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Home My WebLink About23377-zFORM NO.$ TOWN OF SOIJTHOLD BUILDING DEPARTMEN'r TOWN HAU. $OUTHOLD, N.Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23377 Z / Permission Is hereby granted to: ~ ...¢..~....,~.~......~.~.~. ........................... ~_~..z....~..~...~,~....,....~.~....zz~.~ .......... ........... ........ .... ~.J'.. ............ ~..~. ........... ~ ............................................................................ at premises located at ............ Z~? ....... .Z~....~--Z~......~.~... .......... ,~...,..~., ..................................................... ................................................................. ~.~ .~..~./~~ ~ ...................................................... County Tax Map No. 1000 Section.../.~..~. ............ Block ....... ...,~..~... .......... : LotNo ...... ..~....,~... .............. pursuant to application dated ....,~../.~.. ....... ...~..~..~. ........... 19...2 .~...., and approved bythe Building Inspector. Fee $, ,'-..~., .,~, ............... j' Building Inspector Rev, 6/30/80 F I IIAI. Al)l) 1 '1'1 ()IIAI, (~011111~,111',~: NO. I SOUTHOLD, N.Y. TEL: 765-1802 Disapproved a/c ............................ ...... (lkd r) BOARD OF IIEALTI1 ............... 3 SETS OF PLANS ............... SURVEY ........................ ~gllE~le~?. ........................ APPLICATION FOR RUII.DING PERHIT INSTRUCTIONS a. 3his appticatiou rmst be cOnPletely filled in {fy typ~vriter or in ink a~ ~irt~ to fl~e ~fildi~ Ins~ctor ~ith[ 3 ~[s of plus, ~mra~e p]o~ pl~ to ~ale. F~ acco~i~ ~o ~h~lfle. b. Plot plan d~i~ l~ci~ of lo[ ~ of ~ildi~s ~ pr~i~s, relationship to ~joini~ pr~i~s or ~blic struts or are~, ~ givi~ a &tail~ &~ripti~ o~ l~t of ~o~r~ ~t ~ dr~ ~ the diem ~lid~ is ~rt of this ~licati~. c. ~ ~rk c~ ~ this a~licati~ ~ ~t ~ c~m~ before issue of ~ilding Pemit. d. U~ al~al of ~is a~licati~, t~ ~ildi~ Ins~ctor will is~ a ~ilding Pemit to the ~lic~t. ~d~ ~mit J~all ~ kept ~ ~ ~[~s ~ilable for ins~ti~ th~t tim x~rk. e. ~ ~ildi~ ~all ~ ~i~ or u~ in ~le or in ~rt for ~y p~ M~at~er ~cil a ~rtificate og ~ ~aIl h~e ~n ~t~ ~ tim ~ilding Ins~tor. ~l~ IS l~t~isi ~ to t~ ~fildi~ ~r~nt for tim isle of a ~ildi~ Pe~t ~t to the ~ildi~ ~ ~i~ of tim ~ of ~t~ld, ~lffo]k C~ty, ~ York, ~ other a~lic~le ~s, ~i~es or ~lati~s, for the c~st~ti~ of ~ildi~s, ~iti~s or alterati~s, or for r~al or ~lition, as ~rein ~ri~. ~ a~li~t ~s to ~ly ~itll all a~li~ble l~s, ordi~es, ~ildi~ c~, ~i~ c~e, a~ re,latins, ~ to ~it ~t~ri~ ins~tors ~ pr~i~s a~ in ~ildir~ for ~es~ in~ti~s. ................. (Si~mre of a~lle~t, or ~, if a co~ratlm) .... ~.e~x..~*.*....~. ~.~u.~ ........ (~ili~ ~ress o[ ~llc~t) State ~hether applic~t is caner, lessee, agent, architect, engineer, general contractor, electrician, plud)er or builder. .................................... : ................... ~ ............................. AI~.PIlOYED AS.NOTfD ......... · ~f~ ~ ~Z ~t~,r ,' DA~E:-~ B.P.// ~dj/??~ (as ca the tax roll or latest deed) FE . _. ...... ~ .... ~.e NOTIFY BU{LO{NO O~l~t~lmc~ ~' If applicant is a corporation, signa~voe of dully m~thorized officer. 765-1E02 S AM TO 4 {mM FOR THE .......................................... 06~UPANCY OR and title o~ corporate o~ficer) USE IS UNLAWFUL l.ie NO ................. .W.[THOUT CERTIFICATE icea * .................. OF-.OCCOPAHC¥ ~lectriciaas License I~b ...................... FOLLOWING INSPECTIONS: , 1. FOUNDATION - TW~ BEOUIRED FOR POURED CONCRETE". 