HomeMy WebLinkAbout24625-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.....FEBRUARY........2........................... 19...
24625 Z
Permission Is hereby granted to:
R, DESRAULT(A/.0 K I TANOF,)
.. .,.
...N....I.WALNUT S. ............................................
......................
.........MASSAPEQUAaNX...117,5e ..................................
to .....EOUNDAT,I ON„FOR..A..SINGLE T.L.X..PWFF ,.L.T.N��......................................................
......................................................................:...........................................................................................
............... . ..............................I................... ..........................................................................................
.........................................................................................................................................................
..................................................................................................................................................................
at premises located at....14750...............SOUND VIEW AVE. SOUTHOLD
.............................................................................
............. ...................................................................................................tp................I..........................
County Tax Map No. ....473889..... Section ...050............. Block ...- :....... Lot No. ...............
pursuant to application dated ....DECEMBER 97...., and approved by the
.....22.......................... 19......
Building Inspector.
Fee$........75.0.......
J7/ ti
... ... ..... ........
Buildi Inspector
Rev. 6/30/80
O��S�fFO��coG
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Town Hall,53095 Main Road cz Fax(516)765-1823
P.O.Box 1179 COD Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 3, 1999
Mr. & Mrs . Richard Desrault
90 N. Walnut Street
N. Massapequa, N.Y. 11758
Re: Building Permit #24625-Z
Premises : 14750 Soundview Ave. Southold, N.Y.
Suff. Co. Tax Map #1000-50-6-3
Dear Mr. & Mrs . Desrault:
Please be advised that the above building permit dated Feb.
2, 1998 for a foundation has expired.
According to the Code of the Town of Southold, A building
permit expires in 18 months from date of issue, but work must
begin within a 12 month period or the building permit becomes
void. We have voided out this permit. When you are ready to
start construction, please resubmit the application, and new
building permit will be issued.
If you have any questions regarding this matter, please do
not hesitate to contact this office.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
&11-e�
Edward Forre to ,
Director of C e Enforcement
EF:gar
IMS
v
BOARD OF HEALTH . :,/ . . . . �:f• , ,
D FORM NO. 1 3 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . .
DEC BUILDING DEPARTMENT CHECK :. .�.�.�.9L -
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
BLDG.DEPT. iN. TEL: 765-1802 NOTIFY:
T WN F S UTHf?l.0
CALL . .0 • . . . .. ...
Examined.....�::d-...., 19.1d MAIL TO: ��Cl �.�.�.� �J/.�'.1:':
Approved......: ...., 19� Permit No.c� �5..... .. ^^1��.,,..... .!✓.... .. .T:...... .
Disapproveda/c .... ... . ................•-
...................................................... 1/7,57
li<ai i In tor
( )
v
APPLICATION FOR BUILDING PERMIT
Date. . 2 247 . . . . . . . 19.7''7.
INSTRUCTIONS
a. Ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wit:
3 5ets 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
,,,. treets 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 co nienced 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 througiout 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 HERM 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 bu' ing for necespec
• • • ' • • • • .
(Signature of applicant, or name, if a corporation)
(Mailing address of �pplicant)
State whether applicant isr, lessee, agent, chitect, engineer, general contractor, electrician, plumber or builder.
........( 1 J�.......`........� ?i2A c� ............................................. ....... ..........
Name of owner of premises ... :�t ... j`�.. .......... .............. ....
(as on the tax roll or latest deed) .��' �
If applicant is a corporation, signature of duly authorized officer. NO
.........................................................
FO
76E-t=*
(Nam and title of corporate officer) _ A
•--- �. Rai' • ��
Builders License No. ...................... 3. 1
Plumbers License No. .............`........... 4. FINAi. • ��
BE lW !
Electricians License No. ..................... ALL Ct)1!1
Other Trade's License No. THE REQt1MEMEWS OP 10 M.
STATE C0140TRUCifQlil A 60W
1. Location of land on which proposed work will be done........................CS Q US.-NOT .NES� s...
DE R �b
.....�Y�:5'b........ .is �Yi. i✓...�' ... 'f�? .�. ..E. -? 1.................
,..
House Nuaber Street �• Hamlet
County Tax Map No. 1000 . Section ....�...... Block .......�....... Lot ....®
un ....
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 ...VA..0 tk d.....................................:.........:..............
b. Intended use and occupancy : .�. ..... ............................
1 ,;
3. Mature of work (check whidh applicable): New Building .......... Addition ......... Alteration .........
Repair ............ Removal ............. Demolition ............ Other Work .....,.Y
4. Estih�ted Cost ..--,�/ / .�.... fee .............................
...,,
(to be paid on filing this a iII cot i'6n) ; - -
5. If dwelling, nurber of dwelling units ..... ..... ilurber of okaelling units on each floor .....
If garage, number of cars ......:�Lj 0.......................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
i
7. Dimensions of existing structures, if any: Front........ ..... Rear ......:'..... Depth .................
lleight Number of Stories ....0tv .........
