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Home My WebLink About27564-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. 27564 Z Date AUGUST 16, 2001 Permission is hereby granted to: MARTIN F JR TAESCHLER 1746 1ST AVE APT 5H NEW YORK,NY 10128 for CONSTRUCTION OF AN ACCESSORY SHED IN THE FRONT YARD PER ZBA ##4900 AS APPLIED FOR at premises located at 985 BOISSEAU AVE SOUTHOLD County Tax Map No. 473889 Section 063 Block 0002 Lot No. 027 pursuant to application dated JUNE 8, 2001 and approved by the Building Inspector. Epee $ 75 . 00 Autho ze Si ature rnpv s. s Flo r C EN 4 o t �` . �• Cu -'AVE -_.CO THIS SWVET IS A.VIOLATION of `•= _ t ;'I PIMON Mg,OF 7NS WW'YOMK STAn-',v' Eey 7� THE FLS T AMEQreA Tf'{'C E�`SISGl .�iCccz xi" of n4�s suerE/:: r xor.w l - - LY. l y �r .looms t �1tY C - 2 ,I r . +! �.;:,• ;fit" tvF'iiwcvErox'�•it9c�'SEAt a! .�?" ..°,«...."_._""'^" � - - t "sEAt 31utt � costa t4 n0 t": -1 'DiDi Eu Ovcon sAAu e3�t 7EiSON TOR WIjOM TM 1 t�fmAAEb A7aD:0lY NIS 6"U TOO TAE r,"' `. n 'Y,tijttiy�OIVAM' GOVEWMNTAt }...: .. „ 'fes•D�.A4�IGNEES OF,JIIE tEtj { _ r 7 `R QZQOM GIiMAMti>;,ARE MO1'E ,�y �,.�V 5G]C:l.'I .Y�.T. fp, •� �.�ftC 1 -l,y{.'!, "TR\nTAK�fM Sil �� - BUILDING PERMIT RL�ULW CHECK Applicant/ Date Owners Name: �� / �O.r„ Reviewed: Architect/ Date Engineer: Submitted: _413,10i SCTM #: District: I 0 Section: _ flock: oZ t.ot: a 7 Project p Subdivision Name: Sin&le& separate Required ,(,D ccrlification: (Yes/No) Req T Req • zoningDistrict: �7 (l.otsize: 0 Actual:_f2Ji / � 1 (IACcbVcregC s�=lamI'ropcised I Req. Req. Req_ (Front Yard Prdksed:_ I (Side•Yard Proposed: I (Rear Yard Proposed• Ve Project Description: AGENCUER HITS UIRT'D FOR REVIEW a it �� umber Suffolk County Health Dept. New York State D. E. C. Town Trustees Tovai Zoning Board approval: _ O Town Planning Board approval: Flood Plane Elevation??? Flood Zone: . ' ,.1� '/ / +n� ��•"k S.. ,' � �" d y x'•21� : l••'` L �/�/�V Y � i�Y. z61q. 00 f3� suiwINc oar IN CTIONN � [ ] FOUNDATION IST [ ] ROUPLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CRIMNEY REMARKS• AA DATE � INSPECT ho��oF souTyo6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: C DATE r �3 INSPECTOR n OF SOpr�o6 N • TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: t2— d f DATE - '-/- �0 INSPECTOR ' FIELL INSPECTION REPORT MATE _ -- COMMENTS H(Tl FOUNDATION ( 1ST Y C3n n FOUNDATION (2ND) ---_-- _�__ O� ROUGH FRAME lo�cti PLUMBING v� 0 INSULATION PER N. Y. is STATE ENERGY CODE U ,3-3 FINAL r A r�=�= ADDITIONAL COMMENTS: _ H to BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS .. . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . .. . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . ... . . .. . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC .. .. ...... . . . . . TEL: 765-1802 TRUSTEES ... . . . . . NOTIFY OTI .lbs T a ' _ CALL . '� MAIL TO: . . . . . . . . . . . . Approved Peimi t No. .:'�..�::!C�. ................................. Disapproveda/c .........1..... ......... .. ................................. ,-_. ...................................................... _ r r rl nrn � is n �+ =-a ............. .J:.... \ (Building I or) r L'v )6 APPLICATION FOR BUILDING PERMIT � - - INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 commenced 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 HEREBY RAIZ+ 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 kegulatiwrs, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply Frith all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building 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 buil ....................C e.)��r.............. Name of owner of premises .......!:� ': �:.....1��:� �:(s:.r.. r..............APR4)VED M WED........... (as on the tax roll or latest deed) DATE:-4L4oL---B.P. # 75b If applicant is a corporation, signature of duly authorized officer. FEE: 7115,.