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Home My WebLink About24155-z FORM NO. ft TOWN OF SOUTHOLD BUILDING D~;PARTMrNT TO~VN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .../.......~... .................................. , V Permission is hereby granted to~/~ .......... ~,,7...~,,.. ,..H .............. ;'7"Z'""~" '~'~" ............. , ~o. ~ Z~7 . ~ ~ ~~ ~ .~~.~ ........... ro ........................................ ~ ....... ~ ..................... ~ ........ ; ...... ~ .......................... at prem s s ocat~ed at ...... Z.~..~ ................................................................................................ County Tox Map~ No. 1000 Section ................... Block .................Lot No. pursuant to application dated ............................... , 19..~..Z and approved by the Building Inspector. Build~ Insl>ector Rev. 6/30/80 ...... TOI,~N OF SOUTBOLD BUILDIN~ DEPARTHENT MAY = ~1 1997 ! i TOUN ~ALL 'i .SOUTBOLD, N. . 11971 B-7:~-'~:~ .... '-~ ,. TEL: 765-1802 '. BOARD OF HEALTH ............... 3 SETS OF PLANS .... : .......... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: .... I~IL TO: ........... APPLICATION FOR BUILDING PEP, NIT INSTRUCTIONS a. lids ~pllcatkm uust be completely filled in 3 ~t, of plus, ~ate plot plm to ~ale. F~ acco~i~ to s~le. (Si~ of a~llc~t, m ~, i~a co~ratlm) St~t~ t~eg~er q~plle~nt is ~ner, lessee, %oent, ~it~t, e~i~r, ~r~ c~tract~, el~trlcim, pl~r ~ ~il~r. ..................................... ~ ........ · ............................... ~V~ iS.~li~ .......... ................. ~Z .............. ': .. Ii ~li~t is a ~ati~, si~ of ~ly ~rla officer. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING ~. FOONDATION - TWO (~ ~ ~itle of ~a~e officer) FO~ POOHED CONCH~TE 2. ~OUGH - F~AMISG & PLOMSING 3. INSO~TION ~il~rs Li~ ~ .......................... 4. FINAL - CONSTBOCTiON 8E COMPL~T~ ~OR C.O. ~rs Lic~ ~ .......................... ALL CON$TRUCTIO~ SHALL MEET El~trlci~s Li~ ~ ...................... THE HE~OI~tEM~NT$ O~ ~H~ N.Y. STATE CONSTRDCTIO~ & ~r ~&'s Li~ ~ ..................... CO9f$, NOT S~SPOSSI~LE FOH OESIGN OH CONSTROCTIO~ I. ~i~ o[ 1~ ~ ~i~ ~ ~11 ~ ~ .... ; ......................................................... 1445 East Gillette ~i~ East ~i~ l~ ~r St~t ~et · 38 4 22 ~: T~ ~ ~. I~ ~t~ ................ BI~ ................ ~t ................ ,., ...:~. 4' ~ri~ ~or ...... 2038 --_ 78 2. State ~sti~ ~ ~ ~ of ~s ~ int~ ~ ~ ~ of ~ ~st~tl~: a. ~sti~ ~ ~ ~ ..~g .............................................................. ~sidential b. ~t~ ~ ~ ~ ............................................................................. 3. N.'~t.re of ~[k (clack ~h~cl apl~h~cal lc) ~ l~Hhlin8 .......... ~iti~ .......... Alteration .......... I~lmir ... ......... ~al ..... ' ........ l~ml iti~ ............ Other ~place ~d add f~ce. I ~m~ripti~) ~c~.c ~ 800 00, I. If garage, ta~r of earn ....... ; ............................... ~lating strictureS, if mW: Fret ................ l~ar ............... ~pth ................. IH.cesium fl. I}i,~nai~m of entire ~ ~atn~ti~: Fr~L ................ I~ar ............... ~pth .............. I~ll~tt ........ , ................. i~t~imr o( 8torie~ ..................... 9. Si~ of lot: l~t ............ ~ ....... ~ar ....' ............. .... ~pLh .................... I(}. I~LQ of ~]rdm~ ............. i .. ~am of Forint ~mr ........................................ II. ~ or u~ district in ~dd~ pr~nl~a are 12. ~ma pro~t~l ~mt~ti~ viola~a any ~i.g lt~ o~lJlml~a or regularly: ........................ 13. ~111 lot Im ~Br~ ......... ~ ..... gill ~ena fill M r~ fxan ~n of Ardllt~t .............. ~ ..................... &klrena .............................. H~ ~ ............... · ~ of C~tr~tor ............. ~ ..................... ~Klresa ............................... H~ ~ ............... i PLOT DIAORAM l~ate clearly al~ distl~tly al~ ~ildi~s, ~mLlmr ~i~ti,~ or protrak, a~ h~licate all ~t-l~k dJmnaions ~u proi~rty l[~s. O[~ st~t ~ bl~k mmlmr or ~seriptl~ acceding to ~dmtlmr interior or co~r lot, ~i ~ '3~x 4'5c 4" x 8' ~ Fence poet ce~_nted Ln ,SS [LIINI¥ OL" ....................... Picket fence ~SmmT~L Bryan R. Weingart ......................................,.................' ..being duly ~ro.l, delx}~a and aaye thai: he is tim eppl. Jca. t (l~qme of imlividtm[ .ig.i.g ctmtract) j .l~e ~Lnl, i ''" i~ the .~ .... I th*iL the ~)rk will Im I~rfou~ml in tl}e ,:mmtmr ~t forth in tile flJ;pJ, JcatlOll ...... ~ ............ (lay of .~...J .... 19..~.~.... . J~CE M. WILKINS Nota~ Public, State of New Y~ rk No. 4952246, Suffolk ~u~ Term Expires June 12, 19~ ~ VACANT LOT 0 3' 6~ Picket fence 4'1x 4" x 8' x