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Home My WebLink About9785-ZFORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE \ /, SOUTH'OLD. N. Y. !9 � QQ CA n BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 9785 Z Date....... JU.n C........1.5 ............................ 19...78, Permission is hereby granted to: ...... J.o ..pr-zybara` ski ..... (Sk-I ................ ................................................................................ ................................................................................ to ......build..a... Private..One... Family. -Dwelling ..... (seasora..).................................... at premises located at .................. ari.ey1t.al—Ame............................................................................. ...................................................... E-16her-S..asl d-v..S®.Y.,........................................................... ............................................ :.................................................................................................................... pursuant to application dated ...... June ........ 1.5 ............................, 19..7.3., and approved by the Building Inspector. Fee $..P-7-.80 ......... ................................... ,................................ Building Inspector 100010®10®3 + 8 'Ulurlu U'UX ItbUULLLDIWDMU IVLtVAXUkVa11.bM1r. 11"Bb GUFU Ud' L[!:XUWd(6AU6 n111LuW bVLPU 1315 AL�9=9;9 ON AMU )UddiNNI:X. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 �I QMt els 12.s X 97 0 .' , �) w, Date Application No. on file 4 �: Fe 1 iY i I V I C) THIS CERTIFIES THAT only the electrical equipme t as,described below and introduced by the applicant named•on the above application number in the premises of J 3�it3 •�fr.1D JYg?Sae3'C' t Ave, t .1_�.Letxltla !�� t location; XE Outside in thefollowing ❑Baseent 1stFl. ❑2ndFl. Section Block Lot was examined on and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT . FLUORESCENT MVAPOORY AMT I K. W AMT I K. W AMT K.W AMT. K. W. AMT H. P '12 31. 14 12 1 9.2. Z' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT TRANS. HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS AMT. K. W OIL H. P GAS H. P AMT. NO. A. W G. AMT. AMP AMT. AMPS. AMT. H. P AMT. WATTS SERVICE DISCONNECT NO. OF METER EQUIP. EQUIP. S E R V I C E AMT. AMP TYPE .0 2W 1 ,0" 3W 3 .0� 3W 3,0' 4W NO. OF CC. GOND. PER .0" A. W. G. OF CC. COND. NO. OF HI-LEG A. W G. OF HI-LEG NO. OF NEUTRALS A. W G. OF NEUTRAL �j t.. 20.0 cb 1, 2/i0 OTHER APPARATUS: I—Sn, oke, Detector 2.'"1 Tamp, G.PnIo ."..I.e a s Room Ray Edwards DDA Finy Elea. Inc. �' Box 511 GEN ERALMANAIGER Fishers L:a �cid:C i�70 Yo CJ t + 4N \` tv Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 'Ulurlu U'UX ItbUULLLDIWDMU IVLtVAXUkVa11.bM1r. 11"Bb GUFU Ud' L[!:XUWd(6AU6 n111LuW bVLPU 1315 AL�9=9;9 ON AMU )UddiNNI:X. FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... !u .....15............ 19.. 78 Approved ...... Jun e.....1.5 ..............0 19...7.E Permit No. .......... 9.785.7... Application No. . Disapproveda/c.......................................................................................... .............................................................................................................. ......... ........ ....................................................... (Building Inspector) INSTRUCTIONS 9785 Date................................................. 19............ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ........(nature of applicant, or name, if a corporation) (A ddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................................................................................................................................... Nameof owner of premises ....... �.......... 57&.0...................................................................................................... If applicant is a corporate, signature of duly authorized officer. ..................................................................................... (Name and title of car orate officer) Builder's License No. .........®� ®� .................................... Plumber's License No. �� ..... Electrician's License No. OtherTrade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No......................... Street and Number ... o91e&A.0 f 9C Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....... .0 ..7............ .,......................................... b. Intended use and occupancy ..... 1�.elr..............1. ®? � ;��1 ,� {';, ............................... IN 3. Nature of work (check which applicable): New Building' ... ......... Addition .................. Alteration .............. Repair Removal .................. Demolition Other Work ................................................ ... p �� (Description) f� ®0 �7 4. Estimated Cost ......dr. ............................................Fee............................................. :......................................... .. (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... VOr............ Number of dwelling units on each floor ..".e .............. Ifgarage, number of c• ars............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height........................ Number of Stories................................................................................................................. . . Dimensions of some structure with alterations or additions. Front ................................ Rear .. .................. . Depth Height ...............Number of Stories ........:....................... 8. Dimensions of entire new construction: Front .......... ................... Rear ...... 10..®.............. Depth ..3.4.............. Neight......... Number of Stories .....0!ri`................................................................................................... 9. Size of lot: Front ........................................................ Rear ................................ ... Depth ............................... 10. Date of Purchase ..........7................................Name of Former Owner ............. 11. Zone or use district in which premises are situated ................ ................................................................................. 12. Does proposed construction violate any zoning low, ordinance or regulation: .... a ......................................... 13. Will lot be regraded' ...................../........ Will excess fill be removed from premises: (/) Yes ( ) No 14. Name of Owner of premises .......1��/�......�......... .......... Address . !� ... �S•... Phones No...... ... .. ....... Name of • Architect .............Y.�OAW. ,,/ ................... Address .....!,�-�'� .. ..... Phone No....� ..... 9 Nome of Contractor ...................� '............... Address ....lt .. .... .... Phone No. ..2 ........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set -back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. OL Q � — COOVI Ce r<C 117- STATE sTSTATE OF K, t S.S COUNTY OF N—e—AV...kaev�?etAIJ ............ .iv.......S®g................................... .......... (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ®�/�i�a>C'® C®N740070/�........................................'...................................................................... :....................................................... . (Contractor, agent corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and than the work will be performed in the manner set forth in the application filed therewith. Sworn tbeibre me this (� ......../......... ........ day of ..............:....,...................., 19...• NotaryPublic, ..`<,'c.!:.. !t- �:........ County ................................................................................ �' (Signature of applicant) /L) 0Ikk r/�al6kI C- TEL. 765-1802 May 30, 1978 Mr. John Ski Box C Fishers Island, New York 06390 Dear Mr. Ski, We are in receipt of your application and plans for proposed new home. The blue printed plans would be acceptable and permit could be issued accordingly® From our telephone conversation recently it would appear you are to build dwelling you have sketched on blue prints. I hope I have not misled you but we cannot issue a permit for the rough sketch you have submitted for the following reasons: 1. You have not indicated any window sizes in any of the rooms. 2m Since building is L shaped and kitchen and living room run together, it would be necessary for a detailed plan showing how roof valley is to be supported. 3. Foundation plan showing lally columns spacing required. 4. Floor plan showing floor joist sizing and spans required. We are holding your application pending receipt of more detailed building plans® Yours truly, EDWARD H. HINDERMANN Building Inspector Box C . Fishers Island, Now York 06390 June 6, 1978 Edward F. Hindermann Building Inspector Town of Southold Torn Hall Southold, New York 11971 Dear Mr. Hindermann, With reference to your letter of Yiay 30, 1978, I should like to submit the following information. Item Ir -1: There will be 14 windows, 3; inches wide by 42 inches high, these are nominal dimensions. Also one Thermo Pane picture window 48 inches by �0 inches. Items # 2 - 4 see enclosed. 0 Respectfully submitted, John Ski iia i-71/ PA Z 0 -7Q C, --a N -J C) -V— d ti 'D ES Z- fa cz I 'r V4INJlJfEY J O l-1 NJ FCD r�,� T l o L 1"==1 0 —� '-Y2\ PLt"-_ a C>4 rel S <= co��C 0 i A O t, F _. .. - ' nt iE� a```,� r''ai t ,a @ ` •"•`et,,d `°' � � <� ^,, � g 4k it ool a.. n 411 ry �� Ir Ol el t a„ e.;� � �M1 r, � � 'q•», � � � '"; m"0.z '� "'M.., -S t� .... ...,. - _.,..-_....._..__,.........-.. nc :•-„_ it " `'� �' is 1Y�1 b, h,� :..+^• �,.!fir ,° .r^' ik . • �'. ' Oil �Yol? �xaio r 5Y to tihe+ Ot JO)VA) �bCc 1,217 i! t IM � r t, ag5i- �� NI ` 4 3 "a " L, a i � � K � e� + ,0Y5 uyS ��: r. L,N, :,�ayM - �� ••°� �\ a,"w � " ' __. 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