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HomeMy WebLinkAbout17599-Z FOB�M NO. ! � � � TO'WN OF SOUTHOLD ��iILDING DEPARTMEN4 . TOWN HALL � �j J ,rQ ,�n ��� SOUTHOLD, N. Y. v� vi v�' BUILDlt�iG PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL CO�MPLETION OF TNE WORK AUTHORIZED) , �o G17599 Z / � �� _ DaYe ......�. .......�................................. 19....... Permission is hereby grdnted to: Ci��'��[iCX/....:,;�(R....�'�r.�.. ..K :/............................ ....�s���...�-�.f...�...'�.�....��i.� �........`.�-��'.�-. ,�.r.�....,. o��<........... ./../..9�8 ro .Q?-G.{r.. . ..�!1.7:' ....... r�...... .. ....�.....,e�ie�r...... �.............. ..�f��k.�e� / ���� � � . .. ..G.C.+'�......,lt�.�............ .��...... .` ..,................................................. . G��� ct premises located at ..... ..G�..'.v..�..�� . ..,/� ... . L,�..��......................................... ...........................................................�..��-G.�.................................................................... ................................................................................................................................................................ Caunfi� Tax Map No. 1000 $ection .......�.�.`.:........ Block ..........�.,.��... Lot No. ........��?...... pursuant ta application doted ..........�,,� ....�................................ 19..�, and approved by the Building Inspector. Fee $....�o .y� i�� .............. ..... � B ildi�� ec or......................... Rev. 6/30/80 :i�LD I�:S:'��:IU;7 ��Ur',ln � . i;OaKMENT� � -o � 1 . '�i- . � � �,, � � ' H " — - - -- �� �OU2�DATION � ( 1 s t ) � . � c � ��� :OU1dDATI0t1 ( 2nd ) m 2 . . �� " o �9 ?OUGH FRAME & � � -PLUMBIyG � � � . . � H � 3 . � � � IIISULATIOPJ PER N . Y. • , , y � STATE ENERGY � CODE � - x � a � ' r 4 . . - ,�r� H i ' � � FIi1AL • • (..6�. � ' ,� � �� fo it� I � � .� �� . � ADDITIONAL COMMENTS : � ` x . • � � . - , � , . . , , ,- . � . � • x �. �=y ,� � . H � . . � � . a H � O o-„ � . ... ' �-, _ y � .. . x� . d � m -o H . .. � �� -- BOARD OF HEALTH . . . . . . . . . . . . Q y� + �, ;.� _~_ , 3 SETS OF PLr1NS • . . : •_' :. o . . . . FORM NO. 1 �SURVEY : � �� � � I�B�.���� `r `�` TOWN OF SOUTHOLD CHECK . . . . . . . . . . . . . . . . . . . . (� , BUILDING DEPARTME(VT SEPTIC roRri . . �. . . . . . . . . . . . . . �L�� �E�,T � � TOWN HALL ��WfV UF SO�.lTHO�D . SOUTHOLD, N.Y. 11971 NOTIFY ,��_-.- f�� � - TEL.: 765-1802 cnLL . . . . . . . !. . . . . . . . . . . . . Examineci . .J� .�r. . . . . . 19 �U MAIL T0 . ., Approved . . . l� .�.7, . . . . ., 19 v�Permit No. .�?�9/. . � Disapproveda/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / . . .' O."1! �'����• �B ildin� spector) _ - APPLICATION FOR BUILDING PERMIT � � Date . . . . . . . . . . . . . . . . . .. 19 . . . � . INSTRUCTIONS a. This application must be completely filled in by typewriter or in i�_k,?a�i�lj su_binti,�,�ted.ito"���'ie�Bf�i��l��i�spector, with 3 Qsets of plans,accurate plot plan to scale. Fee accordin� to schedule. �����° ,�t,�„ ����,�rr���.�?�"� � ' b. Plot plan showing location of lot and of buildings on premises, ie'1•�'tipn�slii�%�to�a''djo'i�ni�m��`pr�irif'ses�dr public streets =or areas, and biving a detailed description of layout of property must be�d�ra�v��i��'oii�'th�"��'dpia°�i-ar��wH.i�ch i°s�`art of this appli- �, cation. "a�'�' €���s:��E��s��i� ��rS�;��'E° ¢r�Y�'�-.�. c. The work covered by this application may not be commenced before"ri'ssuan'c'e�`bfA�Buil?dima6l'ermit. d. Upon approval of this application, the Building Inspector will issued�a:�B�u`ildinb P�rriiit�t�b""^�tlie��pp7ic`a�°t. Such permit shall be kept on the premises available for inspection throughout the work�. �bf:����.