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Home My WebLink About25405-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. 25405 Z Date DECEMBER 11, 1998 Permission is hereby granted to: VIRGINIA D BAYLES PO BOX 396 SOUTHOLD,NY 11971 for : CONSTRUCT A 4' CHAIN LINK FENCE TO CODE AS APPLIED FOR. at premises located at 1985 EDWARDS LA ORIENT County Tax Map No. 473889 Section 018 Block 0003 Lot No. 006.013 pursuant to application dated DECEMBER 11 1998 and approved by the Building Inspector. Fee $ 35.00 /?-- Buildi g~nspector Rev. 2/19/98 ORIGINAL FORH ~0. I TONN OF SOUTHOLD BUILDING DEPARTHENT TONN HALL SOUTHOLD, N.Y. ] 197 ! TEL: 765- 1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ' ...... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: HAIL TO: .................... a: This application ramt be c_anpletely filled in by typearirer or in ink and sul~itted to the Building Inspector ~: 3 sets of plans, sccurare plot plan ro scale. Fee according to schedule. b. Plot plan shoaSng location of lot and of lmildings on pr~nlses, relationship to adjoining promises or public streets or areas, and giving a detailed description of layout of property mast be dra~n on the diagram ~hich is port of this application. c. ll~e work covered by this application my not be coanenced before issuance of Building Permit. d. Ufxm approval of this applicatioa, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the x~ork. [ e. No building shall be occupied or used in ~aole or in port for any purpose ~hatever until a Certificate of Occupancy shall have been granted by the Building Inspector. API~ICATIClq I$ ~ 14ale to the Building Deport~nt for the issuance of a Building Pemit pursuant to the lkiilding Zone Ordinance of the Toga of So~thold, Suffolk County, ~ York, and other applicable La~s, Ordinates'or Regulations, for the construction of buildings, ~itiens or alterations, or for ramval or rtonnlition, as herein described, llm applicant agrees to crmply with ail applicable la~s, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on pr~mlses and in building for necessary inspections. (Siguat~re of applicant, or name, if a corporation) (Plailing att4~ess of applic~t) Stare ~t~ther applicant is a, net, lessee, agent, architect, engineer, 'geeeral contractor, electrician, pl, mher or builde~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nam and title of corporate officer) Builders License No .......................... Plumbers License Ro .......................... Electricians License No ...................... Other Trade's License No ..................... Itouse Number Street I~nl et CounDJ Tm~ Hap No. ]000 Section....~./g~. ....... mock....~.. ......... Lot o...6.~./.'.~. ..... Subdivision ...................................... Filed Php No ................ LOt ............... (~) 2. State existing use and occupancy of pranises a~d intended use and occupaucy of proposed construction: b. Intended use and occuponey .... ~.-7~.?.....~.'~..L.i~. ................................................... 3. I~,at.re of ~ork (check which applicable): Hca lkdlding .......... bAdition .......... Alteration .......... Repair ............ Ranoval ............. l~lition ............ Other Work ', .(Description) 4. Estimated Cost...,......,...~' ~_~D ..... ...... fee .............................................. (to be paid on filing this application) 5. If &~elllng, nt~nlmr of a~aelling units ............ Nt~r of t~eelllng units on ead~ floor ................ If garage, r~r of cars ...................................... 6. If Ixminess, ccmnercial or mixed ocet~, specify nature and extent of each type of use ...................... 7. Dimensions of existing structures, if any: Front ................ Rear ............... Oepth ................. Height ......................... l~r of Stories ...................... Dimensions of sam structure with alterations or additions: Front ............... Rear ............... Dapth .................... Height .................... l~r of Stories ............... 8. Dimensions of entire ne~ construction: Front ................ Rear ............... Depth ...... :. ....... Deight ......................... Iq~nber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Dapth ............... ..... 10. Date of h~rdmse ..................... Nane of Former O~mer ........................................ I I. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning la~, ordinance or regulation: ........................ 13. Will lot be regreded .................... Will excess fill be removed from premises: YES bio 14. Nares of Oaner of pr~s~s ........................... Address .............................. Phone 14o ............... Nme of Architact .................................... /~kiress .............................. Phone 1~o ........ .~ ...... tx~-~ne of Contractor '~°.~. '.S..OH.~t. C:O:Zr~'~V~. ..... t~aresa .... ~.o..<?./( ¢.e~. .............. ~ ~.'ZZ, g..: ./.4 (?... 15. Is tiffs property within 300 feet of a tidal wetland? * Y~ .......... lq0 PLOT DIAGRAH l~cate clearly and distinctly all buildings, ~ahetber existing or proposed, and indicate all set-back dimensions from property lines. Give street and block raraber or description according to deed, and sh~ street hanes and indicate ~dmtber interior or corner lot. lie is the ........ ~ ............................................................................ (Contractor, agent, corporate officer, etc.) of said (xeoer or (~mers, and is duly authori~l to perform or have perfonmd tim said ~rk at~l to make and ~ile this appl. icatkm; that all state~.ents contained in this application are tree to tim best of his k.c~ledge and bel. iefl and that the ~rork will be perfonmd in tim mam~r set forth in the application filed tbere~th. ! I !