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Home My WebLink About17697-z(THIS PERMIT COMPLETll ll~M' NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N. Y. BUILDING PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL )N OF THE WORK AUTHORIZED) Z Permission ~s hereby granted to: pumu*nt to opphcohon~ dot~ ..~~..t.~ .. ]9.7.~.~ ond opprov~ by th~ Bu~MmO Imp~ctor. Fee $....~....~........~.. Building Inspector ) Rev 6/30/80 TOWN OF SOUTIIOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK STOP WORK ORDER TO: TIMOTHY~ P. COFFEY (Owner, Owner's Agent or Pers(~'n performing Wor'k~' 44900 MAIN ROAD SOUTHOL~, N.Y. 11971 (Address bf abo~e-na'med person}' YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 44900 HAIN ~OAD, SOUTNOLD, N.Y- 1197l (Address where work 1~ to be stopped) TAX MAP NUMBER ln~O--75--6--7_3 Pursuant to section 100-, 14 I of the Code of the Town of Southold, New York you are notified to immediately suspend all work and building activities until this order has been mscinded. BASIS OF STOP WORK ORDER: COMPLETE PLANS ARE NEEDED FOR PERMIT BEFORE WORK CAN CONTINUE- CONDITIONS UNDER WH] PER~IT IS IS Failure to remedy the cdn CH WORK MAY BE RESUMED: ;UED. WHEN AN AMENDED BUILDING law may constitute an offinse pumshable by fine or imprisonment or both. BUILDING INSPECTOR / CO~ lENT OFFICER titions aforesaid and to comply with the applicable provisions of : i£LD ~ 1. FOUNDATION ( ls t) FOUNDATION 2. ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE (2nd) FINAL ADDITIONAL CO.~MENTS: Dmapprovcd a/c .... BOARD OF HEALTH 3 SETS 07 PLANS ....... FORM NO 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL °~)UTHOLD, N Y 11971 TEL. 765-1802 CALL .AIL T'O':'"~;'~;' '~'& Permit No . (Budding Inspector) APPLICATION FOR BUILDING PERMIT / Date /g].l~ ..... , ~9 INSTRUCTIONS a. This apphcaQon must 1~ completely filled m by typewriter or mmk and submitted to the Building Inspector, wi sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showmg location of lot and of buildings on premmes, relationship to adjoining premises or pubhc sh or areas, and giving a detmled description of layout of property must be drawn on the dmgmm whmh ~s pag of t~s at carton. c. The work covered by t~s apphcaQon may not be commenced before ~ssu~ce of Building Permit d. Upon approval of th~s apphcation, the Building Inspector will ~ssued a Bu~d~g Pe~t to the app~c~t. Such pea shall be kept on the premises ava~able for inspection ~rou~out ~e work e No building shall be occupmd or reed m whole or m p~t for any purpose whatever until a Ce~fficate of Occupa shall have been granted by the Buildmg h~spector. ~PLICATION IS HEREBY MADE to the Building Dep~tment for the issuance of a Bmldmg Pemtt pursuant to Braiding Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other apphcable ~ws, Ordm~ce Regulabons, for the const~c~ ~n of building, addmons or alterabons, or for removal or demolmon, as hemm descnk The applicant agrees to compl~ w~th all apphcable laws, ordinances, building code, housmg~o0e, and regulatmns, am, admit authorized ~spectom on ~rem~ses ~d m budding for neces~w ~n~ (Stg~ture o~pp~t, or name, ff a corporation) (MaIhng address of apphcant) State whether apphcant ~s owl lessee, agent, ~ch~tect, en~neer, general contractor, electnc~an, plumber or bmld ....... 0 ;~ ~ v .............. Nmne of owner of premises -t ~O~ (as on theffax roll or latest deed) If apphcant ts a corporation, s~g~ature of duly authorized offi~F' '~ ' '~ , I. '~ .... , , ~ ~ ~ (Nam~ and tit~ of ~g~g~at~ ~ficer) . ' Other Trades L:cense No ..