HomeMy WebLinkAbout15071-Z l~r NO. J
TOWH OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 15071
Z
Permission is hereby granted to:
....
..~.~.~.~.Q... t~c,~ ~....~c~.-~ .........
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ro .....~Q ~.~r~.~.~..~.~......zf~..CC_ ~. ~..~¢~...~......~.~.~.~.~LQ.~.~ ........
..~:~... _,~ ~ .~..-~ .~.~,-/T.~. tr~.~.....~...~, ....................................................................
ot premises located at ..'~...~..;..~...~..~.......~.....-~
.~....~xzz,..i ...... .C2~L~,~-~..~:..r..~
County Tax Map No. 1000 Section ....C~..l...~ .... Block ....~...~ ....... Lot No...~../~. ..........
pursuant to application dated ..... ..~..L~..~..'~.. ...... ~ ....................... , 19',-~.~ and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined· .~. I..~. ......... , 19 .~..~
Approved 1.? ........... 1 .9~.. Permit No. I .~.(~..--/. l ~
/ (Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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 properW 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, bu~g code, housing erode, and regulations, and to
admit auth°rized inspect°rs °n premises and in building f°r necessaT~. ~').~....~ ..........
(Signature of applicant,~or name, ff a corporation)
. ....
(Mailing address of applicant) //'~,~' ~
State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...................................................................................
Name of owner of premises ~,~...2"~.~/~...W,...~.. ~...~..~.~.~..~ .....................................
(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 ..... ,~.~g::~.. ............
Plumber s License N .......................
Electrician's License o..I~M ~' ...........
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
2 2. ?. 5 ......... . . : . . . . .. ..... . .o. .. . . .iV. . .. ?5. .... .............
ltouse Number Street Hamlet
County Tax Map No. 1000 Section .... ~).~.~ ....... Block ....~...~. ......... Lot..~J.{~ ...........
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 .....~.. ).':'~.. ,(~.~.. Q Pr4 ~....~' .~..Ix,~l~ll~.~ i~...~.~, g.~.,.~.~. l..l'M-.~. ....
b. Intended use and occupancy .~../~..~...'~/ · .~'f~. · .~?~.~.~J~:.~.'!:..!~[~(~,l~b.~ .(~.(~.4~. .....
3. Nature of work (check which applicable): New Building .......... / Addition .......... Alteration . ...... '
Repair .............. Removal .............. Demolition .............. Other Work ...............
4. Estimated Cost .~../..~..~..~..: . .?~--~. ...................... Fee..~.~.~ ~ (Description)
· (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 ...............
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ........ ;..,~ .......... Number o,f, Stories ............ ;.. ;,. .....
Dimensions of entire new construction Front . .~...~.: .~... ..... Rear . .~.~......O. ........Depth . .~..O..- .O. .......
Height ./~..'-.~...': ..... Number of Stories ./ ......
9. Size of lot: FrOnt .~.l .O...~./. ...... Rear..~../..~,:.4~,~ ........... l~;~il;' '2~'-'~ .............
10. Date of eurchase~.~/~/..Z.../..~. ~.~. ............ Name of Fo'r~e'r'6~v~;}'/~.,~i~i ~'~i~.' i
11. Zone or use district in which premises are situated .~.~P'~.t.~. ~/. r.--.,,.,~.&..-..~. ~__________________~J.~.t,.f7. ~.~-t~,. ...........
12. Does proposed construction violate any zoning law, ordinance or regulation: ..~.~ ............................
13. Will lot be regraded ...~J.~. .......... ~. ....; ...... Will excess fill be removed~from premises: Yes No
14. Name of Owner of premises,~fi .,~.M/t{~..~..~'.~.a,/~.fr. Address,~f..~.~.~..~.: .~..~..~..~... Phone No..~2~ ~..' .2..,.~.1..g....
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Address .... i .............. Phone No ................
15. Is this property located with±n 300 feet of a t±dal wetland? ayes ..... No ..~.-
*If yes, Southold Town Trustees Permit maybe required.
PLOW 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.
--.-----MAIN I" oAD --- -
¸8.
STATE OF NEW YORK,
COUNTY OF ................. S.S
................................................. being duly sworn, deposes and says that he is the applicant
(Name 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
............... ?...~.....day of...~J .............. 19 .~.~.
Notary Public ...... ~..~.-..~..~i:/.~/~.~.' .... County ~ ~~n't
-MAI N --'
_..I/&.l I TO
¥1[.LAGE
N
ARTHUR A. SPANGEL
22950 Main Road
P.O. Box 346
Orient, N.Y. 11957
(tax map ~18-5-10)
GUA2ANTE~D TO TI. iE ;40~ TITLE DIVISIOI~
CHICAGO TITLE ;NSLICZANCG CO&IPANY
THE $OUTHOLD 5AVIIq,~$
~ Dr~v E','E O 14OV.
VAN TUYL~ SON
ON.
TAN ' '
13' I0"
i~pipF I ~/s(: o.~.
22'0"
ARTHUR A. SPANGEL
22950 Main Road
P.O. Box 346
Orient, N.Y. 11957
I$OCARLOLI6H' RD. ,E~OI.'IF-MIA N ¥.
SPECIFICATIONS FOR:
SUPERLITE S~AWDARD PLASTICHOOSE
22~0" wide FLASTIOHOUSE
]~x~lshed oomplete wit~:
pipe ground posts (1.660 D.1 ~'0" long
pipe rafter bows (1.660 00~ D., 2 piece bow
~ubing cross tie at each rafter how.
~ded ~ ri~ge - 4'0" or 8'0" sections
~(~) 1' pipe lr~rlins (1.~15 O. D.)
Ail necessary hardware included.
Extruded aluminu~ gable rail at each end a=~ extruded aluminum
base re.il at each side to secure poly oover~ug. (st~le or double)
40'0' vide poly required $o oster from ground to .ground.
Two (2) sheets fiberglass required per each 4'0" section.
a. Fiberglass to reach $o base board: 1816" long
b. l~Aberglass to reaoh into ground : 19t6" long
Total height at center: /2L~''
Total height under cross tis: //12"
Oenter to center spacing of ground posts a~d rafter bows:
Shipping weight 22'0" x40:~: /~7~lbs.
per 4' section : ~lbs.
4~0"
FIELD IN,SFECTiON S Oi~il~N l ~
FOUNDATION {1st)
FOUNDATION (2nd)
ROUGH FRAME &
FLUMBING
INSULATION PER N· Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS: