HomeMy WebLinkAbout24098-z FORK NO. 8
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)
N° 24098 Z Date ............ ............................. 19
Permission is hereby granted to:
M... - .....................
:.�,....Win.... � . ...............
...... ....... ....
.......,��.. ....
to .. � -.....�iJ. �, ......... , � f ...., � ..... ,
, F... :..... �� .... .......................................................
. . . . .
................ .......................................................................... .
................................................................................ . ..... .......
at premises located at....flue.�...../.:/.. ........... ..... ��-//..........i-ui•�`f..Y.:-.G r:...........
County Tax Map No. 1000 Section ...;... Block .....6�.3....... Lot No. ..... ..... ..
/�� / -J ^. ......
pursuant to application dated ......... .,�..J,til..Z.....�rz......... 19.X/., and approved by the
Building Inspector.
Fee 3....././�..''T0.:. .
......................
.iU 1 din nspector
Rev. 6/30/80
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� - BOARD Olt HEALTH . . . . . . . . . . . . . . .
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FOItH NO. I ) 13I7.'1'S OV 1'LAWi . . . . . . . . . . . . . . .
_-,•..~.�.��,~ ..�•"f � 'I'Owll OF SO11' MOLD SURVl?Y . . . . . . . . . . . . . . . . . . . . . . . .
f 0OI1.01Nc nCFAUTHEN'f COMA . . . . . . . . . . . . . . . . . . . . . .
APR 2 11997 . . .
TOWN IIALI. ,Ii P'I'IC FOR11 . . . . . . . . . . . . . . . . . . .
SO11'I11111.0, N.Y . 11911
ELpG.p6PT. I '1'111.: 1(i- 11107.'! NO'T'IFY:
TOM OF e2 98 - 116 3
litonnhto�<I..... . ems., 19/ p,Q' IIAII. TO! . . . . . . . . . . . . . . . . . . . .
Appy loved......!✓/C�..Y.. ...1 I9.i Petnlfl Oct. �/.Y.. ..... ........... ......... . . . . ... . . . .
O11mlyt(mcd It/l' ..................... .. .. ....... . . ................ ............ . .. . . . ..
. ...... .... .... ........................ ............ . .. .
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(Ikti1 n ladle • or)
AI'1'LICATION FOR IIIIII.0IN , FF.I1NIT
1 N!t'I'IMC'I'1 Ofir
if. '11110 alyl Icost kill armt lie colgdelely filled in by tyl"ll-iler or in ink fitwl sulrmitlecl to the lkilltling Innpector 1711
a aetn of pinna, accurnt:e blot- pine to scale. Fee occordiul5 to nchedule.
Is. Not plop all(mitlg 1(ti:atiton of lot !PIMP of Imildingn on prt+nlnen, relul lonelrip t-o w1joinhig grcadaen or lwtbl is
ill leets or alma, atwl givinfl a detailed dencrlpt ion of Iny(nrl. of piolierly mrinL lie driwt) at the dlegrcon Adch in Iwut of
Thin npplicntimt.
c. 'Ilia rtork covered by (]fill lipplication mriy tot lie cmiemed before in0uance of Wilding Permit.
d. Ilton apimrvol of tills opplicatimt, the Iktlldfng lnnlreclor 11111 inmue of Iktilding 1'ennit to Ilia npplleant. Ruch
liat adv 1411111. lie kept (wt the prelninen available for lunpecliun llm,flj %(AIC (lie rwmrlt.
e, Of) Iwdlding olurll Ila occupied or used In rfiole or fu Twirl for silly lwnrlxise wluslever until a Certificate of
Occulwttw.y nlinll line Iteen granted by the Iksflding Amlleclor.
l '
AI'1IAW11(N III 11117) OY ME to lite Ikilldlull Oelwirownt for tile. lon rote of is Ikrllding 1'ermit ptirmmnl: to the
lkdlding Zmse Ordiruaxe of: the Two Of: tkwdlsold, ,Airront 0xiliLy, Ntwv York, will other aplilicable Lawn, Ordfnnm:en or
I4gulndtorn, for the cmmotrtictimt of Imildings, twlilitimm or allerntioun, or for renoval or detolltion, an herein
dencribc(k , 'ilia applicant ❑green Lo angdy wilh all applicable Iowa, ordlima:en, Wilding c:mle, hmining cmle, mxl
uq;ulmLlmm, cowl to (0,111: nutlwrized innliec(ors (lot prtoninen alx) hs lrtildiQillf, f'or useecenantty ilialiectimrs.
. ..✓. ..-V.. GQI. IL .. .t1.•..... . .......... ... ..
(Signal uta of nppficmlt, or nnle, if n corliortsl ion)
Wd I ing mldrenn of rtppl land.)
