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HomeMy WebLinkAbout23465-Z Do|� � Zr-1111 Fvvm/�/ /mCm/ ( > _--- �� IMIJGII F It At It-'. --------------- rm STATE COME —_�- ..... n Ns' '—'- _------_'-----_----_-_—__-_'—_-'---�-'-- �� ' ......... _..............________�_________________________________ ............' _____________ .......... | \ FORK 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) Dote N° 23465 Z .......... ...................................... 19. ... . Permission is hereby granted to: ....... f1?'!!lk',5;.....1...:.... '1!� .... ................. .....33�, ....5 .....��r.. ... ��..s .. ?rr.4.-.. .... .. .............f. to .. .%.?......... ........................ `-... ....... !/.7..r. .............................f�. •.`...-�. .............. ........,1 ..:......................................................................................................................................... of premises located at .....?`x....... ..... �� Q.S..J........................................................... ................................................................:fir e4...................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .4—Ar . ...... Block .....0j/....... Lot No. ... ............ pursuant to application dated ....... ... .......,/. ................... . 19.��l� and approved by the Building Inspector. Fee $ ...Jv........ 7�Zuteding Inspector Rev. 6/30/80 l( AI , lI IA I . : ;ilsT: ( l+ PLAN!; . . . . . . . . . . . . . . 1014N OI% : 011'1IIUI,I) r1RVl . . . . . . . . . . . . . . . . . . . . . . . .a 3 uulln1Nr uel'ntfru,N'f clu7c ( . . , . . . .MAY 'S0111'i101.U, N.Y 1 191 1 1Dr. DEPT fr ,: 7 ft 5-. 180) NOT I FY : D , C)) l`.. ...., 19<. 1 / F IIAII, -TO: . . . . . . . . . . . . . . . . . . . . Appi wed.......�1�,., 19y4 r Permit rkl. .. .. ... ... . .. ......... .... ... . .. . . . . .. . .. . .. . ... . I)ianilwaved a/(. .................. .. .. . .... ....... .. .. ..... ....... ...... . .. . .. . ....... . ... . ................ ........ ...... ...... .... ...... . . . �idhInsl,e:ctor) APPLICATION FOR BUILDING I'I'sll11IT Dale . ./. 3�. . . . , . . . . , 19 .1 I 1`1113T tUG 1 ONS a. 'Ibis alldicaLion n,1sL Ire cottllrletely 1'iltell in by tylxa•rti(er or in ink mwI sulttnitied to Llie iktilcling Inspeclor with J sel:s of plans, accurate plot play Lo scale. Fee according Co schedule. If. VIOL plan ;dxx4iog ImaLicxt of lot: alxl of Ixtildinls cxt prCinises, lelill-iouship to FNllollllllg prwlises or Ixiblic: sl.ree(s or areas, acxl I;iving it detailed description of laycxtl: of ploperty oust Ire drinon ext llte dial;ri,n %,Mich is part' of tlris'appl ic:alion. c. 'llte wrk covered by Lhis nlrlrlicatioii i,v.