HomeMy WebLinkAbout17452-Z FORM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT ��I C—
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N o 017452 Z Date .... !6�:5........3....... .. 19.U
Permission is hereby granted to: (o 3
o w�.��
to .............. ........... ........ :!:1...... �:..................... ...� :��... ..... /.
1411;�A
............................................................................. ..................................#......... ......................
at premises located at ....i�?�....!.... �r ....31pz.,....... . . ....................
................................................................................ ................................................................................
....................
...... .......
County Tax.Map No.. 1000 Section .......�..�?...1...... Block .........1............. Lot.No......�.*............
pursuant to application dated ......
.... ....l. ........ 19.11., and approved by the.
Building Inspector.
Fee $. :....
�. �.......... .......................... ......
Building Inspector
Rev. 6/30/80
:'1ELD li.Sl'EC-TION (DATE �I i;OMM NrS
FOUNDATION ( 1st)
c:CA �
F OUNDATION ( 2nd )
1 .S
2 .
oC�
ROUGH FRAME &
•PLUMBING
H
3 . - � `r
m V
r�
INSULATION PER N . Y. ow
STATE ENERGY
CODE
x
4 . -1 y
0ti0 Bt)
FINAL
. z
ADDITIONAL COMMENTS :
H �
• O
. TM_
H �
' x
d .
. [r7
v
H
" BOARD OF HEALTH . . / . . . .. • • •
3 SETS OF PL DNS . �. .. . . . . . . . . .
FORM NO. 1 SURVEY . . . . . . ,
TOWN OFSOUTHOLD CHECK .Vaa�•3, • . . • . • • . . . . .
BUILDING DEPARTMENT SEPTIC FORM . . .
TOWN HALL
SOUTHOLD, N.Y. 11971 NOnCAL . .
TEL.• 765-1802 .(. • • , , , . . . • • , . • .
Examined . � . � �, 19 MAIL TO :�. . '
Approved � 11;w�W�s .•�9., 19 Permit No. A
D
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SEP 1610
�
8l.D6. DEPT.
�. CL TOWN OF SOU7HOLD
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . . V
. . . . . . . . .,
INSTRUCTIONS
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 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 I
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 to comply with all applicable laws, ordinances, building code, housing ode, and regulations, and to
admit authorized inspectors'oii�premises and in building for necessary ins tions.
•grjatureoi ap licant na if a corporate • )• .
(Mailing address of app icant)•
Ni) U04 ,f
State whether.applican js;aowner, vlessee, agent, architect, engineer, general contractor, electrician, plumber or'builder.
�,. n
. . . . . . . .�. . . . . .�.�.}.�. . J " rl. ,i ti`. . . . . . .-
Name of ownler.,.of p.rerh ses`I`:E
- i-� c. .Q`C. .? � `!`g . . . . . . . . . . . . . . . . . . . . . . . . . . . .
t �:';'.� .9 C.li; f��Js1'' 1 8C ,✓� :� oP S r. n -
ta3�,'ir(A of 13test deed)
,�� r,�P" tees' ' f
If applicant is a-cozpora.ti- s'ibnalu-re,'of duly authorized,,officer.l a t <, ''. o
J:1r3.ii'; :F+B . biaJFt
. . . . . . . . . . . . . . .
(Nameh and title of corporate officer)
Builder's License No.
Plumber's License No. .. . . . . . . . . . . . . . . . . . . "
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House Number p Street Hamlet
County Tax Map No. 1000 Section . . . .` . L . . . . . . . . Block . . . . : . . . • , , • • , . . • Lot . . . . . •�•�.�• . , , , , , , ,
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . .
(Na►ne) . . .
2- State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . .``. ++. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . . . }O,S'�!�(? ! . . . .�,1�(; . . . . . . . . . . . . . . . .'. ... . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building g . . . . . . . . Addition . . Alterati n :. . . . . .
Removal . . . . . . . . . . . . . . Demolition . . V. .A ccv . , ,
. . Other Work F
, 6 i1�i ) 5— (Description)
4. Estimated Cost . . . . . . . ... . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 . . . . ... . . . . . ' ' ' ' '
6. If b.usin-t F,11oi�uneraiaLor mixed occupancy, specify nature and extent of each t7. ype•of use . . . . • -
DinYensi'o.nsjofc:cxist-insstructures, if any: Front . ' Rear . . . . Depth .
Heij _•_ � . . . . . . . .ti . . p
lit .;Number of Stories ' ' ' ' ' ' ' '
xDimensi' M o9 sar�e structure with alterations or additions: Front. Rear • . . . .
iDepth n Ilei t . . . . . : . . . . . . . . . . . .
;,• . Number of Stories .
8. �Dimenss of entire ne_�yj'construction: Front Rear Depth. • .
