The URL can be used to link to this page

Home My WebLink About23814-z FORM NO. 2 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) V Date ............. N? 23814 Z . . ..................................... Permission is hereby granted m to: p.— .......................04.0. !,..................................... ...&Y/� 7'. .......... t .. . ............. ......... . .. ............. .... -17 ..... . ........ ..... Y-0- . ......... ......... .... .. . . . . ..... . ......................................................... ............ at premises located at ....................................... ... .......... ................. .......................................................................... .... .................................................................... .......... ................................................................................................................................................................. County Tax Map 'No. 1000 Section .......... .?...7 Block ....../..... Lot No. ............. ... 4�7 pursuant to application dated ........................0.6r, 19.? .., and approved by the Building 'Inspector. w Fee $5�41........ ............. . ...........i..............E.................. ................... Building Inspector Rev. 6/30/80 + BOARD Of, IIP.Ai.TII . . . . . . . . . . . . . . . FORM NO. 1 7 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUT1101.1) SURVEY . . ... . . . . . . . . . . . . . . . . . . . . 1 ~=a Ill)L1.1)1NG DEPARTM13NT CIII?CK . . . . . . . . . . . . . . . . . . . . . . . . . AN tfi TOWN HALL SEIPTI.0 FORM . . . . . . . . . . . . . . . . . . . rT,_ _.r....`I:..�rj- SoU T11OLD N-Y. 1 1971 Tlsl.: 7 G 5- 1802 NOT(FY 19.. Q, riAtr. 'lo: . . . . . _ . Aplrrcrved..Lj <.d.._:, 19 � Permll: No. E O./ ... ......................... ..... ...... I)it;:rlrlrrovccl a/c ----------------------*........... ........................................?ATI �etor)AI' R Ifll!I.UTN(.: 1'!iRMIT / or INSTRUCTIONS a. 71li s :rlrlilicaliorE crust be carrgrletely .fil.led in by LYlxnariLer- or in ink aril submitted Lo Lhe ikrildinf, Inspector wills 1 r;ets of plans, accuraLe plot' plan to scale. Fee nceording Lo schedule. h. Plot plan Mxrwillg locaticxr Of lot arKI of bUildinf,'S rnr prerni ses, relationship to adjoining prc:Inise s or lxrbl is ,street s or wrens; nod giving a detailed'desclApOoo of layoul: of property mirA be drnmi on the disgran which is part: of Otis appl.icaLion. c. ,tile tx)vk• ccnrere<1 try lh.iS.a!rpl:icatic.m rrry rx>l. be cc;nmenced Ix--fore issuance of Wilding Permit. d. l)lxm approval of this npplicat:ion, Lhe Ikiiklinp bispecLor will. issue a ikuil.