HomeMy WebLinkAbout34077-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII~)ING PE~AMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34077 Z Date JULY 28, 2008
Permission is hereby granted to:
for :
CHESTER M & ROBIN MAYER
PO BOX 367
ORIENT,NY 11957
CONSTRUCT AN ADD.TO AN EXISTING ACCESSORY GARAGE IN THE REQUIRED
REAR YARD OF A SINGLE FAMILY DWELLING.REPLACES BP # 23701
at pre~klses located at 2265 KING ST ORIENT
County Tax Map No. 473889 Section 026 Block 0002
pursuant to application dated JULY 28, 2008 and approved by the
Building Inspector to expire onJANU~/~~~
Fee $ 75.00
Aug~rized Signature
Lot No. 043.002
ORIGINAL
Rev. 5/8/02
IPOB.M NO. J
TOWN OF SOUTHOLD
BUILDIHG DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
j ~/o ?7
N?
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
/?
23701 Z ~,e ..... .~....~.. ...................... , ,~-~--.-
- /
.......... ~.~.~..~ .......... ~.~..~:. .............
~n~ Tox Mop No. lO00 Section ............. ~. ~k ...................... ~t No ...... ~.~..~. .....
BuildinG Insp~tor.
Fee $...,~
Rev. 6/30/80
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FORM NO, 1
~9 6 · TOWN OF SOUTHOLD
BUILDING DEPARTMENT..
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.; 765-1802
Approved .~.~.., 19~ Per,nit No.~~)
l)isapproved a/c '
' APP~I~ATION FOR BUILDING PERMIT
BOARD OF IIEALTII
--' 3 SET-S OF PLANS
-- SURVEY
-- CIIECK ......... ~ ........
SEPTIC F O ti. ti
t;o"t I py i
H^IL "fO;
Date ................... 19..
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in hlk and submitted to the Building Inspector, with
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildh~gs on premises, relations. ~ p to adjoining premises or public st}ce
or areas, and giving a detailed description of layout of property nmst be drawn on the diagram which is part of this appl
cation.
c. The work covered by ttfis application may not be commenced before issuance of Bnflding Permit.
d. Upon approval of tiffs application, the Building Inspector will issued a Building Permit to the applicant. Such perm
shall be kept on the premises available for inspection tbroogbout the work.
e. No building shall be occupied or nsed in whole orin part for any purpose whatever until a Certificate of Occupanc
shall have been granted by the Building Inspector.
APPLICATION IS IIEREBY MADE to the Building Department for the issnance of a Building Permit pursuant to
~OUL] OIU, 3UIIOIK Coon[y, [~6w
York, aid olher apphcable Laws, Ordinances
Regnlations, for the construction of buildings, additions or a teratio~, or for removal or demolition, as herein describe{
The applicant agrees to comply with all applicable laws ordinance~ d~g[ode housing code and regu at OhS, and t
admit authorized inspecto~ on premises and in bnild~g for necessa~fi~ff~/~.
v(~ignatu'~,~plicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, e ectv~i~, plumber or builde~
....... 0.~,. ~~ ' ., ' '~
~ ~ r~ /~ .~.~.~
Nanle of owner of premises ...... ~ .
(as on the tax roll or latest .deed)
If applicant is a corporation, signature of duly authoriied officer.
(Name and title of corporate officer)
Builder's Liceuse No ..........................
PlLnnber's License No .........................
zlectnctan s License No .......................
Olhcr '" ' '
liade s License No ......................
1. Location of land on which proposed work will be done ................................. ; ...............
.... .6.5 .... . ........ i ./7 .............. ............
llause Number Street llamlet ......
Cotn, ty Tax Map No. 1000 Section ' ~ Block Z ' Lot ~7'T
Subdivision ........ . ............................ . Filed Map No ............... Lot ...............
(Name)
2: Slate existing use and occupsmcy of prenuses and intended use anc~ccupancy of proposed construction:
a. Existing use and occupancy . . , { ~
u.,,~nded u~nd o~u~a~, . ~...5.~7~ .... ~3 .......................................
3. Natme ol work (check which applicable): New Building .......... Addition . . · Alteration
P, epair .............. Removal .............. Demolition .... : ......... Other 'Work
4. Estimated Cost ~c....,~w_~ C..> . (Description)
........... ........................... Fee
(to be paid oil filing this application)
5. If dwelling, number of dwelling units Number Of dwelling units on each floor
· If garage, number of cars ' · ...............
