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Home My WebLink About10658-z +J QJ QJ '" .-; 0 ..<:: ~ "" 0 ,.'i1 0 ." :I1 +J ..<:: {j OJ QJ " ." ~ '" 0 QJ 0 ." QJ ~ ..... ..<:: +J .-; +J '" '" "" '" 0 to +J +J g. 0 +J '" ~ ." 0: ." 0 ..... ~ ~ '" "" Q) +J ~ ;:> Q) ." !:4 ,,~ . 0 Q) OJ ..<:: +J OJ N >..< '" '" +J ,.. 0: N H ~ +J ;:> Q) H '" 1'1 0 tn 0 "" 0 0 ~ ~ >..< 0: to 0 .0: .0: +J ." '" OJ .0: 0 ~ H '" .... OJ ." Z Z Q) 0 E-i+J N .-; +J ..<:: Z "" t; !1j ~ ~ ." 0: +0 8 ". E-i OJ ~ N Q) Z 0: ~ ~ t1 ..... fij ..<:: "- Q~H +J -'< 0 H ...:i . ~ OJ 0 ,.. ~ ,.. ." OJ o tn >< 0 0 ." ..<:: - ~ " \!1 ~ 0:.-; . u .-I 0 "" 6< " .,.. 8 -..,,........j Z U Q) '" to 0:1 Z 0 '" Q) ~ 0"''''''' 0 +J 8 " 0: to Q) ,.. 0: 0 o ~ rl::r: .. '" .. g. 0 '" ,.. 0 <>: ~ 6 ,~; Z tf.I o.r-! "d r:. Q ." ..... "" ~ ;:>0:'-; 0 ~ :;: +J QJ ~ ~ ~ r:. '" 0:1 " 0 to '" . ..<:: >< o z 0"<:: ~ 0 '" 0 r-- '" +J 0 ~ !-"-IQ.)E-t+J g' <>: ..... QJ .... ..... QJ " E-i ~ r:. ~Q'" ;:> .-; .-; +J "" '" H >..<+J 0 ." ~ ." ~ ...:i '" 0 g< !5:J ~ OH OJ H '" r:. 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Q) u ..<:: ~ N I'< '" " 't1 4-; Q) .-; ~ " +J r:. i>1 u 5 ~ 0: .-; ." fIJ 0 fIJ Q) r:. @ a; 0 0 0 'ri " '" ,.. fIJ ..<:: 4-; ~ t;; Z >..< u <J) u 4-; 0:1 " "" ." I'< 0 P <>: ! . FORM NO. 2 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, 1'01, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 10658 Z Mf\y /;;).. flo Date .....................................................,.., 19......" Permission is hereby granted to: ........$..!..f.~!:.!?!..........~.?!.P....F~. !fA,., .......,. .......................H/.J.!.Y..........7?q~.l?.....,',.,.......,. Elts;-( M.AR(\:)7'-.1 ..............................................................................,. to ......... .75.. v..!. bj?........... .f.1........... c. fl..!..M. ./':;(.. s.. '1........................................................................ .. ............................................................................................................................................................... at premises located at ........./~.;?:.'?~..............((!.1I..4I.1..Y............7!!.q.I!::J?.......:?:.7.................... f1)} TlI T uc is:.. ........................................................................................................... .................................................. ................................................................................................................................................................. ,. . bi~7( 17 8'D pursuant to app .catlan dated ...................................., .................., 19........, and approved by the Building Inspector. OU 15 -- Fee $........................ 10M - I fJ 1?' - ~ - I ~ ;)1 ~ .............................;r.<................ ...............:1............ Building Inspector '. 1 ;; , ,( < , > . , , . .. "A'. ,,",,",'~"'. TOWN OF SOUTH OLD ;f';'~'l27;"',~:-\~rf\WT~1r,\;\""I\ I' \) '~'J";;:; :,,0 L., """~""\i , BUILDING DEPARTMENT \~ "V......, ",\ Ii ~ ~~ I j I., TOWN HALL I~I JAM 1'11989 i \1 \ II ,\ 'I I I ( . !i.~'/~ SOUTHOLD, NEW YORK I 197 I I L'-""""""""I""-"". \ . BLDG l)EI'~, 765 - I 802 I T. oWNJ2!"gQ';J.'t;Q}-IL..,.. ' \~."...-",.-~~-", APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ -6J!it'di$, 'm.. ! hk.t.. . .. . .. . NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING......VACANT LAND........ Locacion of propercy..j9~99..~.~,..~r.............~i?........ HOUSE NO:"'(J' STREET HAMLET jl '-:;> ~ Owner or Owners of Property... ~..l....