2. ROUGH - FRAMING & PLUMBING 3. INSUI~ATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY Off{er Trade's License No ..................... ' cODES. NOT.....RESPONSIBLE , FOR o t~ ~r St~t l~et ~~. ~ ~ti~, .... ~ ..... m~ .....Z~ ..... ~t ...d .......... ~i~i~ion .~.~.~e~ .......... ~i~ ~ ~ ................ ~ .... z.~ ....... ~(~) 2. State ~ist]~ u~ ~ ~c~y o~ prmi~s ar~ i~te~ m ~ ~ of ~ const~ction: ~. ~ ,~ ~ ~ ........ ~.~t,.~/~...~.~,.~/. ......................... '1. N~hne ol: ~nk (d~ek ~hicJl al~dicable): Nc~ I~ihling ,,.~ ..... ~klition ......... Alteration .......... (l~rip~i~) 4. Est i.~a~l (~sr ......... ~. · ......... ~ ..................... , , (~o Im lmid (m filing thi~ al~liea~i~) 5. lg &~lling, [~imr o~ (~lli~ unit~ ............ ~lfdmr o~ i~lling tmit'~ ~t~ ead~ flor ................ 1~ ~arage, ~l~l~r 6. 1~ Ixmifmsa, mm~reial or mi~l ~CUlmt~y, ~lmei~ trot'ute m~ extent of each, Lyf og u~ ...................... 7. I)Jn~nai~m og ~iai'ing at:nmturea, J~ any: Lq'tmL ................ I~ar .... q .......... ~pth ................. I~i~t ......................... ~*~Imr o1~ Stories ...................... i I)inenai~m og sam stnm~ure with alterati~ma or ~klitiona: Front ........ ~ ...... l~ar ............... I~pth .................... I~i~tt .................... ~;tmr of 8rories ..~ ............ 8. l)i,m,mi~ta ol= entire tm~ c~atnml'ifm: li','tml: ...... ~.~... t~ar .... ~ .... I~pth .~.~.~'..2.. ; ~ '~ . 9. 8i~ eg lot:: 10. l~ll e of lhtrdm~ ..................... ~ off i}¢~rn~'r ~lmr ............... i ...... II. g~m or o~ diaLriet i~l ~idt pto. i~a are .ittmtM ....... ~ : ....~ ' . ................................. 12. lkma prol~l e~mtnmti~m violate any ~iOg I~, ordi~m~ ' ' ' , ....'.. 13. ~lll lot I~ regr~ ................. . ~klreaa . . .;; i~;~m' . , .~ .... ~m o~ Cxml:ractor ............ 15. la thi~ p~l~rty witlde ·IF YES, PI,OT I)tAfiRAH l~ate clearly at~ diati~l'ly all Ix~ildit~8, tdmther existing or protx)~, ~xl i~licate all aet-l~k dinetmiona Pr~,l proimrty liras, g[~ at~t a~l bl(mk ~x~imr or ~scriptit~ aceo~ling t0 ~1, m~ ~ street ~a atxl i~licate tdmtlmr interior or conmr lot. (~,~ of i~xlivldmd signing contract) a~Kl ~ay~ Lhat I~e ~ Lhe opp[ i('~]i~l. ((klntracter, a,[~el~t~, corlxlraLe officer, etc.) i of :mid (xinet or (~x~ra, taxi is duly m~thorizenl to imrfetnt er have Imrl'orsled Ihe ~aid ~k taxi to ~lke alxl file Ibis n ~)11catlou thai: al I. statamnt. (:ont'alt~l tn Ih18 a ~)[ lcat loll ara t.l-t~ to,t,be I~.t. of Ina klxml~ge mfl ImI leF; alKJ NOTE ~ ELEVATIONS $HO~N HEREON ~ERE &~ROXI~TED FROM TOPOGRAPHICAL MAPS PREPARED BY OTHERS AND A~ REF~ENCED ~ MEAN SEA LEVEL ~TUM. SURLY FOR BARBARA OBLOWS~I AT CUTCHOGU~ DATE: NOV. Z, /994 FOR A~O~AL OF C~STEU~tON OHLY ~N ~ EOUTHOLO SCALE: / ": 50' SUFFOLK COUNTY, NEW ~RK NO.~ 9~- 0635 ...... ffCOPIES ~ ~IS S~VEY NOT ~AR~G THE APPROVED .,. SU~VE~R,S INKEO ~AL OR (M~OSSEO SEA[. SHALL ~EAL~ OEPARTMENT-DATA F~ APPRO~ TO C~STRUCT A.O ~ His BE~LF ~ THE TITLE C~P~Y, 60V~N- ~ CO. ~ MAP mit /~ S[CTIO. ~CK /~ LOT / H~, AND TO ~E ASSIGNEES OF THE [.ENDING W~[~ A~ ~ ~Ek[lNl WITHIN IOO FEET OF T~S PROPERTY INSTITUTI~, GUARANTEES ARE ~T T~SFERABLE TO A~ITIONAL INSTITUTI~S OR SUBSEQUENT ~ OS~NDER AVE~E YOUNG YOUNG RIVER AD, NEW YORK NO~E: I = MONUMENT FOUND A :STAKE FOUND ALDEN W. YOUNG~PROFESSIONAL ENGINEER SUBD/VISlON MAP FI~D IN ~E OFF/CE OF ~E CLERK OF AND LAND SURVEYOR NY.S. UCENSE NO. 12845 ~U~O~K COUNT)' ON dU&Y /~, /gY~ ~ FI~E NO. 5Y~Y. HOWARD W. YOUNG, LAND SURVEYOR ~ c~ F ~Liw), ~JC T~NKItT)a C[~S(~) ~N EI[~ N.Y.S. LI CENS E NO. 45893 8SANDtS & SONS INC, 1046