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Home My WebLink About10894-z 2 ~, ~, BUILDING TOWN ~HALI~ ~ SOUTHOLD, N,. Y. BUILDIHG P'EPU~ JT (THIS PERM T MUST BE KEPT Oix( 5Hi~ PgE~IS~S UNTIL COMPLETION OF THE WORK AUTHi~RIZED) i} N? 10~94 ~Z Permission s hereby grodted to: , :, ~ · ?...- ................. ~o ....................................................................................... '" ....... ~' ................ ~ ........................................ at premises iocoteo ot ,.,~ ..........................................t ....... ?~;,,I,,..~;. ................ ~,.t ..................................... ................................... ~ ......................................... ~ ........ ~"~': ""~' ~ ........ U ..... ? ................ ............... C0UnW Tax Map No 1000 Sect on .......... ~ ........ BI~.~,,~.~.,{:....; ..... ~Lot N~ ......................... ~ ' , , ], . , ' . .,, V~::~:~ 19~'~, ,nS approv~ by the parsuant to oppdcation ~aaTea ......................... ,. ~ .......... · ,.,-:?., ..... Bbild~ng Inspector. - InspeCtor THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equ ~pment ~ described below and introduced by t& ~pplica~t ~amed on the able appEication ~umber in the premises of in the following location; [] Basement ,~c~..~edo. ~4~y 19~, !981 FIXTURE OUTLETS SWITCHES t~3 41 22 13 [] 1st lei. '~J 2nd FI. Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURES OVENS DISH WASHERS EXHAUST FANS DRYERS MOTORS FUTURE APPLIANCE FEEDERS SERVICE DISCONNECT S E R V I C E ?~'ff I W G 'I NO OF 'lL~O I A W 0 INO O~UTRALS NO O COND OF ~C COND OF HI LEG AWG OF NEUTRAL 2 Th~s cerhficate must not be altered in any manner; return to the office of the Board if GENIq~AL MANAGER 11 P~,t'_ may be idenhfled by their credentials. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 August 5, 1980 TEL. 765-1802 Mr. & Mrs. Leo Valentini 405 West Kennedy Street, Jupiter, Florida 33458 Dear Mr. & Mrs. Valentini: I received your Application for a Building Permit and Check #2410 for $37.~0. (The correct fee for the 26 X 48 Dwelling). Before we can issue a permit we must have the County Health Departments approval of your proposed water and septic system. We will need the following: 1) Drawings in triplicate of the foundation and cross section of the construction. 2) Calculation and information on the design to meet the New York State Energy Code. This is to be done by a New York Licensed Architect or Engineer. 3) Approval of your Sub-Division from the Planning Board. I understand you have started the procedure and I feel there should be no problems. Yours truly, George H. Fisher Senior Bldg. Inspector GHF: jd 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180:3 E×amined ........... Approved ........... ?.,~'19 (2~;~it No ............ Disapproved a/c ......... ;) .......................... ................ . .... ........_ ... ........ (Building Inspector) APPLICATION FOR BOILDING PERMIT Application No.. ( ?..&.?.t( ........ 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 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 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 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 inspec, tions. /q ~, ~ · . .~ .~:~:~ .............. (Sig!kature o,f lpplicant, or name, if a corporation) (Mailing address of applicant) [ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................................................................. Name of owner of premises .. .~.[J~ ~9.. L,&-'A/.T/~./ .... .'~... .~.-. ......................... (as on the tax roll or latest deed) If applicant is a~corporation, signature of duly authorized officer. · ' ' i~a~e and title of corpora Plumber's License No....~..2 .-7....~.. ......... Electrician's License No. ¢~./.'