HomeMy WebLinkAbout28174-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)
PERMYT `15O': 28174 Z Date MARCH 13 , 2002
Permission is hereby granted to:
JAMES LISZANCKIE
220 OAK ST
GREENPORT,NY 11944
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL. THIS PERMIT REPLACES
:BUILDING PERMIT # 16247 Z
at premises located at 270 OAK ST GREENPORT
County Tax Map No. 473889 Section 042 Block 0001 Lot No. 024
pursuant to application dated MARCH 13, 2002 and approved by the
Building Inspector.
v
Fee $ 150 . 00
Author i ' Signature
ORIGINAL
Rev. 2/19/98
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.�.,;-. BOARD OF HEALTH
3 SETS OF PLANS
,1Y7Rfv7
NO. 1 SURVEY . . _ . . . . ,
o{ IJIV.(7F SOUTNOLd3 CHECK . . . e
8WI,D1NG bEMRTMENT SEPTIC FORM . . . . . . . . . . . . .
TOWN BALL :.
SOUTHOLD, N.Y. 11 71 NOTIFY
TEL.: 760.1802. GALL . . . . . . . . . . . . . . . .
d i MAIL TO :
i
Examined
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Pe
9��. rmi .�;�. . .
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Approved g , t t No.
Disapproved a . . . . ' . . . . . . . . . . . . . . . . . . < . . .
(Budding Inspector) ,
. , a
APPLOCATION FO,� BCIILI7fiN PE,,11MIT
Date,
jINSTRI7CTION3
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans,accurate plot plan to stake. Fee according to schedule.
b: Plot plan showing location of Jo and of buildinas on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed dcscnipt,ion of layout of property must be drawn on the diagram which is part of this appli-
cation. I
c. The work}covered by this,applica ion may not be commenced before i5suan'ce of.Building Permit.
d. Upon approval of this application, the Building Inspector will issued a IBuildmg Permit to the applicant. Such permit
sha]I be kept`on,the premises ava lableifo inspection throughout the work.
e. No'bpiltling shallbe occupied'or,used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have beer granted by the Building I :spector.
APPLICATION IS IIEREB IMADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinagc€ of the own o Southold, Suffolk County, New York, and other applicable Laws,Ordinances or
Regulations, for the consthictip?2 of bu' dings, additions or alterations, or fc r removal or demolition,as herein described.
The applicant agrees to comply with at ,applicable laws, ordinances, buildin code, Housing code, and regulations, and to
p emises d in building for necessary inspec 'gns. t
admit authorized inspectors on or
. . . . . . . . . . . . . . . .
(Signatu e of applicant, or name, it A corporation)
(Ma ling address of applicant)
State whether applicant s owner esse ; agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . . 5. . . . . . �, G 1rr� i. : .t . . .. . . . . . . . . . . . . . .
(as on the tax roll br latest deed)
If applicant is a corporation;Lsign ture'of duly authorized officer.
:� '
( Name and title of col orateofficer)
ALL CONTRACTOR'S MUST BE 3UFFOLK COUNTY LICENSED
Builder's License No. . . . . t . . . . . . . . . . . .
Plumber's License No. . . . .
r
Electrician's License No, . .� ? . . : i• . . . - - - - - .
Other Trade's License No. . . . . . . . . . . . . . . . .
Lp d 'ork will be done:
ocation of land on which pro ose
�? ` . � . . . . . . . . . . . . .
L r.: . . . . . . . . . . . . < . . . . . . .
Ntrect
House Number Hain4t
County Tax Map No. 1000 Section . '. . . � . . . . . . . Block . . . . . . . . . Lot . . . . . . . . . . . . .
k,(f,�e� Filed Map No. J: . I Lot
Subdivision C` �.
p (Na ) p p
2. State existing use and occu a 'c or ises andinteKded use and occu acy of proposed Gonstruc*.on:
a. Existing use and occupancy { �' 3• • . . . . . . . . . . . . . . . . .
b. Intended use and occupancl . . . . . . . . . . . . . .
. . . . . . . . . . . .
� . . . . . .
3. Nature of work (check which applicable) New Building . . . . . . . . . . A, :n . . . . . . . . . . .Utera ion . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . Demolition . . . . . . . . . . . . . . Other Work/�4Y, 3;Z'. rx.'�
r��' ;,., /fix ), � � �i�`�=�'`(➢escripiion}
4. Estimated Cost . . . . , . . ; .` . . . . . . . . . . . . . . . . . . . . Fee .
p (to be paid on filing this application)
5. If dwelling,number of dwelling units , / Number of dwelling units on each floor . .' . . . . . . . . .
if garage,number of cars . . . . .<e" , . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . , . . . . .
