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HomeMy WebLinkAbout25418-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. 25418 Z Date DECEMBER 17, 1998 Permission is hereby granted to: JOHN SOLOMIDIS & WF. 25-13 33 STREET ASTORIA QUEENS,NY 11102 for : CONSTRUCT A 4' CHAIN LINK FENCE ENCLOSURE IN REAR YARD AS APPLIED FOR. at premises located at 2060 County Tax Map No. 473889 Section 102 pursuant to application dated OCTOBER Building Inspector. HIGHLAND RD CUTCHOGUE Block 0008 Lot No. 028 28 1998 and approved by the Fee $ 35.00 Authori~Signature Rev. 2/19/98 ORIGINAL ~OBHNO. 1 TONN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197! TEL: 765-1802 BOARD OF IiEALTH ............... 3 SgTS OF PLANS ......... '. ..... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: m~r~ed .... .;..z./.........,~ ,9~.¢. Pe~t NO ...................................... Disapproved a/c .................................. ' .................................. _ , ..... .... :. 'Date :../.O....~;.~ ...... 197.~.©. BLDG. DEPT. .~iii ! INSTRUCTIONS ', TOWN OF.SOU%HOLD..ii'.' i a. This application fa,st be 'crmpletely filled in by typewriter or in ink and mll~itted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ing location of lot and of b~ildings en pr~mlses, relationship .to adjoining pr~mises or public streets or areas, aM giving a detailed descriptio~ of layer of property re,st be drawn on the diagr~,~ ~ich is part of this application. c. 'tim ~ork covered by this application may not be coa~nced before ism of Building Permit. · d. Upon approval of this application, the Building l~-~peetor ~ill imsue a Building Pemit to the applicant. Such permit shall be.k~pt on the premiaes available for inspectiofl throoghaut the work. ~ e. No b~ilding shall be occupied or used' in ~hole or in part for any p_,rpose ~Imtever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATIC~I I$ I~tEBY ~ to the liuilding Depart-~nt for the issuance of a l~lilding Pet~it pur~nt to the Building Zone Ordinance of the T~n of Southold, Suffolk County, New York, and other applicmhle La~s, Ordinances' or Regulatiofls, for the construction of buildings, ~14itio~s or alterations, or for r~val or ~litiun, as herein described. The applicant agrees to cm~.ly with all applicable l~a~s, ordi_r~r~es, building code, housing code, and regulations, and to ~Imit authorized inspectors un pr~mises and in building for necessary inspections. ................... (Signature of applicant, or {~a~e, if a corporation) (Mailing ~-laress of applic~t) State whether applicant is ~mer, lessee, agent, architect, engineer,' general contrector, electrician, pltmber or builde~ }lane of o~ner of pr~m! ses .~.o [ ~o ~ o t 0 ~', i al S (as on the tax roll or latest deed) If applicant is a corporatien, signature of duly aUthorized officer. (Nare and title of corporate officer) Builders License NO .......................... / Plmbers License No .......................... Electricians License No ...................... Other Treaty's License NO ..................... I. Locatian of land off ~aich proposed work will be done .............................................................. ...~.°.~.°. .... &((.6../~..~..~............/~o/¢~ ~ ............................... v'; ........................................ House l~her Street }L~I et c~ T~NO. ~m0 ~tiun ../.~5 ........ Block ..~ ............. LOt ~.J ............ aivision ...................................... Filed liap .NO ................ Lot ............... 2. SCare oxist~ng u~ and occulmnmJ of premises and intendod use and occupancy of propo__~d_ consL~uction: a. Existing use and occupancy ............................................................................. 15. ~mt.re of work (check ~tid~ ~ppllcable): New l~tldin~ .......... Mditio~ ......... Alteratie~ .......... ~ti~t~ ~st , 0~0 ~ ~ ..... ~ ~.~ .......... (to ~ ~id ~ fili~ this ~li~ti~) If d~lli~, ~r of &lli~ ~mlts ..... ~ ..... t~r of &~lltng ~tts ~ ea~ ~r ................ If garret, ~r of ~rs ..... ~ .............................. If ~i~s, ~i~ial or ~ ~, ~t~ ~e ~ ~tent of ea~ ~ of ~ ...................... Di~nsi~s of ~8ti~ 8t~s, if ~: ~t ................ ~ar .... ~ ....... ~pth ................. I~i~t ......................... ~r of Stories ..... ~ ............... Di~nsi~ of ~ st~ ~th mlterati~s or ~itions: ~t ............... ~ar ............... ~pth .................... ~i~t .................... ~r of Storie~ .... .: .'.'..-:'~'i'?'~'(.-: .,, ~ ,~.~ y. ~ ,'',: · D~ns~ of entl~ ~ ~st~ti~. ~t ........... , .... ~ar ......... ?:..:.~. ~p~.. ............. thi~t ......................... ~r of Stories ..................... Si~ of lot: ~ ~ ~t~tor PLOT DIAGRAM Locate clearly m~d distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street m~d block number or descrlptlo~l according to d~%c'd, m~d sho~ street frames m~d indicate ~aetber interior or corner lot. ~.FARE OF ~ O0UNF~ OF ....................... ,, ...... · /./~..P .... ~ .... .~ ............... ~1ng duly ~m, de~s ~ ~ys that ~ is tim (~ of i~ivia si~i~ cmtract) {~ is the f~.a. ~.~ .................. (~tractor, ~nt, co.rate officer, etc.) of ~d ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfom or h~ ~rfo~.,~ tim ~id ~ ~ to ~ke a~ file this a~licati~; ~at all stat~ts c~tai~ in ~is a~l. icati~ are t~ to ~e ~st of his ~1~ a~ ~liefi that ~e ~ will ~ ~r~.,i~ in tim ~r ~t forth ~ ~e a~licati~ fil~ ~. ~m to ~fo~ ~ ~is ' _ . ..... ............ ~t~ ~lic , . .... ~., ' '- (Si~e of A~H.~t)