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Home My WebLink About13295-zFIELD I~P~TION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY COMMENTS ~ODE FINAL ADDITIONAL COMMENTS: I~O~M NO. 9 TOWN OF SOUTHOLD BUILDING DI:PARTMENT TOWN HALL SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13295 Z Permission is hereby granted t~: ..... ~ ,~: ~ ........ , ...... ~A...~.... ...... .............. (z~x~.~:¢~ ~-~.. ............................................ ..... ~T(I .............. T ........ ;' .............. 2',~' .............. ; ...... .-~ ..... 7 ...... ~: "?T'i~. '"7 ..... County Tax Map No. 1000 Section ...... .~...?.t..!~ ..... Block ....... ~?~.~. ........ Lot No....)..?~..!...)::~:. .... pursuant to opplicotion doted ............. I...~. ................... , 19..?.. and opproved by the Building Inspector. Fee $ ....................... B~lldlng Iml~ctor Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN ItALL · . SOUTiIOLD, N.Y. 11971 TEL, 765-1802 This in to advise you that the job under building permit no. 13295Z issued to Irene Cusumano on 7/25/84 for New Dwelling is completed and a fJaal inspection has ( ) has not ( x ) 'been done. An Underwriters Certificate is needed fn order to complete this file, it is necessary that ;1 Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a cheek for $25.00 payable to tile Town of Sou]hold. Please indicate to Whom tile Certificate of Occupancy is to be mailed, and srrnnge with this office for nn inspeetlon dote Occupancy or tine in unlawful without a Certificate of Occupancy. Please, help us to clear up th~s matter so that {egnl action does as] bare to be taken. Thank you for yoi~r prom'pt attention. Very truly_y~, Victor Lessard Executive Administrator V[,:gar *Also - Foundation1 & Foundation2, Rough Frame and Plumbing,' and Insu~ati0n i~specti~ns'~Ust be made! erection and bracing, consult Quollty Control Manual, Dracing of Wood Trusses, and Recommended Code of Standoed Practice available fram Truss @late Institute, 100 %4 Church Street Fredeflck, MaryJond 2t 701. SEE REVERS[ SIDE FOR MPORTANT NFORMA~' ON. HYDi~O,AII~~ ENGIIVEERINB, IIVG. P,O, BOX 7359 ST. LOUIS, MJSSOUR} 63177 WATS ~00'325-8075 01:10140 dO1 0~ ~o ~ O~OHO dO~ building component to be Incorporated Into building design at the speclflcat~on of bulrdlnc for erection and bracing, consult Qual{~/Co~t¢ol M~U~L Brc~c~9 o4 Wood T, usses, and Recommended (:ode of Stanc~ard Practice available from Truss Pla~e In$(~tute, 100 %4 Church Street Frederick, Maryland 2t 70t. SEE REVERSE SIDE FOR IMPORTANT INFORMATION EIVEIhlEEklIW~olMG. 'FORM'NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~..~'..~...., 19.~: Approved...~4~..2t..~.., 19~.~. Permit N~.'.~737. ?.~...~r.. Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 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 ~[r~pose 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 building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .... .............................................................................. (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..~.'~ ~,~....i~- Electrician's License No. ~. ~. Other Trade's License No ...................... Location of land on which proposed work will be aone ...... ~c,. ~. ................ ............................................................... :_52. ,. .......... House Number Street Hamlet County Tax Ma~ No. 1000 Section .... /.,Z ........ Block ................... Lot. ' Subdivision ..................................... Filed Map No ................ Lot . ~ ....... : ..... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and oocupancy ............ ...... ......... .... .............................. 3. ture of work (check which licable): New Building '. ...................... P ' ' ........... / ' Re 9a .............. Demolition .............. Other Work ............... · ~ ' (Description) 4. Estimated Cost ........ .t.?..f/i.~..L .~ .................... Fee ........................... - ........... , ", (to be paid on filing this app. lication) 5. If dweliing, number of dwelling Chits ............. Number of dwelling units on each floor .............. If garage, number of cars ..... i ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensionsofexistingstructure~,ifany: Front. ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wi~h alterations or additions: Front ................. Rear .................. Depth .................... i. · Height ...................... Number of Stories ...................... ' ~.~ /. ~7.g / pth 8. Dimensions of entire new constrgction'. Front ........... Rear ........... De ............... Height .... ,/. ~ ./ ...... Num~ber of Stories ......... /. ............................................. 9. Size ofilot: Front .... /. '~--./~'..i ........... Rear.../(~.. 5~,..~':.~. ........ Depth ....~:.~. 7,,.~.I~. ........ 10. Date of Purchase ........... i .................. Name of Former Owner ............................. 11. Zone og use district in which pr~mises are situated ..................................................... 12. Does proposed construction vioJ[tt~ any zoning law, ordinance or regulation: ..... vt/~.. ................... 13. Will lot be r~graded ........ //.?., .~ .............. Will excess fill be removed from premises: ~Yes 14. Name of Owner of premises //'~'~..~ .t,'.-tr.~'. ?..~ .~.Lii~ldress}.~.~.~/.~./49....z~.. ~...l',. Phone No?~./.2'.. Name of Architect .......... i ................. Address ................... Phone No ................ Name of Contractor ......... i ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and d~stinctly ali buildings, whether existing or proposed, anddndicate 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. b STATE OF NEW YOI~K, ~ i _ '~'/e,527//7- COUNTY OF ................. i[ S.S being duly sworn deposes and says that he is the applicant . (Name of individual sigfiing contract) above named. He is the ..................... I ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~iy authorized to perform or have performed the said work and to make and file this applicationl; that all statements con(ained 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 ............. ].~ .-~. .... day of...~ ............ , 19~.ff Notary Public,. ..... ,~.l'~,xg/~l/~e..~.i.,,~._.../~..~.~//~,~,.. County fT"X , ' 4707878, Suffolk C~ unt ' , ' \ j~., , p ~,, /./ // (Slgnature of applicant) . Co%~er'