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Home My WebLink About13818-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13818 Permission is hereby granted to: .~..~......£~_~. ~ . ....... .......... ............ /,~...~..~..~.....~..~,,...~.~,~..,~-~.,., ...... et premises located at .....,~.~...~..~,..~......~.~...J~.~ ............................................ ...................................... £~.../....~..,~ ........ /.../...~..~.... .............................. County Tax Map No. 1000 Section ...... .~..~....~., ...... Block ..... ~ ......... Lot No ....... ZZ .......... pursuo,, ,o app,,co,,o, do,e~ ...... ...'2~..~ ......... ~ ....... . ",fi...,-4~,d op~,o,~ by t~e Building Inspector. F.e $...~...~,.d..~.. Building Inspector Rev. 6130/80 FIELD INS[~ECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL COMMENTS ADDITIONAL COMMENTS: TOWN : OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765rl 802 This is to advise you that th? job under building permit no. 13818Z issued to Prime Purveyers Inc on 4/1/85 for Accessory is completed and a final inspection has ( ) has not ( X ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10.00 'payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly ~, Victor Lessard Executive Administrator VL:gar THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK ~i0038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the able application number in the premises of in the/ollowlng location; ~ Basement ~ 1st Ft. ~ 2nd Fl. Section Block Lot was examined on J~[l~ ,~0~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 1 3 8 SERVICE ~ISCONNECT NO. OF S E R V I C E P. O. ~)x 143 T~is cerfificcte must not ~e ~]fered in ony manner; return fo ~he office o[ the Boord i~ iocorrect, Inspec/o~s mov be identified b f~e r IAN¥ MANNER. Disapproved a/c . 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HA'LL $OUTHOLD, N.Y. 11971 TEL.: 765-180:3 ., rmit No ............ Received ........... ,19.~. (Building Inspector) APPLICATION FOR BUILDING PERMIT i / INSTRUCTIONS a. Tiffs 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 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 6ode, 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, engineer, general contractor, electrician, plumber or builder. -- ~7 (as on the tax roll or latest deed) If a!2,plicant is a corporgtion, signature of Atuly authorized officer. . ~3~....~...~ ..... (.~. .......... (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No. ~.t,}/~.Pr.~. ~: ............ Other Trade's License No ...................... 1. Location of land on wluch proposed work w~ I be done .......... / ....................................... ...'¢.l.7. e .................... · ......... House Number Street "- Hamlet County Tax Map No. 1000 Section .... . ."~..3.~. .......Block .... ~ .......... Lot .... I,/ Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............. ]. ~ ~ .~..,~ ....... ~ .... ./~ ....... ~. ..... // ...... b. intended use and occupancy~ ~') .~ ~~ ~~ Nature of work (check whiclt applicable): New Building Addition .......... Alteration ......... Repair ....... ~/.... Removal .............. Demolition .............. Other Work .............. .~..~(~. (Description) Est~matedC s / ~ /e~) (to be paid on filing this application) 5. If dwelling, number of dwelling 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 ............... Nuinber of Stories ....................................................... Di~nensions of same structure with alterations or additions: Front ................. Rear ................. Depth ................... :... Height ....................... Number 8. Dimensions ofjcntire new consiruction: Front ..... [... ~ .~.. Rear... ~/. ~.../ ...... Depth .... ~ ~. ..... Height . ~. ........... Nuinber of Stories .... /. .... 10. Date of Purchase .......... ................... I~epf Former Owner ............................ 1 1. Zone or use district in which pyemises are situated ................................................. 12. Does proposed construction vi01a~tyll~]'~,l[~d~lf~r~anfl~ 81~ regulation: ........ ~"~ .~.. ................. 13. Will lot be regraded ........ : · 'lib ,;11 _. J ~[ ~.].2.]~Vi~ [[il~ess fill be removed from premises: Yes N~ 14. Name of Owner of premises .... R~.~. ~q~tl. ~ Ittt.~.!l~Attdr~l.I. ................. Phone No ..... Name of Architect ......... . . iUSE: ~S:: d ........ :.::i: .PhoneNo ............... o0ate cle ly distinctly inRp j Mi layproposed, and, indicate set-hack dbase=ions fro. .prop.arty lines. Give street and block nll/~lber J~ ~~li~g to deed, an4r~how street names and indicate whethe interior or corner lot. ~ ~X- '[ ~--J--~ ..... 765-I~ FOR A ICV,2D AS NOTED* 3UILDING D~~ 9 AM TO 4 PM FOR THE NG INSPECTIONS: - TWO REQUIRED CONCRETE STATE OF NEW YORK, S.S COUNTY OF ................. 3. INSUL_~ATION & PLUMBING 4L~FIN,,'~ - CONSTRUCTION MUST --,/"/"~"("R'~,CC')MPLETE FOR C 0 "E C~NSTRUCTION S~IAi. I~ MEET' THE ~NT~F~...N~ ........ STAT~ CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FORt DESIGN OR CONSTRUCTION ERRORS., ........................... i ..................... being duly sworn, deposes and says that he is thc applican (Name of individual signing contract) above named. He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application; that all statements contained in this application are true to the best of his knowledge and belief; and that th 'work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ .~C ......... day Of...~ ........ , 19 Notary Public, ...: ~ ~.-.....~..~..~- County · ..: ,, · · ,, ... HJlFd K IL , . . ..... NOTARY PUttLJC, Stale of New York No. 47018/8, Sulf0lk Couaty (Signature of applicant Yer I Exp,ns a 3 , i9~ ,~