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Home My WebLink About25404-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. 25404 Z Date DECEMBER 11, 1998 Permission is hereby granted to: DALE A STANLEY 1001 HANCOCK AVENUE FRANKLIN SQUARE,NY 11010 for : CONSTRUCT A 6' STOCKADE FENCE IN REAR YARD AS APPLIED FOR. at premises located at 2485 County Tax Map No. 473889 Section 144 pursuant to application dated OCTOBER Building Inspector. BAY AVE MATTITUCK Block 0004 Lot No. 006 13 1998 and approved by the Fee $ 35.00 Build~ Inspector Rev. 2/19/98 ORIGINAL -FORH 1~0. I TOI~I OF SOUTItOLD BIJ][LDING DEPARTHERT TOhll~ HALL SOHTItOLD, N.Y. ! ]97 I TEL: 765- 1802 Disapproved a/c .................................. 3 SETS OF PLANS ......... ' ...... SURVEY ........................ CHECK ......................... SEPTIC FORH ...... : ............ NOTIFY: CALL .................. HAIL TO: .................... ~~0~T ',3 APPLICATfON FOR BUILDING PERI~IT 'Date./~.~./Z ........ 19.~-.. BLDG. DEPT. · ~ T~)WN OF SOUTHOLD I~STRUCTIONS a. 'Ibis application amt M ~letely fill~ in by ~iter or in i~ ~ mittM to ~e ~dlding Ins~tor w: B ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~ordi~ to ~le. b. Plot pl~ ~ lmtim of lot ~ of ~ildi~s m ~i~s, mlatio~ip to Mjoini~ pr~i~s or ~lic struts or are~, ~ givi~ a &tailM &~riptim of laymt of pm~ ~t ~ &~ ~ ~ diem ~i& is ~rt of ~is appli~tim. c. 'tim m~ c~r~ by Ods a~li~ti~ ~y mt ~ e~ ~fore isle of ~ildi~ Pe~t. d. U~ ~al of ~is a~li~tim, ~ ~ildi~ I~etor ~11 is~ a Mildi~ Pe~t to the ~pli~t. ~ ~mit ~11 ~pt ~ ~ ~s auail~le for i~tim ~r~mt ~ x~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for ~ ~ ~at~er mtil a ~rtificate of ~ ~all ~e ~n ~t~ by ~ ~ildi~ I~tor. ~I~ IS ~ ~ to tM ~ildi~ ~pnt for ~ isme of a hildi~ Pe~t ~t to the' . ~ildi~ ~ ~di~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~li~le ~s, ~di~es'or ' ~lati~, for ~ mt~tim of ~ildi~s, ~iti~ or alterati~, or for r~al or ~litim, ~ ~rein : &turin. ~ a~limt ~s to ~ly ~ M1 a~li~le l~s, ordlms, ~ildi~ ~, ~ing c~, ~ (Si~t~e~~~o,~ _. lim[, or m, if a co,ration) (~ili~ ~ress of ~limt) State wtmCher applicant is o~aer, lessee, agent, architect, engineer, 'general contractor, electrician, pl,~aher or builde~ // blane of amer of pr~aises ...~...~ .... :~~ ................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (lime and title of corporate officer) Plmbers License RD .......................... Electricians License Ilo ...................... Other TraA~'s License l~o ..................... 1. Location of land on ~hich proposed ~ork will be done ................. . ........................................... ... llouse D~her Street I~nl et /_ Subdivision ...................................... Piled lqap Ho ................ Iht ............... (~) 2. State ~xlsting use and occupancy of pr~mi.ses and intended use and occupancy of proposed construction: a. Existing use and oecupo~y ............................................................................. b. Inte_w~led use and occupancy ............................................................ ~ ................ 3. gamre of ark (check ~tddL al~licable): Ne~ ~lilding .......... ~iti~ .......... Akera~ion .......... ~ir ............ ~1 ............. l~liti~ ............ O~her ~ .................................. g~rip~i~) 4. Esti~mt~ ~st ............ ~ ............ f~ .............................................. (to ~ ~id ~ filing this a~li~ti~) 5. If ~lli~, ~r of ~1li~ unks ............ [~r of ~lling tmlts ~ eadl fl~r ................ I~ garage, ~r of ~rs ...................................... 6. If ~i~ss, ~rclal or ~ ~, s~ei~ mture ~ ~tent o~ ead~ ~ of u~ ...................... 7. Di~nsi~s of ~isting statures, if a~: ~t ................ ~ar ............... ~p~ll ................. [~t ......................... ~r of Stones ...................... ~r.~ ~pth .................... ~t .................... ~r of Stones 8. Di~nsi~ or entire ~ ~st~ti~' ~t ........................... ~.- · 9. ~' o~lot: ~t .. ~ ....... 10. ~te o~ ~dm~ ..................... ~ of Four ~r ........................................ I I. ~ or u~ district in ~i~ pr~i~s a~ si~t~ .............................................................. 12. ~s ~o~ c~t~ti~ violate a~ ~ing 1~, o~i~e or re,latin: ........................ 13. ~ill lot ~ ~ .................... 9ill ~ess 14. ~s oE ~r oE ~s ........................... ~r~ss .............................. ~ ~ ............... ~ o~ Mddt~t .................................... ~ress .............................. ~ ~ ............... ~ of ~tr~tor ................................... ~ress ............................... ~ ~ ............... 15. Is this p~r~ ~fl~in ~ f~t of a ti~l ~tl~? * ~ .......... ~ .......... PLOT DIAGRA~ Imate clearly ~ disti~tly all ~ildi~s, ~m~mr ~isti~ or pro~, ~ i~icate all ~t-~ di~nsions ~ pr~r~ li~a. Gi~ st~t ~ bl~k ~r or ~scripti~ acco~ing ~o ~, a~ ~ strut ~s ~1 i~icate ~flmr interior or co~r lot. ( o' i~llvidual signit~g contract) above nan~d, is the ...... ~.'7'. ~ .............................................................................. ((Contractor, fgent, corporate officer, etc.) of sa~d c~r or /)~mer~ is duly mthorl~d to ~rfo~ or h~e [~rfo~ O~e ~id ~ m~l to ~ke a~ fil. e this a~licati~; that a.tt stat~nts cmtai~ in this a~l. lcatim are t~ to fl~e Imst of his k~l~ that the turk will ~ ~rfo~ in the mmmr ~t forth in fl~e a~l. icatim fil~ ~m 'to ~fore ~ this ~_ ~ ~ ~~ls~0~ ~ ~,~/ s~om, detx~ses and ,says that he Js tim appl. icant 0