The URL can be used to link to this page

Home My WebLink About23511-zTOWN 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? 23511 Z Permission is hereby granted to: . , ........ ..... 2~...~.~......~ ......................... ....... ~..~_~.~ .......... ~:..../..~.~.-- ~o ~.~...~......~ ........ ~.*.........~.~../~..../..~...~..~J.......~..~/ ~......~.~......~....~....'....~.~...~............~...~ ........ ~..~ ...... ~..., ........... Coun~ Tox mop .o. ,0o0 S.c,,on ...//..~ .......... ,,o~k .... .C2..~ ........ Lo, .o..../~ .............. pursuant to application dated ....... ~,~.......~....,~...~.~.,................, 19~.~, and approved by the Building Inspector. Rev. 6/30/80 FORM NO. I TOI~I OF SOUTHOLD BUILDING DEPARTI~IENT TOWN UAI~ SOUTHOLD, N.Y. 11971 TEL: 765-1S02 Disap~t,~ed a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORPl ................... 2~ ...... D~3~~ ......... ......... (Builaiad ~[nspector) APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. This application nnst be completely filled in Dy type~rlter or in ink and ant~altted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee oconr~ing to schedule. b. Plot plan abo~ing location of lot and of buildings on premises, relationship to Mjolning preaises or public streets or areas, and giving a detailed description of layont of property mst be dr~a on the diagram which is part of this ~applicatlon. c. The work co~xed by this appl. ication may not be ccrmeoced before issuance of Building Pezmlt. d. Upon a~proval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection threughont tie work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been grmted Dy the Mil(ting Inspector. APFLICATICN IS t~ra~Y ~ to the Building Deptuhu~nt for the is,~mace of a Building Permit puranant to the Building Zone Ordinance of the To~n of Sontheld, Suffolk County, N~ York, Red other applicable La~s, Ordln~cee o~ llegalations, for the constn~ction of buildings, additions or alterations, or for remval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ontinances, building code, housing code, and regulations, and to admit antheri~l inspectors on premises and in building for necessary inspections. (Signature of. applicant, or nam, if a eorperatlon) (Mailing address of applicant) State whether applicant is amor, lessee, agent, architect, engineer, goneral contractor ~ or-b~ilder. ............. '~ '~' '- ......................................................... fi/ ~,~;>.~..x~ ..~ ........... D ~,>,, ,' - ~ - o, r .... /.' .... .............. . .... ...... (as on the tax roll or lariat ~e~t)"] ' · ' ; 1~ ' ~ if ~,ncaot i~ ~ on~poratlon, ~i~t~ of dely antho~i~l~ppltO~l} aS llO?[~}~aO_~ -' ..... ~^v~: ~~.~.# ¢~r//e .... NOT~V sU.D~.G DE.~RT~E.T 766-1802 9 AM TO 4 PM FOR THE Builders License No. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED Pltmt~ers License No .......................... FOR POURED CONCRETE 2. ROUGH - F~tAMING & PLUMBING Electricians License NO ...................... 3. INSULATION Other Traders License No ..................... 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. 1. Location of lan~ on which proposed work will beAg~tDe, gON~.q:RUG;ION..SHAkL. JMFr. E; ................................ ...... &nC ........ THE ................ s~^*.e..~q&~. ~. ~.~.~.~..~Y. ................................ House lim~er Street CODES. NOT IqESPONSISLE FO~l~let / In DESIGN OR C~STRUCTION ERRORS/~- County Tax ~ No. lO00 Section .... /. ........... Block ................ hot ................ Sulxl~-~s~on Filed Map ltd ........... StaLe exisL~ng Use and occupan¢;y o~ premlaes and ~otens~d use and occupancy o[ proposed consLruct~on: a. Existing use and occupancy ......................................................................~.~:! .... b. Iutonded use anti occtq~nacy ................................................... . . . ;...'. .. .;. ;. ........... 3. I~z~rnre nf ~ork (dmek ~hich apl licable); Ne~ Building .......... &klition .......... Alteration .......... 4. Est:i,mt~l C~st . .......... f~ .............................................. (to Im ~id {m filing this a~licati~) 5. If &rolling, t*~dmr of &mllin units ............ ~Imr o~ {~mlling tmic~ ¢m each ~r ................ 6. If Imsi~maa, t~nmrcial or mi~ ~qm~y, s~ei~ tmture mgl extent o~ eadx Cy~ of use ...................... 7. I)in~naitma of ~iaring staminas, if any: Pr{mt ................ ~ar ............... ~pth ................. l~i~t ..... [ ~dmr of Stories Dinenai~m of sam stnmt~re ~l]ll alteratkms or ~klitions: Front ............... l~ar ............... l~pth .................... I~iJ~t .................... ~dmr of Stories ............... 8. I)is~nsi~s of entire ~ =st=t'i~u. l~-~t ................ ~ar ............... l~pth .............. I~ilO~t ........................ [. ~dmr of Stories ..................... ............ ~ar .................... th .................... I0. ~re off ~,rcha~ .............. [ ....... ~m of Fonmr ~mr .. 12. I~a pro,mi c~st~ti~ vlol~ate any ~ing 1~, nrdltmtme or regulatl~: 13. ~ill lot Im regr~ .......... i .......... Will e~eas fill Im rm~ fron pt~ni~s: YES ~ oP ArdHt~t ............. i ....................... ~lress .............................. lira ~ ............... PI.OT DIAGRAH l~ate clearly m~ disti~tly ~11 NHldi~s, ~mtlmr existing or pro~, m~ i~llcate all ~t-I~k dlmnaiona ~t pro{mvry li~es. Gi~ at~t a~ bl~k ~tmr or &acripti~ acceding to t~l, a~ ~ street ~ms a~l i~licate x~mtlmr interior or co~r lot. (~ o~ i~li~iatal, signln8 conkracO~ I~ ia the ........................... , ........................................................................ (C~traetor, agent, gor~rate officer, etc.) of ~mid ~mr or ~mra, m.I i~ duty kuthorD~l to i~rfo~m or h~e Imrfon~ the mnld ~rk m.l to n~ka m~l file thi. al~lieatlnn~ that aH atatamntu c~mt~h~l in this Ul~lieat[on are trim that the ~n-k ~ill Im ~rfou~l in lh~ s~m~mr ~t forth ia the al~dieation fil~ tlm~{th. ........ .... N CLAIRE L. GL.EW otary Public, State of NeW York No. 4879505 , Qualified In Suffolk County Commission Expires Deo~mb~r 8, 19 /ve4o 6,4o.E OV~'R O~'~ ~ ..... J~ ' ' ' ~ ~~ ~ ROAD ~M~IO00-110-6-1~ SURVEY OF SURVEYED I~ F~BRUARY, 199~ DESCRIBED PROPERTY Guaruntees indicated here on shad r~ SlYUAT~ Cop~es of lh~ su~ey map not bearing envy fo lbo ~rs~,n for whom the su~ey the Land Surveyors embossed seal shall ~ ~,'~.'~, ~.~ ~,, h~ ~,~h,,~ ~o t~ ~UTCHOGU~, TOWN OF SOUTHOLD.~t ~ ~o ih~ os~;.~nec, s ~:f Ih.~ I~nrJlng instil~lon. Unaulhcrlzod al[ercl~on or ~dd;fion to this Guoreeteos ere ~:~.~ Irc:~s¢cr~ble to Su~ey is a violation o~ SecYon 7209 of additional ins[ilulJ~n~ er st. bs.~qu~nt owner~U~V/y/~ ~ JONN ~ ~U~T/~ the New York 5tare Education Law, ANNMA~IE CONTE-CURTIN GUARANT~ TO: SURV~YEO dONN ~ CURTIN STANLEY ANNM~HIE CONTE-CUNTIN ~0 ~OX ~94 CHASE MANHATTKN ~ORTGAGE COH~ NEW SUFFOLK, N Y~ 11~6 ~OWN OP SO~HO~D ~ . 95~5~0