HomeMy WebLinkAbout23434-zFORM NO.3
TOWN OF $OUTHOLO
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
N~o 23434 Z
BUILDING PERMIT
{THIS PERMIT MUST BE KEPT ON TIlE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ................ ~.../.....~.. ................................
/
Permission Is hereby granted to:
i ............
.... ~~..~...~,~ ........ ./z...¢..~
1o..~.~.. ......... ~~ ......... ~& ...... ~ ........ ~.....
...z,. ................................ ~,,~......,... ................................................................................ ~ .................
CountyYaxMapNo. 1000 Sectlon...,x/Z/.~ .......... Block ....... Z~. ............ Lot No. ...,,~/, .~,. .................
pursuant to application dated ........~,,~ ...... ...'~,, ,~,,~. ......... 19.. ,~, ,~,..., and approved bythe
Building Inspeotor.
ee ~ .........................
~ ' Bul~ector
Rev, 6/30/80
I~iBht ......................... E.~t.~r of ~lo~'i~. ......................
I~pIh .................... [h~il~,t .................... ~x~l~r ~f ~locie~t ...............
I~i[~1l .......................... [~,i~r of ~;Iorie~t .....................
I Iof I.~ telTr~d .................... ~il I ex~'e.~ rill I.~ ,~,~ed Ertl. i.o.i~e'e: ~RS
this l~olx~rly vilhits ~X) feel nj' a tit]al T~i;lal~l? ~ YIL~ .......... t~) ....~ ....
]'[.OT I) I^(~R^l'l
BOARI) OF lllr.^l. Tll ...............
3 8F. TS (:IF ['I.AN~; ...............
SURVEY ........................
CII~CK .........................
SEPTIC FORH ...................
,~IOT I FY:
CAI.! ...................
H^IL TO:/
DaLe
n. 'lids apIHicnl:ic~s nxmt I~ co,lHelety filled h~ hy tylX~.~riter or in ink m~l md~uilt~ to the ~dhli~g Inflictor with
3 ~Ls or plans, ~curnte ph)L plan to scale. Fee according to schedule.
this
c. 'lhe ~)rk c<mr~l I~ Ihi~ aH)licnl, i~n~ v~y sa)e I~ c~m~:~l I~fore issua~<e off l~ildlng ['emit.
d. i1{~ al~al of this alq)lication, Ihe lh~ildi,~ lnsl~c~or will i~m~e n l~ildlng Peunlt to the alq)llcan~.
i~unlt sh~ll I~ kept o) tl~ proni~s available For inSl~ctic~ thr~)[~t the ~rk.
e. ~ l~fildi~ ~mll I~ ~caqfi~l or u~d in ~)le or in l~rt for any ix~rlx)Se s~mt~er until a (~rtificnt:e of
AI~q.I(Z'I'I(~ IS I~[~BY t~ll~ .Lo tl~ I~lJldi~8 l~[mrl,m,tl, for the is~m~e of a I~dhlh)g l'etmit ~rmtm)t to
lkdhli~ 7~e ()rdima[<e of the 'l'c~ of ~xuhold, ~lrrolk (hlnly, ~; %tl~, nit1 other olq)llcM)le Im~, O~lil~nt<e8 or
~gulnlim~s, for the ~stzxel:l~ of I~dhlinga, ~kllti(~aa or alteratiosm, or for r~a~al or d~lltion, o0 herein
cb~cril~l. '11~ applicant ng~s Lo co~dy with all alqd icnble I~e, ordh~m~es, I~tlldlug c~le, I~sing c~le,
State ~4e sar nlqlicnnL J0 cx~r, lenaee, ;pa t, mciilect, e g'~er, Recital costtactor, eleett-ic~nn, plt,~lmr or I~nhle~
- " ' ' ' - ' ' AS NOTEO '
(aa ~ the tn< roll or late~l: deed) NO~I~Y BUILOINO DEPARTMENT AT
If ~lqdJcant i~ a COrl~r~tim~. ,ip~m~,~ o[ duly m~l.l~r~r~d of[leer. 76~-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPE~ONS:
1. FOUNDATION - ~0 REQUIRED
......................................................... FOR POURED CONCRETE
(~ taxi I. iLie GE corlx)rate officer) 2. ROUGH - FRAMING & PLUMBING
3. INSU~TION
4. FINAL - CONSTRUCTION MUST
l~ihler~ l,Jcen~ ~) .......................... BE COMPLETE FOR C,O,
ALL CONSTRUCTION SHALL MEET
Ph~d~r~ l.icen~e ~o
THE REGUIREMENT~ OF THE N.Y.
~leeLricJan~ License ~ ...................... STATE CONSTRUCTION & ENERGY
CODES· NOT RESPONSIBLE FOR
OUmr ~,~o [,{tense ~ ..................... / ~ ~ __..~ DESIGN OR CONSTRUCTION ERROR~
.............................................................. .......................
Ikx~ ~l~r , , ~ Street ~ '~ ~ l~nlet
~lxlJrJsJ~ ...................................... Fll~I ~1~ ~ ................ l~L ...............
(~,,~)
2. Slate exJnlJng u~ a~xl cx:caq~ar~y of l.'On[~ 8tK] Jnte[~]c~l use ~[~1 ¢~ctq~ar~:y of pro[~ consl~ction:
].q.,i~ r ........... ~,~,,I ............. i~,~,~ itl.. ............ 0.,~,. ~,,~ ~.~ ~..~.~.
6. E.I i v ~1 (~l: ..... ].~.~ ............... 'co ,~ ~..' .... .....................
If ~aral~e, ,~l~- of (:mil ......................................
I~il~hL ......................... ~.~{~ of ~tqen ......................
I~. I~itl 1ol I~ terraced .................... ~[11 e~t:¢m~ fill be ~(~l~ed Er~n p~¢~daeat YT;~ 11) ,,
15. h; II,is I.~lX~t.y whhin ~X) feet. of
Ihnt. Ihe ~)d< will I~ imrl'ot.x~d Jn tho nv.u~r net J'ollh in the appl imil:Jon filed IIm)~lLh.