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Home My WebLink About23667-ZFORM 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. 23667 Z Date N/A , 2000 Permission is hereby granted to: MARION WAR MEMORIAL EAST PO BOX 136 EAST MARION 11939, for : CONSTRUCT A HANDICAP RAMP TO EXISTING BUILDING AS APPLIED FOR.. at premises located at 9165 MAIN RD County Tax Map No. 473889 Section 031 pursuant to application dated N/A Building Inspector to expire on N/A Block EAST MARION 0003 Lot No. 018 and approved by the Fee $ 0.00 Au~t~~ ~t ure ORIGINAL Rev. 5/8/02 NO 22428 Z FORM NO.$ TOWN OF $OUTHOLD BUILDING DEP~RTMENT TOWN HALL $OUTI4OLD, N.Y. BUILDING PERMIT -~)p_j~ [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL C~ ~.~ ~ ~ -~ COMPLETION OF THE '~:)RK AUTHORIZED) ot pr emi se,, oc ot ecl ot ......................... .~.../:..~......~'... ...... ¢:~.....:.~..../.<~.. :.~.......~.....C~... ............................................ ............................................................... ~z..:z........~:~ ............................................... CountfTox Mop No. 1000 Section ...m~.../.. .............. Block.....~. ............... Lot No ........ /, ..~.,,. ........... pursuont to oppll¢oflon doted .........~./7.~.~ ....... ../...Z ................ 19,,,2 ..~..., ond opproved by the Building Inspector. E~ ~,....-.~..: ....... · /J Building Inspector Rev. 6/30/80 ULATI 0,'; PER'N. STATE E~ERGY CODE ADDITIO~IA'L CO!¥1EllTS: Examiued ........... 7-1 Approved . (./~/./, ?/p ......... 19 ermit No. Disapproved a/c . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ?OUT!'~'' "" N.Y. 11971 TEL.: 765-1802 · (Builflly Inspector) APPLICATION FOR BUILDING PERMIT IIOAKD OF HEALTll SETS OF PLA,'IS ........ SURVEY ................. MAIL TO: Date .................. 19... INSTRUCTIONS ' a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets of plans, accurate plot Nan to scale. Fee according to schedule. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which,is part of this appl/- cation. e. 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 i~sued a Building Permit to the appl/cant. 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 The t a 'r appticant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and ~n 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, generai 'contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. : (Name and title of corporate officer) ' Builder's License No ............. Plumber's License No .... Electrician's License No. Other Trade's License No... .................... Location of land on which proposed work will be ·done. gl ............................. . ... Ho N b ........ ' ...................... ' use mn er feet Hamlet Subdivision (~q ~) .... Filed Map No. Lot State ex/sting Use and occupnncy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy . . . 3. Nature of work (check which applicable): New Building .......... Addition ...... Alteration .......... Repair ................ Removal .............. Demolition .... : ......... Other Work... P~ .......... '~'2 ' ' .... ./,.//On/b/tx./, /~.~mt~ (Description) 4. Estimated Cost .... ~'e'c"F' ' ' '; ..... . ............ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ... ~ Nurn ............. ber of dwelling units · If garage, number of cars .... .~ ................ · . on each floor ..... 6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use .. ~..o.~..~'...v/~.-ff...7..'(-~. .... 7. Dimensions of existing structures, if any: Front ....... ::1 :: : .... . · j. ........... Depth ............... ............... ear ', t Hei,,h R Number of Stories ....... Dimensions of shine structure with alterations or additions: Front .................. Depth ' · Rear .................. ....................... Height ," ......... '.. Number of Stories ........... ; ..... 8. Dimensions of entire new construction: Front ..... .............. : Rear ............... Depth Height ............... Number of Stories .... ~'.. , ............... 9. Sizeoflot: Front ................... ~.. Rear ................. i. Depth .. :. Does proposed construction v olate any zoning law, ordinance or reguiati'o'~' ' "'~?.' .................. 3. Will lot be regraded . ~ ~'~. : .................... ' ' ' ' ....................... Will excess fill be rem~:ov, ed~om premises: ? No 4. NameofArchitect ..~a~./t/ilk ~ 06t. nn' ' "' "~_;~,¥4,,.-,,~ ' Name of Owner of premises ......... ; ........ Address t°,, O.t~e~. 15'6 /2 7.~ ~°~_.h~one No.~ .~ ....... ~ame of Contractor' '~ ¢ ~J~;/~ ~$~;,:,,~'~' ' ?ess ~. ~~.~C~'a; No..~/~.. Z~.~-.Z.?~4:" ......... ~ ...... -',',-^ · · v, uaress .4.,9... r../.~.,~&t~ ! ~/~ ' ' :_'.' ' ' , 5. I9 t:h:i.$ property w:l. thJ. n 300 feet: of a t:±dal ,,~t:X~hd'* ",:, ~/~5~'4-$~,~,~-ff · *zf yo~, so~ho~d Zo~n r~ V~m~ m~y b~ ~q~;a:""'' .o .......... .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ,roperty tines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. ATE OF NEW YORK, )UNTy OF ........... S.S .... " ....................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) · )ye named. ~sthe .... ~.e..~/.~.?¢..;5,. " : · (C fp ............................... Ontractor, agent, co orate officer, etc.) ;aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this lication; that all statements contained in this'application are true to the best of his knowledge and belief; and that the k will be performed in the manner set forth in the application filed therewith. ' ~m to before me this /./7. ..... '...~of ~., ~ ~b~ic ..... . .... ~..~.?&..4. ~...~ . ......, ...... c NOTARY PU3LtC, St~te of New. York (Signature of applicant) . No. 304751287 " remission Expires ~ecembef 31,, TOWN OF SOUTHOLD PROPERTY...~CORD CARD OWNER STREET ~/~_~,b/~' , VILLAGE DIST. SUB. LOT ACR. J S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB.~g~'J~.~/ Mkt. Value LAN D IMP. TOTAL DATE REMARKS /7 rH~ob~e ~RONTAG~ ON ~AT~R ~lond~ ' FRONTAGE ON ROAD 9ou~ Plo j~,~ BULKH~D COLOR TRIM Exten~lon Extension Extension Foundation Porch Basement Porch Breezeway Garage Ext. Walls Fire Place Type Roof C.8. Both Floors Interior Finish Heat Rooms 1st Floor inette LR. DR. BR. Patio Recreation Room Rooms 2nd Floor FIN. B ~. B. Dormer Driveway Total J~ock2' P~ 'L Remove countertop, shorten legs and reinstall top. Remove existing crossbrace, 1~ N,~p ~./~,L reinstall in location to provide required kneespace. -2 ~/. D" I NOTE: Recover entire desk with new plastic laminate. 3/4" = 1 '-0" L o F.c 4 T/O :ENPORT soUTH_OLD -. xTa~ch P~ L 'C' ~/ II OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED NO:~IFY SUILDING DEFIARTMENT Al 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECi'iONE: 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 'rile N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS SCHAARDT & FULLAN ARCHITECTS, P.C. 1. Field verify all conditions and dimensions. 2. Maintain public and employee access at all times. Perform work during off hours when neccessary~. 3. All colors and finishes to match existing unless otherwise noted. 4. All work to conform to USPS RE-4, ANSI A1 1 7.1, and ADA handicap accessibility guidelines. UNITED STATES POSTAL SERVICE NORTHEAST REGION - HICKSVILLE DIVISION - MELVILLE, N.Y. 1 1805-999 'ES POSZ,~ DRAWN BY CHECKED BY REVIEWED z i ~ =~ LL~.M~L m PROJiNO. SHEET NO ~ Of ~