~....._.........._.._.............. . . ,J ;). J Councy Tax Map No. 1000 SecC10n .JQ~., Block ..;-.... LoC ..1...... Subdivision....................... Filed Map ........LoC.......... Permit No. lD~.~~....Dace of Permic ..........Applicanc ................... HealCh DepC. Approval.................. UnderwriCers Approval.............. Planning Board Approval ................ Requesc for Temporary Cercificace ....... Final Cercificace ................ Fee SubmitCed: $...,;;z~~Q~............ APPLICANT..~~~~~.~~~~............ ( ;$- 1~70 .h-. \6~ \ 33 '5-;B':<? c. C) Z: I list rev. 10/14/88 ~ ~ t It. ~ TEL. 765.) 80~ TOWN OF SOUTIIOI,D OITICE or: IWILDING INSPECTOR P.O.IJOX I 179 TOWN HALL SOlJTIIOLD, N.Y. 11971 r. 9,I1Fr ~~~ ~6\JL fcM 1ItMu';"', '}') l.J . 'fa \'Ihom ThiD May COhcern, " We arc unable 1:,0 complete your Certifie<J.tc of Occupancy because ~f the following re<J.sonD. I~ An application for Certificate of Occupancy - is not on file. ~ IF;: No Underwriters Certificate on file. I I The check i~;(r"" I. .J/nut on file.)ttJ5,(7't) I~J No 1Ie,11 tl1 Dept. Approval on file, r-/ No final inspection has been made. P1case contact our office on this matter, - Thank you for your cooper<J.tion, 1111 L 1(1 ic(] Perm L t- II _1- .I2. ~ Q.. .%.. Z Dui lc1 infj Dept- "'1 - I tlo plumber Solller Certificate on file. - ( nll permits involving plumbing beinfj issued after ^prjl 1,1984 ) , .-..<iJ\;.:. , it ] ), _~ lSLD I;:S~)E:C':'lu:J I!IJ;',t: II COI'fM[NT:': "- ;;;0 1, . ~~ . . - -- ,OUNDATION ( 1 s t) ""I\} - -- --- c: (j) '" ~OUNDA TIOt, (2nd) 2. z __ 0 (') , Ih "OUGH FRAME & ~ - <:I PLUMBING ~ (j) * >-J :n '\) 3. '" '" . . >-J INSULATION PER N. Y. STATE ENERGY CODE ~?1 /o/!/r- tf)k~ UJ .~~e . . /. 1/ .x?J -7.-.' I FIl<AL ~ :,;\ I !~r '" ADDITIONAL COMMENTS: '" :. .- - J . . , - t'1 , >< . fi....._" "':--.. ~ .. >-J~ 2~ --......., , . . 1 - . - '" ". r- >-J . ~ , . <:1 '" ." .... .. . "" ^ ,.J >^ti t FORM NO.1 Q,?;2~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOlD, N.Y. 11971 TEL.: 765-1802 . JJ/c:; /1- hJ Application No.. (~.~ f. .r... ExamlOed . . . . . . . , . . ./.1. . ., 19 . , . Approved. . , . . .'J?!<ft:tj. . /.~9 :fuermit No. ,/~. ~? ~2 Disapproved a/c . . . . . . . ... . . . ..................... .. ......,.................."...........~~~~ .. .. . ... .:1'... ............. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date..A.pa.U...... 11..,1980. 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 af 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 applicant, or name, if a corporation) .. .~.~.&1..st,~,.(f..M-.119JP.....,.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . , , . . t;1!Jt!{!{. . , . . . . . , . . . . . . . . . . . . . . . . , . . . . . . . . . , . . , , . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . , . . . . . . . . Name of owner of premises ...... S/:Jb.. $.. 'PP4JpMl. . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature 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. ..... .1?4: . . . . . . . . . . . . I. Location of land on which proposed work will be done. . .S/~ f1ld1.~e. .~ .r~ .2.'1) . f/!:l.~f!.~.k,. .H... 'J... . , . . . . . . J/ ~ . . . . . . . . . . fYI4Ir1.~. ~I' {Cf{ ~'l1. . . . . . . , . . . . . . , . . . ~.~t.i.~~!t: . . , . . , . . . . . . . . , . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section .... .f.C? .~. . . .. Block......... ~. . .. Lot....I.............. Subdivision. . . !(QAA , . . . . . . , . . . , . , . , . . . . . . . . . . . . . Filed Map No. .1i.0M; . . . . . . . .. Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and in tended use and occupancy of proposed construction: E'( d ~ a. XIS 109 use an occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy ,.~..... ~ .':0:'. . c:f:.:'~':':'1. . :. .~. f.'-. . ~4.. ~~. . . . i ~. " ; ~1! ~ .'1,[ .,!,.,i".,~..~ t., 3. Nature afwork (check whicb ap~licable): New Building. . . . . . . . . . Addition. . . . . . . . .. Alteration ..!-....... R~air .' . . '.' . ., . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition .............. Other Work. . . . . . . . . . . . . . . ~ .o.t Q. I.A.Wt. ~ and ~ p/nttp'l1ll. /JM. ~ ~ $-. (Description) 4. Estimated Cost . .~. .15OfJ.QQ. . . . . . . . . . . . . . . . . . . . . . Fee. .115.()(). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwe,\ling, number of dWellinj,jmits . .~. k~. Number of dwelling units on each floor. onig.. .cme.1J0()1f , If garage, number of cars ... .~JU.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commereial or mixe~ oceupaney, specify nature and extent of eaeh type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimens.ionsofexistingstructur~s,ifany: Front . Su..JiAJn,. 8. ... Rear.............. Depth............... Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear . . . . . . . . . . . . . . . . . . Depth. . . . . . . . . . . . . . . . . . . .,. . Height. . . . . . . . . . . . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . . . . . . . 8. Dimensions.o}:~}ire new eonstmction: Front.. .+J.75.f,44:t.. Rear.. ..u./-uf...... Depth .15./-uf........ Height JI!....... 'z" .NU'~:tOfStOries... .Qp.............................. .................... 9. Size of lot: Front... AQ~Q~............. Rear........ tqQ.f,44:t...... Depth ~.2()7./Ad...... 10. Date of Purchase .. .'9.,(Q.:t~........ '~:2}~orerOw,ner .fllJ'JJ'l4.~................. , . onJ. ...-. lM,,'I....'" I 1 J. Zone or use district in which pr$mises are situated. . . . . ... . . . . . . . . .. .~........ . . . . . . . . . . . . . . . . . . . . . 12. D?es proposed constru<N~on violate any zoning law, ordina~ce orregu.lation:. . . ~ . . . . . . . . . . .,' . . . . . . . . . . . . . . . . . 13. Will lot be regraded ............................ Will excess fill be r!l!moved from premises: Yes NoX 14. Name of Owner of premises . f~/.b. ..$. .1!141qWi.. Address~.~,.(.. .~. Phone No. ,1,17...1014....... Name of Architect. . .. . . . ..; . " . . . . . . . . . . . . . . Address. . . . . . . . . . . . . . . . . . . Phone No. .. 'J;,'J/' 'j;;' LM' . Name of Contractor .~ .~J.$Q4. . ., . .. ., . .. . . Address .11441411 .7!lUnf.. .. . .. Phone No. . (.:?7:-:. .f)...:.. , ' PLOT DlAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-baek dimensions from r perty lines. Give street and blockinumber or description aceording to deed, and show street names and indicate whether erior or corner lot. I (} ~ g I roo:::. /0' ').' ,~. ,1 " __.-hE-CHIMNEY' , ... J - '0 '-> \ ' . r . !,. <F--O'..... r:::.---i . ! D \.- G }'l\\'P I ,,- .,.-/ STATE OF NEW YORK, ,SS COUNTY OF . . . . . . . . . . . . . . . . .; . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. He is the . . . . . . . . . . . . . . . . . . , . ". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , (Contractor, agent; corporate officer, etc.) ~f said owner or owners, and is drtly authorized to perform or have perfonned 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 will1;>e perfonned in the manrier set forth in the application filed therewith. Swom to before me this ' . . . . , . . . . . . . . . . . . . . . . . . .day <If . . . . . . . . . . . . . . . . . . , . ., 19 . . . Notary Public, ................................. County \ ..... ,.. ,... ............. ... ,.. .... .0' ..... ... (Signature of applicant)