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Home My WebLink About12139-ZTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEBMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12139 at premises iocatea at ..................................................................................................... x ............ ~.. nty Tax /wap ~4o. i~ Sectloq.r....:.~.~.~ I~IOCKt .................. ..~r I~1O ......................... pursuQ to app cat off dated ............ .~. ......... , 19 ......... and approved by the Building In~ector. Building Ir~ector Rev. 6/30/80 !. FOUNDATION FOUNDATION 2nd) ROUGH FRAME & PLUMBING INSULATION PER I! STATE ENERGY C~DE FIt'~AL ApD~T-OdAL COMMEN~S: TOWN ,O'F: SOUTHOLD BUILDIN~.'bEPARTMENT TOWN HALL SOUTHOLD, N.Y. T~L: 7~5-1S02 a. Th_is' ' '-: ~ '~*be apphca,~o,, m~a~ cgmp!ete!y riffled ~ by ~;p.ewriter or in i~k and submitted to the Building Lnspector, ~ith 3 sets of plans, accurate plot p[a~ to scale. Fee according to sdhed~e. b. Plot pl~ sg_o'a,kug location of lot and of bufld~ngs dn prorates, relationship t0 adjoi,%~g premises or ~ub~c s~eets or ~eas. an'd givk.~ a deta~ed description of layout of pm~rty mu~t be drawn 0n the diagram whiclx is pa~ of ~ a~ph- c.. The work. revered by t,~s=' appncatzoa .... may not b~ commenced before, issuance of Bundmg .... ~. errata' d. Upon. approva] of ~Js appH:ation the Building L~sp¢ctor wfli issu~ a BuiJfl~g Pe~.it to the appEc~t. Such pemit shall be kept on .doe pre~ses av~abte fo~ 5nspectiou [~oa~kout the work. e. No bugding shail be ~ccupied or used in whole or ~ part for any pu~ose whatever until a Ceaificate of Occup~_:y sisal! have been grouted by t,'~e B~id~g Inspector. .~REB~ M~E to ~he Bu~dhag D'~p~nen~ ~or the issuance of a B~dL~ ~*~it p-arsumnt to the ~PLICATiON IS ~' Bm~dm_ Zone OrdNaq:e of the Town of Sou!hold, Suffolk ComnW, N~w ~e=~,tzons, ~, the cos~mction of b~d~, ad~o~ or ~t~rations, or for' removal or demo~0.on, as here~, describe6_ ~.~gmat~ons, ~d to t n~ .p~c..nt agrees to comply wifi~ a~ app~caSle a~nit authoH~d ~specto~ on premises mhd ....... ~... ,...~~ ................ (Sign¢.rure of applicant, or name, if g corporation) (Mai¢~g address of applicant) State whether applicm,4 is owner, lessee, agent, architect, end, n-=er, general contractor, electricimL plumber or builder. (as on the tax roil or latest deed) If applicant is a corpo-.-adon, signature of duly au. thor/zed (Name and title of co,orate officer) Plumber's License No ......................... Elec~_~ncmn, Licenss No ...................... Or!tot Tra~ ~License No..-X~ ~.~. Location of 1,~d on which proposed work will be done...-,-,, '. ................. w: .............. House N. tmtber Street Hamlet Count5 Tax i,..tap No. 1000 Section ~ ~ ................ Block J ................. Lot. 1 ~. ~..7_-:. ........... >u[,dj ,'is or~ ................................... Filed Map No. Lot (Name) State existing ,~se mxd occupancy of premises and intended use and occupancy of proposed construction: ~. Existing use and occupancy , )~..&~c~,~ ,?o a~% '7~53,1~'~ b. Intenderi use and cecups~,ncy . .g~ .'.~}~ .......................................................... o. Nature of work (check w ch ~pp~/cable): New Building ~-, . ';~/ ........ Add'Eon .......... Alteration .......... Repcdr .............. Removal .............. Demolition .............. Other Work.. _. ............ Cbescn'.ption) 4. EstLma~eS Cost ;./~.~.~. ~.~.'~ ~.*.%~..../~jiq~c::t.'7-. ....... Fee ...................................... (to be p~id on ~ :JJng tkis application) 5. ii dwelling, number of dwe!!~g units ............... Nurnber of dwelling units on each floor .......... ,: ..... If garage, nvunber of cars ............................................................. : .......... 6. If business; commercial or mixed occupancy, specify nature .~d extent of eac~~..t?.a~. '~ oxY'use . .................... 7. DL-nens2ons of exls~ug ~ractures, if ~y: Front ' Re~ .............. Depth ............... He.~.t ........... . . .....~ ~ ~r e f Stories ........................................ ~ ............... D~ensions of sine structure wt~ ~terafious or addmon~. Front ................. Rear .................. Depflx ...................... Kei~t ...................... Number of Sto~es ......... , ............ 8. Dnmensmns of entre new con,action: Front . [~P ..... Re~ d~ ....... Depth ~ ........ ~i~t .J.5' ' . .'. Number of Sto~es . .~. ~ ........ [ ..... ~. . ~ ................... ~ ......... 9. $~e of lot: Front . d.~[ ............. '.. ~ ...'[[~.~ ............. Dephh .~*~ f .............. 10. Date of Purchase .-~a~t .(~.A~ ~ ....... Nme of Fomer Owner .~(~.~q~.~ .~K ....... 1 1. Zone or use dist~ct in which prem~e~ ~e ~itua~d .'~ ~<4 q.q ~ .~gg~9 ....................... I2. Does proposed consm~ction ~olate any z~mg law, o~in~ or regulation: .,P~q ............................ 13. Wffi lot be regrad~d ............................ W~i excess ~l be removed from premises: Yes 14. N~e of Owner of premises fi.~ ~. ~(?~'g.~ .... Address . .q ~q~ :~. ~{ ~/... Phone Ne. (¢~--V?& ~ ..... Nm~e of ~-cbitect .......................... Address ................... Phone No ................ Nmme of Con'[-actoz .. ~ e::'<~:~ .z ~?'2 ~-~.&E ....... Ad,ess ................... Phone No ................ PLOT DIAGRAM Locate clearly and d~tinctly all buildLn~, whefl~er exist3ng or proposed, and. indicate ail set-back d~nensions from prope~ ~-¢y lhnes. Give street and block number or description according to deed, and show street names and indicate whether interior or co~-ner lot_ STATE OF NEW YORK, S.S coutqrY OF ...... ./)Y(C~?~'/:.../~d.: .... x~...td"'."?','.~'-.~,~. ................... beh~g ~lt:ly sworn, deposes and says that he is the applicant (Name of indiv_;dual signheg co)~tract) '" above nmned. He is the .......................................................... : ............................. (Contractor, agent, corporate officer, etc.) of said owner or owners, m~d is duly auZhorized to perform or have performed the sa~d work and to make and file this ai~phcation; t.hat all statements contained in this application ~re true tc the best ofhSs knowledge and belief; and that the work will be per,brined in the manner set forth in the application Filed therewith. Sworu ¢o before me fi, is . ' ....... °' ."~. ~ ($ig~a~ttte of applicant) PERSPECTIVE -30"x30"LOUVER EACH END "%- SLIDING DOOR END ELEVATION SLIDING DOOR --LET-IN BRACING END FmAMING 2' ~ 4". 2'-0" O.C. COOPERAIlVE EXTENSION WORk AGRICULTURE AND HOME ECO; N.Y. S'TATE COLLEGE OF AGRICt.