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Home My WebLink About10016-z FOEI~ NO, :~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 1~0016 Z Date ....................................................... 19 ........ Permission is hereby granted to: ........... ................. ~t premises located at ............................................................................................................................ ................................................................................. ~.(..~ .......... ~.~. ........ ?~..1 ................................... pursuant to application dated ........................................................ , ]9 ......... , and approved by the Building Inspector. Fee $ ........................ ~,,~'? 7~" ~'A Building Inspector TOWN nF SOUTHOLO OFFICE rlF BUILDING INSPECTOR !~nLITHOLD, N. Y. 119'71 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPEC'q'OR ']'OWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-t802 January 11~ 1980 Mr. and Mrs. Richard Wall 118 Hampton Road Garden City~ New York Re: BP 100~6Z Issued: November 17, 1978 Applicant: William Jacobs Dear Mr. and Mrs. Wall: Mr. Jacobs informed us he has completed his part of this permi%o The framing was inspected and approved J~nuary 9. Ail further work requires our own inspections° The next inspection will be of the insulation and plumbing before you can cover them° The electric also needs to be speoted ba£ore covering. Call the Underwriter at 765-5~49 between 8:00 and 8:~5 A.M~ for the electrical inspection. Your permit will expire May 17, 1980. If necessary, you may write a request for an extension of six (6) months. If you ~have any questions~ feel ~t~ to contact this office at anytime. Yours truly, GEORGE N. FISNER SR. Building Inspector FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×am,ned... 2~ ~V, VP~ Disapproved o/c .......... ~_ ..,~, ................................ ~: ....................... ............... ........ ................ ~/K....~ ................... .~ ................................... (Building Inspector) Application No. Z.~...0...../....~,. ........... APPLICATION FOR BUILDING PERMIT oo,, ..... ...................... , 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 ofproperty 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 o 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 o 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. (Signature of apl~l~an~,.~r name, if a corporatio~ ........ .~....~ ...................... ~ ................... n/ ........ j.. .:1...~ .............. (Address of ~pplicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · Jf applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........... ~..~.'~....~..... .......................... Plumber's License No ................................................. E ectrician's License No . ,, ~ · ' ........................................... ~-14 Other Trade s License No ............................................... /' ~ / ~ . ~ 1. L°cati°n°flond°nwhichproposedworkwillbezlone.~,-~_ MapNo-:~.JV.-~-~..I...~..~../~.../--.. LotNo. ~....0. N u m be ~.~./...~.....~..~.~ ..~.':''. Stroet and ~ .;:..~ ..'Z. ..................... S~¢..""~' l~' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .............. 3. Nature of work (check which oppllcab[e): New Building~· ........... Addition .................. Altera'/Jon ................ Repair .................. Removal .................. Demolitior ................ ,~/.. Other Work .......................... / ........................ 4. Estimated Cost .~......~...,~ ~ Fee ~ / ~ (DeScription) ' (to be paid on filing this application) 5. If dwelling, number of dwelHng 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: Frant .................... . ............... Rear ............................ Depth ........................ Height .......... Number of Stories .../..~.. ............................................................................................................ 9. Size of lot: Front ............. .~..~../~... ................................. Rear ..... ~..~.. .............................. Depth ..~..~...~...~../..~.: .... 10. Date of Purchase ........ '~..~..7..~. .................................... Nar~:~ of Former Owner ...... ....~....~....~...'. ................................ 11. Zone or use district in which premises are situated ........ .~..-..~..f.~..~..~..'~.,~: ............................................................ 12. Does proposed construction vio~te any zoning law, ordinqnce or regulation: ........................................................ 13. Will lot be regraded . .................... : ...... Will excess fill be removed from pre_rnises: ( ) YeA ( No 14. Name of Owner of premises .~L-~......(~.....i~...ff, .............. Address ../~f..,~'-~......~...'t"..I.~...~..:../..~.....'~/~.?l~F~one No ....................... Name of Architect ............................................................ Address ............................... Phone No ....................... Name of Contractor ...... .'..~../~:~..~)..-~..'~..,f..~..~.: ...... Address~..~..?....~...~..~..~..~/~one No.~...~....~..~}...~...~:.?. U tJPLOT DIAGRAM Locate dearly 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, ~ ¢ ¢ COUi~T¥,QF ................................ ........ ....... .............................. bei0g duly sworn, deposes and says that he is the applicant '(Name of individual signing contrac0 above named. ~~c. the ..................................................... C Z.. .................................................................... (Contractor, agent, corpo of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that oll statements contained in fhis application ore 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 '~'~'~'/~ day of ............................................ , 19 ........ ........................ ,.,.--. Natary Public, . ................................................... County ......................................................... LOT NOTIfy BUiLDiNG DEPARTMENT AT ~D INSPEcT~ONS: FRAMING ~NSPEcTION ~INAL ~H~N, JOB COMPLETED NO~ ~SPONSI~LE POR DESIGN OR CONSTRUCTION ALL COnSTrUCTion, ~MUST ~QUIR~M~ ~?~. CODE Olv' /-'? L' Z.L