6. if business, cornmercial or mixed occupancy,specify nature and-extent of each type of use . . . . . . .
7. Dimensions of existing structures,if any: Front . . . . . . . . . . Rear . . .�.� . . . . . Depth 4� . . . . . . .
-w ,
Height . . . . . . . . . . . . . Number of Stories . . ..Z� . . . . . . . . . . . . . . . . . I . . . ... . . . . . .
Diruansions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . .
Depth . . . eightNumber of Stories . . . . . . . . . .
t%ZB. Dimensions of Entire new c sn• kVni . Rear . . Depth
lieig t . . . . . . . . . .. z nbe � es . . . . . . . . . . . , . . . . .
9. S*ze of lot From r "�v . . $ ` " . . . . : DeT th . . . c`.
10. Date off Pu� S� �. c a . . . . Name of Former Owner / �`/
11. Zone or z Mfr ct �, pr �� situated . . . . . . . . . . . .
17. Does p,oe d�sstiQt� ,00iying laic, ordinance or regulat on: �—�
13. Will lot be a a 1 P . . Will excess fill be removed from premises: N
14. Name of Own s . ';a%. Address . . . . . . . . . . . . . . . . .Phone No. . . . .
Name of Arch " . . . . . . . . . . . . . Address . . . . . Phone No.
Nine of Contractor. . A: (y. . . . . . . Address . . . . . . . . . , . . . .Phone No.Ll . .?f/
15. Is this pr.ope t�iocated 'within 300 feet of a. tidal wetland? *Yes No ,
*if yes, Southo Town Trustees Pernit may be req.-*fired.
PLOT DIAGIivl
Locate clearly and distirctly all buildings, whether existing or proposed,and indicate all set-back dimensions fror,
property lines. Give street and block number or.description according to deed, and show street names and indicate whethF
interior or corner tot.
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STATE OF NEih*r/j1P'
S.5CO's N i OF � l & ih3T 1 �y rk s, .Exrc�' D
ell.ti . . . being duly swor%.(}*oses abd s fh tine is the applicar
(Nan e of in rvidual signing contract) B t c t h s f� yam �s L �kEc
above named. ALLWE
He is the . . . . : . . . . . . . . . Tb a s&x 't
. . . . . . . . . . . . F"aX ^Yr�Y. My'Jd,•�r�',
(Contractor, age �, corpa-ate office t < J€s. r 3i
of said owner or owners, and is duly authorized to perform or have perforined the said work and to make and file th
application; that all statements contained in this application are true to the best of his knowledge and belief;and that ti'
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
*- �
. . . . . . . . . . . . day of . .. ,. . ., 19�7
Notary Public, !11. County d LA
ebAI N&4872SM (Signature of plicamslwad f* Suffaik Cour"
f
C'OnrftiMiOn Dec=tber5,95�� _,
�oc��FFOIK��Gy
VICTOR LESSARD Q Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR = Z P.O. Box 1179
(516)765-1802
Southold, New York 11971
FAX(516)765-1823 y�
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 2, 1990
Elissa & James Liszanckie
270 Oak St.
Greenport, N.Y. 11944
Re: B.P. #16247 Inground pool
Dear Mr. & Mrs. Liszanckie:
I am writing to you regarding the above Building
Permit. The permit has expired and you have not obtained
a Certificate of Occupancy.
Please call our office to arrange for an inspection.
Also you will need an Underwriters Certificate for the el-
ectrical work done.
You are in violation of the Code of the Town of South-
old. Thank you for your prompt attention to this matter.
Yours truly,'/
X2 be 6i
Secretary
7:*-
BUILDING DEPT.
INSPECTION
FOUNDATION IST ROUGH
FOUNDATION 2 . INSULATION
FRAMING Ll"FINAL,
FIREPLACE & CHIMNEY
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DATE INSPECTOR
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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. 28174 Z Date MARCH 13 , 2002
Permission is hereby granted to:
JAMES LISZANCKIE
220 OAK ST
GREENPORT,NY 11944
for
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL THIS PERMIT REPLACES
BUILDING PERMIT #16247
at premises located at 270 OAK ST GREENPORT
County Tax Map No. 473889 Section 042 Block 0001 Lot No. 024
pursuant to application dated MARCH 13 , 2002 and approved by the
Building Inspector.
Fee $ 150 . 00
Authori zed ure
ORIGINAL
Rev. 2/19/98