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Home My WebLink About19151-zFOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~0~ NO. O TOWN OF SOUTHOLD I~UILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. B~,JJLDtNG PEP. MtT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 1 ~71 51 Z Permission is hereby gr~~ - ~ ~:~.~...~.._~~ ........... .../.~..~~,, ....... ~~ ............. ............. .............................................. ~~~ ............................................................................. co..~ ~ox ~.~ ~o. '~00o Se,,~o. ........ ~.Z ...... ~,~ ............ ~ ..... ~o, No ....... ~..~ ....... pu~uont to application dat~ ...... ~ ................................... , 19.~, and approv~ ~ the Building Inspector. Rev. 6/30/80 TO{/VIU OF gOUTHOLD '"' [IUILDING DEPARTMENT ~ TOWN HALL · $OUTHOLD. N.Y. 11971, ~ / ' TEL: 7G5 1802 Exautincd.. ~/~.~,. ....... 19 .f.~2 ' ' ^ppro,.e, .... .... Disapproved ale ..................................... - -' ~'ild' ~s~ecto;';"" ..... mg APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BO,',,RD OF HEAL,T,,It SURVEY ~ ......... CllEC~ . :~..1~.~ ..... SEPTIC FORH a. Tlfis application must be Completely filled in by typewriter or in ink and submitted to the Buildir~ ImPector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining prcmi.~ or public streets or areas, and giving a detailed description of l,qyout of property must be drawn on the diagram which impar~ of this appli- cadam ¢. Tbs Work covered by this application may not be commenced b ' ~ d. Upon approval of this a ulic · +~.. m.:,.~. .... e£ore ,s~uanee sh~all be kepi on the premises available for inspection throughout the Work:. P_ at,on, .,,~ ~m.umg inspector will iSsued a Building Permit to the applicant. Such permit · . No building shall be occupied or used in whole or in part for a.ny purpose whatever until a Ce~tifi~ of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to thc Buildin . ~uilding Zone Ordinance of the Town of e ........ g.~Department for the issuance of a Build,ri.. Permi* ~nc applicant agrees to eom-l,, with all ---~" ~-'~ ..... ~,-,-,j&erattons, or tor rcmo al or demolitio , .?s or admit -,,.~-~-~---,: - ~' ~' upp~lCaole laws, orainances h,,;~a;~ ~.: . . n. ~.q ~ descmbcd. ......... ;u nmpector~ on premises and in building for necessary'i~ir~cx,~.o..j~~o~.~,d/r~g,~ut.qions, and to --..;~... · ./da..g..~ · - ' ' (/ (Maumg address of applic:mt) State Whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' am' o, ner O premis=...2. ..... .g ......... ..z: .. (as on thc tax ..................... Ii'applicant is a corporation, signature of duly author/zed officer, roll or latest deed) Sunder'~ Licc.~J Uo .O.~.~g..~. Plumber's LiCense No ......................... Electri.c~n's LiCense No ....................... Oil,er .T:rad. e's License No ...................... ~. Location o£1and on which proposed work will be done; House Number Street .......................... Hamlet .............. County Ta.~ ,~Up ~o'. 1000 S~c~io, ..... .~..7...: ..... : Blo~k .. O ~..,.F/~/.~.XS.e. . · ............... ~ot.. ~,~-. .................. F. iI~d Map ~o...7.,5'/.2 t( · - t '~ ' """ Slate e" (Name) .......... Lot . ,, ~, l,: ~ nsc and occupancy of premises and m tended use and OCCtIna_. a. ~.,is,,.~ usea.d ~cc.pa.cy F.~..X./.~.~<.~.. . b. Intended Use and occupancy .... . ....... 3. Nature of work (c.