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Home My WebLink About22718-z II ROUGH FRAHE & II INSULATION PER No Y. II STATE EI~ERGY COH~ FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 22718 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: \ ' ,~...~~;..;...~ ~..,;~ .......... ~ ........ ~ ...... ~ ....................... Oounty Tax Map No. 1000 Section /~¢)' Block ......... ,.~...,'~... ........ Lot No. .,.~,.~ pursuant to application dated ..../~, ,,/~..~, ......... .?... ,~... ........... 19.....?..~ and approved bythe Building Inspector. Fee*...~:.~: ....... /Building Inspector Rev, 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E :L 1G~G773 BUREAU OF ELECTRICITY --- 85 JOHN STREET, NEW YORK, NY 10038 D. te SEPTEMBER 09,1996 Application No. on fire 10552695/95 N 39666], THIS CERTIFIES THAT ordy the electricaI equipment a~ d~ecrlbed below an~J introduced by the applicant namedY)~th~ above application nutrtber in the premises of JOHY BOYLE, MAIN ROAD, ORIENT, N.Y. in the followlng location; [] Bv~$ement [] Ist FI. was examined on SEPTEMBER 05,1996 RXTURE I/ FIXTURES3 OUTLETS ECEPTACLES SWITCHES INCAflDE$CE iT FLUORESCENT OTHER 15 37 23 12 2 F ~,. .o. ~RVI~ DIKONNECT I ~. OF I S METER M~. ~. ~ ~Ul~. ~w ~z~w ~w ~w .o 1 15e CB 1 X 1 OTHER APPARATUS: ~D~ ~S-5 HOTORS~5-F H.P. ,1-F H,P. ,i-F H.P. ,1-4 P~LBO~S: 1-1 CIR. 6~ SMO~ DETEC~R: -4 [] 2nd ~. OUT Section Block and found to be in compliance with thc National Electrical Code. PECIAL REC'PI ~ SYSTEMS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET R I C E OF C¢.COND 1 Lot 170-L EXHAUST FANE DIMMERS AWG. NEUTRAI. LIC,#2334-E~ ARTHUR A. RUROEDE 23865 MAIN ROA ORIENT, NY, 1~957 ~ Per This certificate must not be altered in any manner; return to the office of the ~ard if incorrect.~ I~sp~ctors may be ~ntlfied by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY HANNER. 'FORM NO. 1 TOWN OF SOUTHOLD BU! LDh%'O DEPARTMENT: TOWN HALL SOUTHOLD, N.Y. 1197.1 TEL.: 765-1802 Examined .... · ~.~'~ ..., 19 Approved ' ""N~/~'~'. 9 ~..~ ~m ~ ~,,/~:~'" ........ , I e it NO ........ Disapproved a/c . APPLICATION FOR BUILDING'PERMIT BO\RD'OF HEALTH 3 SETS OF PLANs ........ SURVEY ................. CIIECK SEPTIC FORH ....... nArL T0:9~_?~90 Date ...;~; .......... , 197.5- INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink an'd submitted to the Building Inspector, with ' sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of 6uildings on premises, relationship to adjoining premises or public sti'eet or areas, and giving a detailed descriptioh of layout of property muJt be drawn on the diagram which is part of this appL cation. . . ¢. ' The work covered ' · · by this apphcatmn may not be commenced before issuance of BuL!ding Permit. . d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Sucti perm/ shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until Certificate of Occupanc. shall have been granted i[.,7 the Building Inspector. .. . APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of South61d, Suffolk County, New 'York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectc~rs on premises and in building for necessary inspe/r~s.2 L/1;~ . (Signatur9 of a~icant, or name, if a corporation) , (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai 'contractor, electrician, plumber or builder. Name of owner of premises ..... .--~..o.~.W ....................................... ( ~ d) .............. as on the tax ro or latest dee If applicant is a corporation, signature of duly authorfied officer.' ; (Name and title of corporate officer) Builder's License No ...... ~/~ ........ ' ....... Plumber's License No ..... ~4/~ ....... . .......... Electrician's License No .... ~)~r ................ Other Trade's License No.....~J~ ............... 1. Location of land on which proposed work will be'done. .,~'/q, 5, T.cF' C~IEtOT 5152.VKz[ Smh ION, · ........... o . . Street Hamlet .... C hty M N IO00S ;p/~ ' ~ ou Tax ap o. ection ....... . Block .... Subdivision ............ ; ............. '. Filed Map No. ........ "' (Name) .............. Lot ...... : ........ Stat~ exJsfing use and occupancy of premises and intended use and occupancy of proposed construction: ' .......... b. use and occupancy ' ~ k ( ppli ) Additi '..1~.. [~[~t~e~ .3. Nature ofwor check which,a cable New Building ..... on ..... Repair .............. Removal ........ Demolition ....... OrbiT'Work...-.. /~.O.O..O. (Description) 4. Estimated Cost .... ,.. , , ... Fee .................................. · (to be paid on filiRg this application) $. If dwelling, number of dwelling units" ................ Number, o:f dwelling units on each floor ................ If garage numberofcars ' , ~ ' , :,. ' , .7 I,,f. buam.ess, co.mm?mai or mt.xed occupancy specify nature dod extent of.each typo of use .t~f'l~J.[{qt:q_ ~. u,.mensions ct %XLsting structu:res if any' Front ~..%,!7 .~ ~ Rear .~..$. _rqu D~,~h Zt'/£Z/° ' ' Height ...... -5~--, ......Num bet o f Stor, es ........ ~ .......... ' .... ' ............................... . Dimensions of~a.nle, st. ructure With alterat ons or add tions: Front . .~.f'Lq ~,~, ' De,,*h . ?_qi~. ,.. . -.,..-, .................... ,~ ............... . ... ~"' '. ....... .. ' ....... ? ·,, height ,<:,, ,:9,,~.,, 4. · ,,.,, '., .,',, Number of Stories .... ~... '.; .~; ...... a. u~menstons of entt~'e new construction: Fro~t .. , t-/~-, p~,. ' Rear 70' no,,,h ~C-,~ ' ' .- *o-[ ....... ~ ..... ~..~u.moer o/Stones ........ I .... : ........ , ................... ;.. ..... 9. Sizeoflot: Front .. ~.~..O., Z2.~' ... . r~,,~ '~ [I ,'C'lc} ' ' ~, ., ; a~7~r ~,u. ~a~e o~'urcn, as.e .: .... .... 417.1.-~ .... l" ....... '. NA~n~ e qf[o_.,r~nqr Owner JJ¢[.e,q~...~,..~c}~.l.'4l.~j-7 .... ~ i. zone or use ois~rict in whmh p:remises are muated ~.. / I'%qC .c. dlu...r~.~ ' · ' .12. Does proposed construction violate any zoning law, o.rdmance or regu ebon . , ~J.O ................ 13. Will 16t be re,reded ....... ;i ;MO . · .... Will eagess fill be removed from premisesl Yes 14. Name or Owner of premises . .~.[~.~O' i i .~. jo.~ .~.' ii .. Address .~."//:. ~.3/. ~ .../~.~,C~... Phone No.7/. {} Name of Architect ......... ,N./3' .......... i' . ;. Address ...~.~( //1o.I . Phone No .......... '.,.. Name of Contractor .., · · · ...... uu~ , , · . ............... rtone No .......... ' " 15.' Is this property within~300 fee~ of a tidal wetland? *Yes ........ ~ ' i Tru. s~ees Permit may. be required. . ~.,...,"' 'i ..... ' *If yes,'Southold Tow.n PLOT DIAGRAM : Locate clearly and distinctly ali buildings, ~heth~r existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate Whether interior or corner lot. ST^rE OF S s COUNTy OF... P. ~B.~ . .. ;.., · ..... ......... (Name ofindividuaI signing contract) ~bove named. ; being duly sworn, depose~ and says that he is the applicant % is the "T.. (Contractor agent'porate officer etc ) ....... ' .............. )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this tpplication; that all statements contained ~n this'application are ~rue to the best of his knowledge and belief; and that the .york will be performed in the manner)et forth in the application filed therewith. ' ;worn to before rne this , ~otary Public, ~ ./. County ." · · o'arY Pub'ic, sta,e of New Yor, O~alified in Suff61k C. ounty ~ .