• Sl file tdsether nlylfennt In maser, lenmee, agnnl , ill(hi lecl , enghroer, 1,,mwinl conl.rnclor, elee(ricinn, plurlter or Iwlildes
�.W.1.n. .r.......... ........... ... . . .... .... .. ... . .. ...... .. ... .... . ..... ............... ....:... ... .... ... ....
than of: (wmw.r of preline0 ....&: 0,i!1....M .6�c V). i.&r.1........... . .. ..... ................... . ............ . ... ..
(fit; two Ilse Into rolloir Intent deed)
If nppllcunt in n cotloml:ion, nilytnitae of duly nulholized ol'I1rcr.
.. ..... ...................................... ... . .. ... ...
(Nmra otwl title of corporate officer) .
Ikilldetn Llcenee rin. ............ .. . ..... .... I 1 �`
f1hyliwaa' lAcenne No. no h (/��C14, l V
l0eclric:inns I.icense rill. ru t/1 W lne-t- D
Other Trocle'n Licenao rill. .......... .... . ..... Pin G-r-v' a- LOAF. IU0 -p-1Q-cj1,(&
I. l.(x:eL lots of Intl ms which pt oillmed mol is will Ina duma.. . .so v�.O�. .-. -.. f�^P..C: .'.C!`.'?.�. .... ... . .
... ..... ......... ...M, n.......
Int\fit\. ..... ..... .. ... ........... .... L� .�.�.......... ..... ........ . . . .
Ikwme Midler tilt vet \\{, f ,. IkilnleC
t:mwsly Tow Kill lilt. 1000 fle-Ulm .....l.y/.`.�.r. QU IN(w:k
:Ailwlivinims ......................4...... 4... ... .. Fl led rkylOtt. ........ lot ...... .....
(mote)
2. Stolle ewfat.fng line ntxl oc:(1gsmw:y Of prcvniSeS nswl fnlelwled�ure olitll,c rui Itxl of 1) fell emIlnocLion:
n. F.wial.inl1 fine nlwl (x:culwwto:y .,.. ......1..5... .SLII!1.lQ�. . ... .'. .. ...�...�t• ���.... J
b. Inlemlml utwa nal mculwuw:y .. .. \.U�1- � .111... . . ..G�: ! . .. �V`:S.l�.'.�.•.. ............
I
I• IkllwilKilul nP Iaol( (Ovack %Ali(It uirillicnbl41)I ik>, lkllldlnl} .. ... . . Mdillon L .. . . .. . . . AIImIll Ion . . . . . . . . . .
1
.. .... ... . IWIK)vlll . . .L .. . . . . . . . IkYlr11 11.1(111 Il1111n' IAII
+( . . . . . . . ... . . .. . . . .. . . . . . . . . . . .
SE�wNni (p IIKS I/GU
II I� I J S foo
. . . Uk:ur( 1pl loo)
4. Elo.Inuitfill 0,111: .6 .OY ! .ld.l .��UrXJ
7U ( a1 -0U♦ (1 1) lilt lilt l(I un flllup Ihln uplllImaIon) p
If Ik.x:l111111, Ixmiwr of Amill,4111)11111 . .Y�Gr .. . II.1b4r Of AAlI11nll fit llll, L1 uurll fILlr .j!).UwQ,. . . . . .
IP
1111nyy4, Ln1x:r of caro . ..
lun o? jiu,K:y ..I . .Iy . .. . ./% ' �.h lyixl of �Iri. �r(Gt!4 AJ^^!°'':. .
d. II` Ixwllxuw, ( nllnr4lnl fir udxfid Ix:ruwlx: a xual' 1111(1114 41x1 ext of 4n
a
). Ilinnnu llx nL P 11x1fila 11(1 uk'llxa un. I ly; I.r,lxll cr . . . .. .�.. . r Ilc:ur
Iklllillr ..� . . },/ 4kulwr (I 1111 len
IIInKnulcwu or uom all tire WI III ullurvlll(xw u 1 III(fn: Plonl. . . . . . Ik:nr . . . . . . . . . . . . . .
Ikquh ... .. .......iy .... yl ,c ,. ..-.-Q . . Ik Cnbinyu l' lil orlu .. ...
• . . . ...
II. Illnnnal(xlu ryP 4nl Ire Ivwr ccxun nu:L 11x11 I.rlxu. �.�. . . . . . . �
r
of fll'nr lull � III
1I. 1I .. Ik:plh. ..,
ulvfi of IIICI I'rrrxrc ....II..; I�r/r,A� U L........ .. . . . . . . .
M. Ikofi fill ILrrhn11n .✓A.(Yl:a: .l�.l.. Wmv: ul' Foruer O.roLl, J I�.✓1 O .I 1.. 1... . . . .�.. f
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11. VARNI or 11114 dlul'rl4r In 0111:11 pu3nln41u filu fiil11uttil . . [.111r L�1; , . . . . .. . . °�U�✓l`r. l.A. . .. . . .
