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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