The URL can be used to link to this page

Home My WebLink About25771-Z FORM NO. 3 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) PERMIT NO. 25771 Z Date JUNE 2, 1999 Permission is hereby granted to: IMELDA CORCORAN PO BOX 795 CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 9520 NEW SUFFOLK AVE CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0005 Lot No. 004 pursuant to application dated APRIL 19 1999 and approved by the Building Inspector. Fee $ 35. 00 Autboriz6d Signa re 011:)V 11:) g I2 -um cam- 0 0 ve ORIGINAL Rev. 2/19/98 {LD INSPECTION REPORT DATE COMMENTS .svvasvvssssasaa=assn svvvvsss�v:slFs:asv::sass:::assav:va:sss::a:vsava:3va:sas:asz:a v N � JNDATION OST) �. q 7NDATION (2ND) n q _ N UGH FRAME & tr PLUMBING �I M N q � II N � N y � z tSULATION PER N. Y. STATE ENERGY pg rte. CODE —a II p II --- N �Il lili r— � FINAL n p ADDITIONAL COMMENTS: a h� Do r z � TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . .. . . . . . . . . . . . . . . . . i; APR l 9 is TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . .7 Examined. ..2-..... 19.1„/ MAIL TO: . . . . . . . . . . . . . . . . . . . . ., APProv ... .., 19 1l Permit No. .......... ................................... Disappa/c .................................. .................................. (Building Inspec or APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 application. c. 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 issue 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 Regulations, 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 codepration)regulations, and to admit authorized inspectors on premises and in buildi for neves inspec . ...say...v.Z4.C4�!x (Signa a o;f applicant, or name, 'f a co L W. i ••• (Mailing address of applicant) . State whether applicant ,/�issowwner, lessee, agent, architect, engineer, general contripctor, electrician, plu:ber or illi ..,.............J�1.�1.':c..l:.............................. ............................................................... dam- o rc��av� � ro wa Nano Name of owner of premises ...... .MCA ........... .................. ................. ...... .... .... (as on the tax roll or latest deed) .6 •••• e,plX �?s7_7, . 35: If applicant is a corporation, signature of duly authorized officer. FES dY: NOW IRKPIN0 E AT ......................................................... 7WIM N AM TO 4 PM FOR THE (Name and title of corporate officer) CCU PANJ CY OR ��Q ACTIONS. 1. 10 - TWO REQUIRED USE IS UNLAWFULWIVI JIMCONC'� Builders License No. ................y„�-�{��. CERTIFICATE S. NOW" A PLUMBING Plumbers License No. ................ 4. FINAL - CONSTRUCTION MUS i Electricians License No. ............QF.00CUPANCY COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Other Trade's License No. .................... THE REQUIREMENTS OF THE h Y. STATE CONSTRUCTION & ENERGY 1. Location of land on which proposed work will be done....... ..............CODES:•.NOT-RESPOMSMt-E.-;tUR... T TION ERN(.., ......... 5................... a�...br�uL........................ . .. ............... House Number Street Hamlet Camty Tax Map No. 1000 Section .J.00 ........ Block ....�........ Lot .... ........... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancyo premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. .......................................................... b. Intended use and occupancy J. ................................................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... AlteA ion .......... Repair ............ Removal ............. Demolition ............ Other Work ......... i ............. (Descr1 a. Estimated Cost .....12 !......... fee ......................... (to be paid on filing this application) 5. If (hielling, number of dwelling units ............ 1kaber of dwelling units on each floor ................ Ifgarage, nunber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 1. