Loading...
HomeMy WebLinkAbout29433-Z FORM NO. 3 TOWN OFSOUTHOLD BUILDING DEPARTMENT 10 Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29433 Z Date MAY 28 , 2003 Permission is hereby granted to: LEO & VIRGINIA ALESSI PO BOX 123 SOUTHOLD,NY 11971 for DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR THIS PERMIT REPLACES PERMIT #10696 at premises located at 1700 E CEDAR POINT DR SOUTHOLD County Tax Map No. 473889 Section 092 Block 0001 Lot No. 003 pursuant to application dated MAY 28 , 2003 and approved by the Building Inspector to expire on NOVEMBER 28, 2004 . Fee $ 150 . 00 A ho ed Signature ORIGINAL Rev. 5/8/02 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, h, BUILDING PERMIT ' (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) a N° 10696 Z Date ......../(-1, . ....WA.).................... 1940 Permission is hereby granted to- ..... Jnr....., 6....L.............................. _........ to .1!Urst T<rcr %.......,�eec�c..... etpe.c .� p•...7.....&),ASe rh.r J....,r�i Illi�. ........A`, Q.../j/F=/. ............ .............................................................................. y� at premises located at IA?4 .`................................................... .... .......................................................................... ........................—�✓�iTiliL/J... . /<lr ..... h'cN....Aw4............................. ..fir..to -.9 �,/ q pursuant to application dated .....1...(.A.� C/... �K..................... 19 .(. . and approved by the Building Inspector. Fee $./ ..... , ............. ..!'."'..w`'x.+7:1................ Building Inspector FIELD INSPECTT-ON DATE _ COMMENTS _ b -3 � FOUNDATION (1st) o W N FOUNDATION (2nd) � ^� i � 2. ROUGH FRAME & o PLUMBING �J U G c n - m m INSULATION PER N.Y. N STATE ENERGY CODE 4. (0 4/ CC, _ No CD . �r FINAL - ADDITIONAL COMMENTS: N U T - C* Go � 1�3T� 'Y O _o x IDI a, N d d C+ f FORM NO. 1 TOWN OF-SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examine (fe, Y- .00 . . . .. 19Q"4� Application No. . . ... . . . . . . . . . . Approved/.4 .1 . .". ., 194ermit No. `, . . . . Disapproved a/c . . . .:'"": . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (BuilZ Inspector) APPLICATION FOR BUILDING PERMIT Date ... . ?!: . . . ., 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in trip4cate to the Building Inspector,with 3 sets of plans,accurate plot plan Zo scale. Fee'accoiding 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 apprcwal 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 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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant,or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises 'L. .�'�:-Q.. .CG444A. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . . . . . . . .4 •/. . . . . . . . . . . . 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 fet Hamlet County Tax Map No. 1000 Section . . . .6-ft. . . . . . . . . Block . . . . . .l. . . . . . . . . . . Lot . . . . . . . . . . . . . . Subdivision . . . . ell . . . . . . . Filed Map No. . . �v. . . . . . . . Lot . 1WZ . �. . . (Name) 2. State existing use and occupancy of premises and intende .use and occupancy of proposed'construeion: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . .� . . . . . . . . � • 3. Nature of work(check which applicable): New Building . . . . Addition . . . . . . . . . . Alterati . . . . Repair . . . . . . . . . . . . . . Removal . . . ._ Demolition . . . . . . . . . . . . . . Other Work (Description) 4. Estimated Cost . . . .,l . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 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�bf Stories : . . . . . ... . ... . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . .2�2�'. . . . . . . . . . . . . . Rear . . . . . .'�rj. .. . . . . . . . . Depth ."Zr-0 . . . . .. 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: . . .A.I1.0. . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . .A/.o. . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 6 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . Name of Architect pp �yy . Address . . .Phone No. . . . . Name of Contracto�X40, +-. .GfG6�G�c�+ddress �. .3 . . .Phone No. 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. STATE OF NEW R ,l�/f S.S COUNTY OF . , bc.. . .. • . . . . . . . . . . . . �� . . �- /. . . . . . . . . . . . . being duly sworn,deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . .M . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor gent,corporatcer, 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, . . . . . . . . . . . . . . . . . . . County ax� -Vt• •p. ,V . . . . . . . . . . . . . . . . N NEVILLE ' ' • • . .N , ate of New Yost (Signature of applicant) No.52.8125850,Suffolk Courcy„ Term Exprrg..Xw lj 30, 19 I ti. ; —- P 4 Ito A� , VEDASNO!"ED . 5 �L ,yam IPATE, B.P. !# �IOTII-Y BUILDING DEP }A ARTMENT AT 765-1802 9 AM TO 4 P FOLLOWING INSPECTIONS:`FOR THE FLECTIONS: � L FOUNDATION - TWO RE U1RE z FOR Pn � Q D s UR . n 2. ROUGH _ CONCRETE ' FRAMING 3. INSULATION & PLUMBING 4. ,FINAL, CONSTRUCTION BE COMPLETE FOR MUST { 0. ALL CONSTRUCTION SHA �"• w THE LL MEET STATE EOUIR-n,4ENTS OF THE CONSTRUCTION R Y. CODES. NOT & ENERGY RESPONSIBLE FOR I' + DESIGN OR CONSTRUCTION fRRd4S. a a 1 ~� !� :! .� .aan3—Y. ..kna..i N..t.s ,+.•wu... wa;.:2 . - _. .'1�1.!�tC.1 t_ �'� 1•v � _ ,� .,�'''�� -���11 ill. �•0�-'--='_ �� , . h F �'\/ / •�of � - '1 .� � ,�..,.� i ' � � • l 11 ;t �r � � � 'r �s J •b ` y > r t jot Qk 711Q4d35 �r.. 'k Ajkv Vi Y� J, i. I^tY`i.F .� ,�11 5 q y�,f" S µt µ� '. Y� i •.. �1 T I f,'�' �� � t� '� "'x'91 � �� ..� -,� ��` ., •0`Z{L. �-' � `^ -3 IMM oo* 8ZZ NA � t { �117 d. a Ar�P..R HC1;e`�.�x"'�•I�-n P."a_J 1A'P,,�•.•'fma:r.k'�,P%�'M+'_4.A1+�ote�J.�+"'.sT.' ' r i x , J..,. o....E.,.., a�"- x•�" =-F�,vk.'" ;...a,.'3.�Le�.., n,`_.e.......'�,.......,... ,. ..., ., .a.?..0 vz.,.,.... ...v.. .......,�k.... .: . ........,....,.�.._...... r. _. ..