HomeMy WebLinkAbout20011-zFOUNDATION
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
ADDITIONA'L COMMENTS:
FINAL
· 0~ NO. ~
TOWN OF $OUTHOLD
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-° 20011 Z
Permission is hereby granted to:, .
~.....~...~~
-- ' ....... '-'"~ ........ '~'""7 .....................
...~.~..~....~~.../~ ...............
.~..~/...'.~....~......~..:.~
....... .........................................................
County Tax /V~ap No. 1000 Section ...... ./..~..~.. ..... Block .,....~?....,~.. ......... Lot No .......~...~.f.....~.. .....
pursuant to application doted ....... ~.../.~.. .................................... , 19..~./., and approved by the
Building Inspector. *'//~-~ '
Fee $.,..~..~.
Rev. 6130/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'a~: 'I
[~.'~O~'l BUREAU OF ELECTriCITY
~'- Ss JOHN STREET, NEW YORK. MEw ~ORK 10038
THIS CE~IFIES THAT
o~y the electrical ~uipment ~ ~scrib~ be~w a~ int~duced by t~ appBcant ~m~ bn the a~ve application number in the prem~s of
in the foHowing Iocation~ ~ Basement ~ Ist Fl. ~ 2nd ~. 0[]'I~ Seethm B~k Lot
~ and found to be in cOtnpllance with the reqt, ireme~ts of this Board,
FIXTURE ' FIXTURES RANGES EXHAUST FANS
OUT.TS SWITCHES FLUORESCENT OT~ER
DRYERS FURNACE MOTORS FUTURE TIMEC[OCK~ UNIT HEATERS MUL'[I-OUTLET DIMMERS
SYSTEMS
NO.,OF FEET
SERVICE DISCONNECT S E R V I
OTHER APPARATUS:
c E
This certificate must not be altered in any manner; return to the office of the Boa~i
GENERAL MANAGER
Inspect6t~ ~a? be identified by their credentials.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [
Examined 77~./?. ........... lpg.
^ppro,,~ ...~./../Z ........ l~/.. Pe~it ~o. ~00 ~X ~
Disapproved sic .....................................
FORM HO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHQL~.. N.~. LM171-
TEL,; 765-1802
(.J~ild. in~fisp cc t o r } ' .
APPLICATION FOR BUILDING PEF~MIT
BOARD OF HEALT~ .........
-~3 SETS OF PL.~,N'S ..........
/SURVEY ...................
CII~CK
CALL ............
HAIL TO:
Date ............... , I~,.
il " ' } ............ · .......................
ouse Number Rtrcct. ' ' · .............
,yra.~,,i , ,000s ,i LOg'
Court ·ap o. ec on ............. Blue .............. Lo
Subdlvislon .......... ' ............. :- - ·
........................... Eilcd Map No.
· (Name) .............. Lot ..............
$12lc ex/Sting usc and occupancy
o£ premises and intended use and occupancy o~ proposed constrnction:
A. rxiscing use and occupancy. ../~-~ ................ ..,. ~.~..~, ;
Plumber's License No .........................
Ekctfician's License No .......................
Other Tradc's License No ................ ' .....
Location of land on which proposed work will bc done:
OCCUPANCY OR
USE IS UNLAWFUl.
WITHOUT CERTIFICATE
OF OCCUPANCY
INSTRUCTIONS
a, Tlfis application must be completely filled in by typewriter or in ink/md submitted to th6 Building Lnapector, wi. ti
sets of prams, arruram plot plan to scale. [:cz aCCording to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public gtre:
or areas, and -' ' -
cation, otVm= a detailed description of layout of property must be drawn on the diagram whichis pa~ of this apr-
¢. The work covered by this application may not be commenced before issuance of Building Permit.
'd. Upon approval of this application, the Building Inspector will issued a Building Permit to the appfieant. Such perrr
shall be kept on the premises available for inzpection throuz3aout the work.
¢. No building shall be occupied or used in whole oran part for any purpose whatever until a Certificate of Occupa.n:
shall have been gl, an~ed.,byithe Buildi~ig Inspector. '
APP u,, ...~t '
..... ,.LIC.ATION' IS HEREBy lVIADE to the Building Department for the is u ' ' ·
o~uumn9 Zon. Ordinance of the Town of Southold fr,,m c',,,,,rv ~,, ,~, ~ mace, of.a Bmld!ng Pe..-m. zt p'.'rxuant to t:
~xe~ulatmns. for the c'--~*-.~*.: ....... : ~u ........... ., ,,ew xorx, aha omer avpl cable L~ws Or
~dmit authorized inspector' o'n premi~as and in building for necessary inspections. ·
· (S~gnatur,e, o£ apphcant, or nurse, if a c'o}vora fidn')'
,, I.g~'.%. 9.. c
Oiailing address of applicant)
State
wl~ether alSpli~&[~is lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
.......... .
, ,~ '~ ,, ' ,'~ ,' "" ' (as on thc tax roll or latest deed) ..................
i'applicant i~ a orporatmn, Signature of duly authorized officer.
