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Home My WebLink About25985-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. 25985 Z Date SEPTEMBER 3, 1999 Permission is hereby granted to: \\ PATRICIA LOLLOT 2345 PLUM ISLAND LANE ORIENT,NY 11957 for CONSTRUCTION OF TWO DECK ADDITIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2345 PLUM ISLAND LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024 .003 pursuant to application dated JULY 7 1999 and approved by the Building Inspector. Fee $ 75 .00 Authoriz d Signature ORIGINAL Rev. 2/19/98 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. 25985 Z Date SEPTEMBER 3, 1999 Permission is hereby granted to: PATRICIA LOLLOT 2345 PLUM ISLAND LANE ORIENT,NY 11957 for CONSTRUCTION OF TWO DECK ADDITIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2345 PLUM ISLAND LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024 .003 pursuant to application dated JULY 7 99 and approved by the Building Inspector. Fee $ 75. 00 i A UO Authorized Signature f./ COPY Rev. 2/19/98 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY �, 7RoPEET`( LIlJ� t 1 FIE,L,a APPROVED AS NOTED DATE: 3' 9 B.P.M FEE:. BW FOLLOWINGEll -18029 M TO INSPECTIONS: P M�-Rfe 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Z. ROUGH - FRAMING & PLUMBRIO 3. INSULATION T � 1 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. - L_L-h P�Iy ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS REIWEIZ R. 9rFA7PLICIA LOLLOT OKIE�PLN YSL95D LAU6117) E:Y/sT,t�oo�F'Etic� . 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PORN NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 755- 1802 NOTIFY: — CALL `. .. . . . �. . ... . / Eranined......q... .......... 19.p.I.. MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.....1'.d7........, 19..1 Perndt No. ......_........ ................... Disawrovcda/c .................................. ................................ .. r" F_� V� � � Nildi Ins cWt) f . 7 9 A KATION POR BUILDING 1'ERMI'fDate -711 y 7 - -� INSTRNC'I'IONS a. 'Does application est be mTletely filled in by typewriter or in ink and submitted to the Building Tnspecror vi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan starring location of lot and of buildings on prtvuises, relationship to adjoining, pro nines or public streets or areas, and giving a detailed description of layout of properry oust be drawn on the diagran wbielu is parr or this awlicatiou. c. 'Oe work covered by this application ray not be crnrmnced before issuars,o of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Bailding Permit to Chu applicant Such pr mut shall be kepc on the prouises available for inspection cbruughout the work. e. Na building shall be occupied or used in Abele or in pert for any purpose whatever until a Certificate or Occupaury shall have been granted by the Building inspector. APPLICA'I'RN IS HE(ZERY PUDE to the Building Departaent for [bc issuance of a Building Permit pursuant to the Building Tare Ordioaree of Ono Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulannos, for rhe construction of buildings, additions or alterations, or for ramval or demolition, as herein described. tic applicant agrees to comply with all applicable laws, ordinances, building code, housing code, rayl regulations, and to admiL au[horired inspectors on preaises and in Muildn for neccCL/ss�ey in napec[ios. (SigNturc of Brant, nr � i reel corForae ion) syr. ....�.. (Mailing address of applicant) State whet7ar applicant is owner, lessee, agent, architect, engineer, general murmrtor, electrician, pltndner or builde[ x^ ..... ......... !............................. / [ion of owner of premises ...Ni!t#!-t.j• �L d�, //O C .. (as on the tax rolI or latest decd) It appl ica t is a corporation, signature of duly authorized officer. 4- ...... ................................................... (U.ne oval title of corporate officer) Builders License No. ....... i ... ....�.L['`.... 1 PIL.bers License No. ....... \............. Electricians License No. ........ // Other Trade's License No. .................... `�/7l LtQ- L2L1'`'/2➢��7 L I:ra[ion of laznd ro uiuich proposed Bork will be done. ........................................... ................. ,1 ...... r .... . ....... � � . .............. �)l... . � .............. .................. ......... ................ Ihrre Neer Street e� Courcy Tax Mpap He ]DUO Seeti..o�nr,, ...�r....... Block ..'��....,}..... foe .._..•. ./..... Subdivision L :lfwi...��f. I ..- �........ Filed Hap No. r...... WC .1.�. l ............ ... .. (N�) 2. Scale existing use and occupare'y premises and intended use aril occur4pt:yl4§'proposed epurruccion: lNuyw ., ...2 ' _,y a. Fxiseirg use and onequazay .. l�:64:Y?..'. ...?:.......\..... plw G.........L.:...y............... d,d use and xanpancy .............................. b. In[u1_l�. r.l ,( LM-c• n7.t :.`1.......... 7. N.11nre uE wr4 (d --k Wide appl irable): tiN l9iild Ing ... .. ..... i41di[iui ... . Altcra[icn . . . .. . . . . . Repair ............ Ramal ............. Dw litioo ............ Other lk)rk .................................. (Dexri pt ionl CsLindted Chat ...A ................ fee ........... .............. .. ...... ,l/ (Lo be piid m li fnng [his applicm vii 5. If rhellirg, n.d:er of d:elling rs /V�. .. lk ober of dwelling, rnits on each El.. . . ... .. . . . . . Ifga.age. n.nbcr of cars ....................................... . u. If Ivsiness, mniercial or mixed occntvmcy, specify nart're and extent of eadL Lyle of use.... . ' .... . . . /-7,j i tensions nf.axisrine srnn[ures, if any: Frust........ .. Rear .. .....j pth . ... ....... 7 / lkeighr ll�..................... Ember of stories ................ 02 LInFnGIfF1A Of FdTC sLnICLUre 4R Lh al 1p p[IIX�S o[ atkli Cion;: Front .... . . . . R,ar ........�....... ,eplL .. .� . ......... I@i&L ....14.�........ . ... . tkder of SLor ies ///z". . ..... .i�rensiuu of e.the . construction: Rrnn[ /.1.-.'''.E.. Real. ............... Depth . .. ... . . . . . N 14>igr[ ......................... [inner aC Scor ic; ....... .............. 9. ,ire n tor, Front A' ," relraw.L... M. 11ute of Birdnx ,/V'I A............. ry, of Panner II. laze or use dis[r icL in which prenises are sitvatM ...........'....`� `�. . .. ... ............ . ... ...... .. {_1J 17. Res prnlnsai cros[rvc[iar palate any ening lav, nMinaree or regula[iuc .. .1.. ..... ...... . . . .... Il. Will lot tc regrackd . Will nrrc;; Eill he remtvM Erns premises: YCs 11) I'.. Hams nC f4ner of ptmi s/e/s a,, •1&-e..:c (Yklress ...... . .. . ...... .. ............ Ehue Ib. ..... . . .. . Num sf AcdLitcCl ....Yl............................ Addre;; ............................. Pius fk,. ... . .. ..... . Ur of Contractor ... ./.. .............. ...... .. ArkJress 15. is this prcvperry within 300 fee[ of a Cidal uetlanwl? k YFS .... ... ... til ... ....... *IF YES, 9aIIli71D 'IDldi TIdmog PQAD7' my PL• RFQInum. PLOT DIAGRAM Iccace clearly and distinctly all buildings, wiether existing or proposed, ail indicate all s C-back dirrensions ir,r property lines. Give street and block tuber or descripLiou according to deed, ail cNr street nates ail indicate Anther interior or comer lot. rl� C r:tLCiI.JC-r_f�S �!ZL✓1. 1't.�c$L� ��ecLL � Z /6 k / 2- XIYX /� t O--?y 'o- .'.....Icing duly , k os5 ail LnL hr i; Ilw ap l ........... .. . .... . ... iwni. t1 a of irdivirhul signing centred) _. .. 112 ICIt� ( LOLLDI .........) (01-L CLor, agent, corpurale slficer, ere.) f uid „inwr, .yrs, a,,J i; duly .an hnrival to ler(r.,sn or have terhnned Lhn said on k and to nuke and file Ll,ic qqd teat int r,r that all sLa LareoLs contairwrl in Lhia appl ic.tien are tore to the test of his kinledge and Iwlier; ant Lal rho u,rk will Ir_ perComwl in the reit[ ret forth in lha applwnrion filed Llcrcvith, Lo Ire fere me This .......ice. .. . _rmy of Y. 4.9... — xe V 7 ; tk tart 111h1 is ....j .. :' 1IOBEPTL SCOTT.i (Sigsalm-e of ApplicaalI L'Nmary Pumice Stlft I of York QueN 01SC472k Tarin Fnplrea Msy .mac) BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: LLL RH Reviewed: Architect/ Date . Engineer: OW Submitted: SCTM M C _ District: 1.000 Section: Block: 5 Lot: Project23(15 Subdivision �+ Location: q PLVrMa TILAWO Name: BY a tTe�9 Single&separate Requ' > b WD $�. certification: u 1Yes �I9) p (1 l R� 1 R� Q Zoning District: � � [Lot size: Actual: ] [Lot coverage Proposed: 1 Req. 5 Req. G/ -� Req. Q [Front Yard Proposed: ] [Side Yard Proposed: 1 [Rear Yard S Proposed: j Project Description: 2 ��G Ao 19"Idx,$ AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? ' Flood Zone: Notes: fe e 5 __-