HomeMy WebLinkAbout25391-zFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25391 Z
Date DECEMBER 9, 1998
Permission is hereby granted to:
JOSEPH C LAZZARO
PO BOX 1262
MATTITUCK,NY 11952
for :
ERECTION OF A 6' HIGH FENCE IN THE REAR YARD AREA AS APPLIED FOR
"AS BUILT".
at premises located at 400
County Tax Map No. 473889 Section 142
pursuant to application dated OCTOBER
Building Inspector.
LEGION AVE MATTITUCK
Block 0002 Lot No. 008
13 1998 and approved by the
Fee $ 35.00
Rev. 2/19/98
ORIGINAL
/iii: BLDG. DEPT.
· [ ' ~)WN Of~ SOUTHOLI3t3~
Disapproved a/c ..................................
FOP, M NO. !
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
TOWN HALL.
SOUTflOLD, N.Y. ] ]97l
TEL: 765-1802
'- c~c~ .-&e.~..o/;..5.o~e~.ld .......
NOTIFY:
CA~iL T0 ~
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t~¥'/j
APPLICATION FOR BUILDING PERMIT
'Date Z~.
INSTRUCTIONS
is a~li~ti~ m~st ~ ~letely fill~ in by ~iter or in i~ ~ ~itt~ to ~e ~ilding Ins~tor
3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~o~ing to ~le.
b. Plot pl~ ~ l~ti~ of lot ~ of ~ildi~s ~ ~s, ~latio~ip to ~joini~ pr~s or ~lic
struts or are~, ~ givi~ a ~tail~ ~ripti~ of last of p~ ~t ~ '~ ~ ~e di~ ~i~ is ~rt of
~is a~li~ti~.
c. ~ ~ ~r~ ~ ~is a~li~i~ ~ ~[ ~ ~m~ ~fore isle of ~ildi~ Pe~t.
.d. U~ ~al of ~is a~li~[i~, ~ ~ildi~ ~c~or ~11 is~ a ~ildi~ Pe~t to the ~pli~L
~[ ~11 ~.~pt ~ ~ ~s ~ail~le for i~ti~ ~r~t ~e ~rk.
e. ~ ~ildi~ ~11 ~ ~iM or ~ in ~le or in ~rt for ~ ~ ~at~er ~til a ~rtificate of
~ ~11 ~e ~n ~t~ ~ ~ ~ildi~ ~tor.
~I~ IS ~:~Y ~ to t~ ~ildi~ ~ut for ~e isle of a ~ilding Pe~t ~t to the
~ildi~ ~ ~di~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er a~li~le ~s, ~di~esor
~lati~, for ~ ~t~ti~ of ~ildi~s, ~iti~ or alterati~, or for r~al or ~liti~, ~ ~rein
~ri~. ~ a~li~t ~s to ~,~ly ~ ~1 ~li~le l~s, ordi~s, ~ildi~ ~, ~ing c~,
~ ~s ~ in ~ildi~ for ~s~ in~ti~.
r~lati~s, ~ tO ~t ~ri~ i~tors ~ .
".~ .............. ~~?~~:u...i;;..
' .......
(~i~i~ ~ress of ~lic~t)
State ~m~r a~h~t ls ~r, le~ . ~____, ........ , ~,.~ .... , ge,~ ......... ~, ..... ' '
.................. ~¢...(A~...~..~.& ............................................................................
~ of ~r of pr~i~s '0 ....... ~ .................................................
(~ ~ ~ t~ roll or lates~ ~) .
II a~lie~t is a ~rati~, si~e of ~ly m~ri~ officer.
.............................~';~ ......................
~ ~~_ .............
.........
O~r ~'s ~
,. ..............................................................
........ ,. ...... ~.~. ............... · ~. . .~: .....
~ ~ Strut
~.~. ,~ ~.~ .... l.~ ..... ~ ...... --~... ~ .... ~.'. .....
2. Stare ~stl~ m ~ m~ of ~i~s ~ int~ m ~ m~ of pro~ c~t~tion:
a. ~sti~ m ~ ~ ................... .................... :~ ....... ~ ............ ) .............
l~pair ............ Removal ............. l~molit ion ............ Other hbrk
........... ........
(to ~ ~id ~ filing this a~li~ti~) '
/
5. If d~lli~. ~r of ~lli~ traits ...... ~ .... [~r of &~lling ~its ~ ead~ fl~r ~.~: .......
..... · ~ [ '0 '
. . , -~ /
~ ...... ~z~.s. .... ~o~ ~o.o~ .......... ~ ..........
,~. ~ o~ ~,~ ,...~...,.~....~,,~ o~ ~o~ ~ ..,. . ~ ~ .~.~ ~., .....................
,,. ~ o~ u~ ~r,~ ~ ~, ~,~ ..~,,~.~.~.~..., ......... , ................................
............
15. Is fl~is p~fl~in ~ f~t o[ a ti~lmtl~? ~ .......... ~ ..~. ......
PLOT
I~ate clearly ~ disti~tly all ~ildi~s, ~r ~is~i~ or pro~, ~ i~ica~e all ~t-~ d~nsions
~ p~r~ li~s. Gi~ ~t~ mfl bl~ ~r or ~scrlpti~ ~co~ing to ~, a~ ~ strut ~s ~ i~ica~e
~r interior or co~r lot,
· ~FA'IE O~ him Y(~qK,
(~k~e of individual slguit~g contract)
~ is the ........... ~ ................................................................
(~tractor, a~nt, co.rate officer, etc.)
o~ ~id ~r or ~rs, a~ is ~y ~kl~ori~ to ~rfom or h~e ~rfo~ ~ ~id ~ m~ to ~ a~ file this
a~licati~q that all stat~nts c~ta{~ in 81is a~l. icatlon are tm to Hie ~st of his ~1~ and ~liefl and
that the ~rk will I~ ~rfo~ in the ~mmr ~t forth in file a~l. lcati~ fil~ t~.
~ to ~ore ~ ~is ~ "
.....