1!. Uwn prolxrl,all rrxwenx:C l(xr vlolutu filly aLlln6 I,xl, ordinmiicu or r41lyulficlnnl
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I'1. 17111 1111' Iw'relirwled ...,� /S•... .. . .k.. 11111 41NI:4IL fill 1141 rlmr,vl I', Ir ounl44u1 I?fl IIU
14. N;nnn nP Qnwr of prl�nl 111111 ..(j,-,`,(,M, !),..1, lG,ln;l..J.C:n..(. fu l,ir4nn
Plu,n of An:hllucl: ... M111efill
ltuu �U,i, . . .• _L • . . .. . .. . .
. .. .. .. ..
Mmi of Conirficlor `A•M P fid' t.4tr5�
I1141w
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I'i. 14 111111 prolx:rl'y rlllllln 3(X1 feet of if 1 Id41 Iat1.InIk1'( A Ypa
Ant Yvil, H(Mflll(XD 'Um -lialfillum m1ofl'i' IIAY 141 Iouplillill.
PLOT DIAORAII
Icx:ule cleurly,filxl 111u1'.Il4:l'ly fill lxllldlollu, duilbl:r aulul'1n1! or prolxlnud, I,luvi Irxlleal'u fill liac-back dbinitulonu
f LYll prni,erry Illwu. (Jive fa mal: Illi) 11I(xd( Leber or dem:rlp( Ion nrrnrIII lilt Vo dead. alxl IMCK) tl'iceC wYlnn nlxl Irvlicnle
1,114111110Iniurlor or corlwr lot,
APPROVED AS NOTED S v F
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DACE: B.RM — V-0,
FEE: —BY: .
NOTIFY BUILDING DEP. T ENT AT C ,, nn
765-1:102 9 AM TO •4 PM FOR THE ✓ ( Z�
FOLLOWING INSPECTIONS: r
1. FOUNDATION • TWO REQUIRED
FOR POURED CONCRETE
7 ROUGH - FRANNING & PLUMBING
3. MSLAATION
4. L - CON;IRUCTIQN MUST
P Cc1>1PLFTE FOR C.U.
Ar 1. CONSTRUCTION SHALL MEET
THE RFQUInEiv1E(`lTS OF THE N.Y.
S7Iry°1R"411 )lafllkl)`'11t' i(,ION & ENERGY
CODES, NOT RESPONSIBLE FOR
DLI$W(Off CONSTRUCTIONXHBOB$
. . . ... (M� �.� ` ,.. . . . . . . . . .. . . . . . . .ImioIl dilly mann, duIun mx:l.
unyu lhnl: 611 In 11111 nppl Manu'
(Iluln of Ilxllvlduul nlpnlull conli'ncl )
ulvrvu uua:d, .
Ik: In Ibe .. . . . .0W.pl.. . ... . . . .. . .. . . . . . . . .. . . . . . . .. . . . . . . . . . . ... .. . . . .I
... ... . . . . ...... . . . . .. . . . .
((:ool rficlor, filie11l', cor Icor Il It of I'Icl:I , 111 c.)
1,I' 1111111 IMlxlr 111' IMlwl'll, IIIMI le dolly nlllllnrizell ill Ix11'1(11111 Ilr 1111vo Imi'loilloll [Ile IIII1111 rxltlt 111x1 111 Ilxll((1 mel fill{ (bill
upp1IcIll.l1111; 1111w fill nUlluo:oUl co11luill(A to Ihltl ❑IgllicIll Ion 111,11 hm lu the Mini: of Ilan IuxMledlle IIINI lull 101'1 nlxl
111111 the Innl( 1,1II Iw ilerllnnlnd 111 11W uvillom-nul. fo11I1 h, 1114 1111plicntlo11 I'Iled �i(11erlKil411.
:I,A)III l0 1x11ilfl:,lilt 111111
. . . ..1 . ... ... .duy till .'.0%� .�.. . .. I'1. . .
Ikluuy 111611(: '
S ' HELENE D.HORNS 01gmll m o 0l Ano ; )
NotaryPUkrlic,StatO al Now York
No.4951:364
Quolifiod in Suffolk County
Commission Expires May 22, 19..e.-M
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person hr whom the survey b Vg!aai,and Ct;tif
boVI to the!ills owpane wn;afal Aaiinq
and lend'uip irt;SA�Jtletl listad horcon.
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O 1'119 OFF; i S OH U A!6NS J S
J V�-lE .3, 1944 p • v. ti}IOIJN PEREON yle
STRUCTURFS f0 Tj E,:pR d
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LOVES FCfl C FA, ICC W
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0 kSG ML0 USE A."JO TNEREFCP.E
+it r.'�'T Pt, NDBD TO/ CUDB OF F:NOES,RE
lV.l:_LS,fC{1LS,PATIii$
i GU:OiNGS AREAS, ADDITION TO
/ \C_s1� OOrISrr. OR ,0.NY 4i��FR
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CEk/TEQ AA0QIcHES,
,.IAP OF PRoPeQTY