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Home My WebLink About24162-z lvO~l~[ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y* N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~16~ Z Oate~ j~' 19.97 ,o .......... ~.~......~......~ ........ ~......~~.~...z.:.....:....I .... County Tax Mop No. I000 Section ...... . .~....~... ....... Block ...................... Lot No...~ ............... pursuant to application dated .... ~......~... ........................... ,19.d.../.., and Building Inspector. F.e ,..~ .... approved by the Rev. 6/30/80 BOARI) 01" IIEAI,TII ............... 3 SETS OF PLANS ............... SURVF. Y ........................ CIIRCK ......................... SEPTIC FORH ................... NOTIFY: APPLICATION FOR BIITI,1)ING I'ERHIT INSTRUCTIONS a. 'lhia applicathm ,mst Im completely filled in by typmeriter or in ink mM mhuittM to the Ikdhli~g Itmlector with ii ~ts ef plans, aero,rate plot plan to scale. F~ acco~li~g to sch~ule. b. Plot plan ~i~g l~mati~ of lot a~fl of I~ildh~s ~ ~d~s, ~lation~dp to ~joinl.g prmlem~ or l~dHie streets or arena, m~l glvi~ a ~htail~l i~m:riptkn~ of layout of pro~rty ,~lst ~ dr~ ~.the dlagran ~Hch is Imrt of this aRd icat i~m. c. 1he ~rk c~r~l I~ this a~lieatk~ v~ t~t Im come~med lmfore ismmt~e off ~ildilg Pemit. d. I1[~ al~a[ of this aRdicati~b the lkdldi~ lns~ctor will iamma lkdlditg Peunlt to the al~Hicant, amh lmmit ~mll Im ~pt ~ tim i~ui~s ~ailable for ins~tia~ thr~st Ihe ~rk. e. ~ hfildi~g ~mll Im ~m~pi~l or m~l in ~mle or in ~rt for any I~q~a ~mt~er tmtll a ~rtiflcate of ~mqm~y ~mll h~e I~n graatal I~ tim ~ildi~ lna~:tor. Al'l~l(~'l'l(~ 18 I~fl[l~ ~E to tim l~dlding l~l~rtnent for the fasttape of a lkdldlng Pemlt l~rmmnt to the hfildi~ ~m O~i~e of ~m 'l~xm o~ ~tl~ld, afffolk C~mty, ~ York, a~l other al~licable l~s, Ordi~es or ~dati~s, for lira ~st~ti~ of I~ildi~s, ~iti~s or alteratkms, or for rm~nal or i~litlou, as lmrein ~scril~l. 'lira applicant agms to ~*l)ly with ail oR>I icable l~s, ordi~m~es, hdlding c~e, I~si,g c~le, a,xl re~Jlnti~m, a~ Lo aluit aitl~riz~t insl~tors ~m ~d~s ar~i .... " ............... (as ~ tim tax mil or latest fl~l) NO IFf BUlL G OEYARTME AT 765-1802 9 AM TO 4 PM FOR THE al~)l icanl' is a co~rati(m, si~ture o~ duly autl,)ri7~l officer. FOLLOWING tNSPE~ONS: ~, FOUNDATION - ~O REQUIRED FOR POURED CONCRETE (~ ar~l title of c~rate officer) ~ RO~H - FRAMING & PLUMBING 3. INSU~ON 4. FINAL - CONSTRUCTION MUST ~i h~s l,icen~ ~) .......................... BE COMPL~E~FOR C,O. ALL CONSTRUCTION SHALL MEET Plmi~r~ l,icen~ ~ .......................... THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY l[l~t:riciarm I.icen~ ~) ...................... , , CODES.~ ~.,.~ ~-~NOT R~SPON~flL~ FOR Otl~r 'Jr~ s l.,cen~ ..... ......................... .................... .................. Ikx~ ~d~r Strut 1~1 et: (~u,ty'l'nx~,p~. I~ ~ti~, . ~ Bl(~k O& lot ~0~ ~d~]ivlsi~ ...................................... FH~ ~*p ~ ................ ~ ............... (~) State ~[st.l.g a Existi b. Inte~l u~ arfl ~lmi~y ............................................................................. ..... ~.. I~ ............... PI.OT I)l A(;IIAH jli~llcat'e all set--I~:k lix:ele clearly m~l dJatli~:t:ly all lalildh~a, ~d,elller exlel, inij or prol~)sed~ lll~l ~1'^'11'~ (~z)i~ YOlk,, ,~,~,~ (~.. .... .~.o.~...~...... ........ ~k~.....~.~....~.~ ........... ,~,~,,,~ ,,,,,~ ,~,,,,, ,,(~,~,,~,, ,,,~, ,,,~,, ,,,a~ ,,~ i,, ,,,~ ((~IILI'IICIoI', el~elll:~ (:orlxllllle officer, etc.) labial- or (~ll-s, alii is thily itutho[ized lo lel-i'Orlll O[ Itavt~ lerl'oln~al Ilia m~id ~tk luxl lo I~llte elxl fil[l thill al)pi J(:al:i(nlI Ihlll all [llelt~lBll[lt (:otilahK~(I ill Ihi[t appl J[ta( toil t11(~ I iiK~ l() the Ix~el: o[ Ilia klx~lcMse that the ~)tk will I~ ]e[l'Ollled ltl lite li[llll~[ fie~ [(}rOi itt the eppl icaLiou fiJcq Iher ~ith. dOo¢ AREA = 15,000 sq. ft. CERTIFIED TO~ MICHAEL $. MELL Y CAROL C/IlL TON MELL Y NORTH FORK SANK ,40UESO6UE ASSTRACT~ INC. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SURVEY OF LOTS 3 & 4 "FOUNDERS ESTATES' FILED MA Y 10, 1927 AS MAP NO. 834 A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY~ N. Y. 1000 - 64 - 02 - 05 & o6 Scale~ 1" = 30' May 28, 1996 ~ Y.$. LIC. NO. zt9618 P.C. (516I 765 - 5020 P. O. 80X 909 1230 TRAVELER STREET $OUTHOLD~ N.Y. #971 96- 178