HomeMy WebLinkAbout17831-ZFOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
· 0~ NO, ~
TOWN OP $OUYHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 017831
Permission is hereby granted to: ,-- , At /~ , ,
.................
.~~. ~.:. ~..,....I..~.~T.. ....... ,,.,
,o
_ ..-~, ~ ~
at premises located at ....~....~..~. ........ ~ ....... ~ .............. , ....... .C~.~ .............
County Tax Map No. 1000 Section .... J...~...~. ......... Block ......<~..! ............ Lot No.....~....~ ..............
pursuant to opplication doted ...~-~~.....~~ ............ , ]9~..~., end epprov~ by the
Building Insp~tor.
Rev. 6/30/80
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 28th, 2007
F.Addonizio
575 Pine tree Road
Cutchogue, N.Y. 11935
RE: 575 Pine Tree Rd.
SCTM: 104 1 7
To Whom it May Concern:
Please be advised that your Building Permit # 17831 issued February 14th, 1989 and
Building Permit # 20365 issued January 6th, 1992 have 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 Permits, please submit a fee of $200.00; 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.
BP# 17831- POOL/FENCE - $150.00
BP# 20364-ALTERATION- $50.00
APPR(~VED AS NOTED
DATE' '~") 1 ~/~¢~ B.P#
F~E: ~.~'e.~ ~ ~ ~'~' "i~~
N~IFY BUlLiNG OEPARTMEN~ A;
765-~802 9 AM TO 4 P~ FOR THE ~~~~~
~. 6OUNDAT~ - ~O REQUIRED
~ ~u~ COnniE
2. ~N -~ING & ~LUMalNG
4~. ~,SuLA~,~t
· RNAt coNsmuc~o, MUST
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
IF OCCUPANCY
Examined
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OOUTHOLD, N.Y. 11971
TEL.: 755-180~
BOARD OF HEALTH ...........
3 SETS OF PLANs ...........
SURVEY
C.ECK "/g ~ ............
NOTIFY
CALL
MAIL TO:
Approved ~. l.q.., 19'~3. Permit No.l.~ .~...~)..~...
Disapproved ale .. .
............................ .....
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
ia. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, ~ith
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 stree
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app!
cation.
c. The work covered by th.is 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 perm
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 Occupanc
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 th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec
The applicant agrees to comply with all applicable laws, ordinances, building code, housin,, de and re-, '
admit authorized inspectors on premisesand in building fornecesla~ns/ o~/~ r~e~:lauon,, and
· ~.~..~. ~.... ,/~~~.
· (S,gnature ot applicant, ~f
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
..................... O..~.~.g g,.
Name of owner of premises . . ~ .. ~ 0/0 }
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.... (Name and title of c~orate officer)
B Ider s Lmense No .... : .............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will ba done.
/ ...... i ..... i"i' :'i:i'
d.6r~
House Number : Stre~t~ ~ Hamlet ' '
County Tax Map ~o. 1000 Section ....... i .... Block . Lot
Subdivision ..................................... F~led Map No .............. tot ..............
(Name) r '
~ Statee-' '
-- x~stmg use and occupancy of pre ~ses and intended use occupa~y of p~o{ed construction:
3. Nature of work (check which applicable): New Building ..... ' ....._ eration ..........
Repnia i ...... ~... Removal .............. Demolition k.. ..
4. £stim tcd Cost ." ~.t~.t~ i3;;/r~;;i;;;
$' If dwelling, number of dwelling units ............... Numberofd tellm~-,~"~'~nch"fl, isapplicat
If garaee number of cars oar ...... .. .
6 If busi~le~s ........... · .... . ...... ~ ..........................
· .commercial or'ix'ed o;cupancyl specify nature and extent oC each type of dsc
7 Dimensions of existing structures if any: Front ................
Hei,,ht ............ ~' .... Rear ........ : Depth ......
Number of Stories " ' ' '
Dimensions of same structure with alterations or additions: Front Rear ................
Depth llcight ...................
........................................ Number of Stories ......................
Dimensions of entire new construction: Front ' '
Height Number of Stories ........................ Depth ..............
.... Rear . .
Size of lot:'F~nt ........ ' .......... ; ........................
.......... ' ............ Rear .................
Date of Purchase ' .................. Depth ......................
............................ Name of Former Owner '
Zone or use district in which premises are situated .............................
Does proposed Construction violate any zoning law ordinance or re t ati ' . ' ,
on
'¢,ill lot be regraded ..................... ~ Lu excess mJ oe removed from premises: Yes No
Name of Owner of premises .................... Address .............. Phone No. ..
Name of Architect ............ ' .................
........ . .... Address . .
................... Phone No .......
Name of Contractor .............. ........ Address ................... Phone No .......... ·
15.Is this property loc'ated '~ithi'n300-feet of a tidal wetland.* eyES .... NO.~22o '
elf yes, $outhold 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 comer lot.
10.
11.
12.
13.
STATE OF NEW YORK,
COUNTY OF ..... S.S
................................................. being dtdv swam, deposes and says that he is the applicant
(Name of indMdual signing contract) '
above named.
Itc is the ...................................... ~. ..................................................
(Contractor, agent~ corporate officer, ctc.)
of said owner or owners, and is duly authorized to perform or, have performed the said ~vork 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 ill the manner set forth in thc application liled therewith.
SWam to before me this
· ' ...... ; ..... da 19
%racy Public, . ~-...~.:. ~.:..~..Z..~ ...... County ~-'~, . .~..
No. 4707878, Suffolk County/q
Term txpir~ Bt~rch $0,1~ - ·