HomeMy WebLinkAbout14015-ZTOWN 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
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
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)