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Ileiglht .................... Numiher of Stories .. i
8. Dimensions of entire new construction: Front ...7.V........ Rear ....7.1- ...... Depth .. Z';�.....
]]eight ........... ............ Number of Stories .,,rl}M� .......... ..
9_ Size of lot: Runt ....�Z. P.�...... . Rear ..O�. S t 9`6. ..--- Depth ...
10. Date of P urdhase ..�? fit !!O --:� Name of Fonmr Owner .............
11. Zone or use district in which premises are situated ........................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................
13. Will lot be regraded ....Y �........... Will excess fill be removed from premises: YGS
1i/ iJ.K1 �br- `t�I-2/ 2 AM .sue r'1
ih. Names of Owner of premises ..... ..... \l ) /
pre i !�: Address ( 2/.�L.. .I�,l'� "_ ,,, Phone No.
� CIDo�
Name of Architect .................................... Address .............................. Phone No. ..............
Name of Contractor .......:.:......................... Address ............ ...........Phone No. ..............
15. Is this property within 300 feet of a tidal wetland? * YES .......... N3 ..........
*IF YES, SMII D MM TMISITLS PERMIT MAY BE MGJIR[-_
PLOT DIAGRAM
Incate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
firrnh property lines. Give street and block number or description according to deed, and show street names and indicate
Mhether interior or corner lot.
E� r'
<$ q
-- ME
;;? -?�l.a': .....�..........being duly sworn, deposes and says that he is the applicant'
(Na���S.Eii '�tu1���i:i� ��c�ntiracl+);i•
aboORI "s0 M°fr ATWOa8 7;01,'i
24.0ii
11e inomi ;,,1 �g Fn/,ira r 2....`.i ..............( ..............................................
(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 statenents contained in this application are tnhe to the best of his knowledge and.bel.ief; arxl
that the work will. be performed in the rrranner set forth in the application filed therewith.
Sworn to before me this
.....a,o?n d .....day of .)CA'e—:........19..q ..
�I
Notary Public •PLB-�...........
LINDAJ.COOPER (Signature-of-Appli.cant).............
Notary Public,State of€ ow York
Il;o. &22563,Suffolk County
Term Expires December 81,19
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` THIS SURVEY /vAS I�REPARED /N ACCORDANCE W/7H THE EXISTING CODE OF PRACTICE FOR ND SURVEYS ADOPTED BY THE NEW YORM S7ATE ASSOCIATION OF PR FESS/DNA ,W e y
LAND SURVEYORS. L Q W a w W
UNAUTNORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A V/OLAT/ON OF SECT/ON 720 OF THE NEW YORK S74TE EDUCATION LAW. COPIES OF TN/S SURVEY MAP 7 BEAR/N6�HE s O �7
v LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SNAGL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERT/FICAT/DNS INDICATED HEREON SHALL RUN J 70 TH PERSON Liu <a ` V �4 Q L~ CC
FOR WHOM THE SURVEY IS PREPARED AND ON MIS SENALF TO r.VET/7LE COMPANY, GOVERNMENTAL 46ENCY AND LEND/NC/NST/TUT/ONL/STEO HEREON,AND,TO N SSIGNEES OF-TH > �� Lu
LENI/NG INSTITUTIONS. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADD/T/ONAL /NST/T(/TIONS OR SUBSEQUENT OWNERS. C7 �-- cr�'K � LL] (�
Q THE OFFSETS OR DIMENSIONS SHOWN FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTEND D TOG IDE' THE C�- , = 0 W�
Cc
ERECTION OFFENCES, RETAINING WALLS,POOLS, PATIOS, PLANTING AREAS, AOD/T/ON TO BUILDINGS AND Y OTHER CONSTRI/C ION. U = CC Q�
THE EXISTENCE OF RIfMT OF WAYS AND OF EASEMENTS OF RECORD, IF ANV, NOT S//OWN ARE NOT GUARfmflioI Q_' Q lJ -Y r�^ �cc � CA) LLJ
W SEPTIC TANK,,CESSPOOL AND WATER SERVICE LOCATIONS BY OTHERS.rOFFSETS ANO D/MEiNS/ONS TO CONCRETE FOuNDAT/ONS• - U
�•_- SAND SHOWN ON TESTHOLE LOG DOES NOT NECE9SAR/LV MEET THE PERMEABILITY REQUIREMENTS OFTHE SUFFOLK COUNTY HEALTH DEPARTMENT. 1 `,S Q
®ASSUMED DATUM `