�� e. No building shall be occupied or used in whole or in part for anyspt�ip�o����fia��fe�e"r'=�Yn•'tilza�Cerfi+fi`cafe of Occupancy shall have been granted by the Building Inspector. ���+,��t�i���:��r������w�� �' ��n�a"1�i'��4�".;�� ' ,�r�ctl�.9�z.+1�6�s:k� APPLICATION IS HEREBY MADE to the Building Department for_the-�ss�ua�nce;;of_a-�Build.ing Permit pursuant to the Buildinb Zone Ordinance of the Town of Southold, Suffolk County, New;�'or�;ar�d-�,qther�applicab�e�LaWs; Ordinances or Re�ulations, for the construction of buildings, additions or alterations, Lor,�fo�r�m,ov�l1o:� demo'li;tiori-,x•as h�rein described_ The applicant agrees to comply with all applicable laws, ordinances, buSl�duig code;"?fious'infti�code;and-regulations3 and to admit'authorized inspectors on premises and in buildin; for necessary ins e,ction .....,..., � .t. ;,, �..,._..�.. .— �:'�t �s. .r.•.� {r�. . . o .� • � T %ui sc�'-� 'E`�E�¢i1��i a . . . . . , . . . _ (Sianature o�t�a�p�a.'lcant, or name, if a corporauon) . . , , ��J��S, , , , �;e-Crn2�!,v, ,�',�,�!✓'+�� �,��,.,`l�1�� ' - (Mailinb address of applicant) � State whether applicant is owner, lessee, agent, architect, enbineer, general contractor, electrician, plumUer or builder. . . . .�(��. . .��.�-:�..�. . . .� �/��.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � ������ Name of owner of premises . . . . .���. .�'. . . . '" � a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . (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. . �!+J . . . . . . . . . . . . . . . � _ Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . - - - Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . � , ` �I 1. Location of land on which proposccl work �vill bc done. ����.� . . .��L.��!''.�L, , G���' , ��� l�(� /� J � . . . . . . .). . . . . House Numbcr . . . . . . . . . . . . . . . . . . . . . . .Street . . . . . . . . . . . . . . . . . . . . . . •Hamlet . . . . . . . . . . . . . . . . . . . . . . .. County T�x Map No. 1000 Sectioti �v�.�. ��.��. . . . . . Block .�4 ��-��, ��� , , . , , Lot . .��.,�. 6�.��. , , , , , , , , Subciivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filecl A1ap No. . . . . . . . . . . . . . . Lot . . . . . . . . . (Name) . . . . . . 2. State cxistins �ise and occupancy oF premises and intencicd iise ancl occiip�n�y of proposed construction: a. Existinb use and occupancy . . . .�!�?-rz. . . .r . . �F���B�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � b. Intended use and occupancy . . . . . . . a�G's'-�• • • • • • • • • • , . .�� . ���� . . . . . . . . .�. . . . . 3. Nature of work (check which a licable): ' '' ' ' � r�/ � �"� � PP New Building . :-:.�. . . . . . Addition �lteration Repair . . . . . . . . . . . . . . Rcmoval . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other tiVork . . . . . . . . . . . . . . (Description) 4. Estimatcd Cost . . :j.Q�. � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �to be paid on �iling this application) 5. If dwellin�, number of dwellinb units . . . . . . . . . ... . . . . Ntimber of dwclling units on each floor . . . . . . . . . If gara�e, number of cars . . . . . . . . . . . . . . ' ' ' ' ' ' � 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . � � � � 7. Dimensions of existing stnictures, if any: Front . . . . . . . . . . . . Rear Depth � � � � � Heijfit . . . . . . . . . . . . . . . Numbcr of Storics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure witti alterations or additions: Front Rear . � � � � � � � Depth . . . . Iiei�tit . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire ne�v constniction: Front Rear Depth . � � � � � Hei�tit . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . .Depth . . . . . . . . . . . . . . . . . . . . . . . 10 ' Date of Purchase , .�1��.��, , , , , , , , , , , , , , , , , , , Name of Former Owner .P�[L��d�. �J.��F(,�,!'�-'/',7� � . . 