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Home My WebLink About22874-ZFORM NO.$ TOWN OF $OUTHOtD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. Y N~O BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ,.~..../...../.~. .......................................... 22874 Z Permission Is hereby granted to: ....... ~.~.,.~..-......~~~.~~,¢/,~,,~/ ............. ............. ~~~...~..-.~.......,,~.~. ............. Couniy Tax Mop No. 1000 Section ........ ~..~.~'.. ...... Block ........~... ............. LotNo ...... .,/./... ................ pursuant to application dated .....~.//...O..../....~.,.,~ ................... 19 ................ and approved bythe Building Inspector. Rev. 6/30/80 FOlIM NO. I ]OWN OF SOUIlIOLD BUII. I}IN(J I)EPAIIlMEN l' TOWN I IALL SOU]'IIOIA), N.Y. 1 H)7 I 1El_,; 705 IU03 I)isalq~loved a/c ..................................... APPI_ICATION FOH I~I. III.DING PEHMIT ] SEI'S OF I'I.^;tS ........ SURVEY ................. C III.'_ C I~. ......... t ........ SEPTIC FOItll ............ NO'I 1 FY | C^I,I, ~ ................ i'l^ I I. TO: fi)ale .................. , 19.. INS I'I(UCTIONS n. This apldicalion iiitlS[ he complelely lilled in by lypewdler ol in ink nmi sul)milled Io Ihe lhdhling lnSl~eClm, with sels or Id.ns, flCCtlHIlt~ plo{ plan Io scale, l;ee ~lcco~ding Io schedule. h. Plot phm showing IpcMion of Iol ~nd of buildings on premises, ~elalionship Io adjoining premises ot imblic or aleas, and giviftg a delniled descriplion of Inyoul or plopedy mull be dulwn on Ihe (ling.m~ which is pad of Ihis apl~ c;IlioII. C. The woik cove~ed by lifts npplicnlion tony nol b~ commenced be[otc issunnce oF Bull(lin8 Permil, d. l~pOll nppu)wfl of lhis npplicalion, lhe lhfildhW lnspeclor will issued n Ihdhling I'emfit Io lhe applicanl. Such shall be kepi on Ihe ptenlises nvailalfle roi inspeclion Ihiough(ml [lie e. No huihling shall be occupied m used in whole or in pall for lilly ]mll)OSe whalever unlil n Collificale of shall have been g~anled by the Building lnspecloh Al'PlACATION IS IIERIHIY MA1)E Io Ihe Building l~epalhnenl fm Ihe issuauce of n Building Peunil im~su;m{ Ihdhli.g Zone Oulimmce of Ihe Town of Soulhohl, Suffolk Comdy, New Yolk, and olher npplicablo l,nws, Oulimmces Reipdalim~s, fm Ihe conslruclion ol buildings, nddilions or nlle~aiions, m fo~ temovM ~l demolilimh ns herein descdhe Tlc nIllic:ml nluees Io comply wi h ~1 ~lpicnble laws, o.lim ~tes, bui ling c(de, ho ~ing code an leg di~ s : I admi( aulholized inspeclols on Inemises ami in building fm nece~y inspeclions. ~a~ ~/ ~ '7:: .... Cgnglu[e of a~pl~cant,~)r ilallle, if ti coil o[;dion) (Mailing add[ess of ~ic~ml) SI;de whelher alH)lic:ml is t~wllel, lessee, ngcnl, alchilecl, engineer, genelnl conhnclor, elechicin]l, phlmher o: t).ihh~ ..... ..,,,e ,..w,,,... ,,r.,~,,,~ ...... ~. ~ E ~ ~/~ ] ~/~ ~, ~ ~ S~/~ .~. {as on Ihe Inx .dl o[ ]alesl deed) I{ npplic:m{ is a coHmudion, silo~alme of duly nulhmized ollicek (l'hmm ;Inll lille of coil)male office[) ~ ecl lc ~ [l's Incense ~o ....................... ()lher { nd.s ],icm~se f~o ...................... I. I ocalion of land on which I)[Ol*osed wolk will be done ............................................... Cot,,dyTnx MnpNo. lO002eclion ' ./.~.~ ...... Illock ..... ~ ........ '... Lot ..././ ..... ~ul)(livisiml Filed Map No .............. I_ol .............. (Name) ,l. ()H~cr Wink .............. ....................... IsJuliibei (}[ dw~lliil~ uldis ()it cach floor ................ I)JmensionS o['S~llle slll,cl'u(c with all:lMians of t, dditions: Flmll ............ ~(~l'ies .............. l(eJl~ ...................... J)epih ...................... will Iol lie ic~[adcd ................ Add~ess ................. 1' I.OT 1 )1 A(; RAM JnJgtJ ()1 coHiellal. AP~PR(WED AS NOTED . NOTIFV ~UIL~N-G DEPAm~T 766-1802 9 AM ~ 4 PM FOR ~E FOLLOWING INSPEC~ONS: ~. FOUNDATION ~0 REQUIRED FOR POURED CONCR~ 2, ROUGH - ~AMING & P~MBING 3. INSU~TION 4. FINAL CONSTRU~N MUST BE COM~ FOR C,O. A~ CONS~U~ON SHA~ ME~ THE REQUIR~E~ ~ ~E N.Y. STATE CONS~U~ON & ENERGY CODES. N~ ~NSIB~ FOR DESIGN OR ~ON ERRORS (;()tin I'Y OF .... q-':~'~%'~' ....... _ /~ ~" tJe. i)OS~$ JilltJ sttys Ih~tt lie is Hie ai)l)JJ .... ,;V I S{:{ [ol(lI ill Illo iipj)llcail°li {ll~lJ IJl~l'~WlJJI. G/ ~rm ~ M~ 31, 19~~