The URL can be used to link to this page

Home My WebLink About24528-zFORM TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN I~ $OUTHOLD, N.Y. 24528 BUll. DING PERMIT ITH~S PErMiT MUST BE KEPT ON THE P~EM~$ES UN~L FULL COMPLE~ON OF THE WOrK AUTHORIZED) Date ...... ~g~ .tJ.~.~ ....... ..3. .......................... 19,,.,9..,?.... Z Permission is hereby g~anted to: CHESTER JR & MARY K BERRY ........ ..a.~.~...W~!~.~,.~ ..................................... ........ ~6~.~.U.~,.~Z..~.~.~ ..................................... to ...... ~..,&..~.~.~..A~,..h.?~,~.~P..~.Q~ ............................... , .................................................. 3435 WESTPHALIA RD MATTITUCK at premises located at ............................................................................................................................... CountyTax Map NO ......~.~.~.~..... Section ....~.~ ............ Block ..... ,0.~. ....... Lot No, .~ .............. pursuant to application dgted ......O.g~g~ .......... ~ ............ ............ 19 ...... .~ ..... and approved bythe Building inspector. Fee $ ......... ~.r,,O,.O, .... Rev. 6/30/80 FORH NO. TOWN OF SOU'/'IlOLII BUILDING DEPARTHENT TO~/N tlALL SOUTflOLD, N.Y. 11971 TEl,: 765-1802 Appr=ed.~:.~ ...... 19.~7 Permit ~ ................. Di~ a/c .................................. (Building lns~ or APPI,lCATION FOR BU[LI)IN6 PEIIHIT INSTR1JCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOR}I ................... NOTI FY: M&IL TO: .................... a. 'Ibis application moat be ca~pletely filled in by typewriter or in it& and ~ulmitted to the Building Inspeetor will 3 sets of plans, accurate plot plan to scale. Fee according to sct~edule. b. Plot plan d~aing location of lot and of buildings ca* prcmlses, relationship to adjoining premises or peblic streets or areas, and giving a detailed description of layont of property must be drawn on the dlngrem thich is part of this application. c. 'lhe work covered by this application my not be ca~vaesced before issuance of lkdlding Permit. ¢l. Upon approval of this application, the Buildir~; lnapector sill laurie a Building Permit to the applicant. Sud~ pemit shall be kept on tie pr~nises available for inspection thramohout the x~ork. e. bio building shall be oceupied or used in ~ole or in part for aoy puqaose ~&atever ontil a Certificate of Occupa,cy shall have been granted by tim lhildlz~g Inspector. APPHCATI{Iq IS IlEI~BY ~ to tim Building Departnent for tim issuance of a Building Permit perataat to the Building Zone Ord{nasce of the 'Poen of Soud~ld, Suffolk C~mty, 1~I~ York, aM other applicable I.a~s, Ordioanees ar llegulations, for the construetlon of btfikllngs, aklitiona or alterations, or for rera~vat or demalldon, as herein descril~l. Tim applicant agrees to co,~pl.y with all applicable la~s, ordinances, l~filding code, housing cede, aM - ......... (Signature of appllcaut,~q~ ~&?e, ,if. afcorrcratio?) .... i~lailing address of ap~lJcan£) .............................. ;. .................................... (l~rne and title of corporate officer) Builders I.ieense ~ .......................... Plunbers License Igo .......................... ElectriclanaLicerme Ho ...................... Otber 'rr~le's LicenseNo ..................... NOTIFY BUILDING DEPA((~MENT'%'AT 765-1S0~ 9 AM TO 4 I~ FOR THE I RIUN{)~ , ~ REGUIRED 9,, ~ · ~ & 8.UMSING 4. FINAL - CO#t?RU~TIO# MUST AI..L CON~I*RUCTION ~4ALL MEb"T THE REQUIREMENT8 OI~ THE N.Y. '{. F;~ture ol~ vx)£'k (c{~ck ~ici~ alq~ieabie): ~ l~fildin8 .......... ~itlon .......... Alteration .~ ...... 4. Estinnt~l C~st f~ (lo lm ~id ~ filing this a~lica~i~) 6. If I~mi~mss~ ~mrcial or mi~ ~Ollm~, s~eif~ ~ture ami extent of eadl ty~ of u~ ...................... ~. I)i,ensi~m of ~isting 8tnmtur&a, if soy: ~mt ................ ~ar ............... ~pth ................. l~i~t ........................ t~ ~tmr of 8torie$ ...................... Din~nai~m of mare ~tnmture with alrerati{ms or ~litions: Front ............... ~ar ............... l~pth .................... lbi~t .................... K~Imr of Stories ............... 8. Ili,ensiam of eotlre ~ ~mt~ti~: l~t ................ ~ar ............... ~pth .............. I~ilO~r ........................ ~ N~tmr of Stories 9. Siz~ of lot: [~t ........... ; ........ l~ar .................... ~pth .................... I0. ~lLe of 15~rcha~ .............. ~ ...... ~;m of For~r ~mr ........................................ Il. ~ or u~ district in ~dd~ p~d~a are 12. ~s pro.mi c~mt:~ti~ violate any r~lng 1~, o~li~me or regulatlm: ........................ ~ of C~rr~tor ................... I~tng duly s~)rn, (leix)~9 m~l mays that he is the applic{mt of said c~mr or ~ei-s, taxi ia dilly ~sLhor{r~ Lo l~rfonn or lu~e [mrfotn~ the maid ~rk OTKI to n~lke a~l fire Ihi~ nlq}l {catital; thaL nil. 8taLol~llt8 eoetfl~rl~l iii Illi. nlq)Ill:aLien are I:rlm to the I~mt of his that the ~rk ~ill Im l~rfoul~l lo Ihe~ S~Sll~r ~[ fOrth ~[I ,q~v0rn LO I~fo~ ne this I%t ary Rd~[ie ................................. HELENE D. HORNE Notary Public, State of New York No. 4951364 Qualified in Suffolk Co6nty Commission Expires May 22, 19