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Home My WebLink About25401-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. 25401 Z Date DECEMBER 11 98 Permission is hereby granted to: THEODORE LAOUDIS (Engert) 23 VAN BUREN CT CRESSKILL,NJ 07626 for : CONSTRUCT A 5 FOOT CHAIN LINK FENCE ENCLOSURE IN REAR YARD AS APPLIED FOR. at premises located at 225 County Tax Map No. 473889 Section 088 pursuant to application dated NOVEMBER Building Inspector. WATER TERRACE SOUTHOLD Block 0006 Lot No. 013.004 23 98 and approved by the Fee $ 35.00 Buildi~ Inspector Rev. 2/19/98 ORIGINAL LINES, SEPTIC TANKS AND~ESSPOOES ~'~'~ SHOWN HEREON ARE FIEL~ O~FRVA- CERTIFIED ONLY TO: , / / ---I ~ORMNO. ! TOWN OF SOUTHOLD BUILDING DEPARTI~HT TOI~ltALL SOUTHOLD, ~.Y. ]1971 TEL: 765-1802 Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOIL~I ................... NOTIFY: -- -- MAlL TO: .................... OXl ? 3 1998 'Date ........ a. ~i.~~be'crmpl~tely filled in by typewriter or in i~ ~ ~,~irr~ ro ~ ~ildi~ ~ror ~ 3 ~rs of pl~, ~are plot pl~ ro ~ale. ~ ~i~ ro ~le. b. Plot pl~ ~ lmrlm of lot ~ of ~ild[~ m pr~a, mlari~ip .W ~jolni~ prm{~ or ~llc struts or ~e~, ~ givi~ a ~tail~ ~ariptim of layer of pro~ mint ~ ~ m ~ diem ~i~ is ~ of ~is a~li~ti~. c. '~m ~ ~r~ by ~is a~li~ti~ my ~t ~ ~ ~fore is~ of ~ildi~ Pe~t. ~ d. U~ appeal of ~is a~li~ti~, ~ ~ildi~ ~ctor ~11 i~ a ~ildi~ Pe~t to ~ ~pli~t. ~ ~t ~11 ~.~pt ~ ~ ~s avail~le for i~ti~ ~t ~ ~. , e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~ for ~ ~ ~t~er mtil a ~ificate of ~m~ ~11 Mve ~n ~t~ ~ ~ ~ldi~ ~tor. ~I~ IS ~Y ~ to ~ ~ildi~ ~nt for ~ ism~ of a ~ildi~ ~t ~t to t~ ~ldi~ ~ ~di~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~hle ~s, ~i~es'or ~lati~, for ~ ~ti~ of ~ildi~, ~iti~ or alterati~, or for r~ or ~liti~, ~ ~rein ~ri~. ~ a~licant ~s to ~y ~ ~1 a~li~le l~s, ordi~es, ~ild~ ~, ~i~ ~, ~ ~Si~e of ~li~t, or ~, if a ~rat~) ~ili~ ~re~ of ~li~t) State ~m~r a~li~t is ~r, ies~, ~t, ~it~t, engi~r,' gemral ~t~tor, el~trici~, pl~r or ~il~ ................ ..... ; ............. m...f .... .................................................. ~ of ~r of pr~s ........ ~..~ .......................................................................... (~ ~ ~ ~ ~11 or latest ~) /' If a~lic~t is a ~rati~, si~e of ~ly ~ri~ officer. (Nam and title of corporate officer) Build~rs Liceuse No .......................... Plc~abers License No .......................... Electrician~ License ~ ...................... O~r ~'s ~ ~ ................... · · I. ~ti~ of 1~ ~ ~i~ ~ ~ ~11 ~ ~ .............................................................. . ....................... ~ ~r fi~t ~et ~T~p~. l~ ~ti~ '~ BI~ .... .~ ......... ~t ~ivlsi~ ...................................... Fil~ ~p.~ ................ ~t ............... (~) a. ~sti~ ~ ~ ~ .~ ......... ~ ....~: .... ~-~ .............................................. b. ~ ~ ~ ~ ............................................................................ ~: ~ .?. /: , ]. N~ture o~ work (check ~dfich ~pplicable): 1~ lhildir~ .......... ~Idition .., ........ Alteration .......... ~epair ............ P~m~al ... . .... , .... l)emolitio~ ......... . . . Other I~ork ..... /~' .(Description) (to ~ ~id m filing this a~li~ti~) 5. If &rellim, ~r of ~lli~ ~mits ............ ~r of &~lling ~its ~ ea~ H~r ................ If gara~, ~r of 6. If ~i~ss, ~emial or ~ ~, s~i~ ~e ~ ~tent of ea~ ~ of ~ ...................... 7. Di~nsi~s of ~sti~ st~s, if ~: ~t ................ ~ar ............... ~pth ................. }bi~t ......................... ~r of Stories ...................... Di~nsi~ of ~ st~ ~th nlterati~s or ~itions: F~it ............... ~ar ............... ~pth .................... ~i~t .................... ~r of Stories ...... 8. ' ' ' ' ~i~t .................... e .... ~r of Stories ..~ .................. I0. ~ee or ~om~ ..... J ..... I. ........ ~ of Fo~r ~r ....... ; ......... ~.~ o~ ~ ~,~t,~t ,, ~i~ ~,~ ~ ~,~t~ ...~¢z~e~cAn ...... {~c:~-,3: ............. , .,~,;~.~ ........ ~ . . 13. ~ill lo~ ~ ~ ........ X .......... /~il~ss fill ~ ~ ~ ~.~ oe ~ o~ o~ · [.¢1(~&~....'.<~7~ .).~..f .................. ~ ~ ............... ~ of ~tr~tor ................................... ~ress ............................... ~ ~ .......... ; .... 15. Is fids ~ ~in ~ f~t of a ti~l ~tl~? * ~ .......... ~ .......... PLOT kat~ clearly ~ disti~tly all ~lldi~s~ ~r alsti~ or p~-o~, f, oa ~r~ li~s. Gi~ ~t~t ~ bl~ ~r or ~scriptJ< acceding Lo ~, ~ ~ strut ~s ~ i~/cate ~r interior or ~r lot. ............................................. ~{u8 duly ~, de~s ~ ~ys that ~ i.s tl~ (~tr~ctor, ~nt, co.rate officer, etc.) of ~d ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfo~ or h~ ~rfo~ H~ ~{d ~ m~ to ~Re ~ file this a~licat{~; ~at all stat~t~ c~tal~ in ~is a~l{cat{~ are t~ to ~e ~st of his ~1~ that ~e ~ will ~ ~rfo~ in tim ~r ~t forth in ~e a~licati~ fil~ t~. ......... ...... &. ~t~ ~ ~ , ...... '/~ ~~ / / v JOYCE M. WILKINS { / Nota~ Publio, State of Now ~ No, 4952246, Suffolk ~un~ Term ~ir~ June 1~ 1~ ,/