The URL can be used to link to this page

Home My WebLink About23483-Z l/ FOSS[ NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL l SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) © 23483 Z Date ..... ... .., ......................................... 19 Permission is hereby ranted to- ... wa ., t ........ ... .... ............................ 12 G� to ...... ........ .. .. .......... ......... . ..... ............................... oe atpremises located at ...... .. ... ....... .. n—o .r............................................................ ...........................................................�.... ................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ......./.T..*...... Block .........�...... Lot No. .....�. ............. pursuant to application dated ....... ................................ ............. 19.wand approved by the ................. Building Inspector. , Fee $... �/ Rev. 6/30/80 N V f2 i�-N BOARD ' OF HEALTH . . . . . . . . . Lj 15 FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY _ . . . . . . . . . . MAY 1019% � BUILDING DEPARTMENT CHECK . . . . . . . . _ . . . . . . . . . TOWN HALL SEPTIC FORK . . . . . . . . . . . . . gLDG.DEP'i' SOUTHOLD, N.Y. 11971 3� TOWN OF SO OLD TEL.: 765-1802 hac I FY ,- CALL Examined t•tA I L T � / G � /fo�O�j.�%ye• Approved . . . . . . . ., 19,0'Permit No"—3 L . . . . . . . . . . . . . . .. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . (Bu' ing I pector) APPLICATION FOR BUILDING PERMIT nn Date U. . . . . . . ., 19 J� 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 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 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, .building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for ne �Inspect.ions... (Signature of applica , or name, if a corporation) . . . . . . . . . . ./�w// All (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . .". .�. /1 { . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . . . . . . . . . . . . . . . . . . . . , . . . . . . . :... . . . . . Name of owner of premises . . . . -- . //1/IS . . . . . . . . . . . . . . . . . . . . . . (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 License No. . . . . . . . . . . . . . . . . . . . .. . . . . . Plumber's License No. . . . . . Electrician's License No. Other Trade's License No. ... . . . . . . . . . . . . ... . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 1 . . . . . . . . . . . . . . . . . . . . . . .:. . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . : .�'7 .�. . . . . . . . . Block . �. . . . . . : Lot . .0. . . ... . . . . . . . . Subdivision . . . . . . . . . . . . . . . ... . . . . . . . .'. Filed Map No. . . . . . . . . . . . . . . . Lot . . . . . . . . . . . (Name) 2-. State existing use and occupancy of premises and intended use and occupancy,..W'proposed`construction: a. Existing use and occupancy : . . . . . ... . . . . . . . . . . . . . . . . . .. .. .'iii . . . . . . . . . . . . . . . b. Intended use and occupancy . . Y . . �-Q. � OZ� G . . avljla�awe): New iSuiluing . . . . . ?! . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . Other Work'.- , ;(Description) 4. Estimated CostU: . . . . . . . . . . . . . . . Fee -.. _.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing,-this.applicaaion) 5. If dwelling, number of-dwelling units . .. Number of dwelling units on eacli floor . .:. . . : . . . . . . . . . . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of•eaclt type use,.^a; ?; 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 of Stories . . . .S. Dimensions of entire new construction: Front . . . . . Rear . . .1.0P- 1 . . . , • Depth .Height . . . .. . . . . . . . . . . . Number of Stories .. . . . ... . . 9. Size of lot: Front Rear. DP. . .`./.'^. . . .q.�. . . . . . . . . . . . . . 10. Date of Purchase (P 24.j.� . , • , , , , , , Name of Former Owner . .. . . T"�'.1. , ,-!"l ; O(1p�!•G. 11. Zone or use district in which premises are situated . . . . ... ... . . . . . . . . . . . . .. 12.. Does proposed construction violate any zoning law, ordinance or regulation: . 1.3. Will lot be regraded Will excess fil be removed fr )n�p��mises: Yes N 14. Name of Owner of premise Yl��/ 14�? nl�ddress D. h Yl /�?�e.� iKe No. �` Name of Architect . . . . . . . . . . . . . . . . . . . . . ... . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. Name 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 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 description according to deed, and show street names and indicate whether interior or corner lot. Old Vn APPIR01 0 AS NOTED 4 EE BY: NOTIFY BUILDING DEPART 765-1802 9.All TO 4 PM R THE' FOLLOWING INSPECTIONS, T, FOUNDATION - TOAD REQUIRED :FOR POURED-CONCRETE ' 2. ROUGH - FRAMING & PLUMBING S. INSULATION 4. FINAI,- •- CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION S14ALL RMEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DES&GN OR CONSTRUCTION'ERRORS STATE OF NEW Y COUNTY OF . . . .. .. . .S.S • . . . . . . . . being duly sworn, deposes and says'that lie is the applicant (Name of individual signing contract) above named. sae is the . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . (Contractor, agent, corporate officer, etc.) )f 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 •vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this �0. . day y,.19 � � Jotary Public, . , - t`r ROBERT1. SCOTT,J " " " " " " NOTARY PUBLIC.Stat f N.Y. (Signature of applicant) - No.4725089.Suffolk ou� Term Expires May 31. 19 pF SOUTyoI 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 G • Telephone(631)765-1802 Southold,New York 1 1 97 1-0959 �ycOUNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD December 13th, 2006 Gary Ennis 30 Horton Avenue Mattituck,N.Y. 11952 RE: 30 Horton Ave. (shed) SCTM# 1412 9 Dear Mr. Ennis, Please be advised that your Building Permit#23483 issued June 6th, 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.