%y noti Ixj caune:txecI I `ore issuance of lklilding l'enniL. d. lflxxt approval of this appl ical-ion, (lie Ikli ldinl; Inslx�ctor of I I issue a Ikri(ding Perinil: to Life appl icaul:. Such Ix:lnlil: shall be kept: oil the prernisedi available for inspect icnt Ihrcxy;hcxtl. llte wmk. e. iki Ixtilding shall be occupied or used in Miole or in Ivatt for any lxnlx)ne Mialever tinLil a Certificate of Occtipan:y calall have beell [;ranted by Ille Ikl'tldiug livilvec:lor. , AI'I'I.I(A'I'I0UI 11; Ill,lrlillY ME Lo Lhe NdIding Ik.parlur.ol. for the issuance of a Iktilding Permit ixirsuanl: to the Iklilding 7.cxle OrdilMlx:e Of the Ttxm of &xtthold, fitiffol: (exutly, tka•i Yollc, atxl olher applicable lawn, Oidinailees or ItegulnLicnls, for the axititrlx:Licxi of Ixlildings, rxklil.ioos or alterations, of- for reltcival or demAiLion, as herein described. 'Ilse applicant agrees Lo cotKrly with all applicable Irna:i, ordinacx:es, building c(xle, Ixxising axle, alxl iegilaLims, atxl to a(lttil aut.lxrrized in:ipec:lors oil premisea null in I iilding for IkVf4easoir nsl ctionfl.. 1 ( ;il,onl.ure of rtppl icaol', or ifaiv_', if a cy✓xriaLiou) (thi I ing address of appl icatic) State lalether applicant is cmwl-, Ies;iee, agent ar chi lect , engineer, geoeval conLi*m:Cor, elec���cai���1'Imber or Intildel AS bAT'E: HH. . ((�� e. .. .. .... .. . .... . .. . ... . .. . . . Mille of: water of premise. .....b/ /. / / ' �/�/5 f�T? .... . ....... . . ...... . .. ...FEr: (as Olt the Lax roll or IntesL dee(j) NOTIFY BUILDING DEPARfIVIENT AT 765-1802 9 AM TO 4 PM FOR THE If: .1pplicanL is it corlwt at:i(xt, signature of: duly fit ll.horired officer. FOLLOWiNGINSPECTIONS• 1. FOUNDATION - TWO REQUIRED . . ... . . .. .. ........... ........ ... .. . .... .. .. . .. . ... .. . . FOR POURED CONCRETE 0-4,tn citxl LiLle of co(lxlrale officer) 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST Ikri Iders License P41. BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET I'lutlxais License No. THE REC(UIREMINTS OF THE N.Y. I'llecl.riciann License 1kr. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR Other 'IYixle's l.icenae rk,. . . ... DESIGN OR CONSTRUCTION ERRORS I. Icx:aCiat of laotl (r) "tich prolxi:;ed wall( will bo (lotx�.. .. . . . ..... . .... . . .. .. . . . .... . . . ............ . . . . .. . ...... .... Ikxise i xiber Strer-L IImileL (cxutly Tax hLyr Ik.). I(1(X) Seca.i(xt .dS7l. cp./. .. Illcxa. . ... . . . . �.�.... IAli ... . . .. Ekllxllvision ���. . ... ..... . .� . . . . pad...fib v r u✓T�'` Filed rL•tl, rkt. .. . . . ... ... ... . l.rll: .. ..... (N.,tte) 2- .;late exisLinl; use alxl cxx:ulratx:y of p -arlises alxl inleixled use alxl ocuipaix:y of prolxised const.ruction: a. I?xir,(in1; uae acxl cx:culxux:y . .. . . .G .1., 'G ... . . .. ... ..... . .. ... . . .. . . . .... . .. ..... . .. .... .. b. inlclxk-d use atxl cx:rupallcy .... �(r�. -1��1 'Cv 1. ICllute of %Al(k ((:bcua( 1A1icb alq,licnbl( ); Ik,t Ik(Ildiol, . . . . . .. . . . /ul(Illiun . .. . . . . .. . Alle:raCion . . . . . . . . .. Itr:lwtlr .. .. ... . .. . . . . . . . .. .. . .. . IkalxllIl loll . . . . . . ... . . . . 011wl Ik,lIc .. . . . . . . . . . .. . . .. . . (Dullc:rlpLloll) �(. Ful illtill ed (:me .tI6.JV..me.'q.6. . .. . ... . % No : .. .. . . . . . . . .. . . . . . . . . . .. . ... .. .. . . . (lo Ix: paid on 1`11 ill, 1111;1 fippl Ic:al loll) :i. If thx:llloll, Ittulxr ul'. (Alellinl, unit'a / .. .. IAnLer of 1Ax:lllog wills (x1 enck fills . . .. . . . . . . . . . . . . 