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HomeMy WebLinkAbout26146-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMIS/UNTLCOMPLETION OF THE WORK AUTHORIZPERMIT NO. 26146 Z Date NOVE Permission is hereby granted to: DOLORES KREITSEK PO BOX 941 MATTITUCK NY 11952 for CONSTRUCTION OF A NEW INGROUND POOL W H FENCE ENCLOSURE IN THE APPROVED FRONT YD. FOR AN EXISTING INGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 24 NEW SUFFOLK AVE MATTITUCK County Tax Map No. 473889 Se tion 114 Block 0009 Lot No. 014 . 001 pursuant to application da ed OCTOBER 18 1999 and approved by the Building Inspector. Fee $ 150 .00 I Authorized Signature ORIGINAL Rev. 2/19/98 n u u b p 1DAT ION I ST) jj II —---------- 4DATION (2ND) ---- --------u ra =_______________ l u II it------ --II -------------- ----- >H FRAM & n II PLUMBING II II II — ULATION PER N. Y. STATE ENERGY CODE n n __—_______________ n � u u ii FINAL n ADDITIONAL COMMENTS: (� ' t� H H O z � b w u MJ LD i OGT 1 81999 BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BLDG.DEPT. . . . . . . . . . . . . . . . . . . . . . . . . TOWN OFSOUTt•SOLD BUILDING DEPARTMENT CHECK . . .. . . . . . . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY CALL . . . . . i................ 19.... MAIL T0: l'!Y�J!! I J i......��:.�f....., 19.:.1. Permit No. ............�m o. m ,,y p .��:Vl�.1 X1:1 oveda/c .................................. .. .... .................................. .... ....... .. ?160. . .. .. . (Building Inspector) APPLICATION FOR BUILDING PERMIT II, Date. IcIn I. . . . . . . . . 19. . .f. INSTRUCTIONS lois application must be completely filled in by typewriter or in ink and submitted to the Building Inspector vi plans, accurate plot plan to scale. Fee according to schedule- ,lot_plan chedule.'lot-plan showing location of lot and of buildings on promises, relationship to adjoining premises or public c areas, and giving a detailed description of layout of property must be drawn on the diagram Which is part of ication. ,. rhe work covered by this application may not be commenced before issuance of Building Permit. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such all be kept on the premises available for inspection throughout the work. No building shall be oa:ilpied or used in whole or in part for any purpose whatever until a Certificate of shall have been granted by the Building Inspector. ICMCN IS Ummy MALE to the Building Department for the issuance of a Building Permit pursuant to the Tare Ordinance of the Town of Southold. Suffolk Canty, New York, and other applicable Lass, Ordinances or ns, for the construction of buildings, additions or alterations, or for removal or demolition, as herein . The applicant agrees to comply with all applicable laws, ordinance building code, housing code, and ns, and to admit authorized inspectors on premises and in buildi or nevestions. .(Signator. of licant, or name, if a corporation) Mailing address of applicant) ether applicant is owner lesseer-. archi t, err= neer general contractor, electrician, plusher or builder ...................... . �CQ .G o.. .. .............................................. racer of premises . ... . of .L<.�K.......................................................... (as on the tax roll or latest deed) :ant is a corporation, signature of duly authorized officer. ................................................. 0 title of corporate officer) Lders License No. ....................... doers License No. ...NO/A. ......... .... ::tricians License No. :(:.1. '�=••.... er Trade's License No. ........ ation of land on which proposed work will be dOw—� ........ ................. e Number Streett I //Hamlet my Tax Map No. 1000 Section .....t1�..... Block ............... Int .1`4c.t........ division ...................................... Filed Map No. ............... Lot ............... (Name) ►te existing use and occupancy�,ofQ�and int use and occuPanncy f proposed construction: Fhisting use and occupwx.7(:�.. ....� il. �1 .WiV XC j 1 Intended use and occupmuci► I r�)/.(aT r�v� �'N►, r ' i C f"� ............. �t.'� . v 3. Nature of work (check which applicable): New ling .......... Addition .......... Alteration ........ Repair ............ Removal ............. Demolition ............ Other Work ........................... (Description) 4. Estimated Cost ......:`............ fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ Number of dwelling units on each floor ............... Ifgarage, number of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use................ 7. Dimensions of existing structures, if 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 .............. Height ......................... Nuiber of Stories ..................... 