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Home My WebLink About25413-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. 25413 Z Date DECEMBER 15 98 Permission is hereby granted to: MARIO TROMBONE & WF 50 SUTTON PLACE SOUTH NEW YORK,NY 10022 for : CONSTRUCT A 3' FENCE IN THE FRONT YARD TO CODE AS APPLIED FOR. at premises located at 9180 County Tax Map No. 473889 Section 118 pursuant to application dated NOVEMBER Building Inspector. NASSAU POINT RD CUTCHOGUE Block 0006 Lot No. 005.001 13 98 and approved by the Fee $ 35.00 Author ~ Signature Rev. 2/19/98 ORIGINAL FORM NO. ! TOWN OF SOUTHOLD BUILDING DgPARTMIIBT TOWN HALL SOHTHOLD, N.Y. 11971 TEL: 765-1802 Disapproved a/c · N0,¥ I 3 1998 ,PPLICATION FOR BIlILDII~G PERMIT ,~,'., ., , ;i . ~ ti\' i..~', ''~' ~ePT I INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLAI~S ............... SURVF,¥ ........................ CIRCE ......................... SEPTIC FORM ................... ~OTIFY: CALL .................. MAlL TO: .................... · Date..., ............ · 19 . b. Plo~ pla ~ l~Ci~ of lot ~ of ~ildf~s ~ ~!~, mlati~ip .m ~joiui~ pr~s or ~lic ~is a~li~Ci~. c. '~ ~ ~r~ ~ ~is a~liaci~ ~y ~ ~ ~ ~fore is~ of ~ildi~ ~t. d. U~ a~ of ~is a~li~ci~, ~ ~il~ ~ctor ~11 i~ a ~,ildi~ ~t to ~ ~li~t. e. ~ ~ildi~ ~11 ~ ~o~i~'or ~' in ~le or in ~ ~r ~ ~ ~t~r ~til a ~nifiate of &~ri~. ~ a~li~t ~s ~ ~ly ~ ~1 ~lic~le l~s, or~s, ~1~!~ ~, ~i~ ~, ~ ........... ................... ~ili~ ~ of ~limt) V ................... ....................................................................................... (Nane ami title of corporate officer) Build~rs License No .......................... Plt~bers Licer-~e l~o .......................... Electricians Licerme No ...................... ..................... I. ~ti~ of 1~ ~ ~i~ ~ ~ ~11 ~ ............................................................... ~ ~r S~t ~let ~ T~ ~ ~. I~ ~i~ ........... ~ ............. ~t ................ ~p ............. ~iviai~ .......... Fil~ ~ ........ ~ ........... (~) ff~ff~ - V~ ~ ~ a ~ .............. b. ~ ~ ~ ~ ......................................... Nature of work (c~k ~hich applir~hle)t hl~ Building Mdition ....... ~ir ............ ~1 ............. ~,~littm ............ O~r ~ .~. ~ .................... ~ripCi~) ~ti~t~ ~t ' (to ~ ~id ~ ~ili~ this If ~lli~, ~r of ~11t~ ~tts ............ l~r of &~lltng ~its ~ ea~ ~r ................ I~ gara~, ~r o~ ~rs ...................................... If ~i~ss, r~.,.,emtal ~ ~ ~, ~i~ ~e ~ ~en~ of ea~ ~ of ~ ...................... Di~nsi~s of ~s~i~ st~s, t~ ~ F~t ................ ~ar ............... ~pCh ................. l~t~C .......... ~ f S~ i , D~nsi~ of ~ sC~ ~ alterables or ~iCi~s: F~,~ ............... ~ar ............... ~p~h .................... ~i~ .................... ~r of Stories .... ~'.~:%--:/"' ~i~t ......................... ~r of Stories ..................... ;~ ,i~' Si~ o~ ' " ' '~ lot. ~t .................... ~ .................... ~p~ ....... .~, ~ ........... .., <.!!?Z ..... ':.. ~ or ~ dlstric~ in ~t~ p~,,t~s a~e si~t~ ............................................................... ~s ~ ~t~tim violate ~,y ~1~ 1~, o~t~ ~ ~latt~: ........................ ~ill lot ~ ~ .................... ~ill ~ss fill ~ ~ f, oa ~s: ~ o[ &-a, tt~t .................................... ~re,8 ............................ .. ~ ~ ............ ~ o~ ~tr~r~ ................................... ~ress ............................... ~ ~ ............ Is fids ~ ~in ~ f~t of a till mtl~2 * ~ .......... ~ PLOT DIAGRAM Ix~ate clearly ~ distinctly all buildings, ~ther existing or p~oposefl, ar~ indicate all set-back dimensions property lines. Oi~ street ~ block r~nber or ~escriptie~ accorfling to &-ed, and sho~ street nares and i~icate ~th~r interior or comer lot. ~rA1E (N~ h~W (l,la~ of individual signing eo~traet) }le ~s tl~ ................................................................................. (~t~tor, ~nt, co.rate officer, etc.) of ~d ~r or ~re, ~ is ~ly ~t~ri~ to ~rfo~ or h~ ~rfo~ Om ~id ~ ~ to ~ke ~ file this a~licat{~; ~at all etat~,~,its ~ta{~ in that ~ ~ will ~ ~r~ in tim .~.mr ~t f~rtb ~ ~e ~li~ti~ fil~ ~. ~ to~fo~ ~is . / '~ ' ' ....... ~..'::: .... ~ ~g ~/~.~. ~9. a..~, NOTARY PUBLIC, S~le No. 0~ST6008173, Te~ ~xpims June