~ecl; which applicable): New Building . . .......... Addition .......... /~tcr:tzon ........ Repair .............. ~bmqv~l .............. Dumo~don ............. Sv{~a~n~ poet .......... Tennis Cou~c ....... :Acces ...... '-~' ~ ' ' · (to bc p=/d on filin~ this application) l~garag~.Ifdwcihng'numbcrnUmbcrorcars°fdwclling~mts ............ ~.......~.~.Nnmbcr........................................oCdwcllingunitsoncach floor ......... 6. lEbus/ness, commercial or m/xed occupancy, ~pccify nature and extent of cach ~ypc of us~ 7. Dimensions of existing st~cturc~, ffany: Front ............... ~ear ............... Dc th .. Height ............... Numlbcr or~tofics .. ~ P ........... Duncnmons of same structure w~th alterat~on~ or additions: Front ,~ Depth .............. . tI-;..k~ ... ~: ....... . ..... r .............. S. ~,,~,~,~,u,~ u~re..new construction: Front .... ~ O ' ~.,~ ~ o ' ~. ,s / ~' ~ ....... . - ..... '.'. ........~3um~er of Stones . ~ , ' ..... 9. S~zeoflat;,,Fro~t, .~, J~, ~d' ~' .... ')'~''''~'~ .................. -'~ ...... ~ ...... ~ ............ "''. ..... "''~'~ ............ ~amcofFo~crO~vner ~.~...~/.Z~ ~, 11. ~,~ u, ~se restrict m w]~ch prcm~se~ are situated .... i ..... ~T ~.q ........... .'. ..... ' ........ 12. uoes proposed Construct]onviolL,~a .... ' ,' -. " ' . . ' ~ ................. W~I' i~ ~ _ . ~t~ -y~umn~law. oramanccorrcgulatlon: ...tt~ .... i ..................... 14. N~ o wner o~ premises [xOO~gLO:~4~(A.. Addresd~T~(~ ..... Phone No.Z(~T~ ~.~.... N~c'of Architect ....... ~: ............... Address ................... Phone No ................. N~a of Contractor ...~.t . · 15.Is thi~ properS'i , .............. aaarcss ............ PhontNo ..... ;,". .... ~... -ic i. {0o 'iia2'f .... · If yes, Souchold Tow~ T=uscees Perm~c may be required. ~ PLOT DIAG~M Locat~ cle~ly ~d dist~cfly Sl;buHd~gs, Whether existing or proposed, ~d. indicnt~ SI set-back d~en~ions from prope~y ~nes. Give street ~d block number or description accord~g to deed, ~d show street n~es ~nd ~d/ca/e whether interior or comer lot. 3TATE OP' NEW YORK, ~OUNTY OF .................. ............. ~.. 7[..~... /{~.! .......... being duly sworn, deposes and says that he Ls ibc appilcant narn. cd(.Name of individual signiitg contract) ~ is the ...................... (Contractor, al:ent, corporate officer, etc.) ff said owner or owners, and is dui :,uthorized to pe,rform or have performed the said Work and to ma~e and file this 'Pplication: that all statements contained in this application are trnc to the best of his knoxvlcdge and belief; and that the ~ork: will be performed in thc manner]set forth in the application filed therewith. .. ,worn to be[ore mc this Notaw Public, State of New YO~ · NO. 4951364 : ' Oualiflad in SuffdkCounty ~,, (Signature of applicaJat) C~mm188ion EXl)h'e8 M~y 22, lO,~-., BOW ROAD LOT ~0 S. 88°11'00"E. LOT 19 N, 88° I1'00" W. 80, 00' LOT 18 o o. LOT 20 ,'00 4.0. CERTIFIED TO ROBERT G. KA SSNER RUTH Z. KASSNER Prepared in accordancer with the minimum · ?andards for title surveys as established by '.A.L.S. and approved and adopted ..ch use by The New York State Land JUN 19 1990 .~ LDG DEPi' 'TOWN OF SURVEY OF LOT 19 OF NUNNAKOMA WATERS" '" MAP FILED JUL. 9 , 1968 FILE N0.5126 AT SOU'I'HOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. ¥, I'000 - 87 02 - 32 SCALE I" = ;50' MAY 22, 1986 N.Y.S. LIC. NO. 49618 D£CONIC SURVEYORS (§16) 765 - 502.0 P.O. BOX 909 MAIN ROAD SOUTHOLD i N,y, 11975 ENGINEERS ~ P.C. 86 - P94