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Home My WebLink About23759-zroans Na s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23759 Z Pate ....... ......`�!.......1v41 19 �� ........................ ....... ............................................................................................................./............................I........................ County Tax Map No. 1000 Section ............ /ll.... Block .........1........... Lot No. ./..r��..'/...... pursuant to application dated .......... 'Y1....• • • ................. 19 ., and approved by the Building Insp-ectoorr, Fee $..../.yQ:.. sp.. .... .................... ..... Building ........... Rev. 6/30/80 �IzAc>S GoNST12Uc CJN NO)F-7-1f S1nE IZF-Movl✓ FFc1,cT7w C, FIXIG-o umq- wrNbew CC 0!NlnJCi Rvo.a� I05rrAU, Ngw ArbZZ Srw 45-^c14--Zo 13vir wfnrool•� . P(zovioE 3-2¢ pasTs @ F 1cj) Slog w17tj 2- Z,341Z M/ "e- PLr w060 Ft,(Tc H 13E9'wErAv zc izs f? S NB,41915 Z f�4r} ST S I (2c: 120 40('E FX I S77 N ( Su p" C, C t— Poore v.vr T INs u NSW 1}Nb P2 S v Ct2 t S^ GALS -CJeis w "ve(.J UN rTNeu/ ulosrT H i vr=e . H64r" r" f OS !3E SA.qoc- Sour`) SIOE: FxIS77n/G Flxr✓o 1NtNd�avr/ uNe7 . 11)SA NEw 4,5-- CP7-S- zo 6A7 wlN0ow 01VIT. INS7� �VeW H,5410 ✓J,z- 4 I"05 - 54"ge '45 A I50UF . %ad 4 SIV jIl MANZK K. Sc HWAP- Z.. 10-42-9& //,�- J� PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF 1d.Y, STATE BUILDING CODE. T FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN MALI. SOUTHOLD, N.Y. 11971 'ilii.: 765-1002 19.q411 Appugvvd,dq ,✓. ! .... 19.Z& Penult No. ............ / Disllpa'(N(sl a/c ............ I..................... ........................................... !.. ...... Building hwPrect or) APP .II;A'I'tON FOR BUILDING PERMIT INSTRUCTIONS ROARO OF HEALTH ............... 1 SETS OF PLANS ............... SURVEY CHECK ......................... SEPTIC FORM ................... NOTIFY: //--/r' �{ •7Q CALL ..7+Gt J.-.T.J.(,V..... MAIL TO: ... ....... Date..�O_z 19 .... n. 'This application stint le colaplele.ly filled in by lylxnariter or in id< aal rubnitled to the Building Inspector will) 7 nets of plans, accurate plot plan to ncale. Fee accordion In schedule. t h. Plot. plan rdloving location of lot and of buildings on prolnisas, relationship to ridjoining prentises or loblic ntreeln or areas, sol giving; a detailed dercripticnn of Inyod: of properly arum be (11 -Wo ar lite diarral which in part of c. 'Ilse rnork covered by this opplicaLlol ev'ly aH. Ire camerxrd 1M.f ore LAtiUa"ce of, IAtilding Permit. �t. Upon approval of Uuis'applienLiori, the Building InnPo?(aur will issue a Building Permit to the appl Prost. Such permit. shall lie kept on the premises available for inopection Lhroj))lout Life soak. e. No boilding ,114111 be. occupied or ured in wl+ole or in Iwrt for any purpose whatever until a Col-Lifiente of Occ(pxnxy shall have been Itranled by the Building Inspector. APPLI A11ON IS IIFRKBY MADK.to lite Building Deparmulk for lbe issuance of a Building Permit purruant In the Building 7snre Ordinance of the'lkx.m of Southold, Suffolk Gnmly, 1404 Yorlc, mod other applicable L;M%, Oldinarces or IA:I;u nal. ions, for I.he consl.rrxa ion of lAd I(I lltgr, addit la in or al lel at ions, or far rammaI or d<nnI ilio", an hot vitt deseriled. The, applicant altrees to ccngrly with all applicable laws, ordinances, hldldinl, code, Ixoainl; Cale, mol regwlnthlim, sol to aluuic atiborize<I inspectors on premises and i" Trod ling for r nsdxcCirnnA0.j ,Q� (Signature of aPpd icanC, o nav-eif a cur Poral ion) 27,x. C(F4�rG4� Nii d int; address of alprl icanl ) State whether applicant in owner, lessee, agent, architect, engineer, Reneral contrnetor, electrician, pluliler or bouildet. .......................................................................................................................... Nate of (oulxer of plemikeA .... Y. Y.7E?j ... '(!................................ ........................... Can a+ life trot roll or latent deed) } rpx If appl icanl' is a cooral ion, signature of duly author bled officer. L5 , .............................. I............... Mull! and title of corpxrrnl'e officer) Builders License No. ......... 7 ............... :l.v ..... . Ploders License No . ......................... tiled ricianr License No . ..................... 011ier '1hAPs license Nu . .................... I. 14x'allal of food (lit which proposed work will be done.............................................................. ...... I..3.7.s..... . a c v!..1"JIVA..lloyto; ............... ....Gu541700Gv0......... ........... ... Houne Number Street 14xnlet Ciotnty Tax Map Mo, 10()0 Section ......11.1....... Block .... '.......... fat ...a. ';<rlxlivi:;irnn 4PR444C.04(J.I°I?!d/?4'(C........ Filed Mail Nur. ,1...I......... Lot (Name) 2. Slate existing use alxl ofcopancy o/,ff preniser and intended use arxl occupancy of Proposedpsed construction: a. liKinting une find occupancy ... !{/:�Y.'I CY.�r........................................................... b. Intended one aril cx:ngxsx;y..."'rf�.t.!t!!%6!......................................................... If tall It (che(A tA+idl Fyq)l i(:uliIIle) ; Il Ito!Idirys .......... Al(mut loll .......... Ib! auI Ib�rrovl)l Ikm.rl lLinu 0(Ilar lknit 0)tnwr ipl: illi) 4 CNiCi IAJ" tL 3 /vl W Il 04b,S. 4. lint lsvll ed Omul .... I. �i..... fu . .............................................. t;, w!r ul`iA+cllin unl,. (lo Ix+ hnid on I'll iuR thin app(iewl loll) 'r. II' (AAAI in Ixni )3 'Ils IAnlw:r of AlcilI int; uoi l'c+ (At each floor ................ Igut Illy!, Ixniu!r of co I'a........ .i ............................. 6. If Irunin!nn, rnnllorclal or mixed tx;'ro)u+ncy, slx:r.lfy wallav alxl rxlvill of each lyp(: of one ...................... /. Iliuenn ilio: of exlal'I . nR wL if ally: on( ................ Batu............... Depth ................. nua urea, I� I!, IkigllttJ. nlx?r of Rl or iuw ...................... biueus!(x+s of vine sl nx:lure with Alterat ltx+n or rxkllt loan: Frool Rear ............... I)l!p111 10t;lrl':................... IAui)(1r of Moll R. II(ne; Ili 1(X1:1 of (.:nl ho Ill co;nitlw:# it ll 1''11x11 ................ Itear i)t?l>tIf .............. Ikit,lll ......................... 4rdk!r of litorie:l ..................... 9. tlize of IoL• PYlx,l ........�...... Rear Ikp(h .................... 10. Ikn e (if; 1locfiwne ... .............. I�.... (hall of fouler 0.4;w:r....,................................... II. 7txwj or one dlwlric( IIIc rh f"Hinen Eric nitoated ................... 12. ikx!n p(oiw,sed r.(%Ir; l rtw:t loll viol ul I� any znlllit Ichl of it! or Ietsul It l on: r !). I4111 lot l+u r1q flak) ..... ..,,'.,'�....... Will cleans fill Im rocovc:d from p(aniseal YES 14) 11 tJ:r;ea of (Atlw:r of prrn;ines MARII!'111✓.y, ,((��pJP/q,•V; ?.... Mklrodn �SH�KM/::gA�/. J.IW,�...I1'�.... 11 ro(x: lkt, l.s.T.".�'.'�. 7P. Milo of Art:fil(ecl' ......... /.'i9'4l�t.d�r..KG '!49!� Al Zzr..4 :^.tli'.✓,f¢ti,!.i7y�-...... 11uxw: fdr. -A.Z. 78 0X II ....,I N;nr? of fit(:[Err ........ „.................... At Ir6 Erna...............................ltvvu Ik,. ............. i Iw 11111; prolx:rly wllbin 7(R) feet of it I IdaI Xxti,Ialwl'/ A YRS 1�1 .......... All+ Yli9, lXtllll(MI)'ICXJN'Dtllti119±i IM?1X11'1' NAY Rh NI!AjlllRl'.D. 1'1.OT DIAGRAM I tx:ale clearly and diafivt ( ly el)i 101( lol Illetl+er exlal !ng or- prolIoll tail hwllcat:e all nr. e--bmat Blur!nw Tuns tun; plotwuly Illw!a, L'!ve nlrrel' VIVO 10 o nnl?ur or des IIII,ion occor(Illilt to deed; alwl nhr%J tit teel olrlen mol IIXIi(:VIlu ,A wn I w 1 ! Sit e(for or cool Wt lot. M APAP P 0 ED AS NOTED ATE: S B.R # FEE: q , NOTIFY BUILDING DE 7G5-1802 9 AM AT FOLLOWING INSPECTIONS: PM FOR THE 1. FOUNDATION FOR POURED - TWO REQUIRED ✓� z. ROUGH . CONCRETE PROVIDE FRAMING & PLUMBING OPENINGS FOR INSULATION EMERGENCY ESCAPE A$ 4. FINAL - CONSTRUCTION MUST REQUIRED BY PART. 714 OF E COMPLETE FOR C 0. THE ALL CONSTRUCTION SHALL MEET y STATE BUILDING CODS, S ATE CONSTRUI�pH ENERGY srrcnt txt INSJ Y Sic, CODES. NOT DESIGN RESPONSIBLE FOR 'I CONSTRUCTION 0xitatY (e+ .. .. .. �� ERRORS AWK.Zl".......... ...........]wIqt duly Ilion +, dutxmen [Hill nnyu (fiat: he !e the rrppl!VIII t (fbrly! III iIAly ldul)l if 11,111111, rout rant) abuva ou;x:d, 16� !n Ilre .............I .............................................. I......................... ((anlllaci r,�nl{m ;, }•i,rlxu ale officer, el c.)- ol' raid ow'Xiv or (%Ax?ra, wVl In duly 11;d1lotiv l to ix.rfolul or have, txo'furl;wvh the swill w(rlt w;xl to acd(e and filo Thin wppl Tial ion; Ilan ;III nl nllurltlu (;nulliIltxnl in Thin nppllicul ion ale (Itx! to 'If, bawl, of fill) lux"Iedtyu n;ul Ixdiul• nxl Iluw the ,Aolt will Ix,i tmt{ loowd In Iho uum:w.r net: turth !n the wppO!cnLiun I'i•tell : AAntl lu I0uu: IV! thin .... .. .. day a ..t... -f'" .. 14.. I flolaly 111+!!1. ... .. ..0 . .... ....... CLAIRE L.GLEW ('>ignnturu uf` Applirtml Notary Public, State, of NOW York No.4879508 Qualified in Suffolk County Commission Expires December 8,19 r �,,ersrla�u orewtt EX('7T, 6fZ.UG I 5 I UVUJcy 14°414 i to 1' JJ o j / 3- 4 1 t �i2 l a�iz F'L-AN I¢el -1-D iN DeA H 9,0A? r02233? �AFf4y f:l�'ri1. --•-._ L__..._ fJ7niIhIG _ — .. { P vt Ile. _f'(.tlp�:- I'1-!M`�e ° ET I V ui YIk NJ LA- �-� S 2a&k'%'t^.Nrk�6Tk.�.A; F4rA T'>i IL EX('7T, 6fZ.UG I 5 I UVUJcy 14°414 i to 1' JJ o j / 3- 4 1 t �i2 l a�iz F'L-AN I¢el -1-D iN DeA H 9,0A? r02233? tlnM,ew A Ark Ki SehWht{at..A Ile. _f'(.tlp�:- I'1-!M`�e ° nr4!;Y$,N ___�•.__. _,,.. � -Illi zS j �� sii ,iANIL .l�a�r-t IGn�c,ae.N - - VA AA m I O C) - ' i L I Ind �.il Nt I JAN - 3 ��Peo "qc VIN SC,��.� a v� � .a,' ' • r 022339 oP EE� oR H A R C. H ( i, $ C T---T--rCGHu4 c 6�tz.2o; t9�s MARIAN- J'LAN �avS HooS_ E m ,1 _ FI �FIgQMgNS 6F.ri GH K�}YJ i�vw yoYLIG i Commaretrf . ,,. u, b'SiiyM i!Swnue M 'KarhwetA SOYY,�IE,�vYo,1q'1'l9Y1 ('�OtTA9�fil7d Rip% -- ---- --� I JAN - 3 ��Peo "qc VIN SC,��.� a v� � .a,' ' • r 022339 oP EE� oR H A R C. H ( i, $ C T---T--rCGHu4 c 6�tz.2o; t9�s MARIAN- J'LAN �avS HooS_ E m ,1 _ FI �FIgQMgNS 6F.ri GH K�}YJ i�vw yoYLIG i Commaretrf . ,,. u, b'SiiyM i!Swnue M 'KarhwetA SOYY,�IE,�vYo,1q'1'l9Y1 ('�OtTA9�fil7d FIK PC aft f'CriN —�`_---- -- ---- --� IT— —III -, I t �I I ' FXrsT,wn awcic ,I Z i LA 41 j FAMILl P-aP t kITCHG7J ._ Kz UFIl 2, — '�n 3:Zxbq-H1Ao*'R Pt_P TO L , ► —T-1 1 tH ,l-- ! 'rlr-3L 41 1 I J T7T �Ai 10 — t I r'�IZS1" Fl.c��rz 1�N u��Nq uooni --- -- -- --- .. . -J— ,,So nq --.,_ -.. G'YeCP.MBe:K Zoe t996 y"t BEV IN S�,,�'�.}—..�_--- ��F A R C H I T E C T ---T — ! ¢ f N Realdentiei • + Commemiel Industrial fib} 022339 .40 273 CIO�tvlFa Avenue Mack K. Sahvnrtt: ✓41J1> of Ns* soot"otL'd'wy lc11971 ' (516PW073 tuu ST, I �v1q�.lAN .fEaN PkZa�S HouSE,_— F,1SIi�IZNWNS 6EgGEV fzQ4rJ G'CrtGr}n4uf�� NiLw yorC lL --- -- �� FirL�r P(.0012. 1'C/In.> f � 1