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Home My WebLink About25959-Z .D INSPECTION REPORT DATE COMMENTS lil -' �_ �_1.----------------------- ----------------------- -------------- (4) VKDATION ( IST) N N 3ONDATION===---ND)====__ --------------- ----- _ ______---- ---- n n ',*GH FRAME s p Ji UI PLUMBING M n -dSDLATION PER N. Y. X N— y 2 STATE ENERGY CODE u tl N A N _ N q u A N A p FINAL u u �X ADDITIONAL COMMENTS: 10.5 LA 22(RJ-J3110 Yff mu H x_ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. cMc-kC,k:NC y BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25959 Z Date AUGUST 17, 1999 Permission is hereby granted to: KIMOGENOR POINT CO. (PURCELL) 226 WEST LANE RIDGEFIELD,CT 06877 for EMERGENCY PERMIT TO REPPAIR STORM DAMAGE. at premises located at 50 JACKSON ST NEW SUFFOLK County Tax Map No. 473889 Section 116 Block 0006 Lot No. 024 . 001 pursuant to application dated AUGUST 17 1999 and approved by the Building Inspector. Fee $ 75 .00 Author ze Signature 1/ 0 5et ORIGINAL Rev. 2/19/98 N / � QN' G r G - � `rsov r+�s a It L• �� • ms q � — '^•:„ e i ' I a carr � G o n d N Q 7F .r \ ' lk"�a 9 Y vI \ no I \ Eli G nnno nnemd w^ \ ) e F \ o b nw,and o\ S ` 1 3 0 oa MAP OF SURVEY A FOR F G IOGENOR POINT COMPANY o � TOWN OF SOU-rHOLO r SUF-F-0AI COUNN N. Y Il S'ca/c 60'= 1" Tata/ Area 7. 2 t AcrcJi '9 oq, Accir -rr,7 r:5 Ju:�r.' ;5" 19& �wi7fiin 7`1 /inns) ;uoronfeerl to 741 Trt/c Guarantee and iust Company as surveyed 1I Z0,/9SS _ - __ _ ,� °F "`w ''k Tia //n ES = tap V1+ 07-7-0 W VAN TU YL L1, SON Oaed /roes — {n"t \ J &1741:1- /Yb�'� cy� � - f 5Ct I>n Licensed La d Sur✓cyort ,+, No/e : Bui/dings a/v1 IYOX/n7atQ Only. F`�LAND SJ" 'Bll Grccnport, N• Y. — _ BOARD OF HEALTH . . . . . . . . . . . . . . . FORM Nd. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL .0 -) . ).-a 7( 4 - Examined...... ........, 19.... pp p, MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..... �r.l....... 1999 Permit No. .................................... Disapproved a/c .................................. .................................... ......................................... ........... -•-(Building Inspec )........ APPLICATION FOR BUILDINr. PERMIT C� q Date.v : 0. . . . . . . . . . 19�. t . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wii 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be ccm enced before issuance of Building Permit. d. Upon approval 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 HAY WM 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. 1tmc,,aricant agrees to Damply with all applicable laws, ordinances, building code, housing code, and regulations, did t6-admit authorized inspectors on premises and in building for ne=sary inspections. ........................ (Signature of applicant, or name, if a corporation) (Mailing address of applicant9. State,whether-,,""ap��plicank is owner 'lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .. ...................................... ......................................... �_. .. Nae of owner of premisesP'..o............e'......... C. o�.�c c u.Ce -............- .............. (aslon the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ..................... ................... (Mare and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. .....��.° ...................;Tc:...49P...S::f:................................ ��:....:S.CA�fi�k.. .. .... House Number Street Hamlet County Tax Map No. 1000 Section ..AW ....... ...... Lot .O?:'J........ ... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use pnd occupancy of proposed construction: a. Existing use and occupancy .....5.t°15. .... ........�..�:�.. X . .�l!:�.S................ b. Intended use and occupancy .......... ......... .......... �... . .oN ..ip C.� 3. Nature of work (check which applicable): New Building .......... Addition ... Alteration Repair ............ Removal ............. Demolition ............ Other Work (Description) 4. Estimated Cost ......................... fee .............................................. •(to be paid on filing this application) 5. If dwelling, huhher of dwelling habits ............ Umber of dwelling units on each floor ................ Ifgarage, nuber of cars ...................................... 6. If lxwiness, oau ercial 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 .................... Wight .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number off Stories ..................... 9. Size of lot: Dont .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ II. 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 prenises: YES ND 14. Names of Owner of premises ........................... Address .............................. Phone No. .............. Name of Architect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOl MCID 1UWN 111DSIFE.S 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. PP VED AS NOTED OCCUPANCY OR DATE:,g 1'1 Q q B.P. ' SE IS UNLAWFUL FEE: Bir: ITHOUT CERTIFICATE NOTIFY BUILDING D - ART ENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: OF OCCUPANCY 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY ( � c. e CODES. NOT RESPONSIBLE FOR `6 DESIGN OR CONSTRUCTION ERRORS s.rn.lr or, NW� * / .1/��• SS COLINLY ...... 1. , V�r•...•• . ..............g ....... ...........being duly sworn, deposes and says that he is the applicant (Name of individual signir contract) h above named, Ileis Lhe .......... .............................................................................. tracto agent, corporate officer, etc.) of said owner or , 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 Lo rf�rthis •-'.' .�-y tl. E 19. ulj'. LG Notary Public ............. ........ C (Signature of Applicant) ....... Nory Newlf6elc i owwCWM oft 41