6. If bnsiness, conunercial or mixed occupancy, specify nature and';~/e;t of each tv)e of use..
lteigbt ............... Num bet of Stories
9. Size of lot: Front ....................... , ..................... : ..........
10. Date of Purchase ......... ' ............ Rear ............. ; ........ Depth ......................
.................... ....... .. Name of Former Owner
I 1. Zone or use district in which premises are sitnated ................ ' .......... i ......... : .......
12. Does proposed constnlction violate any zoning law, ordinance or regnlation ~.O.
13. ' '. ...................... excess Illl De removed.from vremises: Yes
Will lot be regraded .t~L-~..~5~. Will ~ ' ....................
14. Name of Owner of premises .. C':~.~7.O~_, .,~.~.7.~c. Address . t~c..t ..~.~ . ~..'~...O.O:C,,.~t~one No...~.2. ~.. 7~.. ~.'7~..
Name of Architect
........................... Address ................... Phone No ................
Nmne of Contractor .......................... Address ................... Phone No .......
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......
· If yes, Southold Town Trustees Permit may be reqoired. '''
· 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 wbethe'r
interior or corner lot. '
PPRO TD AS NOTED
765-1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPE~IONS:
~* FOUNDATION . ~0 REQUIRED
FOR POURED CONCRETE
2. ROUGH . FRAMING & PLUMBING
3, IhSU~ON
4. FINAL CONSTRU~oN MUST
BE COMPL~ ~R C.O.
ALL CONS~U~ON
THE .REQUIR~E~ OF ~E N.~
STATE. CON~u~oN & ~ERGY
CO ES.
Oa
STATE OF NEW YOPfI~F"- ~ ] _ o o
coum'y o.o
..... ~ ~' "~ ~'~ ............ beiug duly
(Name of iudividual signing~ontract)
d)ove nanled.
sworn, depose~ and says that he is tile applicant
(Contractor, agent, cor'porate officer, etc.) ' '" ..............
said owner or owners, and is drily authorized to perform or have performed the said work and to ~nake and file this
tpplicalion; that all statements contained in this application are true to tile best of bis knowledge anti belief and that tile
york will be performed in the manner set forth in the applicat on filed therewith.
:,wonl to be fore me this .
...............
CLAIRE k GLL=W
Notary Pubtic. State of New York .............. .
No. 4879505 /3 £ '
Quslified in Suffolk County
Commission Expires December 8, 19-..,
/ooo-o~.-~ ~ y3.T~OWN OF SOUTHOLD PROPERTY RE~GORD CARD
OWNER STREET c~o,~ ~ ~'~ VILLAGE DIST. SUB. LOT
FORMER OWNER ', N E ACR_
LES~ ~ ~ S~S. VL. , FARM COMM. CB. MICS. Mkt. Value ....
~ND IMP. TOTAL DATE REMARKS~ ~/~ /~a, ~~, ~ ~/~.
2666 ~7a~ ~YoO;.; ~//~/2~ RI~,~.~~C~,~U~ L-~q~ 'P-II/
ilbble FRONTAGE ON WATER
'o~'ond FRONTAGE ON ROAD
'eadowland DEPTH(~v~ h~j~
ouse Plot BULKHEAD
COLOR
TRIM
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
Parle-
O,B.
Total
~/,=1/ .
6t O
Foundation
Ext. Walls
Fire Place
Type Roof
Both
Floors
Interior Finish
Heat
Rooms 1st Floor
Recreation Room Rooms 2nd Floor
Dormer Driveway
Dinette
K.
LR,
DR.
3R.
FIN. B
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631 ) 765-9502
Telephone (631 ) 765- 1802
BUILDING DEPARTMENT
TOWN O]P SOUTHOLD
December 19th, 2006
Chester Mayer
P.O. Box 367
Orient, N.Y. 11957
RE: 2265 King St. (addition to garage)
SCTM# 26 2 43.2
Dear Mr. Mayer,
Please be advised that your Building Permit #23701 issued September 26th, 1996 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.
'~lg LP.O &t,r,,
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FFr( { FA~GI~9
$1D~L~ fo P'I~C.H
C, ~,o55
s,~Cl'lokl
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