HomeMy WebLinkAbout26123-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UN L FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26123 Z Date NOV BER 3 99
Permission is hereby granted to:
MONA R MCCARTHY
PO BOX 842
SOUTHOLD NY 11971''
for
CONSTRUCTION OF A 15 ' X 20 ' ACCESSORY SHED FOR AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR. i
at premises located at 1459 GOOSE CREEK LA EXT SOUTHOLD
County Tax Map No. 473889' Section 077 Block 0003 Lot No. 017 . 002
pursuant to application dated OCTOBER 4 99 and approved by the
Building Inspector.
Fee $ 35. 00
L
bl 1 Authorized Signature
VV
ORIGINAL
Rev. 2/19/98
I ^ —"-PE.CTION REPORT DATE COMMENTS
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WDATION (2ND)
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-- ADDITIONAL COMMENTS:
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. . BOARD OF HEALTH . . . .. . . . . ... . ..
# FORM N0. I 3 SETS OF PLANS . . . . . . . .. . . .. ..
4 1 �# TOWN OF SOUTHOLD 'SURVEY . . . . .. .... ...... ...... . .
i``
BUILDING DEPARTMENT CHECK
-.—_----J TOWN HALL SEPTICFORM.. ..... .... .. . . . .. ..
et_:�G.!': , SOUTHOLD N.Y. 11971
T ^i MAOLD
TEL: 765-1802 NOTIFY:
CALL . ........ ...... ...
Examined.................. 19.... MAIL TO:......... .. .. .......
App'roved...... :.�....... 19.J� Permit No. .uC lP.`.y��.:� ....................................
Disapproved a/c .................................. .......
........................................... .... .....
--Building tor)
PLICATION FOR BUILDING PERMIT
Date.. . . . ., 19t-4.
INSTRUCTIONS
a. Ibis application not 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 promises 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. Imw been granted by the Building Inspector.
APPLICATION IS HEREBY MATE to the Building, Department for the issuance of a Building Permit pm-suant to the
Building 7zne Ordinance of the Tbwn 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, ordi building code, housing code, and
regulations, and to admit authorized inspectors on premises and in buildi r necessary t'ron
. ...... ....... .......
(Si tureof li t, or now, i ation)
. .. . .....................T'f/l
(Mailing address of applicant)
State whether applicant is owner, le , t, architect, engineer, general contractor, electrician, plumber or builder.
.............................. ...........................
................................... . . �( ... ...
Name of ownef of premises ......... �-1..::.`. l:: Cl J\ : 4��& .. ...........................
as on the tax roll or latest deed)
If applicant is a t�ion, sii7g-inature of duly izfeed officer.
(Nave and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License ND. .................... '
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1. Location of land on Which proposed Work will be done............:.. ........ ..................�....�1....�.
..............................................................................so�f.- �� ....................
House N tuber Street Hamlet
County Tax Map ND. 1000 Section ...... 7..7.... Block .....3......... Lot 7:2......
Subdivision ...................................... Filed Map ND. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and int use of construe:
a. Existing use and occupancy C � (-I ��(
�
.......................... ................ ..... .............
b. Intended use and oavpa x.7 ........................4........ � ,M ............................ ^
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DO NOT PROCEED WITH
APPROVED AS NOTED FRAMING UNTIL SURVEY
� ���a3 � OF FOUNDATION LOCATION
DATE: 11-1-�B.P #._.._ HAS BEEN APPROVED.
FEE: 3500
BY: -f•I�,cr�ter�
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE I�
2. ROUGH - FRAMING & PLUMBING �� �fi�oOn � ��
3. INSULATION 1—
4. FINAL - CONSTRUCTION MUST �5
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY Sit)iA(x &b go �t��o �o7a �" � �14,
UNW0111 Rs CEITI FICATE 6QAoe lrq
REQUIRED C�01'��R� w b- /D-/D
Tarthy
anagement, Inc.
46520 Route 48,SouftW.NeW Vbrk 11971 Yy `
(5 16)765-5&5 (5 16)765-5$16 FAX
Commercial and Residential Construction
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48520 Route 48,Southold,New York 11971
(S 16)765-5&5 (516)765.5816 FAX
Commercial and Residential Construction
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46520 Route 48,Sou 1d.
New York 11971
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