HomeMy WebLinkAbout18307-ZTOWN 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)
County Tax Map No. 1000 Section ............ .~....,,.~.,, Block .......... t .... Lot No ....../,, .,~.~,,,,'~',, .....
pursuant to application dated .......... .~..../,/,..,~. ........................... 19..O..C'~.,., a,d approved by the
Building Inspectar.
Fee
Rev. 6/30/80
TOWN OF SOUTHOLD
_}.)O ~O? '~"~d ~/ '"~__~ ~1..~..~ BUILDING DEPARTMENTTowN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined 19 ~
Approved 19(~/~Permit No /015'~e9 Ron Morizzo Builder, Inc.
............ P.O. Box 789
Disapproved a/c ..................................... Southold, N. Y. 11971
APPLICATION FOR BUILDING PERMIT L 'rOWN-~"S~UTT~OL~-
Date . 7/)P......--Z777...7..
BOARD OF HEALTH ......
3 SETS OF PLANS .......
SURVEY ..........
CHECK ..........
SEPTIC FORM .............
NOTIFY
CALL ................
MAIL TO:
INSTRUCTIONS
a. Ttds application must be completely filled in by Wpewriter 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 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 appli-
cation.
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 issued 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 ~[lttllhi$!~(li~lf~%[ipplicable laws, ordinances, building code, housing code, and regulations, and to
admit authorize_d. !.nspec.___to_r~ .o~rem___ises a__n.~.irJb/~ding for necessary inspections.
........... ~ .......... ~I ' .RQI1 .I~[QE'~ Z.~Q J~u.:~],(~e.r.,..~'k~ ......................
~,~ ~:~'- .Tq O .-,. ·,~ ~.,.,, - .,, e t (Sio_nature. of applicant, or name, if a corporation)
:.;.. , ;. ~ :...,:~ . ~ .P....Cl...Box.7.~9,..Scluthald.,.2'~..L19.7.1. ............
, ;~},~,-~0~ ,~',t ~ , ~ .,. (Mailing address of applicant)
State whether ~ptioag~is,. owner,, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General
.(
Name of owner of premises . .R.o.n. & Barbara Morizzo
· -: ~ (as on the tax roll or latest deed)
. If app3i~t is a3~5~13~¢ilt~n.3 ~ignature of~tuly authorized of ricer.
(Name an~_.l~ of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICI~.NSED
Builder's License No... 077.2.H.~. ................
Plumber's License No .........................
Electrician's License No .......................
Otlier Trade's License No ......................
Location of land on wliich proposed work will be done ..................................................
1555 Founders Path Southold
House Number Street ....................................
Hamlet
CoEnty Tax Map No. 1000 Section . . 00.4 ............. Block .... 94. ............ Lot .... !4.: 3. ...........
': SubdMsion ...Fp.u.n.d.e.r.s..E.s.t.a.L.e~ ................... Filed Map No. 834 Lot B-6 .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .. One. family, dwell:ingr ................................................
b'lntended use and occupancy . .0~.?..fa.m.i.J~y.dwellin~.._k~
3. Nature of work (check which applicable): New Building ' Addition .......... Alteration ........ '.'.
Repa/r .............. Removal .............. Demolition ..... X ........ Other Work ...............
(DescripXion)
4. Estimated Cost ...................................... Fee ......................................
· (to be paid on filing this application)
5. If dwelling, number of dwelling units .. One .......... Number of dwelling units on each floor ................
If garage, 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 ............... Number of Stories ........................................................
9. Size°fl°t:q~[~}"~'~.~.~i117.,/.5[ .......... Rear ...................... De2oth
I0. Date of Purcliase .................... Name of Former Owner I~argaret Szeboid ......
11. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...N.o ............................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premises . Pon. Y~rJ-lzzo ....... '. Address Pg. Bg.x. 7.~.92. ~Sg.u.L.h~.dphone No3.6.%577.2 ........
Name of ~Architect ........................... Address .,,~ ..~. .............. Phone No ................
Name ofContract~n Morizzo Builder, Inc. ---- ~ tsox /~u, ~outhoid.
.......................... ,~auress .... : .............. l~lione No765=577.2 ........
15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .X...
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
788-1~0~ ~ AM 10 4 I'M I10~ 1tIE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO RL=(IUINED
FOR POURED CONCRETE
2. ROUGH o FRAMING & Iq. UMSING
3. INSULATION
4, FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE: CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
D~S!GN OR CONSTRUCTION ERRORS
STATE OF NEW ~K,z , ~
COUNTY OF..."-~....."7. S.S
Ron Morizzo
................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the.. P9.n.t.r.ap.tP.r .............................................................................
(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 ail 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
............. /.~Aay of.~...,. ....... 19 ~.¢~'
Notary Public, State of New York
No. 52-8125850, Suffolk Cour/ty