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I;'OrH ND. I
'I'O~4N OF fiOUTIIOLI)
· BI! l I.D I N(~ I)EI'ARI'HENT
TOI4N IIAI,I.
SOIITIIOLD, N.Y. 11~71
TEl,:
~19 .... Permi~
(Buihling Inspector)
IIOAIII) OI;' IlEAl.I'll ...............
.'l ,gE'l'fi OF PLANS ...............
glIRVEY
SEPTIC FORH ...................
NOT l FY:
CALl ...................
HAll, 'tO: ....................
[ON FOR BUHJ}ING PERHIT
INSTRUCTIONS
Date ................ , 19 ....
a. This application ,sst be Cu,~,letely filled in by typewriter or in ink mKl sul~itted to tl~ Buildi~ ]nu~tor
' 3 ~ts o~ plm~s, acetate plot pl~ to scale. F~ ~cordi~ to ud~de.
b. Plot plan flmJ~ l~atim of lot ~ pi hdldi~s m ~i~s, mlatlm~dp to Mjoini~ pr~i~s
struts ~ are~, ~. Bivi~ a r~tai]~ (~ripti~ off l~Jt of pm~rty mst I~ drmm ~ tlw (lia~ ~ich is ~rt of
~,is a~tlcatim.
c. ~ ~k c~ ~ fids al~,licatim ~ ~t ~ c~ed I~fore isle of ~ilding ~mit.
d. Y~ ~al pi Uds a~licati~, the ~ildi~ In~ctor x~ill is~ a ~ildi~ ~mit to t~ ~lic~t.
~mit ~atl ~ ~pt ~ tl~ ~o~ii~s ~ilable for ins~ti~ th~t the ~rk.
e. ~ ~ildi~ ~all ~ ~pi~ or u~ in ~le or in prt for ~ ~
~y ~all h~ ~ ~ted ~ tl~ Buildi~ In~tor.
~[~'H~ TS Ii~,Y ~E to tie ~ihli[~ l~rt~nt for the ism~e of a Bulhli~ Pemlt p~r~ant to the
Mildi~ ?~ ~i~e of fl~ T~ of ~tl~hl, ~fffolk ~mty, ~ York, aM other a~licable Ires, ~i~es~or
~lati~s~ for t~ ~St~tt~ of ~ildi~s, ~fitims ~ alteratims, or f~ ~u,~al
~<riM. :~ ~lic~t ~s tO c~ly ~ith all ~fltcable 1~, ordi~es, l~ihli~
~lati~s~ ~ to ~it ~tl~ri~M ins~tors ~ ~i~s nM in I~dhli~ for ~ces~,U in--ftys.
(Si~ture of ~llcant, or
...........................
(~ili~ mklmss of n~lic~t)
~tate ~tl~t a~llc~t is ~r, les~, ~ nrchit<t, en~i~er, ~ral contractor, electrician, ph~r or Ixfihbr.
..... .... .... ......................................
, (as ~ tl~ tax mll or latest ~i~"
(Na, e and title ol7 corporate o[ficer)
I¢].
'l. N:'(,u itt ~ttk
.......... Ai L~raL jo[i
I~l""Jr ............ i~,l .............
7. lii~nsi~m o[ ~i~ti,~g 8trl~:txires, if mfy: Fr(xll: ............. I~ar ................ I~plh .................
I)in~.8i~m o~ S~n~ 8ttt~txJre ~ith aTterati(xm or ~x~i~io~m: l:ro,~ ...............l~ar ...............
~i~ o[ lot: F~Tx~t .................... l~ur .................... I~pth ....................
I~ prol~l c~Lrt~ki~ bJolaLe any ~xting l~, ordixm~e or reg~lati~t: ... ~ :-~ ........
~ill lot I~
~,~ of C~tr~[or ...................... I~ m.~ ........
................................... ~kh-ess
...............................
15. Is thi~ p~q~rty ~ithin ~) ~t o~ a ti~t ~tland? k YI~ .......... ~} ...~ ....
PI.OT I}IAGRAH I ' '
l~cate clearly 'and diatimtly all I~Jil(lings, ~hether existing or proposed, fl,xJ l,xlicate all act-track din~nsiona
property tines., Give street a~! block ~a. Jimr or descriptit~l acco~di.g Lo ~c~l, a~d sl~t street m~nea and indicate
~,4~tl~r interior or comer lot. '
FOLLOWinG I~SPE~ONS:
FOUNDATION
FOR POURED CONCRETE
R~dGH . 'FRAMING & PLUM~NG
~' COA/;PLETE FOR C.O.
~LL CONSTRUCTION SHALL
'F~E REQUIREMEN~ OF THE
~3'~,TE CONSTRUCTION & ENER(~y
NOT RESPONSIBLE FOR
Ot~ CONSTRUCT/ON ERRORS
~"~"", delX}.'~.~ al~l ~mys thnL he is the al)ltl i~mt
o1! ~aid {x~v~r or ~.~rs, m~l i~ duty aulliorizcnJ Lo Ix~rfo.~j (n' have in:rl:o,,~.~i I.Im re, id ~n~[k taxi t.o Tmke al,l file tlJi.~ L
;qq~l {catio,; thai: all ataLe,~.lo (:o~l['ailx.~l i. this nlqtl lent lo. are I:tt~ I.o Ihe Ix,ri;t: o[ hi.~ kfv~le, li~e ~),xl Imliefi taxi
that Ihe ~t~k ~ill Ix~ i~rfonjv_.d Ju the ,~u,~r set: forlh i, Ihe ui~pIjc~,tio, flied tl~rewitJt.
,(~)cn to before n~ II,is
· )t ary l~d)lic ~ %
,. ~OYCE M.'WILKINS
~om~ Public, Stat~ of New Yo~
No. 4952246, Suffolk Cou~w
Term ~pires June 12, 19~
($iR~,l:,,,e (,f Altl11~.t) '
MAP SHOWING
UNITS 17 THRU 20
"MAP OF IVlOORE~A~" A/K/A PHEASANT RUN ESTATES
CONDOMINm. J~S I, I, & II
FILED DEC. 22, ~ MAP NO. 257
AT GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y,
1000-40 - 05 - 17, 18, 19 & 20
SCALE: 1" = 30'
DEC. 22, 1997
ANY AL TERA TION OR ADDITION TO THIS SURVEY IS .4 VIOLA TtON
~)~ SECTION 7'209 OF THE HEW YORK STATE ~TION LAW,
CEPT AS PER ,SECTION 7'"209",SI, JBDIVI.,.,~K~ ff. ALL C~RTFJCAT'ION~
HEREON ARE VALID FOR ~ MAP AND COPIES THEI~OF ONLY F
ADDITIONALLY TO COMe'L Y IllTH ~ I.~W THE TERM 'AL TEREO
MUST BE ~ aY aNY AND ALL SURVEYORS UTII. m'I~ A COPY
'aROUeHT- TO"D~ TE' ARE NOT iN CO~.MI~E IVlI'H TNE L,~FI.
.S. LIC. NO. 49618
.C.
1250 TRAVELER STREET
SOUTHOLD, N. Y. 11971
93- 300 ( 20)