(Iing Permit: to file applicant. Such peI Ill il: shall. be,kept: ,cm the. premises avaiIah1.e for inspectJoo lhrml), xxut the murk.' . e. No Imildirq, Slral.l he occupied or used in wl;ole or in part for arty lxirlx)se whatever until a Cerl:ifi(:at:e of y,Occarlknx shall. have been gr..anted by Lire ikAld.ing Inspector. API'i.ICN ION IS lllFIT,.BY MIU E—Lo Llre Wilding Dep)rLur•.nl for the issmance of a ikuildirrg Permit imrsuanL to the ikri Idhig 7,cxx: Ordio-ioce of the Txnr of Scxrtlrold, Suffolk Counl:y, New York, and other alrpl icahle i;Ywr,, Ordinances or Ilrf,ulaticxrs, for Ow crnrSLrtrct:icar of ixuildings, addiliaor, or alterations, or for rcnrcrval or dennl ition, as herein deSc:rilwd. 'tile aplil.icanl agrees to c:or+rlrly with all. algilicable IM-7s, ordirurnces, Imilding axle, housing axle, and refulnLicnrs, nix] Co adroit :nriaxurized inslxicLors cm preanmes nml in imil.di.n1; for ceSsary inspe irnrs. .......... ..Q.CIIp. (Signature of a!rpl.icant, or nano, if a•corlrornlicm) (FLail.inf, klreSs of alrlil,icant) State tArelher alrpl icant is (warer, lessee, agent', architect, engineer, general contractor, electrician, plurix!r or Ind Icier. .............•--... ................ J.-.................................................................................. Nara of cxn)er of im-nniseS.......c� 0 -.. r..�!/.�/!l .. .. ........................................................... (as our lire tax roll. or IatesL deed) I f appl ic.mit is;n corlwaticm; sigrriture.of duly auUKrrm-d officer-. "(N;rrxE arxl Htle of (_orlx)ra(:e officer) 1!trilders license No. .................... GSGU►{ w . I'lurix�rs Liceiire No. ......................... illectricians License Ib. ..................... Other Trmle's License Tb. . I. Localiou of )arxl on Adch proix)sed work will. Ix, dorre................... ...................................... ..... .......lk ft... _Wo.0A(.R-9....5aQ9.9uA -IPa a --.. 6P414..,./Uy........................ Ikxrre Usi6er. SLr"-LL Ilaillet Gxurly Tax Hap No. Uxio Sect iOrr ...P 7...._.. iTlcx:k ..1.... ......... I,o(: ...-J1......... Scd.xlivisiou ...................................... i.Tiled Map No. ................ Lot ............... Mine) 2- Sf-al`e existing, u:e aiKI ix:ivpam:y of premises arxl inLerxled use aril mcuparx:y of prgxxsed consLrucl.ion: rr. 1',xisl:surf, rrsc aril cxctul>nx..y ....... ...................................................... . .......... h. interxied use acxl cxx:u xrnc ... . . ./. w v ";, Tf M: SSA.. •.................... ..... :�Ita"i`t•°Y'r'trt%I)U f.i+;;C:,`3t1r17.€TI'1'1`S:1tFl� r)E:'r. 7. R'11111e of 1A)ll( (check talidt ap)licr)llle): N.%4 Ikiiltlinl. . .... ..... Mili.l'lon A leration . . ... . IG:I>illr IGoliwal Dom lll.lon 011ler 4k)tic ''. e*i...at opt MQ,, . Inkll ell Coll: fee .... . .. ...... . ...:.. _ _ (fo be lurid on fi I inf; lltin app) i(:al:l(xi) 'i. l 1` tt,n:l l inf>, litulx!r of th I Ae 11 inf; unil s . . .. ...... .. lkillwi- of OX l I hIg units (Io each Floor I I' gar hge, Ix'111x:r of (:ill a .... .. . . . . ... .... .. .. .... .... . . ... . . 6 If'Ixt:;ilwsn', c(uur!rcial or mixed (x:(:tlI)al -y, spec:iry liat.11re mxl extent: of each type of use...... .. .. .. . !. Iliuit:nsiix)s ol`. exiurinl; st.rtu:Urres, if any: Front .. . . . .. . .. ... .. . (tear .... .. ........ . DL Ill II Ikdlllil. . ... .. .. . ......; ......... Mnl)er of Stories _. . . .. . .. . ..... ... . ... Uinr!nsilxls of sirre sf it'whire with al feral.i(xis or a(lili t ion::: Front . ... . . . . .. . . . .. !tear Ik:pl It .... ... . ........ ...• Ik:ii;)Il: ......_. ....... .. . . . Rubel- of :iforie.. r). I)ine111-00oli of utlile ix--%4 ccxlsOmCi(xl: Frolic .... . ... . .. . ... . Rear . .. ... . .. ...... Ikplll IkI(;lil. .... ... .... ......... . .... . Rvili:r of l;forie:( . . .. . .. . .. . . .... ..... 9. Size of lot: Frrxtl: Rear 10. Ilal e of Ihu chase ..1Q�f�/�I ... .... 11:tir! of: Fornrc r (aatu_► _.._J.oakk. .. I_ 7AMIL or use district in rAtid► prtIaises are sifuat.edft V , 11. Ikxni propo.-wtl ccxislrixaion violate any zoiliog Jim, ordinarx_e or rel,rlal,ion: .... ............ ... . .... I'). Will loC Ix: re1Va(k:d .................... Will excess fill. Ix! rc�/wyvet) froia prollises: YES !JO 14. tL>,ii s cif (kau!r of prranlses .. L�Qttfi .F►_.S� R. . ... Atk)resa .61�i1.0'� ��// ��SD /)l 0 k! of' ArdIilE!C C ..... ....'..... ... .. Arklress .. .. . ........ /f/y 11ION! Nt). . . . . .. . . . . I•lirrx. 01: Ccxlf ractor . ....... .. .. ..... ................ /vklress 11x)Ix! 110. 15. hi this ptr)lx:rly within 3W feel: of it l:idal YES .�/,,.. ,, NO •• . "lh YI;S, :i(XflllO11) .11144 •11t115ms I( Ithll'I' CLAY IAs Rhl�lllRlsl). PLOT 1)IA0,11MI lcx:a((! (:]early aril distinctly all Ixlildings, uA)ellu:r exisl:ing or propose(], atxl iiklic:afe all set.-bank dia)ensiolis fruu prolx!rly tiros. Give street arxl bloxac trnl)er or (k!s(:ripticx) according ho (teed; and sJtaa street' n:rirs mill iixliral'e lAwIller inlerior or-'corlx_)r=',loC• `y •,'4'.i'v'.9',- cc P17 r f (fez Zt tb.`�'` '•j` .tet1_•ij,y�',a�S4�'i�''� � )^,,�'t;9. �+��..ty 11, !�Y-�� 5 f+.�N AS NOTED �B.P# FEE: Y NOTIFY BUILDIN O AT 755 502 AM TO 4PM FOR THE fO -JAM 1. FOUNDATION - IWO REQUIRED FOR POURED CONCRETE 2. ROUGH 4 FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL FEET Mfn E W tad Y(Xtl<, THE REQUIREMENTS OF THE NX • t° ;'R" ' `'� :� `` ; '' :: .'+�1�'S:: STATE CONSTRUCTION $c ENERGY ())(If11Y (X i CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ... • .. . ... ..• . . . . . .. .• .. .. . .•• •• . . .. .. . . . . . . ... . . . .. .Ix:inf., duly ;"mil, delx):>es arxl snyl) that lie is llw alq)I icaul (M;sir: of: i,xlivi(lual :;i(;nin(, cool racl ) :dx,ve n;nril, $14._- i:. IIIe - .'` •:....(y. C '(:, ~, ^! ^.� `t .. y t l !\'�-.�• 5 "., .•`� , ' :F ..1>F, .•�:1 g4 r i'%sk:r. _et:j,}',�'• >) ' ((kxil.raclor', "!;call:, c.orlx)rafeff oicer, etc.) ol` rnld />trix!r or txrlx:rs, iuxl is�/hly ;It llu)rlZell fo lx!rfo�rrl or have said t.xn1( awl 'to livike nod fill: Mir) nlq)I icnl'ion; Iluil. (ll1 slill 01VIIlat(°rSltatlx:d in I Ili s nppl it�'Il ion :uc: l Ilx: to 'IIt(!�hm';(: of Iris 1(ook4le11(;41 alxl bol i(J arxl Ilml lile w(r11( will Ix! lx:rfonrr!