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Home My WebLink About24187-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN ~ SOUTHOLD, N.Y. 24187 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ....... DD, U~I.~,..~,.,.P.~.T.~.I~(~I~ ........................ .............. ....... ~;~...K~E/.P..,..P. ~ ..................................................... ....... ~E~J~I~P.,~B.T,.,,~,,t,~., ............................................ to ............................................................................................. at p!emlses located at .................. 5.~......l~l~p....~..l~ ............................................. .~I~I~.P.~.I~.T. ......... C~untyTax Map No...,..~.7...~.~.1~.~. ...... Seclio~ ...0.~..~ .............. Block ....f).(~.Q~ ......... Lot No. 0~t,;~ ................ pursuant to application dated ...~,'~Y. .................. 2~.~ ......................... 19.....~.7. ...... and approved bythe Building Inspector. Fee $ ....... .~,.5..,.~..0.. ..... Building Inspect&' Rev. 6/30/80 FORH NO. I TO~IN OF $OUTUOLD BUILDING DEPARTHENT TONN llALL SODTIIOLD, N.Y. 1197 l TEL: 765-1802' BOARD OF IlEAl,TI! ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK SEPTIC FORH ................... NOTIFY: CALL t/.~?.-.~.0 J'.~ ....... HAIl. TO: .................... APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. 1his application ,mst he ctmpletely filled in by typewriter or in ink and submitted to the l~dlding Inspector wit1 3 sets of plans, accurate plot plan to scale. Fee according to scheckfle. h. Plot plan sho~ing location of lot and of buildings on prt~dsas, relationship to adjoining pr~nises or public ~streets or areas, and giving a detailed depcriptlon of layc~st of property must be drawa on the diagram whid~ is part of this appl icat [c~. " c. 3he ~ork covered hy this application may not be ccra~need before issuance of ~ilding Permit. d. U[~a approval of this applicatlon, the P~ailding Inspector ~*ill ismm a ~ildlng Permit to the applicant. Such pennit shell he kept on the pr~nisas available for inspection thronghont the work. e. No building stroll be nccx~ied or used in ~d~ole or in part for any purpose ~hatever until a Certificate of Occupaacy shall have I~en granted by tim Hoilding Inspector. t~tc~rlc~ is ~l~ m~ to tbe I~dlding Depart~nt for the isa~nce of a I~uilding Per, it paratmnt to the Building Z~e Ordinance of the To~ of ~onthold, ~fffolk Cnonty, New York, and other appllcable I~s, Ordinances-or P~gulatinos~ for the eo~txuetion of b~ildings, nddlti~s or alterations, or for re~oval or de~lition, as herein described. The applicant agrees to conply ~ith all applicable la~s, ordinances, building ced% honsing cnde, and rngulatlnos, and to adatit authorized inspectors on premises and in building for necessary inspections. ................... :. .............. ................... ...... (Haitlng addresa of applieent) State ~dmtl~r applicant is o~er, lessee, agent, arddtect, engineer, general contractor, el~trici~, pl~r or builder. ~C ........................................................................................... the t~ ~il or laCes~ ~) DATa--B.P.' ~~Z- If a~li~nt is a ~q~rati~, si~t~ of ~ly ~ri~ officer. ~OO BY: ~~'~ ~O~lffY BUILDI~ DEPARTMff~AT 76~-~802 ~ AM TO 4 PM FOR TH~ (~ a~ title of ~rate officer) FOLLOWING INSPE~ONS: I. FOUNDATION - ~O REGUIRED FOR POUeEO CONCRE~ ~.).~'~.~.~~ ~-~ '.'~ 2. eo~a - F~MiNG a PLUMBING Lt~en~ ~il~rs ..... 3. I~0~ON Plmt~rs Lieen~ ~ .......................... 4. FINAL - CONSTROCTION M0$T 8~ COMPL~ FOR ~.O. El~tricians Lieen~ ~ ...................... A~L ~ONSTRO~T[O~ 8HA~L ME~ Other 'IY~s Licen~ ~ ..................... THE REQUIREMENTS OF THE N.Y. , 6TATE CONSTRUCTION ~ ENERGY ,~ ~ , ~ , DESIGN OR ~STRU~ON ERRORS ~ ... ................... ....................................................... ............... 1~ ~r St~t l~nlet ~ 'g ..... ...... ~ty T= ~p ~. I~ ~ti~ ..... ~. ........ ~l~k ~Mivisi~....... .. . Fil~ ~p ~ l~t ............... (~) 2. State ~st~ ~ ~ ~Y o~ ~i~s a~ inte~ ~ a~ ~ of I~ c~st~ti~: a. gxisti~ u~ ~ ~... ..................................................................... · - --. h. ........ ..................................................... 1. I0, II. 12, 13, 14. 15. N;~l,te of woH~ (c~ek Mdch al¥1icable): Nc~ l~Hhlint~ .......... ~klition ..~ ....... ~teration .......... I~q~lir ............ I~t~al ............. I~lttlofl ............ Other I&)rk .~.~C~ ................. ....... ...................... .............. : ........ (lo I~ lmid ~ filinh this appticatl~O ] f garage. ~tdmr of ears ~ l If I~mineaa. t~m~rcial or mi~l ~x~qmney. 81~ei~ ~Cura and extent o~ each ltyl~ of u~ ................. ~ .... Di,~naim~8 of existing atnmturea, if any~ t~t ................ l~ar ...... ~ ........ ~pth ................. I~i~t ......................... l)i,e,ai~m of atam stricture ~ith al teraCi~m8 er mkliciona~ FrouC .......... ~ .... l~ar ............... l~pth I~it~c ~m~d~r of Stories ' I]i,~nai~ma o~ en~J~e ~ ¢~8~J~]; ~-~[ ................ l~ar ......... ~ ..... I~p[h .............. ~ n~ 1o~ [,~ .................... i~a~ .................... I~plh .... ~ ............... I~Jle oF l~lr~W~ ~ or u~ dia[~ic~ in dll~ p~ni~a a~e 8~m~ ......................... ~ .................................... I~a propel ~at~ti~ violate any m~in~ 1~. ordinate or regtfiatf~: ~ ...... 18 this p~r~y ~itldn *IF PI.OT I)IAGRAH l~cate clearly alii discine£1y all Ixd'l(linga. ~mLImr existing or proposed. frcx, prol~rt-y lines. Gi~n~ street and block t~sd~er or deseripti~ according to deed M~ether H~let lot or corner loll it~llcate all set-lmck di.ensions and rd~c~ street i~l~ea and indicate (N~ ()f il~llvi(l~ml siguJll8 eonLract) IL' i,; the ................... ~ ....................................... i ......................... ((~}llt. racter, ngeat, cerlx)rate ol~fieer, eec.) of ~mid (x~r or ~mr8, alKl i8 dilly aulhoriz~l to I~rfolln or have [~rJ:ot,L~ Lhe 8a{~l ~[k elxl LO nnke mx] file this ttpl)licnCion; IhilL all atnlcalellLa cei)toll~l hi this npi)lication are tt't~ Lo the Ixmt ~)[ hie k,x~le~l~le m~l Ix~l J~!f[ alii thnt Ihe ~)tk ~ill I~ I~rfon~l h~ the u~all~r ~ l~rUi hi the appl. icat~o~ No~ar~ Public, $~sts of ~ow York No. 49513~4 Oualified in Suffolk ~ounty Commission Expires May 22, 19 ($iipmrure ef APplicant