HomeMy WebLinkAbout23866-z FOBM NO. lJ
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
N:
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~s~,~ z ,~o,..~ ............... //... ...................... ... ,~
Permission is hereby granted to: . ~ .~ ~ \
.... .../,..~..,.~'....z .z.../.... .....................
. .~...~.,,~../../~....~..
- y:... ,g/__../...~,.., . v_ _/
~o,n~, Tox M,,,~ ~o. ,000 S~t,on ......... ../...K~,~,,~,, ........... ~. Lot No ..... ../....~.... .........
,~,~uan, ,o o,~,:,,,.'otion d,,,e,, ............. .~....(.~..~..~ .......... . I~..?.~...nd a,,,,ro,.,d by ,he
Building Inspector.
Rev. 6130/80
I"~hl.I) III~iI'EC ( ( ~*
I~(Jlll'lll/~'l' IX)Il ( ] 1'11) )
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~06~1~41 BUREAU OF ELECTRICITY
~' 85 JOHN STREET, NEW YORK, NY 10038
Date JhNUARY O9,1997 ~ppltca~ion No. on f,* 1.31~6~-}'7/[}7 H 053~69
THIS CE~IFIES THAT
a~y t~ el~trlcal ~uipment ~ ~sc~b~ be~w a~ i~t~uced by t~ applicant ~med on the a~ve applicotion ~u~ber in the p~m~es o~
WILLIht.{ & ~I~N BIRE/,IIER, ROUTE 48, 1.~ATTITUCK, N.Y.
in ~h* fotlowing location; ~ Basement ~ Ist FI. ~ 2nd Ft. 011~ Seetion Bilk
~sexamlnedon JANUP~{Y ~)~ t t99'/ and found to be in cbmpl~nce with the N~o~ E~ct~al ~de.
Lot
OUTLETsFIXTURE IECSPTACLESI SWITCHES IiNCANOE$CENTiFLUORESCENT[ FIXTURES OTHER
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
,,a~. K.W, O]t H.~'. OAS H.~. ~. ~O, A.W.O~
SERVIC~ DISCONNECT O. OF f S
SWI},~4ING POOL- 1
SPECIAL RECEPT,B~fl?. 20-1
'" (SWI~'~IN(~ POOL) This certificate
covers compliance at the date of
inspection only, Because o~ unusual
menvironments it is advisable to
have frequent test/arid or rep~tirs
made by a ¢~lalified person.
<<< Continued on Pacje 2 >>>
RANGES
SPECIAL KEC'PT
COOKING DECKS OVENS DISH WASHERS
TIME CLOCKSA~T. ~P$ TRABELtNs,~UNIT HEATERS MULTI-OUTLETNoS~,STEMSoF FEET
V I C
A W.G. NO OF Hi-LEG
OF CC. COND.
EXNAUST FANS
. ,.
DIMMERS
AMT, WATTS
A. w.O. NO, OF NEUTRALS A W G.
OF HI-LEG Of NEUTRAL
GENERAL MAHAGER
'his certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. TH1S COPY OF CERTIFICATE MUST NoT BE~ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,~¢:~ ~
8~64041 BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NY 10038
Date JA~tJA~'(Y O9,1997 ~pplicationNo, onfile 131~6~97/97 }{ ~53~69
THIS CERTIFIES THAT
o~y the e~tdc~ equipment ~ ~sorlb~ be~w a~ int~uced by t~ applicant ~med on the a~ve application number in the prem~es of
examined on ,Yg. Ntl~Y 03 ~ 1997 and found to be in compliance with the NaMonal Elect~cal Code.
Lot
F XTURS / F XTURES RANGES, COOKING OECKS OVENS DISH WASHERS EXHAUST FANS
.
S~RVIC~ DISCONNECT NO. OF S E R V I C
OTHER APPARATUS:
WILLIAH & ELL~;N BIR~I'{IER
BOX ~786
J~ATTITUCK, NY, 11952
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTHENT. THIS COPY OF CERTIFICATE NUST NOT BE ALTERED IN ANY NANNER.
':>'121:1
~ ·
FORH NO. I
TO}/N OF SOUTIIOLD
B1/ILDIHG DEPARIltEHT
T O'dl~l I1AI.I.
SOIITIIOLD, N.Y. } J97 !
TEl,: 765-1802
Di ?mpproved a/¢ ..................................
· - '" (Pall ldi~
~OR BIIlLDIRG PERHIT
INSTRUCTIONS
IIOARI) OF IIEALTII ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORH ...................