~0 ttouse Number Street Hamlet co~.~.~ ~,~, ~o ,000 ~.~.o~ 7 -~ ~,o~ . . ~ ..... ~o~ 7:. Subdw~smn . , Filed Map No Lot ....... (Name) 2 State ex~stmguse and occupa c of remxses and mtende~ use and occupancy of proposed constructxon ~Y P of work.(check which applicable) New Budding 3. Nature . Addition ........ Alteration .. Repar . moral ..... Demolmon.la, ........... Other~Work. t (~nphon) 4 Estimated Cost ~ ~-.~..~.OrSt ~ ............... Fee ~.--~.' .................. (to be paid on filing this application) & 5. If dwelling, number of dwelling units . /. . Number of dwelling un]ts on each floor ...... If garage, number of cars ........... 6. If business, commercial or m~xed occupancy, spec[fy n~ture and extent of each type of use .. . ' 7. Dimenmonsofex]stmgstruc~ures, lfany Front ~,5-t . Rear .~.~..r ..... Depth /Zy~ .... Height . ~ D (. Number of Stones .~.~.~ .... Dnnenmons of same s}r~cture with aiteratmns or additions Fron[' ii 5 ~ -~ ~ .. Rear ~ ~./7~. ii' . Depth ...... I . . Hmght ............ Number of Stones ........... 8. D]menmons ofennre new construction' Front ...'7-~-. .. Rear .~. '7 . ..... Depth--7'. ........ Height . . . ~~.~ ~_~ .~. Number of Stories . .----. .................................. 9. Size of lot Front /r.~z},~l~_t/<_~--.~.. .. Rear ._ ........... : .... Depth ............... 10. Date of Purchase [0'J[ }.°J.~*5.~-. ......... ~'Name of Former O~vner '~'~' ~.~ .~ ~q. PO.c~'~.~./... 1 1 Zone or use district in ~vhlch, premises are mtuated t~ ~c'~l/~ .~.--( ~ ......................... 12 Does proposed constructmn wolate any zoning law, ordinance or regulation /~/. f~ ................... 13. Will lot be regraded . ~bf ~. .............. Will excess fill be removed fro~ premises' Yes 14. Name of Owner of premises .~ J~t ~'7']~ ~. C c2~'f¢..~(Address ~ .~.~.O ~./l]/~/~./~'[Ahone No. 7~,~'~5-.~ .- Name of Architect ........ I .. . .'Address ............. Phone No ............. Name of Contractor ..... ~ ................... Address ........... Phone No ............ 15. Is this property located wzthin 300 feet of a tidal wetland? *Yes ..... No ~... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRA~ Locate clearly and distinctly all buddings, whether ex~shng or proposed, and ~nd]cate all set-back d~rnenmons fron property hnes Give street and block number or descnptlon accordmg to deed, and show street names and md~cate whethe interior or corner lot. STATE OF NEW YORK, COUNTY OF (Name of individual s above named He is the .. SS APPROVED AS NOTED QL.----- NOTIFY 8UIL~ING OEP~RTM~~'~' 765-1802 9 AM ~ ~ p~ FOR FOLLOWING INSPEL 1. FOUNDATION TWO REQUIRED ~R POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. 4, FIN~ CONSTRU~ON MUST BE ~PLETE FOR C.O. D~N ~ ~ON ~RORS ........ bemg duly sworn, deposes and says that he is the apphcan gmng contract) (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authonzed to perform or have perfonned the said work and to make and file thl application, that all statements coOtamed m this application are true to the best of his knowledge and behef, and that th{ work wdl be perfomned in the manner set forth in the apphcatlon filed therewith. Sworn to before me this ......... J.~ .... day 3f ..... L?.4-C~- . .... 19~ . County / ....~ / ~ ~-./. ...... n ...... . HELEN [ DE ~. ~;~~7' / (Signature of apphcant ~ 4707878, ~o~ CoU~7 T~ ~p~r~ ~mh 30, )~