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Home My WebLink About36706-Z TOWN OF SOUTHOLD dSUFFot,��° BUILDING DEPARTMENT ��O G 0 ' TOWN CLERK'S OFFICE oy SOUTHOLD, NY . BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 36706 Date: 9/22/2011 Permission is hereby granted to: JOAN MILES 10908 8th AVENUE APT. B-3 RICHMOND HILLS, NY 11418 To: BUILD AN ADDITION ON EXISTING DWELLING r REPLACES EXPIRED BUILDING #PERMIT #7962Z N &,Aj t-,I At premises located at: 615 SHORE DRIVE SCTM # 473889 Sec/Block/Lot# 47.-2-17 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 9/15/2013. Fees: PERMIT RENEWAL $7.50 CO -ADDITION TO DWELLING $50.00 Total: $57.50 Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .......................... o r�'y�........ d...... .. ill® 7962 Z Permission is hereby granted to: cN� i riu3, . .................................................. �.�.mf j. ......�L! 1T..� ....................................... .............. 1.377............... to . ............................................................... ................................................................................................................................................................ at premises located at . A ..2..c�z.�..�c ..... .ra i? .0�': �a i'• ;.......y................................................. ...................................................... 1 '�. f�...il;r: ,zTF.?......... ,).or. ..... .l.,.!... .............................. ................................................................................................................................................................. pursuant to application dated .....................jJ-n r.....1.3................... 19...7.j., and approved by the Building Inspector. Fee $1.5tk.QQ............ Building Inspector F�� 09/19/2011 14:40 7656641 BOARD OF TRUSTEES PAGE 01 Form No.6 TOWN OF SOU BOLD. BUILD-ING Dri PARTMENT .-' •`�, / TOWN HALL �D 76S-1802 APPLICATION ION FOR M- TIFZCATE OF OCCUPAINCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new-use: 1. Final survey of property with accurate-location of all buildings,property lines,streets,and unusual natural or topographic features_ 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 Fvxrtt). 3•, Approval of electrical installation from Board of Fire Underwriters. 4. 'Sworn statement from plumber certifying that the solder used Jn system contains less than 2/10 of 1% lead. 5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate of Code Compliaficc-frozi architect or engineer responsible for the building. .6. Submit Planning Board Approval Of completed site plaza requirements. B. For existing buildings(prior to April 9,19$7)6on-conform-W9 uses,or buildings and"Pre-existing"land uses: L Accurate survey of property showing all property lines,streets,buUdirrg and unusual zrattrra!or topographic features. 2. A prOpmiY epmpletcd application and epnegnt to inspect signed-by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00, Businesses$50.00, 2. Certificate of Occupancy on.Pre-,existing Building- $100.00 3. Copy of Certificate of.OccuPaxicy-$.25 4. Updated Certificate ofOccupahcy- $50.00 • 5. Ternporary Ccttihcate Of ccupancy-Residential $15.00;Commercial$15.00 Date. (9 t"0 k l New Construction: ;J r p,�� " �y. t Old orPre-existing Building. `mow eAkIt (ch e .. Locatiov of Property: 0 Kv House No. Street Hamlet Owner or Owners of property. �t Q ( 1 It S Suffolk County Tax Map No 1000, Section_ �_ Block Lot Subdivisloi n Filed Map. Lot: Permit No. Date of Permit. _o2 o-) Applicant: _ Health Dept.Approval: Underwriters Approval; T' Planning Board Approval: Request for: Temporary Certificate Final-Certificate: _ (cheek one) Fee Submitted: $ � t +Applicaijt Signature �j 70�`� o��OF SOGryo! h co TOWN OF S OLD BOIL ING DEPT. 765�1602 1 NSPE FTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRIC (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: r n� DATE / INSPECTOR ,q IV Y. 1003)(. low- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 'SOUTHOLD, N. Y. Application No. ! ........................... Examined ...... � ......; Approved .............. .............I........ ., 19 2 s.. Permit No. .L../.�z .......... Disapproved:a/c ....... ... ....... . ...... ......................:............................................................. ..... ......... ........ ..... ... ....... ................. ......................... E u ding Inspector) APPLICATION FOR BUILDING PERMIT Date ................�&Y.13...................., 19..75..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 application. 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 issue 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 reEnoval 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 buildings for necessary inspections. ... g* ................................................ :. (Signature of applicant, or name, if a corporation) 47n 3...47t)pl..S r. ®t, .VlWoodside,, ixeens,:.N:..Vie... (Address of applicant) 11377 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................. .............. ................................... ..,................................................................................................ Name of owner of premises .. . J:A............ ... . ............................................................. If applicant is a corporate, nature of duly authorized officer. ........................................................................................ (Name and title of corporate officer) Builder's License No. Plumber's License No. ................................................ Electrician's License No. ............................................ Other Trade's License No. .............................................. qq y3 1. Location of land on which propos d work wi I be done. Map No.: ..... ........., . ........... . mot No.Q`.'. ......:... Streetand Number .......... �►.�F :... ... ... . ..........-..............:................. ...... 6.. .......................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..cU -I.-I...........��2................................................................................ b. Intended use and occupancy ......................................... .... . ... .. .. . . . ..... 3. Nature of work (check which applicable): New Building. .................. Addition ...... ......... Alteration ............,..... Repair .................. Removal .................. Demolition.................... Other Work ................................................ _ (Description) 4. Estimated Cost ........ ...............:..........................Fee ........ 1•��.:. ... .......:..........................:............... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, 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 ........W.............. Rear ........3-V.................. Depth ..... ....... Height ...... ....... Number of Stories .................I................................................................................... •e .. ... Dimensions of some structure with alterations or additions: Front �+6?1............ .................. Rear ........3.4......:........: Depth �.................. Height Number of Stories........32. 8. Dimensions of entire new construction: Front .................................... Rear ....... 6.!............... Depth .......B-1........... Height .................... Number of Stories .................................................................................................... . .............. 9. Size of lot: Front ..............7.5!...................................... Rear ...........7.5!........................... Depth .... JZ5!................... 10. bate of Purchase .........hdyla..J.9.74...................Name of Former Owner ......L..Qgxubene,.......................... 11. Zone or use district in which premises are situated .........................................................................................'............ 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... o............................................... 13. Will lot be regraded .............Nib.......... Will excess fill be re ra ved fro remises: ( ) Yes ( ) No 14. Name of Owner of premises .....,�.r..H...F'.aMa....................... Address QQt�&1C1�,... Name of Architect .............................................................. Address ................................ Phoney No. Narne of Contractor ............................................................ Address ......... ...................... Phone No. .............. 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. STATE OF NEW YORK, i S.S COUNTY OF...... C ....7.?�'.cf�i.. ......................... ... . ....................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract above named. a . Heis the ...........71.................................. ............................ ............................................................................ ........ ... (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 thar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this / 19�.(.... ........................ day ../oZ....... ... ....................... . .., NotaryPublic, . ��; .. . County ................... ........ .............!1... .............:................................ (Signature of applicant) r��te,�p f•'',u^� C. S ki CF P:-Sw YhO, �Yia. Finis) r:A Str 4" County c�5g0 1y0 �G L E . '' �y � do '•;� � � �_ F _ � ®r VV IV GN a Ope q' sr Sov�� 210A� i 4j �. 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