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Home My WebLink About26749-z FORM NO. 3 TOWN 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) PERMIT NO. 26749 Z Date AUGUST 31, 2000 Permission is hereby granted to: ALAN R & KIM CERNY MATTITUCK,NY 11952 for NEW CONSTRUCTION OF AN ALTERATION OF A NEW ROOF OVER EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 1550 CENTRAL DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0002 Lot No. 011 pursuant to application dated MAY 2, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Auth rize ignature ORIGINAL Rev. 2/19/98 IELD INSPECTION-REPORT-- _DATE COMMENT'S -------------------------- _°___-- R --- ---�I-- ---- -- ---- --------- ------- --- ---- �' (' j ----------------------------- )UNDAT ION OST) -- --- --- ---- ----- --- II _II u it In11 1t-- ----- ------------------- ------------ -- -- --- ----- i JUNDATION OND) c;7�___----- ________________________u ----- it II- (J) OUGA FRAME & � --��— � � >r---- —t -- Q PLUMBING ji 11 ii NSULATION PER N. Y. O STATE ENERGY I -- It ` CODE ii II II l UII u u i=- ------------------ --- ---------------------------------------- �n� rTi If IIH H Illlli jj 111 ---41 If 11 0 FINAL H ii u ADDITIONAL COMMENTS: 3 � H o O z r � ro SURVEYED FOR..-A,4[4&1 v/ LOCATED AT / 47717e-/ci—f 7 vt/.�/ cam' SOUTh��. �UFFOG� Cc•/C/ y LOT 79 qA, /r!/IA MAP OF C'.rP�-.4/,v �ioo E574T-ES FF T 0,17r,4 SCALE / �✓ OiST-•'/Oap SEcT. /Gtc.GrJ Bc r 02.ao Z07..o/%G� Q J A.- z a to aranteq or�ertifi�ati /,[- // w ons in ated he '3 {"1 E behalf arson f whom the d� reon l the title �o sury is shall nm only 1 y ��\ s�8�!� 'c ' Nos lendin Lubtution listed Pany, 8 ernm Prepared, and on h. !f ' 0 ��•1 C. �__` g institution. Cua of �eon a d to tal -6e 1cy and arable to adtio irantees auignees Of I +� rs ,V s nal en;fi�ati nstitution ons ar - �+" •' r r �fi #` >> •, �t ��G C^ �w �Su �ent a n0< ti l xxa 4 �,k a[ J i • 0 '44M�+ Y �. he j;, r dieoproperthe 'pensionsshC tl.t ENG6. JR8 >ornttury to„especraPta” Gu4RAN Q �� a s honmk T�� V34 �` erectlo to / walls. Ppolf feacm s �R P 1 �c add `.4 J bcc Wao� e 4� T47Yo c/ Co✓Ert/4AJ7- r 4B57'R4 cT GG OBE �oR7G4GE Cc /ivc. Gb;3o'W , 00 � N p 49237 °O"q ND SVAJ�y SURVEYED�CEB, (o 19 BY WILLIAM R SIMMONS III 70 WEST MAIN STREET EAST ISLIP. L I.• N. Y UNDERWRITERS CERTIFICATE ( -- REQUIRED GGh rr,61 rp',vt . Fff= °` M No►rwy BULDIINs o rnM�lrr Ar v'� to �I�bli✓ Ga�lfi, Cz��E � , 7815-1802 8 AM TO 4 FU FM TIM ,fr • FOLLOVANG 81SP6L'Ir-- i. FOUNDATION - im REEFOR D, PHURcaoaREvr6T, 1=�`"6 "T �i' s. • FRAMM & PLUMBING & INSULATION 4. FINAL - CONSTRUCTION MUSTI?' TY-DOWN••ANCHOR BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. �} STATE CONSTRUCTION & ENERGY vnx�u COr'F; NOT RESPONSIBLE FOR i I i -� ►�l�,.l �li �� _, u0, n "C'N OR CONS�RUCTION ERRORS ,! i C (/ l o PLUMBING 1 L�� Kt a�)a- ALL PLUMBING WASTE ` x &WATER LINES NEED ---- TESTING BEFORE COVERING I .-, y a,< ;j�ret3@ gEh R.��.s.'lU aT W� USE IS ULIMN" UP. CERTIFOF 1vt I WITHOUT ,,, EMERGENCY ESCAPE AS ay �``� s�°•' OF OCCU =off t*PL ^ ER CERTIFICATION i_ REQUIRED L A CONTENT BEFOR RF 4 ED BY PART. 714 OF — N.Y. STATE BUILDING CODE. If copper tubing is used .'ERT TE CF OCCUPANCY for water distributing I o6 system;piping shall be SOLDER USED IN WATER /, �O� �t T 16? slo�Ati�.•��° of types K or L only S�Ar PLY SYSTEM CANNOT UNDERWRITERS CERfI=1%".TE L•j,,., ` ,# 21 10 of 1% LEAD. REQUIRED D� v ' T �4 �0 p to ("f 1T 1 ; t 4 I 7-C l fr-a co ro SS�OtN��` �.T-�:• �� fi+�'Gam• PROVIDE OPENINGS FOR d EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF ---- y�'� 11,011 N:Y. STATE BU�D`ING,CODE. BOARD OF HEALTH. . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL Examined...L Af.. • c • • -�P- - D ,, tQ„� MAIL TO: ��`� �t'' �' jj ff .. ��. Approved... J.ZS......, '-C? Permit No. ........ t1r..r.1 .y..�. s .......... Disapproveda/c .................................. .................................... ................................................. ... /. ... .... ........ r (Building Inspector) f r. 7 ,APPLICATION FOR BUILDING PERMIT t, Date MAY .Z . . . . . . . . 201<�Q. 1 INSTRUCTIONS a. Ibication must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 sets of plans, acuate 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 application. c. The work covered by this application may not be minced 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 MATE 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 bu' ing for neceyyiry inspecr•ons. •(•.gnature•of applicant, or a•corporation)- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluuber or builder t.t.1,+.h ....................................................................................... Name of owner of premises .. :AA..&a K. ..L._Sr.F.'N..�.....�J.Kr........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ..... ............... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... �,/ 1. location of land on which proposed Work will be done.. .*+....`-1:3..0 � -,�.N./............ ....................................................................................................................... House Number Street Hamlet County Tax Map No. 1000 Section .101(40.r.9°.... Block P?--P.0 ..... Lot .Q JJ .-C),3.,(S.. Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... d .............................................................. b. Intended use andaoccupancy .....................•,6*rNMMHaJAstdM,wA+#J1IZ�!1i1ON- ..... Stew.(octo.oil %*NUQO nl l"IfifAtla