.'q. ~C ......... Other Trade's License No ..................... Location of land on which proposed work will be done .................................................. .... ................ . ......... .. ~ z'~ ."' ,S .................. House Number Street Hamlet County Tax Map No. 1000 Section ' .~J-f/L.=? .'f7.. ~. ..... Block .................. Lot..~, .............. ........ Filed Map No ............... Lot ............... Subdivision ..... -.'.~{~ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy .... , ....... ~*'~'q~"l' ...... l/Z} .~L0'~fl, ka,~/~xd.-~ ,.:.. ........... b. Intended use and occupancy .~41.~..&t4,~/}. .~..~t~ .......... ~..'7.~?... .................. , ! . ~ 3. ~ Nature Of work (check which applicable): New Building ..... Addition .......... Alteration .......... Repair .............. Removal ............ Demolition Other Work .~..,~) 0. Ot0 .~..~ ~ (Description) 4. Estimated Cost ...................................... .... .). Q. Fee ........ (to be paid on filing this applica__tion) 5. If dwelling, number of dwelling units ..... /. ........ Number of dwelling units on each floort0/~. If ~ arage, number of cars ..... i .................... : ............................ ;nT~ .............. 6. If 1 usiness, commercial or mixed, occupancy, specify n~ture and extent of each type of use ..... _~t/,~....~ ........... 7. Di~ ~ensions ol;/~xisting stmcturei, if any: Front.....r~/0/~/'~-. ..... Rear .~. att(~. ...... Depth.. ~$/~.d4'..,~'. ..... He: ght .. t~./~. ....... Number of Stories.../V/~. ............. ,I .................. ,t ............. Dir lensions oi~ s~tme structure with alterations Or additions: Front ... ~F'/./~' ......... Rear ../l/~.t~. ........... De th ~/t~- ....~/r, ............. Height . .~//.~. ..... ~ . . . Number o£Storie~. /~/t~.: . .~ .~ . . "~ s' s n' ' J~ -,s ...... · "/.V" T ...... 8. Dtr en ion! .~tf9 tire new construction: Front...:a*:4~.~ ..... t~: ~ Rear...~ ......... Depth ~,~. .......... Hei ,hr ./~t~ ....... ~,.~.N_u. lin}et· o~Stones.. ~/'~... l[/.~ ......................................... 9. Siz, of lot: Front ~,~.J~..~,[/~.~./.~,, ..... Rear ...................... ~li)epl;h ... ,'l..,..., .... , ..... 1,1. Zc ~e or use district in ~,.n)cil,~remises are situated ....... /.'/.-: ~.. .......... . ~ ...................... l~l.... 12. Dc es proposed c,on~¢~t/e, tio. n~violate any zoning law, ordinance or regulation: ./~/.O. ......................... ~.~ 13. Wi 1 lot' be regraded ... ~.(~,. I ......... -.,{ ....... , Will ~x~egs fill he, remp_ved from. ~ramia~,s: ,, Yea 14. Na me of Owner of prllmises ~.~.Lt ~[ .V~./~a/~'~e~s,n ./~..".,.,~.~.~.~-,/~,-~. ~ .-~,~.~ · ?;/~-. ~./~,~ Na ne of Architect /~/~P..~/fA/..(f~O ............ Addres~r~.~./.t~t///.~/it.,.. Phone No..I,,~]~.'. ~°J~.~r~ ' Na ne of Contractor . .~.~.L..~.: ................. Addresi.. [....../.' .......... Phone,No ................ PLOT DIAGRAM Loc tte clearly and distinctly all!buildings, whether existing or proposed, and. indicate all set-back dimensions from propertl, hnes. Give street and block mmber or description according to deed, and show street names and indicate whether interior or corner lot. STATI COUN above He is t of sale applic~ work x Sworn Notar ) ,t rY OF .... S.S . · ~../-~./. 1./[. ·L-;' ......... ./-. ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) amed. ~ (Contractor, agent, corl~o~ate office/, etc.) owner or,owners, ~d is d~ly authorized to perform or Mve perfo~ed the said work and to m~e ~d file this tion; that ~11 ~tatements contaned ~ this application are ~pe te the best'of his knowledge and belief; and that ~e ,ill be perfo~ed in the m~ffer set for~ ~ the application filed therewith. ~ to before me this ' '~ ~ ... ....... of ............ , , Public, . ~.~~;~~,.x.' ...... Cou.n~.: ~/~ ~ No. 52-0028880 ,.. ~. '; ~, ', ',: ~,?' ~ '-'~* ........... Qual~ied in guflolk Cou~. (Signature of app]ic~t) T~m expi~e~ ,Ma~ch 30. 19~/ I .I ~k