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HomeMy WebLinkAbout14016-Z IP~R'M NO. ~J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT I~0 [*C~F%~_.~,*~ ~__~) I.~ i~*~-.~ (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14016 Z Permission is hereby granted to: , . ..~..~..........o......~....I ............................. ~..: ...... ~~~......,...:.~!,....u..~..~./.. ...... ~, ~o..'.o ~,~, -~~....~. ....... .:............~..~ ................. ~ ............. ~ ........ = ............................. or' premises located at ...~....~..~.. .................. O'cLJr~.....~...~.~ .............. pursuant to application dated ...... ....~...~......~....~. .................. , 19.~.~../, and approved by the Building Inspector. Fee $ ........................ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT Ct'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TIlE WORK AUTHORIZED) NB 14015 Z Permission is hereby granted to: ..~..~.~.....~g,,..c.~......~.: .......... ~_.~.~ u.. ~,~ , __~ ............................................ ~......~,: ........... :....~. ........ ~~ ....................... ot premises located at ..~..~....~...~...,.~. ........ .J~..-J..~ .............. : .......... !.~...; ................... County Tax Map No. 1000 Section .....~...~.....~.. ...... Block ...... ..C~....~ ...... LotNo .....I..~.. ............ ......~....~....~.~ ...................... , 19~,~.'~.., and approved by the pursuant to application dated Building Inspector. Fee $1....~.......:~ Building Inspector Rev. 6/30/80 F1ELD~IN~RECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL COMMENTS ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined.. ~ :.~ .... , 19~?.~  .., 19~... Permit No. Approved $4.,es~....~.. ~' $ 9.O. ).~ .-~. Disapproved a?c ..................................... ' .Z. .... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received..(~..oj~.~... ,19 ...~.~ a. Tins 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 tins 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, Ordinances 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, 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) ?. !.6. .... (Mailing address of applicant) State whether applicant ~owner~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~,',~..~,,~ ;,. ~'C"~...~---~-(:~c-~. _.~) r~ ....................................... (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 ..... .~..~1%..~ .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No. ~ .c~..o. ~. ~ Location of land on which proposed work will be done..'~ .,~ .7. ~....~.~, ~.,x,,~,h..~ .~..,..-..~n~..~,.-~. v kcS.,...~.~.~...~.~ .q ~ .................... House Number Street Hamlet County Tax Map No. 1000 Section . ~..~ ............. Block .... .~ ............ Lot ..... J ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~.. ~'~ .C~. Dh .~... ~.x~ .?14...~..~.~ .................... b. Intended use and occupancy ....~-.o. ~. !...~.~..~:~..! 3. Nature of work (check which applicable): New Building .~k-kl~.~.'O. Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~D~C~ o~o~ (Description) 4. Estimated Cost...t~..O.~ ............................. Fee ...................................... (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 natur~,,and extent of each ~y,p,e of use ..................... 7. Dimensions of existing structures, if any: Front .... ~ ...... Rear ...3 .~. ~. ..... Depth .' .~.. ?. Y ........ Height ... ~ ........ Number of Stories ..... ] .................................................. Dimensions of same structure with alterations or additions: Front ..... q.~.; ~ ....... Rear ...-Q2. 5.~ ........... Depth ..... ~ ............ Height ... 4~A-: .............. Number of Stories ...................... Dimensions of entire new construction: Front ...... q. ~. ...... Rear ....9 )..? ...... Depth ....ct. ! .O ....... .... o ..................... mb~. vf ~t ............ J .................. Size of lot: Front ...~.). ! ~ ............... Rear ..... '72~?..o. ......... De,~th ,2.~o, ....... 10. Date of Purchase ..... ~./. ~ .~ .d. ~-7'. .......... Name of Former Owner' LO..~-,~ ~ ~,~i ~ i i i i i i i i i 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: (~..~ ~ 14. Name of Owner of premises ..~**,~;~ .?~¢-v-,~,~. Address ~.'142. O~4oi~-,x) .... Phone No.~6,.a~. ..-. Y-~l igC.. 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, and show street names and indicate whether interior or corner lot. STATE OF NE¢O.,P>K, z S S - COU~ITY O F.~..xT~.~ .... ' · ~- ~. -~. ~. · -'~ · · .~f. ......................... being duly sworn, deposes and says that (Nffme of individual signing contract) above named· he is the applicant 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 · . .daft'of 7/~ . , ~...,.,,, ~,,,~, ~.,,, ,0, ;,~.5 (Signature of applicant) Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 27, 1998 James Grathwohl 11690 Stockbridge Lane Reston, Virginia 22094 Re: Building Permit # 14016-Z TWO ACCESSORY SHEDS Premises: 875 Oaklawn Avenue, Southold Suff. Co. Tax Map #1000-63-7-1 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ..... Approved . Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS · 05/?5 lqece±ved . ~ ...... , 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, Ordinances 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, 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 corporatiqn) · .g .2. x-. Om.-4 ." (Mailing address of applicant) State whether applicant :' lessee,~oe~t, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~ .......... (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 ......... .~..~..C:. I.L~-. ......... Plumber's License No ......................... Electrician s Dcense No ....................... Other Trade's License No. ~. 1. Location of land on which proposed work will be done .................................................. '-~ '- '" {Y3.. eL~,,5 . .~L'~5., ............ .~.%. ,o. ?. '..n~,...~..\.~.., .~.-.'T.. l.~.qD .~ ..... ...... .5...~.....N ...................... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~_o.'~. ........ Block ....~. ............ Lot....~.~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .-7~. ~..~Q .~....~..~...e~...~. ~ .~.5,.&. ~c~.~ ........................... b. Intended use and occupancy ....... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal ~t-~?..?, .~.. ).~.o. 5.. Demolition .............. Other Work ............... ff.. (Description) 4. EstimatedCost...~..~.OC~, .~.--. ....................... Fee . ./.O~ 00..% (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 eachjype of use . 7. Dimensions of existing structures, if any: Front... i..4~.. ....... Rear ....~.. ........ 13~t'h' i~ ! .......... 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 c~ ............ Height .... ~. ( ....... Number ef 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 ................... 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, and show street names and indicate whether interior or corner lot. ~4 STATE OF NE,.r/~O,~.K, / S S COU Y OF ........... ' . DU.~..~~ ......................... being duly sworn, deposes and says that he is the applicant (Nfiqne 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 Notary Public,~ " ·/x, /,_~...~... County ¢.~,#J.. ,~,.., ~.,. ~o, ~,~ (Signature of applicant)