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Home My WebLink About24278-z24278 Z TOWN OF $OUTHOLD BUILDING DEPAETMENT TOWN ~ SOUTHOLD, N.Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .,..,O.U.I,,,.¥ ............... 38 ............................ 19..~7. ..... Permission Is hereby granted to: ....... ~I.Q~J~P~I..,~ ,. ~E.~I~L,~7,, Z,~ ...................................... ....... 1~.7.D...P,~ F~,~;../~ .V~ ~LIE: .............................................. ....... ~ U.T.t=IQ L.Q.. ~ .Y....t .:I.~.7.. J.., ....................................... to .....t~ P~ C.T.... ~,. E:..ENCE,.. ~,S...~P. BL I ED...E~QR .................................................................................... at premises located at .................. 8.7.0,.,...P.,~J~ K..,~.V.E: ............................................. ~O!J.T. HOk, Q ............ CounlyTax Map No......~.7.~8.8.~ ......Section ...0,..5(o. ............. Block ,.,.0.0.0.1. ......... Lot No. 0~2.,.0.0.9. ..... pursuant to a ppllcatlon dated ... fl. IJk,.Y. ............... ,!..5 ......................... 19......~.7. ...... and approved by the Building Inspector. Fee $ ........ ~QIIdlng InspectOr Rev. 6/30/80 Po. ui~LF-- ~'aT,~ · ........ ................. Disappnffved ale .................................. FORH NO. I TOWN OF SOUTHOLD BUILDING DEPARTHENT T0~] HALL SOUTHOLD, N.Y. 1197 I TEL: 765-1802 BOARD OF HEAL'IH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... NOTIFY: MAIL TO: APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. lifts application m~st be cx~pletely filled in by typewriter or in ink and sul~itted to the Building Inspector with ~3 sets of plans, accurate plot plau to scale. Fee according to schedule. b. Plot plan showing location of lot and of b~ildings on premises, relationship to ~djoining presnises or public streets or areas, and giving a detailed description of layout of property mast be dry, an on the diagram which is I~rt of this applie~at ion. c. The work covered by this application v~y r~t he ccra~need 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 thronghont the ~rk. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have beon granted by the Building Inspector. APPLICATI~t IS IEI~Y H to the Building Departn~nt for tim issuance of a Building Permit puranaut to the Building Zone Ordinance of the Toan of Sonthold, Suffolk Cc~mty, Ne~ York, and other applicable La~s, Ordiunoces or Regulations, for the constriction of buildings, additions or alterations, or for renoval or demolition, as herein described. Tee applicator agrees to comply with all applicable la~s, ordinauees, building code, housing code, and regulations, and to acialt authorized inspectors on premises and in.....~.~.~('~F~.buildln'*'~f°r meessary inspections. ................ ... (Mailing address of applicant) ([ 77]~ ' State ~ther applicant i lessee, agent, architect, englm~r, general contractor, eleetrleian, plmt~r or builder. of of,, s ...... .d. ..... L..C. ............................ (as on the tax roll or latest deed) If applicant is a corporation, signature of &fly authorized officer· (b%mne mxl tithe of corlx~ate officer) ~-~ I ~ m ~ 4 ~1~ ~ ~ Builders License No .......................... Plumbers License Eo .................. ... . . .. · Electricians License No ...................... Other Trade's License No ..................... 3. INgULAllON , 4. FINAL - CONSvRUCTION MUg~' BE COf~PLETE F~ .iR C.Q., ALL COh,~ 'oOCTIo~i SI4~ALL MEEI' T~:' F~,~ , '~'S"OF THE NY. 1. Iecatlon of land on which proposed work will be done ....................... 'STATE' ' ' '~ ~' 'ROCTIUN' ~' ENER~GT ' ' ' '~"~^ ~ --'' "~V'- ~ ,-~-,/,~bC:OOEC ~ryr ~FSPONSIBLE FOR ...... ~. Z .~ ........ ~h f~ ~. . . ~ . .~ ........................ ~ ~ Vd .~ ~ ~ES~e~ ~.cO~S-mOC~tO. ~,ms .... ~ ~r St~t ~let ~ T~ ~ m. ~ ~ti~ ...~ ....... m~ ...f ............ ~t ~. 9 ~ivlsi~ .............. Fil~ ~ ~ ............... I~t ........... (~) 2. State ~st]~ ~ ~ ~ of ~s ~ int~ u~ ~ ~ of ~ ~st~ti~: ~. ~ti~ ~ ~ ~ ....~.~.~.O~.Cf ....................................................... ~. ~t~ ~ ~ ~ ..... [a,.O~g. ......................................................... 10. II, 15. N~lh,re of ~ork (dmek ~htch appheable): Rc~ I~dlding .......... Mdition ......... I~q~lir ............ I~al ...i .......... l~lition ............ Other ~ ...~ [ (to I~ ~id ~ filing this I[ r~lling, a~t~r of 1~11i~ us its ............ ~d~r o[ {[~1 1 i ng ~mit:~ ra~ each If Ixminess, cannercial or mi~l ocmqmney, specif~ nature and extent of eadx ty~ of u~ ...................... I)in~nsions off ~isCing tn~tls~es, if any: Front ...... ~ar ~p~h ................. 1)i,~nsiam off s~ stricture ~ith alterations or ~g~iCions: Front ............... ~ar ............... ~ptl ' l~i ~ .................... , it ..................... ~mt~r of Stories ............... lkit~t ........................ ~d~r of Stories ..................... ' 7~ or u~ distrieC in ~ddl r~i~s a~ ~s prol~l camtr~ti~ viol ate any ~lng l~t onli~me or regulaci~: ........................ ~$ off C~trator ........... , ....................... ~klress ............................... ~ ~ ............... Is this p~rty w~thm ~ f~t of a ti~t ~tland7 * ~ . ......... ~ .......... PI.OT D[AGRAH loc. ate clearly and distinctly ill L~ildings. tttether existing or proposed, and i~xlicats all s~t-lmek dimensions f~ prolmrty lines. Give street and block nunimr or description according to deed. and ~hoa street immas aa] indicate xd~tl~r interior or corrmr lot. Ik i~d~l~i ~:tt~:~ ............... ~,~ .................................................................... ~hO~,tll~ ~,t'01 !(f~ltraclor, nge~!~,~.~gr~rste offi(:er, ere.) of said ~r or ~rs. nr,l i8 drilyI mllhorlr~ to I~rfonu or have I~rfnrnt~ tim ~id ~rk m~l to ~'lJit a~] file Lhin aH~licati(~; limt all slat~mnt'a c(m~ai~l in this alqflicat ion are't:nm lo fl~e Imat of his kt~l.~ge m~ Iml. Jefi m~l Ihat the ~}tk will Im ~rfou~l in t]~e ~m,,mr set forOl i~ the application fil~ tlmr~ifl~. }~m lo Imfore n~ Lhia detxls~s atxl ~ays that lie ii; the spplicanL ~,.>'o 0