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Home My WebLink About22882-ZTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HN.L $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE ~:)RK AUTHORIZED) N? 22882 Z Permission Is hereby granted to,~ ................ ~.....-:.~ .......... OounlyTaxMap No. 1000 Secllon .......... Z ,~,,,,.., Block ........... ~ ....... Lot NO ......... ~ ................ Building Inspector,,j:::~ F~ ~.~../.....~ Rev. 6/30/80 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT N~ 21496 (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL / .COMPLETION OF THE WORK AUTHORIZED) Date .....~.../~...~.. ..................................... Permission is hereby granted to: ........... ...~...z.~.~. ............ ~.~...~ ................................ to ..~?.~... ~.......¢f~...~ .~.....~~?,~..... ~~....~~ ~/.~....~....~~....,;~.....~..~..~.-~... ............................................. County Tax Map No. 1000 Section ...... ./...~.. .......... Block .......... ~ ..........Lot No. ... ./.. ..................... pursuant to application dated ......7..//.~ ......................................... 19.~ ........ and approved byt~e Building Inspector. Fee $....~....'~.../. ~. ............... ..................... Rev. 6/30/80 l~O~'~a NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 1 9 9 $ ~ Z o~o ...~./~. ................................... ~.~;~ ~-- ~ '" ~.....~ ... ...~....~ ................ ~ ........... ~ .......... ~~....~..~...~..~~ ....... ~ ....... ~~ ......................................... ~t ~m,~ ~te ~ ........... ~"'"'~ ~7~~ .... ~ ......................................................... pursuant to application dated ..... ~././..~.. ....................................... , 19.~..., and approved by the Rev. 6/30/80 IPOII~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18339 Z Date ...~..~.... ........................................... , 19~.~.. Building Inspector. County Tax Map No. 1000 Section ............ ./.'./...... Block ........... .~.......~.Lot No ......... ./.. ............ pursuant to application dated ........ .~...../.../...~.~ ............................... , 19.~'.--./~..., and approved by the Rev. 6/30/80 FORM NO. '1 TOWN OF SOUTHOLo BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11071 / TEL.: 765-1802 Examim:d .......... , Disapproved ale ..................... // (~lding InspectOr) APPLICATION FOR BUILDING PER~IT BOARD OF HEALTH SURVEY ........ SEPTIC FORH .............. NOTIFY. cALL . 7~,-.g~..~030 TOWN OF SOUTHOLD INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, w/ti: ':ets of ptans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location o£ lot and of buildings on premises, rclationship to adjoining premises or public stre., or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par~ of this apl: :ar. ion. c. The work covered by this application may not be commenced before issuance of Building Permit. d; Upon approval of tiffs application, the Building Inspector will issued a Building Permit to the applicant. Such perm, shall be kept on the premises available for inspection throu?~hout the Work. e. No building shall be occupied or used in whole or ~n part for a~y purpose whatever until a Certificate of Occupant shail have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold. Suffolk County, New York, and omer applicable Laws. Ordinances c Regulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein deseribe( Ti~e applicant 3~rees to comply with all applicable laws. ordina · ' . · 'draft authorized respecters on premises and in buildln- far ..... _noes.. building code, housm~ code, and re".qulat on~ · (S~gnature ot apphcant, or name, ir a co~'pe:'ltlc~n') ' ' iii .......... a nga ss cant) State 'Wi]ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...... ................ , .......... ...................... ' >, .5. ............ ..... fp ....... Nameo£ownero remises .. ~ . . ( ~I f/r .......... · ..... as on thc tax ro latest deed) ................. :f applicant is a Corporation, signature of duly authorized officer. (No ca dtitleofco orat ............ " Builder's Lis:nse No .......................... PI mb~rs License No ......................... Electrician's License No .......... Olher Trade's Licen:e No ...... .