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Home My WebLink About8748-z /OBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P1~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) $?z]8 Z ~t~ ...................... ~ .......... ~3 .......... , 1~..~. Permission is hereby granted to: ..~....]~ata~ ................................................ ............ · ~l~te~..~MI; ............. aa~t.t.tuek at premises located at .....~'.~l~,~l~..~g~ ................................................................................... ~attltuek pursuant to application dated ......... ~ ....... ~.~. ....... ~ ................. , 19...~.~., and approved by the Building Inspector. Fee $.!~.OQ ........... THE NEW 10~314 Date JU~]~ eB, 199~ THIS CERTIFIES THAT YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10033 Application No. on file _~1~9 ..... H 4551~4 PAGE 1 onll the electrical equipment as described below and introduced b~y the applicant named on the above application number is in the premtses of BRICK c-'OVE I~RINA.. SAGE BLVD. GP]~EN; .P-~. NY tn the following location; [] Basement [] 1st Fl. [] 2nd Fl. QUT Section Block Lot was examined on ~AY 28 199E and found to be itt compliance wzth the National Electrical Code. FIXTURE SWITCHES OUTLETS DRYERS FURNACE MOTORS FIXTURES RANGES COOKING DECKS OVENS FLUORESCENT OTHER DISH WASHERS EXHAUST FANS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO OF FEET DIMMERS SERVICE DISCONNECT S E R V I C E NO OF CCCOND A W G A W G NO OFNEUTRALS A W G PER (B O~= CC COND NO OF HI-LEG OF HI-LEG OF NEUTRAL OTHER APPARATUS ~;II~iING POOL-i COHPLETE NEW RE-BOUNDXNG- OF-1 PC~,L ~REA-1 *NO ¥ISUAL DEFECTS: "An electrical survey has b~en made of th~ exgosa~ ~lectrxcal e_auxpmen% xn the premises ~nd~cated." "No obvious unsatl~fact¢~? cond~51en wa~ found. ~ Continued on Page GENERAL MANAGER Per- -- COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER THE NEW YORK BOARD OF FIRE UNDERWRITERS 2 I~t4 BUREAU OF ELECTRICITY ~- 40 FULTON STREET, NEW YORK, NY 10038 Date JUkE; 03 ,.i. 998 AFplicatton No. o, file ~.;~1 .... 8, 98 N 45510,1 THIS CERTIFIES THAT only the electrtcaLequipme~nt~s de~cJJb~d b~[ow and mtroduced by the apphcant named on the above applicatton number ts tn the premtses of BRICK COVE ][rq~INA~ SAGE BLVD., GREENPORT, ~ in the followtng location; [] Basement [] 1st F1 [] 2nd Fl. OUT Section Block Lot was examined on '}'I~'¥ '''''~ ' t9~C? and found to be in compliance with the National Electrtcal Code. FIXTURE FIXTURES RANGES i COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORESCENT DRYERS FURl FUTURE APPLIANCE FEEDERS SPEClALREC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS NO OF CC COND PER ~ AWG OF CC COND E A W G NO NEUTRALS A W G OF HI LEG OF OF NEUTRAL BOX 15 ,ST!LLWATER A~. .... ~.-,-.,-?~ ~.-~.--, ~_ .... ~' GENERAL MANAGER s certificate must not be altered ~n any manner, return to the office of the Board ~f incorrect Inspectors may be ~dentifled by their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER Examined ....... .~...~...~.. .... 19..?...~.. Permit No. BUILDING DEPARTMENT ~. /% ~-.... j.. ~ _ ~._.~ · ~ TOWN CLERK'S OFFICE ~-~'-'~'-/'~-'"""'"~'~ ~/~-'~ -~ ~OUTHOLD, N.Y. ~/~' __ ~or/?t,?~ ~ App ica ion No ................................. ~ .... I' Disapproved o/.~ .....~.....~ ....... (Building Inspector) APPLIf:ATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 adjoinino premises or public streets o~ areas, and giving a detailed description of layout ofproparty must be drawn on the diagrbm wh-ic'h is part of t'his apolicatJon 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 opp cant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be eccupied 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 buildings for necessary inspections. ......... i~i'~;;~ure,6f applic~;t, or name, if a'~'g~'~ii~gi ........ (Address of applicant) //¢,T...,~ "~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~.~.~<.~./~.~...~.~...Z~.~.....'~... ...................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ ~ ..... Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... ~' 1. Location of land on which proposed work will be done. Map No.: ........................................ ~ Lot No...[.[... ................ Street and Number ..-~.~....~...~.....~.~.T,L~.~J..~...OfL.....~..~.:. ................................ ,~. e~/..~./....~.y....c~...~..-- Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ..... . L:., _ a. Exisiting use and occupancy ¢ .~. ~ ...................................... b. Intended use and occupancy .....~....~...~.x~..Z~.../'~..~......~...O..~./~. ~ 3. Nature of work (check which applicable): New Building,. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ,.,.~.....~,.?~9./~.~ ........ ,.~ .~.6'.~...~...., (Description) 4. Estimated Cost ............. ~...~...~ ............................. Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, 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 ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ................... , ................ Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10~ Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly oil 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. ~ Todvc~e V STATE OF NEW YORK, tS S COUNTY OF ........ J~l~J~ ....... f ' .................................... J~.~i,~l~"JJJJ~ .......................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named. He is the ..................................................... ~Ml~e~. ............................................................................................................... (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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .............. ................................ ~Notary Public, . ............................ ~I/~leO~ ...... County ..-~.~,~,~..~-~g,,'~,~,,.~..-.'" ,IAd,'~,'~'~,.'**'¢~.,~. (Signature or applicant) ............................. r,./ [LIZABETH ANN NEVILL~ Yor~k NOTARY PUBLIC, State o! New or No. 52-8t25850. Suffol~ TOWN OF SOUTHOLD Building Inspector's Office ~ ~'Y~'R~ Town Clerk Building '//7/ ~"'Southold, N.Y. 765-2660