Heiglyt��30 WlJvJ l� + nber of Stones
9. rz�of°IYoCItJa'�' t�I4b'�s'T' Nui ries . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . .
Rear . Depth
10. Date of Purchase . . , , . . , . Name of Former Owner
11: Zone or use district in which premises are situated . . . . . '
12. Does proposed construction violate any zoning law, ordinance•or.regulation: . . .
13. Will lot be regraded . . . . . . . . .. . Will excess fill be removed from premises: • . . . •Yes . No
14. Name of Owner of premises . . . . . . . . . . , , , , . . . Address . Phone No.
Name of Architect . . . . . . . . . . . . . . . . . . . . .. . . . . . . Address . . . . - . • • . . . • . . .Phone No. . . . • . . . . . . .
Name of Contractor . Address . . . . . • • . • . • . . Phone No. . .
15 .Is this property, located.
within .300 feet of atidal,•wet.land? *YES•.. • . .NO. .��
*If yes, Southold Town Trustees Permit may be 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.
APPR 1 ED AS NOTED
DATE: 119172 14 B.P. #
FEE-
NOTIFY BUILD NG DEPARTMENT. AT
765.1802 9 A 0 TO 4 PM.,.FOR THE
FOLLOW JG IN PECTIONS,
1. FOUN TIO . TWO REQUIRED
FOR P. URE CONCRETE .
2. ROUGH . F AIMING & PLUMBING
3. INSUU TIO
OCCU��'�NCY OR .
6E Coh 1PL E FOR C.O.oNSTRUCTION MUST.
USE I S UNLAWFUL ALL CON ON .SHALL MEET
�ITt� � T CERTIFICATE THE REQ IR ENTS OF THE N.Y. '
OF OCCUPANCY CODES. NNI i' RESPONSIBLE ENERGY
DESIGN OR CO14STRUCTION ERRORS`
STATE OF NEW YO F_
R S S STVI fJR
COUNTY OF . . . . . . . . . . . . . . . . . '
(Name of individual signing contract)
being duly sworn, deposes and says that he is the applicant
above named.
fieis the . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 belief;and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
. . . . . . . . . . . . . . . . . . . . .day of. . . . . . . . . . . . ., 19 . �
Notary Public, . . . . . . .N.�. . . County
RELEN K.DE VOE . . . . . . . . . .
NOTARY PUBLIC,State of New York (Sig .ure of applicant)
No.4707878,Suffolk Co
Terri Expires March 30,19.1y
pF SOUT��I
� o
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G • Telephone(631)765-1802
Southold,New York 11971-0959
�y10OUNNI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 2"a, 2007
Richard Fogarty
P.O. Box 1613
Mattituck, N.Y. 11952
RE: 580 Westview Drive (accessory structure)
SCTM# 139 1 14
Dear Mr. Fogarty,
Please be advised that your Building Permit# 17452 issued September 19th, 1988 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit,please submit a fee of $100.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
~DOOR FRAME ASSEMBLY FOR 10 FT. BARN
rytiti
BOARD D
133
22 W 48" 221/•.,
ARD E BOARD Er
1. Cut 2 pcs. 2x4-6-5" long (board D)
See"cutting instructions"page 7
2. Cut 2 pcs. 2A 5-3% long (board E)
3. Flace A and B boards into shed frame and attach with 3x5. nail plates
each side with 11/4" roofing nails. (12 nail plates required)
END FRAME ASSEMBLY FOR 10 FT. BARN
1. Same as Steps 1 through 3 above.
2. Cut 1 pc. 2x4, 6'-5" long (board F) See"cutting instructions"page 7
3. Place F board into shed frame and attach with 3x5 nail plates.
20 nail plates required.
BOARD F
ARD E BOARD E
BOARD D BOARD D
I
133/•" 22'A" 24" 24" 221/4" 13'/•..
lO x 12 SHED
2 P� 2 P� 2 PCs. I PC.
36" 44s/e"
1 PC. j 1 PC.
00
2 PCs. 2 PCs. tn 18'/e" ,/4" 1 PC.
1 b" 18
36" 44%" 4" 4" I � 4
61/2 48"
ROOF SHEATHING
FLOOR SHEATHING
j
Cs. 1 `D
4 PCs. 2 P i: n
coo ] PC. 1 PC,.
48" I '
0
� i I
SIDE WALL SHEATHING 23%"
233%
�T DOOR SHEATHINGSHEATHINGDOOR TRIM2 Required
1 � 48 1
T
rn
co I co
36" 36"+-- 12 48" 48" 1 12"-- t +- t---------1 --- �--
REAR WALL SHEATHING
FRONT WALL SHEATHING
28.4°
26„ 33.2"
---- /
1.15/16"
12
76" 4
16'/e" 2 Req. 13"
4� - -..._- --
4 Re 6 Re 28.4 28.4` 4 Req.
1 x 4 DOOR TRIM