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Home My WebLink About36706-ZTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36706 Date: 9/22/2011 Permission is hereby granted to: JOAN MILES 10908 8th AVENUE APT. B-3 RICHMOND HILLS, NY 11418 To; BUILD AN ADDITION ON EXISTING DWELLING REPLACES EXPIRED BUILDING #PERMIT #7962Z ',dO N o"F &ut/ t At premises located at: 615 SHORE DRIVE SCTM # 473889 Sec/Block/Lot # 47.-2-17 Pursuant to application dated 1/1/1900 To expire on 9/15/2013. Fees: and approved by the Building Inspector. PERMIT RENEWAL CO - ADDITION TO DWELLING Total: $7.50 $50.00 $57.50 Building Inspector FOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7962 Z Date ............................ ~ ...... '30 ......... 19.~1~.. Permission is hereby granted to: .... ~-~ ...... ~t~..~ ....................................... .............. I/m~SLdL..I ,Z,.....1.13~. ............... to imJ~l~t ..-n..add;I. tJ.a~..a~., ez~s~..~ 3..ls~g ................................................................. at premises located at .]~O~..2.&..l~....~]~,e~l~i~O~'.t,..~kl~ ....................................................... ...................................................... ~.J)r,t~o .......... Or. ee~pe~.~ ....... 7,,;~,, ............................... pursuant to application doted ..................... N~,~.....1.~ ................. , 19..~/.~., and approved by the Building Inspector. Fee $1~-~;~ ............ ,{'"'l~},J.~'~ ~ TO~ OF SOUi'~OLD 765-1802 ~PLtCATION FOR ~TWICATE OF OCC~cy ~s ~p~on mu~ ~ fill~ ~ by t~dt~ or i~ ~ su~ ~ ~e Buil~ ~t ~ ~e follow~g' ~ For ~ ~fld~ I. F~ ~ ofp~ wi~ ~te*]~i~ of~ ~ pm~ 1~ ~ and ~ na~! or t~p~o ~. , . 4. 'Sworn ~t ~m ~um~ ~ng th~! tho ~id~ ~ ~ ~n~ 1~ ~ WIO of 1% I~. ~ ~d s~ ~i~ ~d ~llation$, a ~fi~ of ~e C~mpH~-~ ~Mt~ or ~ i~ble ~ ~e ~1~ ~6. Sub~t B. F°r mMs~g hullings (pri~ to APril 9, 195~ fio~fom~g ~, or bulld~g$ .s~ .praise. lind u$~ I. ~t¢ ~ ofpm~y showin8 all ~ I~,'~, ~ ~d ~I ~a~ ~ ~phic f~m. 2. A pro~ ~mpJ~ a~li~tion and'~cnt to i~p~t si~ed.by dcni~ thc Building Ins~lor shaH state th~ ~sons therefor in w~ting to thc a~plicant. C. F~ 1. ~e ofO~cy - New · Swimmi~ . $~0.00, A~o~ ~ildin~ $30.~, A~i~s to ac~so~ ~il~n~ $$0.00, Business~ $S0.~. ~. C~i~ ofO~u~cyon P~Msti~ BuiMiug- $100.00 3. Copy ofCc~fi~tc of. Occu~cy . 4. U~at~d C~if<at~ of~cupahcy - $50.00 · s_ TemBo~ CcaJficatc of~cc~ancy - Rcsidential Ham]~ Suffolk Co}tory Tax Map No 1000, S~c~ion .*/7/'~ ~ubdivisibn Fried Map. H~alth Dept. Approval: Undervaite~s Approval:. Plannit/Board Approval; Appli~nt Si~atu~ 000 TOWN OF S~JTHOLD BUILI?ING DEPT. INSPECTION [ ] FOUNDATION 1ST ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS. ,~,~r~ ?/$? [ ] ROUGH PLBG. [ ] INS~JLATION [,~NAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) DATE //~/~///'/ ~INSPECTOR ~.~~/ 2 I,~ - "I 35' - ~ Oo 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved ........................................ , I9... Permit No ......... .Z .......... Disapproved a/c ...... ~ ................. APPLICATION FOR BUILDING PERJ~IT Application No. Date ............... J~[~lt..~,;J ................... , 19...?.~. ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 ofproperty mast 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 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, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for re[n0val 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) 11377 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~~,k~....~....C'~...Z.C~.. ........ ~...~.~ ................................ If applicant is a corporate, ~j~nature 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 propose~d work wi~ be done. Map No.: ~~/f~J...J~..q_ot No..(~'....~..~... .......... Street and Number ...........'"~" '~~/~.~...~ ................~~ ....... '~/:..--J.: .............................. Municipality State existing use and occupancy of p,,,ceNmises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ..~-.~...... .............................................................................................................. b. Intended use ond occuponcy ............................................................................................................... 3. Nature of work (check which applicable): New Building.. ................. Addition ......~ ......... Alteration .............. Repair .................. Removal .................. Demolition .................... Other Work ................................................ (Description) 4. Estimated Cost ........ ~.~.~.0.~.~ ....................................... Fee ........ ~[,,l~.....J..?.~...u..~.ZT ............................................... (to be paid on filing this application) 5. 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 .....~,~)i~. ......... Height ...... ~.~! ............ Number of Stories ............... ~ ..................................................................................... ~. .......... Dimensions of same structure with alterations or additions: Front ........... ~!. ................... Rear ........ $..~.~ ............... Depth 32? Height ............................ Number of Stories 8. Dimensions of entire new construction: Front .................................... Rear ....... ,1,.(~.! ............... Depth ....... ~,~,.! ........... Height .................... Number of Stories ..................................................................................................... : ............... 9. Size of lot: Front ............ .'/.~.! ...................................... Rear ......... .'/~.! ........................... Depth .....,1Z~.~ ................... 10. Date of Purchase ......... ~.~l.~...J.~,.,...~.~ ................... Nome of Former Owner ..... ~'~...O~.~lt~ll ......................... 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ...... ~9 ............................................. 13. Will lot be regraded ]~e Will excess fill be removed from ~remises: ( ) Yes ( ) No ....................... · 7-43 47?th St. . 14. Name of Owner of premises .....~,...~,...:lJ"J[~l~l ....................... Address ~.O~a~[<l, Jl~...(~li41.1,~lnone Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... 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, end show street names and indicate whether interior or corner lot. STATE OF NEW YORK, [ ~ ¢ COUNTY OF ............................... ~ '~"~ ........ ~....~/~....: ..~.~,~'~:':~ ...................................... being duly sworn, deposes and soys that he is the applicon, V /(Name of individual signing contracf) 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 end to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ ..... ............. Notary Public, ~:.~..~.~'.~z~,,/,,'~..~...... County .................. ..~...~f~.~ .................................................. .~'7~-e~ .... _ (Signature of applicant)