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HomeMy WebLinkAbout23336-Z FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ....... `. `(..................................... 19. ..�. N 23336 Z Permission Is hereby gra ed to; ................. / ,��..... . , .... ..,..... � ................... r to ...... .... ........... :........... ........... .......................................................................................... .................................................................................................................................................................. .................................................................................................................................................................. ........................................................................................................................................................I......... at premises located at..................... .... ,r/f � � ....................................................................................... ...................................................................................................................I......................................... County Tax Map No. 1000 Section ...� ......... Block........... ............. Lot No. .......�-�........ pursuant to application dated ........... 1f�4�'��1...... ......... 19... and approved by the Building Inspector. Fee .......... ........................ ......................... Bui ng Inspector Rev. 6/30/80 �333G� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE �Mru INSPECTORS'J FIELD I11SVI;l_�Ctoo 101,11MVI', UA_ E' , „= l; l'�i �+ =�.,n �a - __...__�-..,>-,-=rye=_.=�_-,_„Ulilll;tl I I n - � F011111,AT 1011 ( 1,,' rUUtrnA'I'IUIr (1Nn) I R Ill)IM111 FRAME, 6 rl.urrn r r1r. I ==------======I _________====s====A= ===e=====_ =_ ____- l Wul.n'rrl)rl rr;lt rl. Y . STATE I:NI;IICY � (;UI)1; - — ___------_ —vane,=.- I ,I� I I I . F I HA I ---------------- _ nun 1'l'1 U11nr, cUrlt113r1'l'S : 2 _........... . ----'-- --- rj ------------- ryl U c BOARD OF 11EALTII . . . . . . . . . �;�� �; ��`?_.,�. ° � � • FORM NO. 1 3 SETS OF PLANS . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT cllECl: TOWN I-IALL SEPTIC FOAM _ . . . . . . . . . . . . __ --- SOUTFIOLD, N.Y. 11971 r TEL.: 765-1802 c n L L 734-5134 Examined . . . ` ram . . . . . . ., 19 .�� . . . . . . . . . . . . . . HAIL TO , Approved . . . 3��/ . . . . . . . .. 19�.10. Permit No. . . .✓1���. . . . . . . . . . . . . . . . . . . . Disapprove([ a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Bu' ding Inspector) APPLICATION FOR BUILDING PERMIT Dale ,February, ,14 , , . , 199 INSTRUCTIONS a. Thus application must be completely filled in by typewriter or in ink and subinitted to the Building Inspector, witli 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sliowing 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 whicli 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. Sucli permit shall be kept on the premises available for inspection throughout the work. e. No building sliall be occupied or used in wliolc or in part for any purpose wliatever 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 Idin code Dousing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins eectti ns -- (Signature of applicant or npme, if a corporation) James A. Thompson Architects 2 Lafayetteu Cort, Greenwich, CT 06830 (Mailing address of'applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. Architect New York State License No., 023731-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . Name of owner of premises . .: . . . . Louis M. Bacon . . . . . . . . . . . .. . . . ... . . (as on the tax roll or; latest deed) If applicant is a corporation, signature of duly authorized officer. CCCUPANCvf . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . USE I • NLA EUL - (Name and title of corporate officer) WITHOUT'UT CERTIFICATE: N/A . . . . . . ... . . . . �� ��CUP'ANCY Builder's License No. . . . . . . . . . . . ' Plumber's License No. Suffalk;County License No. 537P — Henry Smith , Electrician's License No. 429E — Gerard'Turza Otlier Trade's License No. Robins Island I. Location of land oil wliicli proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/A. N/A New Suffolk . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . Mouse Number Street Hamlet • 3 5 County Tax Map No. 1000 Section . . . 134. . . . . . . . . . . . Block Lot . . . . . . . . . . . . . . . . . . . Stibdivision . . . . N/A. . . . . . . . . . . . . ... ...... . ... . . . . . . . ... Filed Map No. . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . (Name) 2-. Stale existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy • . . . . . . . . . . . . . . . . . ... . : . