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HomeMy WebLinkAbout25393-zFORM NO. 3 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) PERMIT NO. 25393 Z Date DECEMBER 9, 1998 Permission is hereby granted to: BERYLE E CAFFREY 9395 SOUND AVENUE MATTITUCK,NY 11952 for : CONSTRUCT A 6' STOCKADE FENCE TO CODE AS APPLIED FOR. at premises located at 520 County Tax Map No. 473889 Section 106 pursuant to application dated DECEMBER Building Inspector. CEDAR DR MATTITUCK Block 0010 Lot No. 024.001 7 1998 and approved by the Fee $ 35.00 Bui ldi~spector Rev. 2/19/98 ORIGINAL · FORH NO. I TO~I OF SOUTHOLU BUILDING DEPARTMENT. TOI~l ~ATJ. SOUTHOLD, N.Y. 11971 · TEL: 765-1802 Bisapgro~ed a/c · .. HAIL TO: .................... INSTRUCTIONS a. 'ibis al~licatio~ ~mt be'c~leCely filled ~ by ~iter or in i~ ~ ~tC~ W ~ ~ldi~ l~tor ~ 3 ~ts of pl~, ~ plot pl~ W ~a!e. V~ ~i~ w ~e. b. Plot pl~ ~ l~ti~ of loc ~ of ~14{~ ~ ~% ~lati~ip .w ~join~ p~s or ~lic struts or ~, n~ gi~ a &~il~ ~i~ of ~ of p~ ~mt ~ &~ ~ ~ ~ ~i~ is ~ of ~is a~li~i~. c. ~ ~ ~ ~ ~is a~li~ci~ ~ ~ ~ ~ ~fo~ i~ of ~i1~ d. U~ ~ of ~is a~li~i~, ~ ~i1~ ~c~or ~11 i~ a ~flldi~ ~ W ~ ~li~t. ~ ~U ~1 ~.~p~ ~ ~ ~ ~1~1e ~r i~tt~ ~ ~ ~. e. ~ ~ildi~ ~1 ~ ~i~ or ~' iu ~le or in ~ ~r ~ ~ ~r ~:il a ~ifi~ of ~ldi~ ~ ~!~ of ~ ~ of ~ld, ~lk ~, ~Yo~, ~ o~r a~lie~le ~, ~i~es'or , ....................... '(s~ of ~ii~, or ~, if a ~m~i~) ~ili~ ~ of ~C ~t x~r mr~ ~c~Cor, el~ici~, pl~r or ~il~ State ~m~r ~li~t is ~r, le~, ~ , ' , ~' ,'~ ' -: . ............................ ............................................ , ........................... .................. ~ ~ ~ ~~ .. (~ m ~ ~ ~tt o~ t~te~t ~) (Nam and title of corporate officer) Builders License l~o. plunbera Licen~ ~ ....................... El~trici~ ~ ~ ............... 1. ~ci~ of la~ ~ ~ ~ ~11 ~ ~ ~ ~' ...... ....................................... ~ ~r s~t ~. ~ ?~ ~p ~. l~ ~ti~ l 0 $ ....... B~ ~ ~ ~t .... ' Fild ~ ~ ~t .......... ~i~si~ ............................ ' ............... (~,~) 2, S~te ~st~ ~ ~ ~o~ o~ ~i~s ~ ~te~ ~ ~ ~ of pw~ ~ti~; [~ ,~ ~, 4~ ............... a. ~sti~ ~ ~ ~ ................................ b. ~ ~ ~ ~ ..................................................................... 15. Nature of ,,,,ork (check ~hich applt,-~hle)~ [{e~ BUildiug .......... Mdi~ion .......... t, lteratt~ ...... ~i~ ......:..,.. ~ ~utt~ ............ 0~ ~ ~.~..~.~,~.~,~:>~.~¥.~.~.cx~.. ~ti,~t~d ~ ..,]..~..' ..... : ............ ~ .............................................. (to be paid on [Iltng thi~ a~plicatlon) If &~elliug. r..~er of d~lliug u~tts .......... '.? l{uuber of d~elling (mits ou each floor ................ I~ sarape, u~ber of cans ...................................... If b~tuess, o:..~.a~tal or mi~-d occupency, ~eeify uat'u~ and extent of each type of use ...................... l)i.~_nstou$ of existing ~trucms, if any: F~c.uC ................ P~ar ............... Depth ................. Height ......................... l~_m~r of Stories ...................... Dimansieus of ~.r~ s[n~tu~ vtth 81teratiou~ or ~dtCtons'- F~a-,C ............... Pear ............... Depth .................... Bet~h[ .................... Nm~r of S~ortes ............... Di~eusieus of enCt~e rev cc-~Cr~tion: F~c~,~ ................ Bear ............... Depth .............. Height ......................... limber of Stories ..................... Size of loC: F~,t .................... l~ar .................... 1]epth .................... ~ate of Purchase ..................... ~ of Fouter 0~ne~ ........................................ Zooe or use district iu ~hich l~emt~8 m-e {iCuated ............................................................... Does proposed consCrua~io~ vtola~ ~y ~c.uing 1~, o~linam'e or regulation: ~e~ oC 0~er o~ ~-.~,~-~ .~,.~.~..~ .... .%. resa .............................. ~ of Archtt~t .................................... /~dress .............................. Phone lb .............. ~,~ o~ c~o~ ............................... :... ~"~ .............. -~j~.-. ......... ~ ~ .............. · Is this property vithiu 300 leer of ,, tidal ~claud? * ]lES .......... N0 ......... PLOT DIAGRAH Locate clearly and distinctly all buildings, ~hether ~sti~ ~ ~, ~. i~i~ce ~1 ~t-~ d~usi~i ' ~r interior or ~r lot. ' g. FA'IE OF I'EW Y~, C~iY OF ......................· (~e o[ iraividual signing co~tract) above He is tim .................................... (Co. tractor, r,~qt, corpo~te officer, etc.) o£ said owner or owners, m~l is duly authorized to perform or have performed the said ~ork and to make and file this application; that all stat~,~ts contained in this ~plicatlon are tree to the best of his koowledg~ and b~liefi that the work will be perfomed in tl~ mariner sat f~rth in the application filed tlmrewith. .9wom to before ~e this " ...... ..... LINDA J. COOPER ' Notary Pub c, State of NewY¢ No. 4822563, Suffolk, Cou~ Term Expire~ December 31, 19~--