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HomeMy WebLinkAbout17206-z FORM NO. TOWN OF SOUTHOLD BtILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO 1.7206 Z Dote .......*~y 19~~/ Permission is he ebygr ted to: ~~/J ...1.0..,x.. u~.~/ ro .~!~f.Pr.. ~.......:~:,dE~~~,,......!....... ....................................................../'..~............................~..A..................................................... ct emises located at .....~~.~....:~:v.~IL~.....~ ~l~f'..~ ........................................................................................................~..l..................................................... County Tox Map No. 1000 Section .......f~~..... Block Lot No.........~~.~....... pursuant to application dated .......~„~..G~••••••••••••••••••--••••••., 19........, and approved by the Building Inspector. r Fee / pn v... !Y.hI.......~...... ~ Bu ding I ct r Rev. 6/30/80 , ~z 1 3 O ` O.~Z/V~ i {y~ l ~ U1 C N ~ u V r o a ~ ~ _ - ~ ~ ~ ND~S( °o ~ ~ , _ ~ i,39 ~ S-s ~ S1~7'~}nF ~ G.u.nq~w.eet, a'r~ ~ BOARD OF HEALTH . F'-_ t.:,i: tea}' i~ //"".~r~ .(~g~y}~' 3 SETS OF PLANS '-w SURVEY . L~l~;l_'~~_ y bt~~si l~ F ~FORMNO.1 TOWN OF SOUTWOLD CHECK BUILDING DEPARTMENT SEPTIC FORM U TOWN HALL NOTIFY BLDG. pE+'T. .ROUTHOLD, N.Y. 11971 _ z9$' _ ~'b ~ TOWN OFS0t11HOLD TEL.: 765.1802 ~y MAIL T0: Examined J. • 19e~~ Approved . 7 ~ Z • 19?~Permit No~ 70? ~ !6 Disapproved a/c ®.3~.. (Bu' ding I ector) APPLICATION FO BUILDING PERMIT Date ~ .....S........, 19 INSTRUCTIONS a. This application must be completely Filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ,sets of plans, accurate plot plan to scale. Fee according to schedule. ; . , ;~w,iit7lrt t'U@ti#<!!#c b. Plot plan showing location of lot and of buildings on premises;. relationshiU~to;~d:~°~1~h$;lPF11§l~Pr public streets * or areas, and giving a detailed description of layout of property must be drawn ;on.,t~eit~}i~T$m~wt~i~s~.Piart of this appli- cation. i c,in.attNG_~+i.tk 47~ !.#iE idA c. The work covered by this application may not be commenced before issuancof~rf aBulxdi@g4~~tm~t~ro-F,~ ' d. Upon approval of this application, the Building Inspector will issued a BtildutgtPet~tdpthe applicant. Such permit shall be kept on the premises available for inspection throughout the work. - i ,,a ~ytd1B134:~fitTN O~it1~i e. No building shall be occupied or used in whole or in part for and pdrpbselikM~tever until a Certificate of Occupancy shall have been granted by the Building Inspector. s. ;A11~Fi • it'1~q~Q ~ 1-CIta !~tNEpr APPLICATION IS HEREBY MADE to the Building Department fpr ~~A11~ o .a pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Nt e#w,TYlgi g ca a s, Ordinances or Regulations, for the construction of buildings, additions or alterations„tpry~~~.~ e ~i erein described. The applicant agrees to comply with all applicable laws, ordinances, ~iuilc~ji g ~ ulations, and to admit authorized inspectors on premises and in building for necessary iA3 `tT+~~~~ . (Signatur~ 'G~t~t, e, if a corporation) P7 ~i j (Mailing address of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' Name of owner of premises S.. 9f • • o•-°.c (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No . . ' Electrician's License No . . Other Trade's License No . . I . Location of land on which proposed work will be done. G~pr~~ ~ # / S House Number Street Hamlet County Tax Map No. 1000 Section ~O........... Block Lot . ,,,~4..~ Subdivision Filed Map No. Lot............... ' (Name) 2. State existing rise and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . O!^!~ ?.~"C/"?`~,~..~'!~ r~'~.~.~. F. b. 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