HomeMy WebLinkAbout22791-ZFOUNDATION (IST)
FOUNDATION (2ND)
INS~TION PER N. Y.
STATE E~R~
CODE
FINAL
ADDITIONAL COI~IENTS:
'~J ! ....... . ..... ~ TOWN OF SOUTHOLD
ii ~ I 0 ~ , TOWN HALL
~ t ~ SOUTHOLD, N.Y. 11971
~~ / TEL,: 765-1802
Disapproved. a/c ..................... ~ ...... ~ ..... '.
. ~in~ lus~
.~ ~ ~ ICATION FOR BUILDING PERMIT
ZNSTRU~[ONS
BOARD OF HEALTII
..3 SETS OF PL,'~'IS ..... '~
SEPTIC FORH ........
riOT I FY;
HA I L
a. Existing uSC and occt
~; , , ,!~':L ' ':' 2X' ~', ................ , ............
. ,, ~,,,,.,,.. ~., ...., ~,~.~, ?~, · .~..~, ....................
~ b. Headed,use-and occunanev
i ~ ~..-& ,~, . · ..............
I. Location of land on which proposed work will be done .................... DESIGMORC. ON8I~RUG~I'IC~N ERRQ~.
' ~/ ................... ~.~ .................. ~.T~.~.~ .......
Ilouse Nuluber Stree[ llamlet .... ' ..........
,000 ........ .... .... ........... Lo, .... ?. ...........
~'O Subdivision
.......................... ' F ed Ma No
' ~ -', (Nan~e~ · P ............... Lot ........... , ....
' Slate exis lng use auo occupancy ~f premises and intended use and ocmq)anc~of proposed'-construc tion:
1, FOUNDATION~: - TWO REQUIRED
FOR POtJRI~D CONCRETE
2. ROUGH · FRAMING & PLUMBING
3. INSULATION ~
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL.., CONSTRUCTION ..SHALL' MEET
THE 'REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
Builder's License No. : 'f
Phunber's License No ............... .'. ~,~.~ .~ ~.,,.~,,
O~h~Fl'rade s License No '
a. This application must be completely filled in by typewriter or in ink an'd submitted to the Building Inspector, with 2
~ets 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 sti'eet,.
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 i~;sued 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 fo, r any purpose whatever until a Certificate of Occupanc>
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 o[
Regulations, for the construction of buildings, additions or alterations, or for removal or de~nolition, 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 inspecti.~,~.. - n .-- -- -' "¢--~ ' '
(Signature of applicant, or name, if a corpo'ration)
(Mailing address of ~pplicant)
State whether applicant is owner, lessee, agent, architect, engineer, generaJ 'contractor, electrician, plumber or builder.
If applicant is a>.~ff~mra~i.,9,g.~ig~natu r~e of d_uJy autl~of~zed o£ficer.' F;~.'~¢~--5~%r~=' _. B~
~ ./r/~~,C~r~ ~ NOTIFY BUILDING DLR~__.T~NT-AT
(Name and £itle o£ coq)orate officer) FOLLOWING INSPE[CTtONS:-
3~ Nature of work (check which applicable): New Building .......... Addition ...... Alteration .... '
' 'Repair .............. Removal ...... Demolition .... : ......... Other Work ......
4. "Estimated Cost./.~..! o~ . .'"" · . ;~ (Description)
................................ Fee ................. , ............
(to be paid on filing this application)
~ 5. If dwelling, number of dwelling units .... Numb units on each floor
........... . er of dwelling ..............
If garage, num bet of cars ............. · ·
6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use ....................
7. Dimensions ol'existing structures, if any: Front ............... Rear .............. Depth ..............
lleight ............... Nnmber of Stories .... '
Dimensions of shnre structure with alterations or additions: Fro]it
Depth .... ' ................... Hei .................. Rear ..................
8. ght ..... ; .......... ;.. Number of Stories ....... ; . . . 2 . .'. .......
Dimensions of entire new construction: Front .
Height ............... Number of Stories .. ' ........... : Rear ............... Depth ............
9. Size of lot: Front ......... , ....... · Rear ....... ·
' · .............. Depth ..........
10. Date of Purchase .. - ' .. Name of l:ormer Owner ............
I 1. Zone or use dmtnct m xvluch premises are situated ......... - ................. : .......
12. Docs pioposed constmcfion violate any zoning law, ordinance or regulation:
13. Will 10t be regraded ....... : .................... Will excess .............
ill! be removed from premises: Yes N.o
14. Name of Owner of premises ........... ; ·. · ~..... Address ............... Phone No ................
Name of Architect ................ Address ................... Phone No.; ..............
Nmne of Contractor .......... , · · · Address .... . Phone No. '
t5. Is thi~i~roperty within 300 feet of a tidal wetland? ~Yes ........ No .........
yes, Southold Town Trustees Permit may be required.
.... ~ P!~OT DIAGRAM
Locate clearly mid 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 in'd'icate whether
interior or corner lot.
rATE OF NEW vlStRK:, f--,
OUNT¥ s.s
(Na ne of md,v dual s gning contract)
)ore nalncd.
be~itlg d'lly-sworn, deposal,md 4,ayes th.a.', he-is-t'.r.c
.' ,s the
(Contractor, agent, corporate officer, CLC.)
kaid ow]]er or owners, and is duly autliorized to perfornl or have performed the smd work and to make and file this
plication; that all statements contained in this'application are true to the best of bis knowledge and belief: and that the
)rk will be performed in the manner set forth in the application filed therewith.
,'om to before me this
Yo~
ta~ rubhc, ~.~.. ~.~Z~ t · ~J County
. . , ......
· ~ (Sinnature of applicant)
Town Hall. 53095 Main Road
P.O. Box 1179
S~mthold. New York 119714)959
Fax (631 ) 765-9502
Telephone (631 ) 765~ 1802
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
January 2nd, 2007
Maria Bustamante
18 Marshall Ave.
Brentwood, N.Y. 11717
RE: 1595 Lake Drive (shed)
SCTM# 59 5 9
Dear Ms. Bustamante,
Please be advised that your Building Permit #22791 issued May 26th, 1995 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $75.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
TOWN OF SOUTHOLD PROPERTY .RECORD CARD
OWNER STREET I ~ q~ VILLAGE DIST. SUB. LOT
FOR~ER OWNER'
,
RES. ~ ~6 VL FARM COMM. CB. MICS. . Mkt. Value
~N D I M P. TOTAL DATE RE~RKS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FA~ Acre Value Per V~lue
Acre
Tillable FRONTAGE ON WATER /oo ~ ~ //., o ~ //~ 0
Wo~lond FRONTAGE ON ROAD
Me~dowlond DEPTH : ~ ~ b~ ~
House Plot BULKHEAD
Tote[ ~ ~ ~ DOCK
COLOR
TRiM
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
Patio
O. Bo
Total
Foundation
Basement
Ext. Walls
Fire Place
Type Roof
RecreatiOn Room
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
)ormer Driveway
~' Dinette
~"Z' ~ K.
~,~ ~]~ LR.
JDR.