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Home My WebLink About29465-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. 29465 Z Date JUNE 6, 2003 Permission is hereby granted to : JAMES A & MURIEL ANDREWS PO BOX 227 PECONIC,NY 11958 for CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED PERMIT ##220732 at premises located at 772 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0004 Lot No. 001 . 011 pursuant to application dated JUNE 6, 2003 and approved by the Building Inspector to expire on DECEMBER 6 4 . Fee $ 150 . 00 1104A _ _ rr�� -,&u (5 Q 3.3 J 1-f 7 A horized Signature ORIGINAL L4 Rev. 5/8/02 0 73 Z �*r%f SOOTyO TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTMWTION [ ] FIRE,RE,SIpSTAANT PENETRATION REMARKS: �" ° - ' 636-x- 3 `firIf2Z: DATE INSPECTOR U,XMENif 1 " 'OUJJDATION ( 1st ) I �\ 'OUNDATION ( 2nd ) . . I igo ;OUCH FRAMEIN & PLUMBING CC y J` 1 . a m :IJSULATIO.1 PER N . Y. • , y STATE ENERGY I �\ CODE I T ^\ 3 m�y \ FINAL ADDITIONAL COMMENTS : m x H x N 9 y N O i ' Z v H L 17 2_ BUILDING DEPT. INSPECTION [ FOUNDA ON 1ST [ ] %OUGN G. [ ] F DATION 2ND [ ] TION ] FRAMIN [ FINAL REMARKS: �--2d V E G j2Dy A(7> Po o L-, U9C;)f2 U.� `i 47W7 y4-h�i2o eg 0 DATE d Z INSPECTOROU"v r4f 8 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION IST I ROUGH PLI3G. FOUNDATION 2ND ] INSULATION FRAMING /STRAPPING FINAL ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION RRERESWAWCONSTRWTION FIRE RESWNff PENETMTION REMARKS: q 4r-7 r :2- -1,;L DATE INSPECTOR l5 \"LJ j� �,,,,,,,,�,,,,� ' BOARD 0 F HEALTH . � . . . . . . . ((�J FORM NO. 1 „!3 SETS OF PLANS . . . . . . . . . . SEP 1 61991 TOWN OF SOUTHOLD rSURVEY . . . . . _ _ . . . . . . . . . . . . BUILDING DEPXRTMENT /CIIECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC Focal . . . . . . . . . . . . . . �F BI-DG. SOUTHOLD, N.Y. 1197TOWNTaw � � �-'f,��,f r-� TEL.: 765-1802 to'GT I FY /�� . . . . . . .� CALL . . . . . . . . . . . . . . . . . . . Examined . . 1t•IAIL TO : Approved . . . . . . . . .. 19/V. Permit No. �Ak `� . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . .-. . . . . . . . . . . . . . . . . . . SEP 13199 . R; (BUl in, Inspector) TO WtV OF SOOT THOLt) ".1"WDIA T r, APPLICATION FOR BUILDING PERMIT UPOelvqoN POOH 7-0 CODE Date . . . . .9. ,�.3. . . . . . 195/ BEFORE MPLETIO 'WATER,, 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. 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, Ordinance, 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, buil g code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp tions. Y" �sMMEDiATELgnature o applicant, or n , if a corporatio ) ENCLOSE POOL TO CODE UPON PLETION . . . . �X. .�.� CO_ 0 7 ta/1 .c I� . BEFORE "WATER . •,. (Mailing address of applicant) 4�. State whether applicant is owner, lessee, agent, architecl.engineer, general contractor, electrician, plumber or builder. w . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .�JQWICLS. ."rU�l°�� IC! J , • • . . • . . . . �r (as on th Marx roll or latest deed) If applicant is a corporation, signature of duly authorized officer. 11 1 11 1 CY 0 (Name and title of corporate officer) JPAI Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . _ IS (■r Plumber's License No. 1 ;' ' �� CERTJFJf_*ATEVVI.a Electrician's License No. . . . - �U�A�� Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which propo ed work will be done. . . . . . . . . . . . . . . . . . . . `77.x.. �.zi). . 4 �. ? La . . . . .!za.,. . . . . . . . . . . . . . . . ka;9 /.c.. . . . . . . . . . . . . . . . . .. House Number Street Hamlet ,I County Tax Map No. 1000 Section . . . . �6 J.�. . . . . . . . . . Block J. . . . . . . . . . . . . . Lot . . . A. J. . . . . . . . Subdivision . . . . . . . . . . . . . . . (Nameme) . . . . . . . . . . . Filed Map No. . . . . . . . . . . . Lot . . . . . . . . . . ' . • ' ' 2. State existing use and occupancy of pr ises a d intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . �'e.. . . p y ( . . . . . . . . . . . . . . . . . .mkmd,M . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alterati n . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . gr Work .! . . . . . . . . � . 4. Estimated Cost (Description) . . . . . G n. . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. 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 of Stories . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . 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 ' . P°�o' 15. Is this property within 300 feet of a tidal wetland? *YeS,. . . . . . . . 'N *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 r ,property lines. Give street and block number or description according to deed, and show street names and indicate whether ;interior or corner lot. "Mi MEDIATELY" ENCLOSE FOOL TO CODE UPON-' COMPLETIONN f _ D AS NOTED — DATE:f B.P.# � d f E& BY: NOTIFY G DEPAR AT 765-'1802 9 AM TO 4 PM OR THE FOI.tOii✓II•:G FI'4S ec s IONS: 'I. FOUNDATION • TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING J 3. INSULATION 4, FINAL. - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CC,DES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . . . . . . . ' . . ' • • • • • . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is 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 . . . . . . . . . . . J. .3 . . . .day of. . . . . . . . . . . . . . . . . .. 19 Votary Public, . . . . . . . .,�'.'�;, . County • IIII�KNiO otNrwY4* . . . . . . . . . . . . . . . . . . QWFAW' N.Iw�1 13 (Signature of applicant) :«w...a..i....+n Nwrb. -...«....... ,,. , „•_- .r,�y��I4irr+rw r►-Mw.W.►�,r,.wMr.w.+r.W. •♦ "'T' � too • .., "IMMEDIATELY" ENCLOSE POOL TO CODE �� C UPON COMPLETIONO BEFORE'9NATER" d �.. APR 2 9 OF SOEDLD ou Fi` 161 7*44 T-1 w � 1 ♦T•' f �.�.-�.,.._�...,....�.+.'�.t�...` .� ».�_.y,��,�,t�:,,,,�->j-, r,�•.t1�!'.^�!�►.r.Y';�.'r-«,�,°r�rnsE�:acev` � ...� ,..1: ice'! t_ �. •.. �� 14"r