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Home My WebLink About26136-Z FORM NO. 3 /� I TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. 1 N�� l.L ► `� BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26136 Z Date NOVEMBER 8, 1999 Permission is hereby granted to: PETER DENICOLA PO BOX 841 SOUTHOLD,NY 11971 for CONSTRUCTION OF AN INGROUND POOL WITH FENCE ENCLOSURE IN THE REAR YARD AS APPLIED FOR. at premises located at 1695 CHABLIS PATH SOUTHOLD County Tax Map No. 473889 Section 051 Block 0003 Lot No. 003.007 pursuant to application dated OCTOBER 1 1999 and approved by the Building Inspector. Fee $ 150 .00 v Authorized Signature ORIGINAL Rev. 2/19/98 r � �oFsorry o� N I�CpulMV TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ^�f DATE INSPECTOR I lVI\ Illi[kJ(Xl U(1 l li II - II II � �•. rDATION ( IST) II II a u (DAT ION (2ND) ------------------- 1 =—=----=I —=---__— --- --- --- ------------ II II N II II ;ft FRAME & IT -----JI--- —— — — -- PLUMB I NG n u II jj y �' UL.ATION PER N. Y. Ali y STATE ENERGY CODE �—_--iN u H ii lu I�a �H n----al FINALg \� er� ADDITIONAL COMMENTS: !1 �l H — H z BOARD OF HEALTH . FORM NO. 1 3 SETS OF PLANS . . : . . . . . . . .......�- TOWN OF SOUTHOLD _► SURVEY . . . . . . . . . . . . . . . . . . . . . . . . 11 BUILDING DEPARTMENT �� CHECK . . �.Q:�.�. TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 1 )971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . Examined.................. 19.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.......fl.-I...... 19.T7 Permit No. ��.�.�:.�1. .................................... Disapproveda/c .................................. .................................... .......................................... ..... , ••(Building Inspector) PLICATION FOR BUILDING PERMIT Date. . . .". . . . . . . , 197./ . INSTRUCTIONS a. This application mist 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 must be drawn on the diagram which is part of this application. c. The work covered by this application may not be con-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 promises 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 MAIE 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 building for necessary inspections. .......tu�1. ......................... (Signature of applicant, or name, if a corporation) ................................................... (Mailing address of applicant) I State whether applicant is owner, lessee, agent,, architect, engineer, general contractor, electrician, plumber or builder .............®L-c9 n .............................. ................................................................ PName of owner of premises f�� ne*...** * ------„-------------- • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .....:................................................... (Name and title of corporate officer) i Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done.............................................................. ..... .to.4 ..............0/tv �..s.. �:��.................... S6.f.......�6.1.�.`�:..l.19�1.................. ........W-01. House Number Street Hamlet County Tax / tNo. 1000 Section ......`�.1....... Block .........3...... Lot -3.,.7.7....... Subdivision l..�L:. .' QnN& .{j(.&SM.A SVP4 >�iled Map No. .�A_z2..... Lot ...�T......... (Name) 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 ......S WS PRO* Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair ............ Removal ............. Demolition ............ Other Work Oescriptiorn Estimated Cos�./(Q4Qip.............. fee ........IT ..................................... -(to be paid on filing this application) If draelling, number of dwelling units ............ NuQber of dwelling units on each floor ................ Ifgarage, timber of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. height ......................... Number of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Number of Stories ............... Ditrensions of entire new construction: Front .. 1.!....... Rear .. ems:.!',.., Depth ...._ ,. }leigiit .................//.��.//...... Number offStories ..................... 2 Size of lot: Front ...lQlr?!��.t........ Rear ....53 X05.!...... Depth ..� 'r:�d.'...... 0. Date of Purchase ...�.d.�R��.......... Name of Former Owner ..A7.e-Z.�i'.��....................... 1. Zone or use district in which premises are situated ...4s Pg n-&a4.,......... ......... ., 2. Does proposed construction violate any zoning law, ordinance or regulation: ...11yo ................ 3. Will lot be regraded ....�9e . ....... Will excess fill be removed from premises: YES 4. Names of Owner of premises .!G...... J� (�a ...... Address .0/itiAl1�. :� Nam 9......... H. No. Naof Architect .................................... Address .....,c`�....-1�.L0.............. Phone No. .............. Nine of Contractor ................................... Address ...............................Phone No. .............. 5. Is this property within 300 feet of a tidal wetland? * YES........... NO ., ..... *IF YES, SOLMOD TOWN '11 MM-3 PERMIT MAY BE Rr41IRED PLOT DIAGRAM , locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions rota property lines. Give street and block number or description according to deed, and show street nacres and indicate Nether interior or corner lot. i VVIE Or NU Y(X?K, SS Ot>rIIY Or ....................... . W .�.. \,.Qa. CO ��...........................being duly sworn, deposes and says that he is the applicant Name of individual signi.ttg contract) bove marred, eis die ................... .C.t!:c! ::................................................................. (Contractor, agent, corporate officer, etc.) T said owner or owners, and is duly authorized to perform or have performed the said work and to make and. file this pplication; that all statements contained in this application are true to the best of his knowledge and belief.; and hat the work will be performed in the manner set forth in the application filed therewith. kaorn to before me this . J//�� .l � ..day of . .� .......19.. Notary Public ..... ..... Y (9�� ...................................... LUp/►1.COOPER (Sigmture of Applicant) Notolt Public,Stas of New York mmPiire568Suffolk3CI° n .=,o 0 'Taa