NOT IFY:
CALl ...................
HAIl. TO: ....................
'Date ................ ,19 ....
' a. 'l~da ay~,lication lmst he completely filled in by t-dpe~riter or in ink ami mflm~itt~ to ~he ~dlding Ins~ctor ~ith
3 ~ts of plans, at,rate plot pl~ to ~ale. F~ acco~iug to s~le.
, b. Plot plan ~i~g l~atim of lot a~ of lxfildi~s ~ ~i~a, ~lationship to ~joining pr~i~a or
str~ts or areas, ami giving a (~tail~ ~kipti~ of last of pro~rty mst Im dr~ on fl~e dia~ ~idl is ~rt of
tbi:s silliest ira.
c. the ~rk c~r~ by this a~llcati~ ~ ~t ~ c~ ~fore issue of ~ildi~ Pemit.
d. UlXm appeal o[ this a~)licati~, the ~ildi~ In~ctor will is~ a ~ildi~ ~mit to the applicant. ~ch
~mit ~mll Im kept m tl~ ~i~s available for irish:tim tbmgh~t the ~rk.
e. ~ ~ildi~ droll I~ ~a~i~ or ~ in ¢~le or in ~rt for
APPLI(~I'[~ IS [EffiiIIY [~ to tl~ hdlding l~urtmnt for the isam~e of a Ikdldi~ Pemit ~rsamnt to the
I~iidi~ ~m Oalim~re of tt~ T~ of ~tlmld, afffolk ~mt~, ~v York, a~l other a~licable l~s, Ordln~es or
~guiatlra~s, for tt~ cmst~tim of hfildi~s, a~itims or alterations, or for fatal ok (~litlon, as ~rein
regulal ilzm, m~l lo a}l~i-ffig(~~ra ~ p~drms alii in I~dlding for mmeasary inal~tlons-
(Si~ture of applicant, or n~, if a cor~ration)
State ~tl~r a~Iicant is ~r, les~, ~nr, arcblrect, engi~r~ get~ral contracr6yx vl~rr~~dIder.
(as ~ the tax roll or latest
If applicant is a ~rati~, si~tu~ of ~hly ~tborlz~ officer.
(~ a~ tittle of co. rate officer)
Pltmi~rs Licen~ ~ ..........................
El~trlcians Licen~ ~ ......................
(~)
2. State existing u~ a~ ~ of pr~i~s a~ inte~ u~ ~fl ~lm~ of ~ c~stmctlon:
6. If Ixmit~.n. cxm~ercial or m~l (x:CUl~tg:y, ~eify lsat:tile m~l extent of each ty~ off use .................
7. I}i.enM~m of exlst:ing attributes, if any: Pr(s~L ................ ~nr ............... l~p~h .................
~)[nen~i~m of aa~e ~td~:ture [with alt.erat:i(~m or t~MiCk~m: Frma~ ............... l~ar ...............
· ~ of Arddtec~ . I
~ of Cz~H'rnclor I
PI.OT DI AGRAH
"IMMEDIATELY"
ENCLOSE POOL TO COD~
IJNOERWRITERS CERTIFICATE
REQUIRED
APPROVED AS NOTED . .
N~IffY BUILDING DEP~AT
765-1802 9 AM ~ ~ PM FOR THE
FOLLOWING INSPE~IONS:
1. FOUNDATION - ~0 REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSU~TION
FINAL CONSTRU~ION MUST
8E COMPL~E ~R C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREME~S OF
STATE CONSTRUCTION & ENERGY
CODES. N~ RESPONSIBLE FOR
DESIGN OR
(N;st~.~ of i[xlLvichml ~iB, ing co, t:racL) /
((~nltractor, al~ent~ corF~rme officer, etc.)
of nnid (m~r or {m~r.. mKI i, {]tl[j aul.horiz~l I;o i~rl'olul or h*:ve [~rfor,~d Ihe ,aid ~)[1¢ alii lo ll~;lto alxl file Ihi,
applicntion; tirol nil ntal~irent8 ct~)tai[xN ill Ilsi~ l[q}] I('llill(}ll [lYe I:IIP I.o the I~ml: Of Ill, ktx~l~ll~e aim [~HIo[; ]llKJ
Ihal. the m)~k wil I I~ I~rFonlL~l in (,lie n~n,~r net I~}rlll ], the appl ]chi. lo, Filed ther~ith.
(SiP, nal:ule of ^pplicnnt)