9. Size of lot: Fran .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ 11. Zone or use district in which premises are situated ...................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ...... ............ Wr 1 exce s fill be removed from preauses: YES II , 14. Names of Owner of premises!�..t� rl .. Address 'No. Name of Architect ...... Address .� �. � . .(i.!.���'Phone No. Name of Contractor�.^:.':.'....:....................... Address.............. ......�`.�+.Phoie No�L . 15. Is this property within 300 feet of a tidal wetland? * YES .......... to ... ...... *IF YES, SQTI1hiHD IM TRlSIW PM41T MAY BE =VIM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed; and indicate all set-back dime from,property lines. Give street and block number or description according to deed, and show street names and whether interior or corner lot. a suar, or lana YORK, COUNTY or ..,........ SS .........ice R� b..0 d. ?:�.�f-e r...............being duly sworn, deposes and says that he is the apI (Name of individual jigni.ng contract) above named, Ileis the ................Q +:1 ................................................................ ....... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and ME application; that all statements contained in this application are true to the best of his knowledge and.beliel that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .......j)�.L:�.....day of ...Qs--: .....19.��.... Notary Public ..... .:...... NOREEN L.HAGER (Signa of icant) OTARY PUBLIC,STATE OF NEW YORK QUALIFIED IN SUFFOLK COUNTY REG.NO.52452&0 COMMISSION EXPIRESd I BUILDING PERMIT REVIEW CHECKLIST P Applicant) kc-6-Aek , Date Owners Name: -o o i-e,-F Reviewed: .Architect) Date Engineer: rc;-e Submitted: SCTM #: r '�j. District: 1.000 Section: T Block: �_ Lot: Projectf A Subdivision Location: Z�"J-SAS C&,J S -0 I t� Ave /"lam Name: Single&separate Reqed certtfication: (yes /uirNo) O Req. Req. Zoning District: [Lot size: Actual: 1 [Lot coverage Proposed: ] Req. Req. Req. [Front Yard Proposed: [Side Yard Proposed. [Rear Yard Proposed: 1 Project Description: S w,,rnm t rlS AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: X AtieL Notes: t( Ems!- N d7ut /3RD 0 kTev-y r0AJr ✓nor APPP:OVED Ac NOTED . DATE: . ao BY: .RIGi�7'Ely' Y'y �34 FEE: NOTIFY BUILDING DEPARTMENT AT , 765-1802 9 AM TO 4 PM FOR THE W FOLLOWING INSPECTIONS: L1 ` 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Nil 3. INSULATION �e` 3t; J `•►. J/ 4. FINAL - CONSTRUCTION MUST -A BE COMPLETE FOR C.O. R ALL CONSTRUCTION SHALL MEET m THE REQUIREMENTS OF' THE N.Y. STATE CONSTRUCTION & ENERGY ` +� R• CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS to Ms"awl i l•vMdaftr At Sw W►7=$1 M HMW VWk SW* CY OR Edlrrrwti�r �� � .. �,;.� �• o+.ta�a.tt�er•s eked aaai �� �_ i ted P U L Wna0N.0 thaA rot bs mrYMO t ' 1( to M a void rw C+o01t. � (�� [i Q1a11Yn m m6l aW h~040 Ilan T C E 9�T I F 1 `s 0 - f ps / ^ •`• only'm M vol Ow whwn ft&&Noy � '^•� , r � �� 1Z'? iv prepme i Id en pb 6"w �' j� � �., t"d �A��ti r ♦ ' ' r 1iN a-PRY e—,n~d low"and `ysE-p � i �6 � wnp NUON a Muad nwwo ON O— •p v s f Y 10 so auwws of"W"bowom Gwrerlws We rotwwwbrom yi to okod"in&6b4w.or.iron rM,l 7 a �Iwar�rv+a�mtx�oE , 0 ♦�s11ta LA f�&� "M )Er UNDERWRITERS CERTIFICATE v`G�� . t f y,� �1` REQUIRED ,�. p s4nrr� $ Giwiowr�'c�Tc•iNdar /_ 40 sC .vc. A.vrtia yr w-Zewov vc+ow�K: xva Co so sls CT/ST;'90 volt; :••••.• .u•. 1• ; 4Tow a Ls WOOD Q PMTS: NCMOED TO C w /PRCGST CONCRETE PRfC CAST 8 ....�.. .+�.r' '.�. • s rti •' SRIMuERS RETURN SLOPE 0 too FILTH 1 O "�" 8 _ ii •�S -a BARS { _ FpOM SXIUMERS. C F s FO It PIES FILTEXOnd PUMP I' TO RETURNS Flom PI y I•. TO MSTE • ROD FOAM p a -- BEISvEEN Uw PIPING• A R R A N G E M E N' .'..`.. vinrt, LINER + •4 CJtsCAETE I S/OE QH E%O ! STEPS 0MCMAt, 8's se cc - , .- POURED CONCRETEPLAN t.=t • KN?R. LINER T to 1 > SEE TYP CAL wo.•tt FI°ER6U► —T— MOULDED • _ 'r �- 1 PIECE to 71 � • _ 7..� S� .:1ij N w -z. 4'SAN0 80TTOt1 FORM TIE.. ---+tee °••O t3� '� i? S S E C T t 0 N = ' _ . ,�4„ xx BAR: . OPTIONAL STEP -TYPE. L 3 STEPS P EAk' !. :: nn• e p . I :TY PICA L WA L L y � 1 m��r 14:0 •--� IZ� SECTION A- A I . . ?)PTI0NAL STE P =d; 3 C 0 E f 0 CAP ' c�H TYPE 2. . R SM R /t s*^ 4j". �WALxs TQ t;DNTIIACTOR' eg s>MooTN ION sxlo nPE. sLorEoAWAY .F)Ott J *wAt01}p���' MNDY T. RODECKER, INC.8 8 Z 4 4 312 ly0p PROPERTYA ZITsLOCAt�AECULTIoNsowN E>13 SY!K KING POOLS rt 8 It 4 4 8Ti x ,ap JIO = 25Ax io t a i a00