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Home My WebLink About26559-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT ' (THIS PERMIT MUST BE KEPT ON THE PREMISES UNT L FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26559 Z Date JUNE 8 2000 Permission is hereby granted to: STACY VLAHOS PO BOX 353 EAST MARION NY 11 9,39 for SUNROOM ADDITION & DECK ADDITION AS a PLIED FOR. i at premises located at 41:20 THE LONG WAY EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 097 pursuant to application dated MARCH 28, 2000 and approved by the Building Inspector. Fee $ 75 . 00 LAuthoriz Signature COPY Rev. 2/19/98 « FIELD INSPECTION REPORT DATE COMMENTS ----- ri II II _ H fi y FOUNDATION ( IST) jI , FOUNDATION (2ND) Itt II _________________ _ -- — u u o ROUGH FRAME & II In ii \ PLUMBING I it II =----------------------------_____________=_______ IIif II H INSULATION PER N. Y. N� t STATE ENERGY ii a u CODE �-----jif u Illi 11 jj y II II 1 11 if FINAL u u � saaaexxaamaaxxxxxxxxaaaa=�==xoaaa saaaxaaaaa=aaaaa==-==xxaaxesaaaa=-----===asaxa=a===aca O — ADDITIONAL COMMENTS: uc to \ H H x C 1 r b H . y ruurr nv. IJ JL1J V L..,�..✓ . . . . . . . . . . . . . . . • TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 � � TEL: 765-1802 NOTIFY //�` . .�� CALL . . . . . . . Examined...P., .......... 19.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....(!h.........,)*.Q Q Permit No. ........... ................................... Disapproved a/c .................................. ................................... ....................................... ........... r. ......... ......... (Building o ) MAR Z 8 Wuu APPLICATION FOR BUILDING PERMIT Date. 31;0 . . . . . , 19. INSTRUCTIONS a. 'Ibis application mLst 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 cmaenced 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 NADE 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 code, and regulations, and to admit authorized inspectors on premises and ' ildIng for necessary inspections. (Signature of applicant, or name, i corporation) ec (Nailing address of applicant) State whether applicant is owner, 1 architect, engineer, neral contractor, ectrician, plumber or buil-de .... ... 1�.�l�.. ... •1 ............................ Name.of.... of premises (%L 4....�.��.,..... ..�h;}lL.....�................................... (as on the tax roll or late. •deed) If apt iic�a/n�t is a corporati gnature duly t 'zed officer. and title of rate officer) Builders License No. .. ............. .. Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.......................... ..:............. ..... ............. h:�..�� . vJ... ................................ �1./ .............. House Number itreet Hamlet County Tax Nap No. 1 Section ..... .Q.......Block ....�........ Lot .,.:7...�(........ : .� . �Vpm.. p r Subdivision U.� .. Filed Na No. .1L2� .K.t. Lot ............... (Name) 2. State existing use and occupancy of 'ses and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ... 1.1e ... .4! b. Intended use and occupancy ............................................................................. Mature of work (check whidi applicable): New Building .......... Addition ...... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. � j �p (Descriptlon) r 8 �T' ... fee ....... Estimated Cost .. .(. .............. ................................... (to be paid on filing this application) If dtaelling, number of dwelling units ............ Ikuber of A-;el.ling units on each floor ................ Ifgarage, number of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use.............. ....... 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 ........�,. ; �,. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. lleigbt ......................... Number of Stories ..................... Sizeof lot: Front .................... Rear .................... Depth .................... ). Date of Purchase ..................... Nae of Former Owner ........................................ I. Zone or use district in which premises are situated .............................................................. 2. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 3. Will lot be regraded .... / ,......., /Will�excCess fill be removed fr/o-m(J 'ses: ES � to �� 9 'm. Names of Owner of prenise�` i."1.. .APf W: ... Address `l�.:E'?77 WUi. Rhone No. E3�..... I 3'1pl Nae of Architec ... ... Address ................. .... Phone No. .............. Name of Contractor .C 3.... . °}:� � Address��..� �•. ?'4��..Phoie No./�S.. �.�!•.. 5. is this property within 300 feet of a tidal wetland * YES .......... NO .......... IF YES, 9aTIl1" 'Tadd 'IRZISIFB.S PM41T MAY BE REQUIR[-. PLOT DIAGRAM Fncate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions Tom property lines. Give street and block neer or description according to deed, and show street nares and indicate tether interior or corner lot. l� A)U' MME Or tam YORK, �S )�L..............being duly sworn, deposes and says that he is the applicant (Nave of individual signing contract..) above Yarned, Ileis time ............ ... /. ...................................................................... (Contractor nt, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work mxl to make and file this application; that all statements contained in this application are true to the best of his 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 ..... 6...... of ...• " 00� Notary Public .. ................... j�.. .. JOYCE M.WILKINS (Signature of Applicant)I ry Public.State of New York Ereo;m ,4962246,Suffolk County Expires June 12, --A-Dv i