1f Ipoill;c, lltrlix:r of earn .... .. . . . . . . .. . .. .. .. . . . . . ... . . . .. . .. . 6. If Inuliltenn, coal twrcinl or InIX61 (x:cwlxilx:y, nlx:c:Ify unlure mail extefll: of ellclk tylx: of tine. .. . . . . . . . ). 11611euni(x1a of e:xlnl lnl, nLlluAticeu; if: tiny: I?rcxtl . . .. . .. . . . Item . . . . .2.6, . . . , . Ik:il,llt ... ... .... . .. .... ... .... . IA�11r of ilot-lott . . . . . . .. . .. . .. . . . . . .. I11:Ix:nnlcon of s(xtx: nLrtu:lwre tirllll fille(nLima or ixllliLloofi: Root Item .. .. . . . . . . .. .. . Ik:p(II ...... .. ....... ... .. ILI11)kL . . . . . . . . IArll,er of lilorimn . . . .. . . . . . . . . .. . .... . !{. I)latx:nn'tenta ol` rol.i1+: Ix:c4 (:onnLttx:t ion: V:owl . . . . .. .. . . . . .. . . Hunr . . . . . . . . . . . . .. . 14aplb . . . . . .. , . Ik:i1,l(1. ... .. ... . .. ... .. .. . .. . .. . lAul,e:r' of; ;ilorl(:u 9. Nize of Iota Pi(Hal .. .. .. . .... . . .. .. It(:fiI' . . . . . . . .. . . .. . . . .. . . DQplb 10. 1411e of 11uc11nac . .� G. .J 1•t.r(x: of Foklwl O,nx:r II. Zooe or flat(: Illelricl: Iw tAtic:ll p((v(lsen rue llilfln(ecl 12. Ikx:a fro xlsed cootil Ilk:(. vioifile Itrl tin I y zeK !., Itet, or(liufince or tca,ulal.lou: . . . .. . ... . ..... .. ... .......•.: . . H. Ili l l lol. IK: I cf,rtxk:d Fli l l ('Kr:enn fill be 1(31xYve(I fr(nt pt c.1n1 sea: 'YIiS .... ICI. Il:xli fi of ()xx.r' of prelulrea .V�.� 1/" `Rr .. A,klractn �� . . .m j/g��� G; 14xn: of Arebllect . ...... ... . ... . ... . .. .. . . . . . . .. . . . .. AM% jig, . . . . . . . . . . .. . . . . . .'ti�. . .i:'. . . Iftoixa MMIX. of ('exltrnctor . ..... .. . . .. ... /vklrena r:;,,;'c:- iTlnile Pk). . . . .. Ibis prolx:rl.y 4tilbin :1(l(1 faca. of it l.idfil tx:Cln11c17 A Yl.'li *IL' Yl ;i, lXA1lll(11J1 'IClldl 'lltll(i117?(i 11?ItIII'I' ivy Ifli I11(�Illltl'll, I'U)'1' I1 I AGRAPI locille r.11:arty ntxl disl.ilK.-Hy 1111 btlildlol,a, %Atelll( r rttinl.lnl; or lit )IK,atcd, n(xl bxllc:fite fill 8'el'--bnck Illa olliorlfi filial prolx:rl y l itx:s. Give lll me L mail block Itt„11,er or doncripl ion ficcold1o1, to deed. ntxl 01(m streel: wlrnen JIM ilxlicnle rAu:lber inl(Wi01• or Wl'lx:l- lol:. t .190 4 l)1' fN11J Y(Ntl(, alai LK- (IAIIIIY (Xi' .. . . . (. . .. .. . . . . . .���.. . .. . ... . . . . . . . . . . . . . .lWinl, rn n n daily MAJI'll, (Iclx, eix ays till(: be I:I the nppl is:nitl (Ilu1x: of ilxllvi(Iwnl fiil,niwl, c:oltl lnla ) nIK,vI: nlnx:(I, m 7�, 7� Ik: i:t 111(: . . . . . . . . . . . . . of ttnid (AAK:1' (,I• (MIX!I-:t, n1Kl is 11111y fiw(borized to IK:rlo1111 or- bnve Ix:rfollIbLd Ibe nfiid weak till Lo urdce t11x1 fill: Min npplicilLiow, Ibfil. fill. nlnlc+I�uLn (:owlnilK:Il in loin n11,licnrioll me 411x: Lo lbe bcln( of bill loxx+le(Il,e natal Ix6lief; ntxl I1u11. the ")If( VIM Ik IK:1-1:0111 A In Ibe IIGIIIIK:r t•,et: fol ill ill the spill ir.nl:iow filed there-t,i111. IAx,tn Ill before fix: Ibis �1 r �. . . . . . .tl;1y ol` . . . . . . . . .. I9..I,�Q. . tktl fit lltbl is . .a ...... :`( D . . . +"11, Y P Lt . L J';` ntllule of: Appl i(afill ) � •� ARO •41NN ? , n COti1(NIs9RN do 437759 ' p ex tp"`"'pl€g 8 1999 i?'�l, AGNdd17PkIVG CO.,INC.