-c'-0 BY: ......................................................... NOTIFY BUILDING DEPART AT (Name and title of corporate officer) 765-1802 9 AM TO 4 PM FOR THEFOLLOWING INSPECTIONS: 1FOUNDATION - TWO REQUIRED OCCUPANCY OR FOR POURED CONCRETE. Builders License No. ........................USE 1S UNLAWFUL 2. ROUGH - FRAMING, & PLUMBING Plumbers License No. .....................WITHOUT CERTIFICATE 4. FINA3. L CONSTRUCTION MUST Electricians License No. OF BE COMPLETE FOR C.O. Other Trade's License No. .................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. 1. location of land on which proposed work will be done.....................STVATE..CONSTRWC:TION.&.SNERGY . .. CODES. NOT ESP', M I E FOR ............. ........................ 1 S.�.�:.�t ..................... DESi12N OR.G S T Rllf7lRS..... House Number Street Hamlet County Tax Map No. 1000 Section ..... .3.... Block ..... n.Z... Lot ...... .�..... Subdivision ...................................... Filed Map No. ............... I.ot ............... (Name) 2. State existing use and occupancy of premises and'1inten�ded use and occul=icy of proposed construction: a. Existing use and occupancy .......... . ................................................. b. Intended use and occupancy ...........`-A....... w .. / ':`:c ;;-;� ........................... J. mature ur. Wonu laheck winch applicable): New &jilding ,./...... Addition .......... Alteration... Repair ............ Removal ............. Demlition ............ Other Work ............................... ,Description) 4. Estimated Cost A:"QQ0.............. fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....(� ..... ilmber of dwelling units on each floor ................ Ifgarage, number of cars .............0...................... 5. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front,,,,,2hs ,,,,,, Rear Depth 4 i Height .......1k."............. Number of Stories ........j......... ......... Dimensions of same structure with alterations or additions: Front . �1�`ti2.. Rear Depth ...... :-4! ....... Height ....4 .'.'.If......... Number of Stories .....1........,• .. S. Dimensions of entire new construction: Front ......,c'1,, c... Rear ...AA....... Depth ....�� Height ........L a./........... Number of Stories ......1. ........... ....... I. Size of lot: Dont .4.(............. Rear .....1 C,�.�..... Deptlh .....�;bCs �...... j.... Y- 10. Date of Purchase .... 1^.?-...��-,re... Name of Former Owner ... ��'c��.��:... c`�ihhse.Urt........ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction-violate any zoning law, ordinance or regulation: ........................ 13. Will lot beaded ........ k.... � 1.... Willssi fill be removed from premises: 14. Names of Owner of premises ... �v:!!!h.�4i�S�)A Address ..i-�: ..� .�...ANA- A�'... Pluone No. .,•I'1. Name of Architect .................................... Address .... \ Name of Contractor .......... .................. Address ........ `:°': :..............Phone No. 15. is tlhis property within 300 feet of a tidal wetland? * YES *---I 00._� ........ *IF YES, SWM" Ma 1RDSIFLS PERMIT MAY BE RG HMM. 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 comber or description according t24 depd, and show street names an Whetherindicate interior or corner lot. (�s d' 44 / 3A`�� o r �� l w 'rnlr or, N;W Yotut, � UIX17 crr ........� qworn, deposes and says that he is the applicant Name of individual signing contract) bove roved, y ?a r� 40j s e is the ........ !^�h:�C:...................' !�, ................ (Contractor, agent, corporate officer, etc.) •.��• ��.� �• f- said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplicatiah; 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. worn to before me this ..._ .......day of ........20 cr •- Not .��.? wry .... . .. �� •. ELVABETH A STATHIS ---•••--- /-••..............•... ARY PUBLIC,State Of New York (Signature of Applicant) No.01 ST6008173,Suffolk County Tenn Expires June 8,20Q I i i v ' .;ter.-,-�- i -� u 1 r t r I , i r i I ' 4 r P v � f , 1 ; 1 j