-~ ..~ ... , ' _.,~ - ................. ~'~) t~ ~., '~ Location o~land on which "ro-o-, ........ ' ~ ~ ~ ~~ v v ~euworawiuueaone 9.~'. ~VO · - C// 9 -~/ -/ . .6(~ ~.c(..(.~',~ ,~..~z,n- .r,,~ .i,',,,.../,., ,.~ r,_ · ~ ~o ~ ,~ ...... ~ ......... ,,ou'e ,,u~oer ~lree,. ''-- ..... "' ' "· ~:'~~.. ..... . · Hamlet · County Tax alap No. 1000 Section .... .~ .L ~/... ' Block ... ~... Lot.. Z .......... - .............. Subdivision ..... cj Z ~ --. ~.~f& .(%'~Eil=d Map No. - "(h~i,iE .............. ~ot.. fi Slate existing ~lsc and occupancy of premises and intended use and OCcupancy of proposed constrnct on: a. ExistmgUXeandoccupancy . ~nc~.T /_~/~ and occup=ncy ' Nature o£work (check ~ ...... 3. ' which applicable}: New Building . 4~' ' ' · Repair .............. Removal ........... r, '' '.~ .... Addition .......... ,'dter',tton ..... ,.~' ' '- wcmontton ....... Other V' 4. Estimate'd Cos ,.,w,/~ ~ ....... ~onc ..... . t ...... . ..... ..... ~ ..... t,.*. ....... [D,c'~e-.-., ,., ....................... $' ~clhng. number of &vcIllng units ..... / (to bc paid on illin- ,'u:. ' '.:~ ' 7" ' ~}t~.'ieht~ : , ny. Front { .~ 7 . ....... ...-~ d...N · ' .......... [D~mensmns oe ( umber of Stones . · ·. Rear ............. 13,,,u D~,~,h ~same structure with altcratio~- . ..... .................... · · -c,. ............... . ~ [1-~':''''as~l~''''~'[. ~.~ ...... tr · .o ,,~ or addJtmns: Front ..................... ~. Dame/~..~ uj~ ' - ..... ~c 2nc . - ........... r, .... ~Ic:2tjt ~/ / _'7"' ~,~,srructmn: Front . .-~ 5 .......... Number of Stoncs ........... 9. !tize %F~..',' .......... NumberofStm4,, ~ _~.~.o. ....... Rear ...c'~./ ~,' ................ .,, ,1' ~.~.,.o.t. front . l 2 F ·"~'" '":'- ,~.-. . . .......... ~epth . 2 ~' ' ,u. ~ta~..ot Purchase ,,.b o ........ Rear .... ' ..................... ' .... , - ........ .u.. · · · -/. 4.~ .... · ......... Il. Zoneorused ...... - .. "43 "} ........... ,, · .......... Depth ;2,c~/2 ...... .-. ,-,ocs proposed c ........ · '. -~ are mtuated. ~4,-~- ~wnef .~.,: .~..cC/£F~',/ ..... 'i!'ill iot be re'araded ............. ' ' '' ........ 'Will excess --14. NameotOwnerofprem~ses · · .. . ..... N' -. ' '~ef'~",/C fill be removed fro~ premi:cs: Ye= .ua~ OlArch ect N ~ ' ............. 2'!z' "c't':2'e'//"'f-f-e- -A/x/Phone No/;2,/: ~.v? · .... -- ·...... ::: ................... 'hon.. ........ IS.Is this property located within~'l~(~' feet oa, -- ---PhoneNo ....... . . ~If yes, Southold Town Trustees Permit may ~'.'~ ~ a cxdal wetland? ~YES .... be required. - PLOT DIAG RAM Locate clearl~, and diatg'~ctly all buildings, whether existing or Proposed. and. indicate all set-back dL'n,:.~sions prop.erty lines. Gn'e Street and interior or COmer lot. block number or description according to deed, and showy street names and/ndi:ate wheth: 7ATE OF NEW YORK, .3U;;TY OF S.S N'-, · '"''.'~ .... ~''. .......... 'ore named(.. ~.nu of mdt;'~dual s~gnmg contract) ...... being duly sworn, deposes :md says that he is the applicant 6o.t:acto'rl; &' ......................... said o~ er · - g ,,, Corporate officer e or owners, amd 's dulv authorized to c- , tc.) ...... 'mi'ili'ii't;;f that all statements contained in this application are /rue to tim best of his knowledge and belief; and that the ~l~cation: ' P rtorm or have performed the said ~Vork and to 1 wdl be Pcr;'om~ed in the manner set forth in thc aPplicauon filed tberc~vith. om to bet'ora mc this ............ County NOTARY PUS[ lC, State d ~w Y~ mrm E~res Mzrch ~ 1~ (Signature of applie:z'~ t ) BUILDING DEPT. INSPECTION FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE ,~/~ INSPECTOk~ 765-1802 BUILDING DEPT. INSPECTION ROUGH PLBG. INSULATION [ ~FOUNDATION 1ST [ FOUNDATION ZND FRAMING [ ]FINAL REMARKS: DATE FIELD INSPECTION REPORT DATE COWMEN'rS II II II FOU.D~TION ROUGII FRAHE & PLUNBING FINAL INSULATION PER N. Y' n---- STATE ENERGY CODE " FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FI:IAL ADDITIONAL COMMENTS: ENERGY CODE CALCOL. ATION- · . A i) -HEATING SQUIPt.~NT ?:C ~EET 7813.23 - 75% EFF. 2) HEATING' CONTROLS '23 i~ST 7813.13 m~NGE 45 TO 7-= DE~5-ZS 3) WA?~R HEATING pSR 7S13..31 THRU .38. 4) PIPE INSULATIC~ 7813.19 5) WINDOWS - DOb3LE G~- 6) ~~'?RU~T-ION TO .~_--=T N.Y-S. ENERGY CODS- 0.0/~ ij. o i O. oS