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Home My WebLink About23513-z l~Ow~' NO. ft 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.° 23513 Z County Tax Map No. 1000 Section .../~?~?.. .......... Block ..../(~.. ........... Lot No .....Z:...'~.]. .......... pursuont '0 opplication doted ..../~../~.........~......~.. ....... :.... ........... , 19.~.., and approved by the / Building Inspector. Rev. 6/30/80 BLDG DEPT. Disapproved ale ............................... -FORM NO. I TOn OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197 TEL: 765- 1802 BOARD OF HEALTH ............... 3 SETS OF PI.AMS ............... SURVEY ........... . . CHECK .......... ~ SEPTIC FORM >. ....... NOTIFY: C~ --C ~' MAIL TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS · Date ................ ,19 .... ' a. This application most be completely filled in by typewriter or in ink and anl~nitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of ~fildings an preudses, relationship to adjoining premises or public istreets or areas, and giving a detailed description of layout of property must be drawn on the dlagrm~ which is part of this application. c. The work covered by this application may not be comm~ed before isana~e of Building Permit. d. Upon approval of this applleatlon, the Building Inspector will issue a Building Permit to the applicant. Such pannlt shall be kept on the premises available for inspection thronghont the work. e. No building shall be occupied or used in whole or in part for any parpase whatever ontll a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICA'ITCIq IS l~;~f ~ to the Building Department for the ism~mce of a Building Permit pursuant to the Building Zone Ordlnmme of the T~an of Santhold, S~fffolk County, New York, and other applicable Laws, Ordinances or gegulatlons, for the construction of Im~ildlngs, additions or alterations, or for r~oval or demolition, as herein described. The applicant agrees to ccmply with all applicable lmas, ordlnanees, building code, housing code, and .... ........ ,,., .... State ~hether applicant, fs c~ue~.lessee~ agen~ ,a!'chitect~ e~ieeer, geeecal contractor, electrician, pltmber or builder. ...... ..................................................................... (ad m tile; t~x roil or latest deed) If applicant is a corP°ratibn, slgnatore'of d01~ ~hthorlzed officer. (Name and txtle of corporate offxcer) Builders License No .......................... Ph~bers License No .......................... Electricians License No ...................... Other Trade's l,iceese No ................... !. Location of laed on which proposed work will be done .............................................................. Bonse ~r Street [l~det County TaxMap No. '000 Section ..... /.0.~ ...... Block ..J.~. .......... I~t ..... /.,.~. ....... Subdivision ...................................... Filed Map No ................ Iot ............... (~) 2. State existing use and occupancy of pr~u.. ',ses and~int?nd~d~ use and occupancy of proposed constructxon: b. Intended use and occupancy .................................................. , .................... -.--..~. I0. II. 12. 13. 14. 15. locate clearly a[~l distinctly property tints. Give'-' street argl xdmtlmr interior or corner lot. C~st (Io ~ ~id ~m filing this a~lica~i~) garage, ~imr of cars ...... Ixmi~sa~ ~rcial or mi~ ~cnqmt~y, al~Ci~ ~ture a~l exten~ o~ each ty~ I)inenai~m of ~isting strictures, if any: Fr(mC ................ ~ar ............... ~pth ................. l)in~nai~s og aa~ st~Eure wi~h alCera~i~m or mkli~iona: Front ......... ; ..... l~ar ............... Din~nai~m of entire t~ c~stn~tJo~: [~-~ ................ ~ar ............... l~pth .............. F~t ........... ~ ........ ~ar .................... ~plh .................... - ...... PLOT I1 ImHdi~s, ~fl~r tmis~in~ or pro~. m~l h~lieate all ~t-I~k dln~ns~ons bl~mk a~l~r or ~cr~pt~ according Lo {~,' ~ ~ ~'r~t nama taxi i~lieate APPROVED AS NOTED k~lbY BUILDING' O~AR~MEN~ AT 766-~B02 9 AM TO 4 PM ~OR THE FOLLOWING INSPE~IONS: ~, FOUNDATION - TWO REOUIRED FOR POURED CONCRETE 2. RO~H - FRAMING & PLUMBING 3, INSU~TION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REOUIREM~NTS OF THE N,Y, STATE CONSTRUCTION & ENERGY CODE~, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS (n~ (] ..... ~ ~. ....... ~ ~.:-, -,, ~ ...... IminB dh[y ~rn, delxmes m~l mlys Lhat he is the applLi(~mL (~,~ of it~liv c ~l aignl g c~LracL] ~ ,'* ' ' I~ is ((~)ntractnr r~r'ate officer, etc.) nf said ~mr or (~rs, m~l is duly [aulhorir~l to ~rlmm or have Imrf:nn~ed the said ~k at~l to ~ke a~l file this alqflicacinn; that ail ~Lato~nt~ con[ai~l in Ibis appl icaLion are t. ne [o the Iraqi: thaC the ~)rk ~[I. 1 I~ i~rfon~l in II~a u~m~mr ~t forth ~ Ihe a~fllca~i(m fil~ LI~r~iU~. ~)rn to Im[or~ ne this ~ ,' ...... ....... ~)La~ t~ C~tflE L. GL~ ~ .............. Nmaw Public, State of New Y~rk ~] glml:ure Of No. 4879505 Qualified in SuffolE Coun~ Commission Expires De~mbet 8.~19 ~ merly Deboroh A Rel/ly SU~Y FOR GREGORY OFRIAS & PAULETTE OFRIAS MAR. 4 1993 AT MATTITUCK DATE: SEP~ ~, 988 ~WN ~ SOUTHOLD SCALE, I% 60' SUFFOLK COUNTY~ NEW ~RK ~0, HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ~ ~R~ FOR WHOM THE SU~EY IS PREPARED M HEAREST~ lAIN MI. ~ M SOURCE ~ WATER, ~i~TE__P~IC__ MENTAL AGENCY AND LENDIN6 INSTITUTION LIS~O M ~F ~O. P MSY~ S[~TIOH IO~ ~K ~ COT I,~ H~E~, AND TO ~E ASSIGNEES OF THE LENOIHG PURPLE ANO ARE NOT TO BE USEO ~ ESTABLISH ~ ~NUMENT A= STAK~FOUND ~ = STAKE SET ALqEH' W. YoUNG, PROFE~I~Ak~NGINE ER RE: LOT S~ 'E~ATEsMINOR SUBDV,~, SION FOR MARKIEWlCZ AND ~HD~SURVEY~?Y.[U~NSE~,,~ . . NO. tE845