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Home My WebLink About11524-ZT( (THIS PERMIT MUST BE ]< COMPLETION OF THE WQ N? i152 Z Permission is hereby granted to: )WN OF $OUTNOLD =D)NG DEPARTMENT TOWN HALL EPT ON THE PREMISES UNTt~' FULL :K AUTHOR]ZED) ? ............................... ,(...~:~.: at premises located at ......./..~..~ ..... County Tax Mop No. lO00:Section Dursucnt to appiicat)on d~te8 Bu[]d)ng Mspector, : Fee $..,.'h< ................ Lot No..([..~:~..~: .......... 19:~..(.., a~d approved by the Rev. 6/30/80 FIELD INSPECTION FOUNDATION FOUNDATION 2 o Ist 2nd ROUGH FRAME & PLUMBING INSULATION PER N~ Yo STATE ENERGY ~ODE 4 o FINAL ZOMMENTS ITIONAL COMMENTS: / ............. Approved t%' zt ~ , 19 .~f. Permit Disapproved a/c ....... :'Y.. :', ,.'..=.---~.- ...... FORM NO. t TOWN OF $OUTHOLD 3UILD~NG DEPARTMENT TOWN HALL SOUT,HOLD, FI.Y. 1!97t TEL,: 765-1802 (Building Inspec¢or) APPLICATION FOR BUILDING PERMIT a. This application must be completely fit: Inspector. w/th 3 sets of pIans, acqurate plot pla b. Plot ptan showing location of lot and of or areas, and giving a detailed descdptiou of Ia cation. c. The work covered by this application d. Upon apprc'.'al of this applicatior, the Bt shall be kept on the premises available for inspec e. No buiktiug shall be occupied or used in sh~l have been granted by tl~e Building Inspecto APPLICATION IS HEREBY MADE to the BuiIding Zone Ordinance of the Town ~f Soutl Regulations, for the construction of bt?dings, The applicant agrees to comply with ml applica admit authorized iusp¢ctors on premises and in Application No.Z / ~"'ff.-~ .q~. ..... Date; . j.~..j.8...SJ ......... :~9. INSTRUCTIONS d in by ~ypewriter or in ink and submitted in triplicate to ~ to scale. Fee according to schedule. boitdings on premises, relationship to adjoinin~ premises or public stre /out of property must be drawn on the diagram ~vhich is par; of' this not be commenced befox'e issuance of Building Peru]it. tiding Inspector will issue a Building Fennit to the apolicant. Sua.~, pen .ion throughout the xvork. vhoIe or in pa~ for any purpose whatever until a Certificate of Occt, par 3u[ld[ng Bepartment for the issuance ora Build~ng Pe~it pursmmt to old, Suffolk County, New York, and other appIicabte Laws, Ordhmnces dditions or akerations, or for removal or demolition, as herein desc~b: )!e laws, ordinances, building code, housing code, and r~ gutafions, ~d u~idings for n~ctions. ' · ......... , ........ 7 ~ of ~plicant, or name,'if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent architect engineer, general contractor, electrician, plumber or build · lessee ............ Nane of owner of premises . .k/i ~bup..arid .klar.' .an, .go.o.k. ....................... (as on the tax roll or la test deed) If applicant is a corporation, signature of duly att .horized officer. (Name and title of corporate officer) Builder's License No ..... Pimnber's Licen¢~ No &' / ....... Electrician's License No ....... ,,X'. .............. / Other Tradc's License No .... ./ .............. Location of land on ~vhich proposed work wil ~e done. North sSde of road Ffain Read East Flarion, Neu York 11939 House Number ',tree/ Hamlet County Tax Map No. i O00 Section O-~ Y~' ~ ¢J .... ................... .......... Lot...O. ....... Subdivision .................... 7 ................ Filed Map No ......... . ,'-7~,.,. Lot . ,- .... ~., ~tat; existhl§ use 2nd occupanc~::/;;)enlises a nd intel,deal use and occupancy of proposed cons;ruction: ~ t~Ca~-/b~,-~D ~-r~'~,~e~c.~-/~/¢-fE7 .[ 10 x 14 ~hed to .stone bikes and gard~nJng equJpment (Description) (to be paid on filing tiffs application) ] [' dwelling, number of dwelling units ............. Number of dwelling units on each ~oor If ~ara~e, number of cars I[ business, commercial or mNed occupancy, speedy ~amre and axtmat of each ~ype of use Dimensions of cxfstin~ sm~cmres, if any: Front ............... Rear .............. Doeth Hd~ht ............... Number of Stories Dimensions of same strut:ute with alterations or additions: Front ................ Rear Depth ...................... Height ...................... Number of Stories Size of lot: Front .............. '.' ..........Rear ...................... Depth Date df Purchase ............................ Name of Fenner Owner Zone or use districl in which premises are siluated ' . ........ : Does proposed construction violate any zoning law, ordinance or re?latiom WiU lot be ....~au~d:~ ' .......... - .................. %Viii excess- nlq be removed from premises: Yes Nc Name of Owner of premises~[i ,k~P/J~.~PP..Cpp~... Address ~?~ ~ ~ Ug ~ ~.~J.! i ~ Phone No. Name cf Archkact ........................ -.. Address ................... Phone No N~e of Contractor .......................... Address ................... Phone No PLOT DIAGRAM Locate ciearly and distinctly ail buildings, whether existing or proposed, and. indicate ali set-back d~ensions f'rcr roperty Enos. Give street and block number or description according ro deed, and showy street nmmes and !ndica~ wh~the :tenor or cor~tcr lot. TATEOFNE / Yg ' fi SS ' ' Cxk_ -x-x .-- k6 ! ...... ~ ......................................... being duly sworn, deposes and sa5 a tha~ h~ is file / (Nan/e of indMduaI signing contract) :eve named. e is the ........................................................................................ (Contractor, agent, corporate officer, etc.) f said owner or owners, mtd is duly autho~zed re perform or have performed thc said work and ~o malco and file ~nf ~plication; that ail statements contained in this application are true re dm best of iris knowleuge and belief; and that th -ork wEl be performed in rite manner set forth Et the application filed therewith. worn to beforem~ this