3. Nature of work (check which aaa!licahl.~ ........
Ren~i-. ,,. ~'1 .... ,. ~ew Dunning .......... AddiHcn .. ~ ......
......... ~ccessor- - :~. :-- " .............. m~~ +~ ~ .........
4. ESti . ~ ~ -- , { .* Fence ...... ~[ier ~ork~{{
................................ Fo, ~,~ ~- .
I (La bc paid on filing th~s ~Pplication)
5. If dwelling, number of dwelling uhit~ ........... Nnmbcr ofdw~lling unit~ ou each floor .......
If garage, hum bet of ca~ ~ .... '
7. ~i~lcnsionsofc~istingst~cturcsjifany: Front ......
nm~ht ..... · ........ Rcnr .... Depth .......
-.- .- ............. '"[ []";' ; .....
Depth ; ................ Rcar .......
. Dimensions of entire new construction: Fr~n( .......................... ·
Height Number .............. Rear ............. Depth .............
................. of S~o~es . .
9 Size of let: Front
10 Date of Purchase Rear . DcpH~
1 1' Zone ........................... Name of Foyer Owner
. or Use distr~ct in which " · ...................
12. Does proposed Construction vialaie any zoning law ordi
' '
13. W~I lot be regrade ..... ~ · , ce or regulahon .............................
14. N~e of Owner of nrcm;~.~a]J-~".]~.[~" 'h~ll % ...... Wdl excess fill be removea from prm~:
N~c of Architect
........ ' ................ Address ...... ............. Phone No .............
N~e of Contractor ..... ~ · ·.
~.~a ~ma property Located ~¥~"~'Address . . ...... ehon~No .... ; .... ~ .b.
~If yes, Southold Town iTrus:ees PermlC may be required.
PLOT DIAG ~M
Locate cle~ly ~d dist~ctly SI bufld~gs, whether'existing or proposed, ~d. indicate SI set-back d~c.n:ion:
Property Unes. Give Street ~d block n~mber or deschption accord~g to deed, ~d show s~rear nmos and ~dicate we::::.
interior or corner lot.
RHQU{R~
APPROVED AS NOTED
FEE: -'"~5~'--,~:="-~-'~ RY' '
NOT~ D~P~~
.765-1802 9 AM TO 4 PM FOR THE
FOLLOWING iNSPECTIONS:
1. FOUNDATION ~0 REQUIRED
~OR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL CONSTR~TION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION 8HA~ ME~
THE REQUIREMEN~ OF THE N.~
STATE CONSTRU~ON & ENERGY'
CODES. N~ RES~NSlB~ FOR
DESIGN OR CONSTRUC~ON ERRORS
TATE OF NEW YORK._
· . (Name Ofindividual signiugico~'t~a'c'[i .......... being dui/sworn, deposes and says that he is thc appliea:.
'JOVe named. ,
is the
(Contractor .............................................
, agent, corporate officer, etc.)
* said OWner or owners, and is dud a~thorized ID nerfor
, '. . . '. . . m or have per£ormed lite said work and
N~calmn. Hint all stalements con~nmed m II,ix npplicntion are true to the best of his knowledge nnd belief; nnd
or~ will be perforated in [l~e m~ner se~t forlh in Iht npplication ~led therewiHt.
yom ~o be~re me rids ~ ~ . .
0
N
: . SURVEY FOR
WILLIAM VILLANO 8~ EILE.,E,N VILLANO
F HEALTH SERVICE' I LOT NO2"GREENBRIAR ACRES
SUFFOLK COUNTY DEPARTMENT O ' . '
AT MATTIT UCK
FOR' APPROVAL OF CONSTRUCTION ONLY TOWN OF SOU;i'HOLD ' SCALE: I'= 40
~-) ._~0 '[L'L~ ' I SUFFOLK COUNTY, NEW YORK NO. 87-690
DATE .,.HS REF. NOo~ . J NUNAUTNOR1EEO ALTERATION O, AODI,TION TO THIS
. S RVEY I~A VIOLATION O~SECTION 7ZODOFTHE'
, ,~w t'o~ STATE EC~UCATmN LAW
, -- ~COPIE$ OF THIS S~VEY NOT B~ARINO THE LANO
~,PP~OVED ,, J s'u~vEvolYs I*KEO SEAC O~¢~,O,$£C,
HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT a~ ~ HIS BEHALF~ THE TITLE ~P~Y, GOVF~N-
~ ~F CO. ~T~ MAP m~T IV~ ~.~.[~._~v~___ O- '"'S PROPERTY ~ j' iNSTITgTl~. GUARANTEES ARE ~7 T~$CLr, AaLE [ ~ ~ ~ ;r ~ r
~ILL C~FQAM ~ THE ~TAN~ OF THE $U~K CO~TY OEPARTMENT I tOEXISTING STflUC~RE~ ARE FO~
,,
~ - ' ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION M*PFILEOINTHE OF THE CLERK OF II;; ~J ' r
SUFFOLK COUNTY ON 0CT.?,/9?TASFILE "0. 6609, I1:: . " '
M~L~T~L(WJ'~ICTANKIST)~CE~OLI(~)~N~RE~' I~ j I~ N.Y.S. LIC/NSE