(I ill III(! uUIoIW-r' 1x!C for(11 it, Ilse awl icill.ion Filed llterew)iIit. :,1,-nn to Ix:lol(! ilk! IIIin / . tJOI ary Ihll)I is ... . . ........ ..... .. ROBERT C.SOMERVILLE Notary Public,State of New*d&im(tire of: Appl ican(.) No.01 S04801910 Oualified in Nassau C u Cemlmission Expires May 31-!T_y-q+�— Sn-:` •,Z ,.�`•- „ 1i..-x. .qy .r-_,s L�.ay• •Y "+R•dr :•�.a'.fi4 ,�, ..•-w - \• :�•�..`y�. �'� r� q_,q,, .•`.,�;+•Lw.i ..-.L' •.Y '��.r �' i_�,.-,\KaGs,,y.,q ri. "� f'a; �_ .qC r` �_� i i•."�L'. is 1•^ '•' - '�s1•. •;. i. r i. ;<t \`♦,a/ `•'v. tj�• t_•+ •'P• C G• nj-5. 7 yt rJ yR� �R• .. a •i r • 3 •t - i1'L� rq-• ��. '4A.'S � b',3'- _ YY''•• !Q`sy ,M ' t t:'. ,y� •... , .. - '- .. ,,d\ �.. �./•.r "Y\.T jr`'- `'�-. ;"rJ!. as'!s ?pL. c �r_ s' �'�'*,'y N,r,` .. ',t t. '- - .+•+�.'•"r �.r..• _ F - 'r_ _ -� .h � r, qq;•a'�:.- .r ^-�" F{:�•-�!,PC i - f > - Ir1'ii...r�• li. f ttt � r I"_'_ 7Q�,�A ''Y, yl`"�'?. "fit' .�.. 1 .t fi ,�'!''�:�•y,�8: ,4• i ,/J � �-x.'4��'_e sue,•: i �:,, `ti z�' .�•►t,. �- Ir- >< j;fir: -`� _ .' � .. '%` .a .-•a. ,� l5p - � >a. ? ; _ • - F t � 'fK.. �R ,js. .• ;.- �� Z s .�' l wtlj.�..•ate. - � , -"`..t.. r'• ' !• •" `'k /N r. , .k .+' _ .r i .. '• - ? ''�4 h ..•fir 4' - - - .. ,e' . - - - - , , .. t )•i�.^ � � '4' 1. - V: cis _ i: r, t , ' `, n ;• x ' " . _ s .k. •.rya J ••t a s t b N. T� a., .a. r y k tl.' �-y,>'!-i• _ �' ./ I. _.aj1- •ice• ♦q:' R•" 1= • i A •� e-4• T ? - •Cq' .,t..�'$.: .. } �_4 •�i �''a.7'_" •max,, . ''i i`'Yi I: ,i•s,F .',-T� ..`4r •.l. / ¢��hv } .c x r o • s f �. .!t#` • '';tt 'Lla;� �g �P 'f�R' ^t� w ,'1� - �, •i�' "1s'QF+. •: '4 • ... 4 t..- -ti- �.:- L ',,.;,_� .,i...-.. ... . . _ ya; S# C. .qC7'"•'. _ y. -'.r f "t,•, r, _ '3: 4 h # s �t t� , I/ { t d A. aff,• 6 ••IC' '� T 1, f * Ww :� ..� tic•'Y' - 's• , }.. - r � r F _ '/' i. fir,• k .ri It-. - Y, p,. - .vr, '`+ � �'•!. £' '•tY.. »2<.7:.. �i is , y � .s 4 Y} t' •-a , . '. )' -,-� s�. i r �_' Y .rya-•�~ n�I • (' Ra � L♦ - , -•' - ' f - $1-mil'. _ �'t �f,�• �,�Y "'t. yj ,,s :! ..� ' . '. �4,! .fir` [`�" r _�.Z ,. ,. � _.`' ty ,'ip� •�`•tX n tsSj�i`�._..- j�_ � - �•t�,t - v 1 war' •'. .�•�. _S_y'i ,..✓' �;LJy•+y - .•4`•.. - - - • - ' ( • a;•. 3r 'N.� /nn .� .fit _ �- � (may"� < ly A. � `,cam._ - Y � _ �~+ ""`�-' .,-�: -mil • - r .` - " f, .. ~r� �' � fi r.•S i`a —A �. -4 ISZ ti �R.• , 1 ! 3 i r Y ' Un3utlwrized ^'�"�ncrF'C:tWn --► r .. �� •t.' - to this survey t Edples co Law OF �✓ �,r- < Coplan d Ula Harvey rr, - t� • the land aurvayofs In:: i r f\J'�/J r .fn.t.ef/UC - rl•r I nrz be cor•3ci i er.Sossed soal sh J .�p0L 9 • •i Yg•. a valid x cOpY• ry Q' �(//�/��j� - �+ ► A!Y+ - Guarantees hdkated lareon sh ;t LJ �F/R F y r.x only to the,per m l wh�h ti aacw y { G ��!, is e W o' Y � i' �, ".J 1 tNe company,governmental age No.LS lend n w titu cn s,ad horaOn F •► _ 9 it, isnecs landk+9�s �4 LAND` tutlon.Guarzr ;1 U5,nor L'ih. le - r r , , to additl"lrtLu u.tag s++�,sM i r 4 • A - 'Y - >� sr ' y:' ei,y owners. i raw.�i. s i Oct 4 t59 •. R�2 "°r+r. is T r . t i N