HomeMy WebLinkAbout23250-zFORM NO.$
TOWN OF $OUTHOLD
BUILDING DEP~RTMEHT
TOWN ~
SOUTHOLD, N.Y,
N~O
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~z ;,,'O-"
Date .......................... ../,.: .............................
23250 Z
/
Permission is hereby granted~o:
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...... ~~.....~:.....~. ,~.Z~..~.
to...~,~/,...~.....~ ....... ~......~ ........... ~.....~ ........................
~~ ................................. .,; .................................. ~ .........................................
at premises ~at~ at ................. '~ ~ ..... ~ .......................................
CounIyTox Map No. 1000 Section ...... ..~, ,.,~. ...... Block ........ .,~, .~... .......... Lot No ...... ..~'...~., ...............
Building Inspector.
Fee $ .......... ~...". .........
and approved by the
Rev. 6/30/80
,/
IN,";III.A'I'IOH I'1[1{ N. ¥.
,~;'I'A'I'I'.'
F ltl^l,
Al)I) ['l' I ()ltA1. COHHI[H'L'S:
OCCUPANCY OR
USE IS UNLAWFUL
,.~E,,.~rrE~scE~'~F~cA'r~ WITHOUT CERTIFICATE
BEQUII:~ED
OF OCCUPANCY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
.
-FOIIH NO. I
TO!~IN OF SOUTIIOL1}
BUILIIIHG DE PARTHElqT
TOWN I1ALL
SOUTI1OLI), N.Y. 1191 I
INSTRUCTIONS
3 SETS OF PLANS ., ........
SURVEY ~a*ii~ .... ~,--, ...... ;..
CIIRCK -~:, ......... ' ...........
SEPTi~ FOEH *., ................
HAIL TO~ ....................
a. 'Ih{, alldieatim mint be c~.~tetely filled in I~ ky~rlter or In ink mgl ~l~itt~ to U~ ~dldl~ lnnl~tOr wit
~3 ~ts of pl~s, ~ate plot plm~ tox~ale. F~:~h~ to
b. Plot pl~ ~l~ 1.mttm el'lot ~ bf~lldi~, ~ ~t~a, ~lati~dp to ~jolnhg i..~tdmB or
Ods a~llmtlm. ~
d. ~ ~l't~ o~ fldg ~wltcntlm, tim lkdldt~ Inu~tor. will Ju~ a ~ld~ ~m~t to the ~li~t.
~ ~1 I~ Im ~ted ~ O~ ~ildi~ ltts~tor.
fi~l~rl~ 18 ~ ~ to tl~ ~ildh~ ~l~r~t for U~e issue o[ a ~lldi~ ~nMt ~t to
~{ldi~ ~ ~l{t~e of Om ~ of ~6~ld, ~fffolk ~ty, ~ York, ~1 offer ~lleable 1~,
~lntkx~e, f~ Um ~uttmtlm of Imtldl~n, aklltl~m ~ otternti~m, ~ f~ ~nl or ~lltlm, nn I~ml.
~ri~. ~m ~llcmt a~n to ~ly wiO~ alt ~lteable 1~, ~hmme*, ~lldi~ ~, Imt~
m~l. atim~, ~ to ~dt mfl~i~! inmtm~ m p~i~a ~ in ~ildl~ for t~e~m~
(Signature o[ ,ll,llcaa~, or tn*e,
State ~O~r *l~[im~t is ~r, lsu~, a~t, o<hlt<t, eugl~r, ~ra[ ~tr<t~, eleetrlei~, plier ~ ~iI~r
~ ~" ~ -, , :, . ............... "::.....' .............................................. ,. ........
..........................._ = ' a
~ o~ ~'o~'~i~,. . . ~. ..................
(~,~ m~l title or m~rnte of[imr) '~}
~ FEB 5 1996
............. BLDg, DEPT,
TOWN OF
Pl~rs 1Ac~m ~ ..........................
gl~trlci~s I,i~ ~.' .....................
...... ..... C ................................................ ................
1~ ~r Strut, ~ l~et
(~)
I~lmic ...... .~,,. ~al .,.~ ......... I~fli~l~ ............ Other ~ ..................................
I~.
~lll
thia
l~ate clearly ~ dlati~ly
tdmtlmr interior ar ~nmr lot,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
ft~rr~Cor, a~c, ~rar. o~i~r, ~rc,) ..................................
tirol tim ~k will ~ ~rfo~ !n tim ~,~r ant forth in the alqfllcad~ fil~ t'lmradUt.
~ -
~m ~o Imfora Im thia i
Oualified ia Suffolk Count~
APPROVED AS NOTED
DATe.:. "7'~J~/'~;R.P.# o2,¢''2 0~-L2~
NOTIFY BUlLDIN~ DEPARTMENT AT
76~1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION- TWO REQUIRED
FOR POURED CONCRETE
~. ROUGH - FRAMING & PLUMBIN~
8, INgU~TION
4, FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL ~ONSTRUCTION $HALL MEET
THE RE~UIREMENT8 OF THE N.Y.
$TATE CONSTRUCTION & ENERGY
¢ODE$. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERROR8