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Home My WebLink About26587-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. 26587 Z Date JUNE 16, 2000 Permission is hereby granted to: PAUL F & CHERYL VIVIANO 359 COLD SPRING HARBOR RD SYOSSET NY 11791 for . CONSTRUCTION OF A NEW TWO STORY FRAMED ADDITION H PORCH TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 35950 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0002 Lot No. 023 pursuant to application dated MARCH 10, 2000 and approved by the Building Inspector. Fee $ 680 . 60 Authori Signature COPY Rev. 2/19/98 FIELD INSPECTION REPORT DATE COMMENTS IIII r-i FOUNDATION OST) II II FOUNDATION (2ND) ROUGH FRAME & PLUMBING II ij 1 rn (� �1 II• H INSULATION PER N. Y. F STATE ENERGY CODE u u it II 11 U ---------------- ------ ------- ---------- I� II C4 � u u FINAL ADDITIONAL COMMENTS: v � 1 tv roN • k 9 G-, O z r M ro H ..� q.. �. 1 ' . 1. 1� .. ... ....... � .� ... MAR 1 0 M BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . BUILDING DEPARTMENT CHECK i.wr) TOWN HALL SEPTIC•FORM• . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 ?NOTIFY: CALL . /.t . . . . . . . . . ... . .....l .... 20. MAIL TO- . Cd Examined.. ... : . . . . . . . . . . . . . . . . . . . . g Approved... `.":`.'.!.`f.......°da. Permit No. ..... ./.... .................... ................ Disapproveda/c .................................. .................................... ................................................ . .. 7 (Building nspector)....-•-. APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 20. . . . INSTRUCTIONS a. Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 1LW MAIL 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 Reg•.4ations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable 1 o 'nances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildi for inspections. .... ........ .... ... �! 7..................... (Signature of applic at, or name, if a corporation) ...'�.!v�a��................ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .. ? ........................................................................................................ Name of owner of premises ............................................................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) BuildersLicense No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. 3 q 50 M c�► V j2 OCA CL-4c k o c� ............................................. ....................... ... .... .. cam................. House Number Street �� /� ^Hamlet County Tax Map MD. 1000 Section ......6-1....... Block ...�.......... Lot ..�.5 ........ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......1.. ,C W,1,1�4........................................................ b. Intended use and occupancy ......1... �.YYl:1.� ...................................................... 40- 3. -3. Mature of work (check which applicable): New Building .......... Addition ...Y..... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .......................... .. (Description) 4. Estimated Cost .... ®J�� . ............. fee .............................................. (to be paid on filing this application) 5. if (kielling, nuriuer of dwelling units ......I..... Number of dwelling units on each floor ................ Ifgarage, rummer of cars ...................................... 6. If business, connercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. ileiglrt ......................... Number of Stories J............... 7. Dimensions of same structure with alterations or additions: Front .....b......... Rear ............... Depth .................... Height .................... Harmer of Stories ............... B. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Numil)er of Stories ..................... 9. Size of lot: Dont ... .). CCv�S..„_, Rear .................... Depth .............. 10. Date of Purchase .......... Name of Former Owner ..rs ��oSk:l� [,, ;),C;�,(_:o.`-.... II. Zone or use district in which premises are situated ^!` ...I`::':............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: �fl................... 13. Will lot be regraded .�.............. Will excess fill be removed from premises: YES NO 14. Names of Owner of premises Qo-1 , Cin e� V\V rbc Address 3S�: .`D.S Q:�:`!'::0.0. Phone Noll G:` U:1-"n( .................. Naof Architect!'' ...�`!`'.!^.`�?:............. Address4`!►MN,i��ID:Gr.. Nam e.:poKC...... Phone No.- 72 Name of Contractor ................................... Address ...............................Phone No. .......... 15. is this property within 300 feet of a tidal wetland? * YES .......... ND P..1oo...... *IF YES, SOlTIl1rHD MM 3RUSIFT:S PEWrr MAY HE REQJIRED. Pl.OT DIAGRAM Locate clearly and distincoy all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block amber or description according to deed, and show street names and indicate whether interior or corner lot. SfA11i or NSI row, SS (IJUNIT (A. ....................... I .... .... ............................................being duly sworn, deposes arxl says that he is the appl.icanL (Kane of iml.ividual. signing contract) above ivnied, lieis Lhe ........... N Q-2 ........................................................................ (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 file this application; that all statements contained in this application are true to the best of his knowledge and.b6lief.; and Lhat the work will be performed in the manner set forth in the application filed therewith. Sworn to before me Lhis .......,.0.... d. ofA '......:20. oo.. )UI:.. Dk tory Public .. . .. -�✓`-�.� • •.. JOYCE M.WILKINS (Signature of Applicant), Notary Public,State of New York No.4952246,Suffolk County Term Expires June 12, ;)001