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . /� � � 12. Does proposed constructiQn violate any zoning law, ordinance or regulation: I��. . . � � � � � 13. Will lot be regraded . . . . . . . � . Will excess �ill be emoved from remises: . . . . . . . . � �` 14. Name of Owner of prcmises " P Yes . . Nc� ,,�LI L� 1"���%.%k�`»d Address ��,�.�'�����+��'���"'�I'hone No.���"7��.-0� Name of Architect . . . . . . . . . . . . . . . . . . . . :: . , . . Addiess . NameofContractor ' " ' • • • • • • • • • • • • • • • • PhoneNo. . . . . . . . . . . . . . . . ' ' ' • . Address . Phone No. - 15 . Is this property located within .300 feet of. a .tidal .wet.land? ^YES... . � ,i�p � � � � � � *If yes , Southold Town Trustees Permit may be required. . � � � � • .. 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�descnption according to deed, and show street names and indicate whether interior or corner lot. , •1 • 4 � ► . - -- _- , ._ -. - --- - - a .-- � _ :_AP� O�Y .AS NOt�� ' '�DATE: �� /��iQ u B.P.��o�� � -- p el� � ` FEE: a BY: s � MOTIFY 8U OEPAt37 �Isl"�' Al� 7�6-180'1 8 �M TO 4 b�M FOR THE FOLLt)1NING MDSrECT10NS: - _,. � � 1. FOUA1DATiON - 11lVO�RE�IJfRED - . FS�19ROiMED CONCRETE 2.-ROU�N - FRAMING �.PLUMBING 3. INSUiATt�N . � 4. fINAI - �:ONSTR�tCTiOIV MUST 8E d�ONAPLETF-�OR C.O. � Al.i. CONST'RUCTfON SNALL MEE'd � � �at���rurs o� t� N.r. � STATE CGNST�UC°i'fON 3 Et+lERar �'' C�ES. N�If RESPON81!!LE FOli DESIGN Oii OONSTRUC410N EIRROA� � STATE OF NEtiV YORK, COUNTY OF . . . . . . . . . . . . . . . . . S.S � � � � � � � � � � � � � " " " " " " � � � • • • • • • • • • • • • • • • • • • • . . beingdulysworn, deposesandsaysthatheistheapplicant (Name of iiidividual signina contract) � - ' above namcd. • � ` Heisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) � � � � � � � � � � ' of said o�vner or owners, and is duly aut}iorized to perform or }iave performed the said work and to make and file this application; tfiat all statecnents containcd in tfiis application are true'to the best of liis kno�vledge and belief;and that the work will bc perf�orcned in tlie manner sct fortli in tlic application filed thercwith. Sworn to before mc this . . .;. . .�.,:,_ . . , . .� . . .-. . .day of. . . .�4.'� . . . . . . . . . . 1�� •, . Not�ary�Public, ���/�.--.�.. .�.?! � !y�e:�f�-� . . . . Count , , . . . . , Y � 4F �r�� � � � o � -• HELEN K DE YOE � 'r ' f�OTAR�PUBLIC,St�te of New Yark • • . . � : -_ . . . . e . . . . . . . . . . . . . . . . . . � �� . �o.aao7�'�,sus�ik cou_�r�-c� ,� 4•°'�!`-� ��,�; ;� Tertn�ExpiresM�rch 3�,ly_.sc� , (Si�nature of applicant) ...�a.�.�,w,. � „ -�N;.,�� „. �o��oF so�ryol 0 Town Hall,53095 Main Road � � Fax(631)765-9502 P.O.Box 1179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 '�0 � l'���UNTY,�� BUILDING DEPARTMENT �,,, TOWN OF SOUTHOLD ,J 1 i�� �. " 1 7uly lOth, 2007 Phillip B. Beltz P.O. Box 199 Peconic,N.Y. 11958 RE: 2600 Peconic Ln. (deck replacement) SCTM# 74 3 20 ' Dear Mr. Beltz, :.s`� ��� Please be advised that your Building Permit# 17599 issued November 14th, 1988 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 $200.00; 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. ,, ;,; t' . - ---- _._•-9rsr°�i'�=='`''�v.,;,_z`-;,..�;�A:; `.a,,•.q�?y.::.«:w..,`-tr _....-:._.�.--a,:7-:..__,;o„>..N.-�- -=�•A.-5s.....�<v .-.e...,.>..._,.t...e _-..�.5,:-•:-.T�•�-�----,_ ,-- -- . �....�....+� ......w�+.+�.n.+.-�"'`-'.t+9..r'K._ , i i - . . ' . ' ' • , _, � . . r S , .,. �. ,,�'e:�:<r`.. _ _ _ _ ' _ `' ' ' - - _ - , . . f : _ ., . - _ i `, ,;`.;'i�.'E:� ;,��,»r4`''�_ - , . - '' ` •;}. ' , '.r . , � , • ' ..-' ' � B i ' •.I�'}:.�t.tl,�-.��" �3w,�:{�:,i__ �`� ,,Y ,`y'i��;W�y �b _ .S ,. . . _ " ' . M1� . ' �. ) ' �Y,. �lf;� �'4. .:.1�tr _f: _C,:-.v" ���.- _ L�:s.:Y� �9'', ' " . ~ r . ' " '. 'l _ . " ' • (�Y�� H�4� -5+. t'.` �9..� ' _ - _ - . �-�]f . ���' r'f �� . 'Y:.� �� � �. . . 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