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Home My WebLink About13257-z J'OBM NO. ~ TOWN OF SOU'FHOLD BUILDING DEPARTMEHT TOWN HALL SOUTHOLD, N. ¥o BUILDIHG PEIU~,IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13257 Z Permission is hereby granted to: .... ~.' .7.(.~-....~. ~,~z.-~i....A,~,~.__ ..... ..,A/~~.A..,.....~..~ ........ ././.~.~z/ ,o....Cm.~..r~..~..~....~.~. ....... .~... ........ ~,~..~j.....~/..~..~./~u..~....~ ,~,.~.~ ...... ~. ....... ,~..~.(~ ........................................ ..~. ........................................ ot~r.m,~,,,~o,.d a, ..... ~..~..~ ....... ./.....~.~.~'~..S ............. · ................. .... = .............................. ./. ................................................................ ~.~.~.Z~/~..~..~..~ ..~.-./.~.,,~.~....~.~,,~......~Z ......... .~.c.~/.. ........ ...~...~.~.: ........... ¥ ¢o,,~ Ta~ Mo~ Na. ,000 ~,~,o~ ...L.~.~... ....... B,o~ ..~....~. ......... ~ot ~o. d~..a....L../g. pursuant to application dated ........ ~}'/~. ....... ~.. ....................... , ... and Building Inspector. Fee $,, ,,..~..~....,~..0. ..... Rev. 6/30/80 TOWN OF SOUTHOLD OFFICI~ OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL $OUTHOLD, N.Y. i 1971 TEL, 765.1801 This is to ndvine you that the job under buildln8 permit no. 13257Z issued to Stanton S±rm on 7/2/84 for 'Add±tlofi i'~'~ompieted a final inspection has ( ) has not (x) been done. and [n order to complete thie file, it is necessary that a Certificate of Occupancy be issued. Please fill out enclosed form, return same to the above office with a cheek for $10'OOpa?nble to tile Town of Southold. Please indicate to Whom the Certificate of Occupancy ia to be mailed, and arrange with tills office for an inspection (late Occupanclt or uae in unlawful without a Certificate of Occupancy. l'lease, help ,s to clear up th~s matter so that legal action does not bare to be taken. Thank you for yo,r prompt attention. Very truly_~, Victor Lessard Executive Admintstraeor VI.: ga r cncl . FIELD I~s~TION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY G~DE COMMENTS FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD · BUILDING DEPARTMENT TOWN HALL - ,,~ SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Approved ........ , 19~. Permit No.. Disapproved a/c ......................... ~ ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~' .... ~x, Pa/ 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 di~gram 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 issued 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, housin, gg~code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp~on~.., ~ ~ / ......... .~ .t~-~? .'./~x. ....... . ................ ~fe';~ applicant, 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 . .~7]~P.~. ? f.L). ~.....~..~./.'.7'/f..... ~ (.,ff.q../?-)/ ................................... (as on the tax roll or latest deed) If applicant is a ~corporatiqn, 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 ...................... I. Location of land on which proposed work will be done .................................................. House Number ~ Street .......... I~ ........................ County Tax Map No. 1000 Section .... [~ ......... Block.. ...... ~ ...... Lot . .~. ~. [.G ........ Subdivisiou. B[5*k~. .m¢..(Name).*~ S.I.X~. Filed Map NO ........ .~0~* Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~l. ~. { ~ ~ 55~ .................................................. ../.. ¢ i a..:.. ................................ b. Intended use and occupancy .../c.~<~4. ~' ~ ' - ' ' ~ , 9. 10. 12. Nature of work (check which a~plicable): New Building ..... ' ..... AdditiOn .......... Alteration .......... Repair .............. Removal .............. 'Demolition ..... f..l. ...... Other Work..':~q_~t~..~... '- (to paid on fll~licatio~ If dwelling, number of dwelling: units .............. Number of dwelling units on each floor ................ If g~age, number of cars i If business, commercial or mixed occupancy, specify nature and extent of each type of use .. D~ensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ D~ensions of same structure ~ith alterations or additions: Front ................. Rear .................. Dep~ ................... ~.. HeiSt ...................... Number of Stories ...................... Dimensions of entire new const~ction: Front..~. ...... Rear .~ , DeEth ~. , S~ e o et: Front .. ~.5...r ........... Rear ...... ~.~ , .. Depth ~ ¢. . Date 6f Purchase .......... ; .................. Name of Fo~er Owner ..~'. ........................ Zone 0r use district in which premises are situated ...... (~.: ......................................... Does proposed construction violate any zoning law, ordinance or regulation: ................ ~ ............... Will lot be regraded ........ Name of Owner of premises~.7-~ Name of Architect ......... Name of Contractor ........ ....... ~ .......... Will excess fill ,be removed from premises: Yes No ~Y!.~t~2 ~'/rrz .~.~ Addres~.7.~3~,~'/! .~.,*t~.~. ~.~.~. Phone No..~..~.~:7~..~./. ~.. ................. Address ................... Phone No ................ ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. i STATE OF NEW YORK, COUNTY OF..~..U..F..,~.&..L~. .... S.S ......... . .... i .................... being duly sworn, deposes and says thatqhe is the applicant (Name of individual signing contract) above named. He is the ' i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 mannei set forth in the application filed.therewith. Sworn to before me this i .............. '.dfl~ay of ..... 19 NOT^flY PUBLIC, Slate of New Yore · · .W..~ ............................. No, 52.452477! (Signature of applicant) Commlssl(~n Exli'resi March 30,