~~111 y 3' S 2 O '7 z 'a CA vS ~ C ~ G7 cow ' ,.p ~ l>i zmmOZ`.7>CrJ _ i ~O Dcaz~ny~ r ~oz `gy'p, ~pG9 a 3o 9z eeyn~L7~~asa~~G ~ 49 p? ~n A Q° p m ° ~ ea 2 2 mm m ~ ~ c o~o~oo~+ of t - ~m c.. lil ~ wf,,,V~ ~ ~ ~ ~ ~ ~ ~ ~n ~o~ N ,.d ~ ~ { ~ h ~ ~Z ~ ~ A ~ ~ - .p''e9 g 4 ~ ~ ~ e fl ~ o U~ SALES ORDER/QUOTATION UTHAMPTON LUMBER CORPORATION SOUTHAMPTON~NEW YORK I 283-2000 • BRANCH VARDS: CHAPMAN LUMBER MONTAUK LUMBER EAST HAMPTON LUMBER REEVE LUMBER 878-0018 668.5500 324-4500 298-4711 BILL TO DATE: PO k SHIP SHIP TO WHEN: TEL N ~j TERMS: SALESMAN: ~Og: QUAN. DESCRIPTION PRICE AMOUNT o~x S7 9 14 ~ s j1 ,s- ~/s'- a x'~ - sX.~c~ s ~ e~k 29 r o x ~ - ~ ion 2 ~ -eris 20 ~ o Y3 _ ~ yx 2' e~ox ~z~ e~ axe ~ ,o`er;d ~ s~ 5 \ ~ ~o 1~, (~l ~cu;c~ ~o z; of ~ d~ R~ 1~ ~ t? c G~ ° o p'~'~1' _.,.,.,m9~ fir/G/ i I I N s/ i ~ t 1- i' n L~"y\'~~I\_°1La Ei0.1FD OF HE~ILTH L/I M~~ FORM NO.1 3 SETS OF PL,INS~D:~. , AY 3 01989 " SURVEY W ~•tr_"R^ '~tlv s.'v.FT TOWN OF SOUTHOLD CFIECK ..:h?Q~?:~~4't;~~:'~ , , , , ~ BUILDING DEPARTMENT SEPTIC FORM ;t, ~ . . R~_;~r,, {tE-;'T, TOWN HALL ~ TOVJNOF'>~^,tlin.(?![r SOUTHOLD,N.Y.11D71 NOTIFY ~,o~-' _~~~•.~..._....e `l.: 7 ~:6 6. . • TEL.:765~1802 CALL Examined ....7..M.^1!4 .l 19 ~ ! MAIL T0: (~tnr.e,~.0'" ~rt~N.e~~-L Approved ....11~r>;•Nr1R 19~ R. Permit No.. J.$~ q~.~. 0 Disapproved a/c I I' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .t? Y „vl: 15 S'~ INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 Buildin; Inspector will issued a Building Permit to the applicant. Such permit 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 Rceulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The 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 inspections. (Signature of applicant, or name, if a corporatton) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises t?:?a~- ,K! , , , . (as on the tax rollor latest deed) (C applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . I, Location of land on which proposed work will be doo_ne. , t.......... , ~ House Num bcr Street. ~ ' " " " " C~/~ / Hamlet County Tax 0fap No. 1000 Section J. V`..... Block Lot , , , , , , , , , . Subdivision Filed R1ap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy S~ ~ 2t0 G L, , , , ~2-~A: 3. IQatpure of work (check a•hiRh applicable): New iluilding , Re air •rhoval Addition ..........y rUtcration , Demolition Othcr'1Vork , . 4. Estimated Cost ,(.~.7.1q:.Q.Cj, , . , , , , , , • . (Description) ; Fee If dtvellin~ (to be paid on Cling this application) „ number of dwcllins units Number of dwelling units on each floor........ . If garage, number of cars 6. If business, commercial or mixed occupancy, specif • • • ~ ~ • ~ ~ • ~ • ~ ~ ' ' ' • • ' ' ' ' ' ' ' • • • • • • • • 7. Dimensions of existing structu~cs, if any: Front , , .y n~c and extent of each ty~~c•• of use , , Height , , , • • , , Nu{nber of Stories , • •Rcar ....f~^, , , , , , pepth L¢~", , , , , , . , Dimensions of same structure with alterations or a ~ itions: Front • • • ~ • • ' ' ' ' ' Depth....... I .Height. Rcar.................. 8. Dimensions of entire new construction: Front , ' ' • • • • • Number of Stories . Height . , , , , , Number of Stories Rcar l.Y. Depth . 9. Size of tot: Front......... Rear 10, Date of Purchase Depth ..Name of Former Owner • ~ ~ ~ ' ' ' 1 1. Zone or use district in which premises are situated • ~ ~ • ~ ~ • ~ ~ • ' ' ' ' ' ' ' ' ' ' ' oes ro osed construction vio , ~ ~ p P o late any zoning law, ordinance or regulation: 3, Hill lot be regraded 14. Name of Owner of remises ' ' ' ' ' ' • wdl excess fill be removed from premises: Yes No P ~i~'•'••••••• .Address. .PhoneNo.. Name of Architect • . • ..Address . ~ . Name of Contractor. ~ "••••••••••••••••Phonr.No........, .....Address • " • • ' . IS.Is this property located within 300 feet of a tidal wetland?n*YES....NO.//.. *If yes, Southold Towri Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ally 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 comer lot. 1 i ` I P/uPat~~ r ,froRAGG ~ . ~~/Yr ~~7 I ' a exesrw~t ou~N . ~ ~o~~r ~ ~Yr ~I ' I I Sot ' '~-v-r. M /c.t.f FAO A 'D STATE OF NE~V YORK, COUNTY OF . S'S ~ ' ' ' ' • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (flame of individual signing contract) above named. llcisthe ~ (Contractor, agent, corporate officer, etc.) ~ ~ • • ~ ~ ' • ' ' ' ' ' ' ' ' ' -~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this replication; 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 sot forth in the application fled therewith. ~wom to before me this g lJ....dayof..I~y~.. 19lFf rotary Public, , , ,C~,~pr~r, , ~ , , , , • County I' P«%G ~ NELEN K DE VOE . ~7 A l /,1.:......... . (Signature oCapplicant) ' ~No~g107678, $uf~olM Cou~Y~ Term Explrce March 30,19....sr j