HomeMy WebLinkAbout25419-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. 25419 Z Date DECEMBER 17, 1998
Permission is hereby granted to:
LITTLE BEAR REALTY INC
685 THIRD AVE
NEW YORK,NY 10017
for :
CONSTRUCT A WOOD POST AND RAIL FENCE, NOT TO EXCEED 4' IN HEIGHT
AS APPLIED FOR.
at premises located at 44030
County Tax Map No. 473889 Section 075
pursuant to application dated DECEMBER
Building Inspector.
MAIN RD PECONIC
Block 0006 Lot No. 006.001
2 1998 and approved by the
Fee $ 35.00
Authorize~ignature
Rev. 2/19/98
ORIGINAL
· FOl~/ NO. I
YOWl/ OF SOUTBOLI)
BUILDING
TO~
SODTHOLU, N.Y. 11971
· TEL: 76§-!802
t~proved ..... ~. .......... , ..........
O~sapproved a/c ............ . ..........
UPPLICATIOIt FOR BUILDING PEIlHIT
BOAI~ 0~' BI?.ALTlt ...............
3 SETS OY FLANS ......... ' ......
S~PTIC ~'O'RH ...................
I/OTIFY
CALL
HAIL TO: ....................
IIISTRUCTIONS
etely filled in by tyie~riter or in ink ~ sut~tted to the BUilding Inspector wi
O/aili~ ~e_~ of ~licmt)
State ~t~ether applicant is ~r, le~,~ ~i~t, e~i~r,' ~ ~t~wr, el~ci~, pl~r or ~il~
..............................................
~ of ~r of ~t~s ........ ~ m ~'~ roll or lam~t ~) ..
If~ of ~1~ m~d~ offi~r.
Builders License No .........
plumbers L/cerme l/o .......
glectrici~,m Lice,-~e N~ ............
other fry's License ~ ....... (.~ -
~let
~ ~ ~ ~. i~ ~ct~ .~ ~ ~ .............. ~t ................
~1~ ~ ~ ...................
' · . ~t ...........
~i~si~ ................................ '
(~)
2. S~te ~sti~ ~ ~ ~ of ~ ~ hte~ ~ ~ ~-~ of ~ ~ti~:
a. ~sti~ ~ ~ ~ ........................
b. ~ ~ ~ .... ~z ..........................................................
15.
Nature of ~ork (check ~hich applic~hle)~ ~ lhildir~ .......... /~kli~ion .......... ~lteratio~ ..........
Repair ............ tv.~at .......... ,.. De~olittm ............ Other Work ..~ .~.;, ...................... .
(Descriptk~)
Estimted Cost ......................... fee ......................................
(to be paid m filing this application)
If a~elling, r~er of d~elltng units .... ~.... tk~t~r oF d~elltng ~nits un each floor ...9 ............
It: g~rage, n~ber of cars ................
If business, r~-~erctal or mixed occupa~, specter nature and extent of each ~ of tree ......................
Dirrensions o~ existing srrucones, if any: F~oi;t ................ Rear ............... I)ep~h .................
Beight. ................... .... . Itnber ct Stories . ............... .. ....
Olmnslms of s~e structure vtth alteratioas or ~Idittc~s: F~,t ............... Rear .;.,.,.~,, ........ ,-.>.
Depth ....... Befght .................... lqo~ber of Stories .......... ~..,. , .... ~ , ,
Dimensims of entire ne~ ~>a~tructtun: F~ait ..... , ... llear .......... ;. Depth .............. /'~.
Beight ......................... ~r o£ Stories ..................... i:~ : '
Size of lot: F~/~,t .................... Rear .................... Depth ...... ~'~.';"i''"'t,~' .... .........
zo~ or use dls~rtc~ to ~htch O~.,-,lses a.e si~atM ..~,. ,.L= .......................
I~cas O~-~'d c~cr~ctim violat~ ~,~ zmt~ 1~, ordira~e or t~latt~.' . .~.0. ..................
~ill lot be re~led ... b. lP. ............. gill e~ce~s fill be removed f~m premises: ~ IO
bi~'~ ,~-, aaL.~ acldre~ ............... ~ ~ ..............
~anes of O, rner of ~es ........................
Archtt ' ' ' ....
Nane ot ect. .................................. . /utdres~ ............................ Phone No .........
ttar~ of Co~tractor ............................. Address ........................... Fnone No.
....... ~; ....
Is this property within 3(X) feet of a tidal wetla~l? * 'lES .......... NO ..........
PLOT I)IAGR~
clearly and distinctly all lmlldin~s, ,~bether e~t, s~ir~ or proposed, a~d. indicate all set-back dimensions
p,-oper~y lines. Give s~eet and block r,.~her or de~cripii~ according ~o deed, and dx~ s~reet n~es end indicate
~betber interior or corner lot.
.being duly ~rn, deposes and says that be ts tl~ applicant
//fo~,(Cmtractor, ~,~t, corlx~e oilier, etc.)
o~ ~d ~r ~ ~rs, ~ is ~y ~ri~ to ~rfom or h~ ~r[~ g~ ~td ~ ~ to m~ ~ file this
a~li~tim; ~at ~l stat~-~s ~ in ~ ~li~tl~ ~m t~ to ~e ~st of his ~l~ ~ ~liefi ~
amt ~ ~ will ~ ~r~ ~ fl~ ~r ~t ~ ~ ~e ~li~ti~ film ~.
,%~m to before ~e this
..... ......
Note~ Public ~ .
LI~DA J.
Nota~ Public, Stnte of New Yor~
No. 4822563, Suffolk Cow~ty
Term Expires December 33,
(Si ature of A plica O/