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . Ag b. Intended use and occupancy . . . . ural — Storage . . . . s • . . . . . . . . . . . . . • ' . ' . . . . . . . , . -.. I:,tIL•1� V, .,.. ��u��i. ,,.;tllu d1irilll:llUle): Ne%V lslllld111g t1. . . . . . . . AddiIion . . . . . . . . . . Alteration • Repair . . . . . . . . . . . . . . . . . . .. . . . P . Removal . . . . . . . . . . . . . . Demolition , . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost $12,800 (Descrip(ion) . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . N/A. . . . . . . . :. Nwilber of dwelling units on each floor . ... . . .. . . . . . . . . . . If garage, number of cars . . . . . . . . Iq/A 6. If business, commercial or mixed occupancy, specify nature and extent of•each type of use . . . . . . . . 7. Dimensions 01'existing structures, if any: Front . . . Rear Depth Iieight . . . . . . . . . . . . . . . Number of Stories . . . . . . . p . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear Depth . . . . •. . . . . . . I-leigllt ... . . . .. .Nuql.per o. Stories . . . . . . ... . . . . . . . . . . . 8. Dimensions of entire new constnlction: Front . . 2.41 . . . Rear . . . . ' 1leigltt . . .21.'. . . . . . . . Ntrrr i 24'. . . . . . . . . . . Depth . 96.�. . . . . . . . . . . fiber of Stories 9. Size of lot: Front N/A . . . . . . . . ..: . . Itear. . . .N fA . . . . . . . . .•. . NSA . . . . . . : . . . . . . . . . . �. Date of Purchase 12/93.• ' ' ' ' ' • ' Depth . , , , , , Narne of Fonner Owner Southold Development Corp. 1. Zone or use district in which premises are situated . .R:400 • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • ' • • • • 2.. Does proposed construction violate any zoning law, ordinance or regulation: No . . . . ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 3. Will lot be regraded No . . ' . . ` . . . . . . . .. . ' ' . . . . . . . . . Will excess fill be removed from premises: Yes No 4. Name of Owner of premises . . .LQIAd S M-. ;-agor4 , Address . . . ... ... . . . . . . . . . Phone No.2I. —782-7488. Name of Architect Janlgq A. Thompson , , , Address . . . . P)tonr, No 203-625-5303 ' ' Name of Contractor Louis M. Bacon . Address . . . Plione No. 212-782-74dg 5. Is this property within 300 feet: of a tidal wetland? *Yes, No. *If yes, ' Soutlold Town Trustees Permit nlay.•be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from roperty lines. Give street and block nurnber or description according to deed, and show street names and indicate whether -rterior or corner lot. THREE PAGES ATTTACHED.AS• EXHIBITS APPROVED AS NOTED' DATE: _VZP B.P.# FEE: `� BY: —NOTIFY -BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS- 1. FOUNDATION - TWO REQUIRED FOR POURED 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 DESIGN .OR CONSTRUCTION ERRORS SATE 0F•NEW YQYKk 3.S )UN-r.Y OF . . . . . . . . . . . . . . . . . • . . . . . ..TEIrm .4, ThQrups4n . . . . . . . . . . . . . , • , . . , being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) ove named. is the ..Applicant . . . . . . . . . . . . . . . . . . : . . . . . . . : . :. . . . . . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed (lie said work and to make and file this plication; that all staternents contained in tliis'application are true to. the best of his knowledge and belief; and that the Irk wilt be perfonned in the manner set forth in the application filed therewith. porn to before me this . . . . . . . . . . . 15 . . . . . .day or. . E j :R .� �R, 19CI6 n71Li.1 blic. . . . . .�F ot~ . . C ountyty \ . . . .. . . SUSAN E.LONG- (Signature of applicant) Notary Public.State of New York. No.01 L04958343 Qualified In Suffolk County a [17 i ��CTu1t_,t5 L- 1 V✓ x fo L (O Cr�L�R►-iiz� Tv3� ���4M.c�J Doua LE�:- CSuTaL. H E-E . L- NE-A 1 tiL TR� �.-;s Co ` © . C. , ` 'bc/ r- At-IS o c' II 10 I RORERT SILMAN ASSOCIATES, RC® CONSULTING ENGINEERS (21UNIVERSITY )620 R970 PLACE,NEW YORK,NEW YORK 10003 FAX(2112)r620-8157 11 December 1997 Mr. Gary Fish --- _ Town of Southold { Department of Buildings `Li DEC I Z n1997 Main Road Southold, NY 11971 z' �—� Bl_ I DEFT G TOWN 0O _§ U7 HOLD Re: Lane Lodge Robbins Island, NY Dear Mr. Fish: We are the structural design engineers for the above-captioned project. To the best of our knowledge, we designed the house to comply with the New York State Building Code. In addition, we visited the site on five different occasions during construction and during each trip found the framing that we observed to be as shown on the structural drawings or as indicated on construction sketches issued by this office. For the record, we will be sending a set of as- built structural documents, signed and sealed, to your office early next week. I trust that this meets with your satisfaction and will assist in the final inspection of the Lane Lodge. Sincerely, ROB SILMAN ASSOCIATES, PCei Na Opp mer of h9E6�ge Ass `ciat �� SIL i F. 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