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Heig)ht .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ......................... Kr ber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Dormer Owner ........................................ II. Zone or use district in which premises are situated ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .J�!U.................. 13. Will lot be regraded ......W.Q.......... Will excess fill be removed from premises: YES ND 14. Names of Owner of promises ........................... Address .............................. Phone No. .............. Name of Architect .................................... Address .............................. Phone No. ...... Name of Contractor ................................... Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ...�...... *IF YES, SQTI= MM MMM PM41T MAY BE mvm• PLOT DIAGRAM { Locate cl ,arly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block camber or description according to deed, and show street names and indicate whether interior or corner lot. r' � /•ZX/0X8' JJ _.....�_ _. �.8 VMS R1A OT r r1Q3T*34 �YttlAlgl � — y \(n t 9 P ^*a 0srf t:�'4l7 H Mw1wVK Il i -jot, 21 j It ..Y 1 i+li)t'AJUBirlt .Z SrA1T Or NW YM, ODUN1Y O[ ;'I 3iiT ............. ... ,,....................being duly sworn, deposes and says that5he is the applicant (Name of individual signing cone above named, Ileis the .. .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said wo and to make and file this application; that all statements contained in this application are true to the best of knowledge and belief.; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this L I...........day of ...... ..19.N .. NotaryPublic ............ D.. ... .. .. ..... Q- MELAME V. .. ..... .... .. .. Notary P k Shire of Applicant) No.4OW012 pualirwd In Suffodc County Q Q rAMMISAM Exoiros Od.19.19_7 Unauthorized alteration or addition to this survey is a violation of section 7209 of the New York State Education Low. Copies of this survey map not bearing the land surveyor's inked seal or embossed socl shell not be consic'ered 'abe a valid copy. Cuo—n'--ss or eortifi:ations indicated Iverson shall run only to the person for whom the survey is pr3;xrcd,and on his behalf to the title company, governmental agency and I:rding institution listed hereotWtjq tithe assignees of th3 Landing institution. Guaraniaes or Corot at MA!aoftransferable to.odditional institutions or w' subs<aquent!owners r3 j7 O ;e7 Ale 07l. ;y �y f AP- MI VL Nit .-D AS NOTED f , '•Ai Q �r B.P. w o , ,FE BY �. �`' w N Tlf'•' t , I.LI�.tG --�EPARTMFNT T A?,1 TO 4 t^P�!t�1 F02 TI E ee F Iln .,a�L.- rA• r.r��l'V vS: sx 0 t H p kl ��y „ F'�I T\,','7 REQUIRED ra .c o .t Q .� �`' l rnl �'�OT .2► Ftp,". . , PI_L1,.",^(� wto Ca 0 s m Jt Ftt . , ,:_a. , 41 0 H .t m ti m E• k ' 7.7 ,r• , 44 0 co 44 • W .'.1 cy 0 '''rile 0^7r r' i�_•;�� ,c.. l r- ' ^-, w y, m .Y��T��\ 3SIGN OR Cti:tl:i'71CTIDi;1_Enn,� to4jm0 't / m k t. .j c3 p O rn A y • OT AFFROVED AS NOTED cc E: Lkt, BY: a a ~�•a?" OTIFY BUILDING DEPARTMENT AT W. 65-1802 9 AM TO 4 PM FOR THE WfNG !Nc:'ECTIONS: J. FOUN., N• - TWO REQUIRED • M1^" FOR POCIR-D CONCRETE' 2 ROUGI-! - FRAMING F< PLUMBING SOT 3. IN`UC_/h")".t 4. �In'.e 1. _ -,�'r_•. --tn,� MUST BE ••-+t :—� �� C. n. All distances to wells and cesspools aro ALL COt 'c ,�_!�� by location from house owners and field S •LL ME-ET observations, since most wells and cess- THE RFS;�'^'?.".E(�;TC r'F TI ` N. Y. Pools are not visible these dimensions STATE CONSTRUCTION & ENFRGY cannot be certified. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. SURVEY FOR REFERENCE, JAMES J. 8 IMELDA M. CORCORAN' ' or oo*"V "- of fv AT CUTCHOGuE FrcEo Avv. �t. aai TOWN OF SOOT-HOLD _ oUANAWEED r oa�er q, °��. SUFFOLK, COUNTY• N.Y. _ _ JAMES r.e I L A Mi. " � 0e SCALE !r s 40 , ."UTHOLD A44RCH..a„t;�sT6 . `. twE rirtE s N AUQ-Wj,1976 DEC.9•,/976 ,w au X t " *' RiV RMEAD. N.Y. I