HomeMy WebLinkAbout25420-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. 25420 Z
Date DECEMBER 17, 1998
Permission is hereby granted to:
LITTLE BEAR REALTY INC.
685 THIRD AVENUE
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 41720
County Tax Map No. 473889 Section 094
pursuant to application dated DECEMBER
Building Inspector.
OREGON RD MATTITUCK
Block 0003 Lot No. 004.002
2 1998 and approved by the
Fee $ 35.00
Authored Signature
Rev. 2/19/98
ORIGINAL
"nrc, - z 1998
BLDG. DEPT.
TOWN Or'; $OUTHOLD
· FORH NO. I
· TOWH OF SOUfHOLD
BUILDING DBPAR*fMEtIT.
TOWN ~
SO]]THOLD, }I.Y. 11971
· TEL: 765-1802'
BOARD 0}' IIEALTB ...............
3 SETS OF PLANS ...............
SKt~l'lC FO~ ...................
mo
3 sees of pl~n~, accurate plot plan W scale. Vee acconli~g W ~e.
INSTRUCTIONS
This at~licatim mint be.~e~ely filled in by cype~tter or iu i~k ~ sut~icted W fl~e lhildi~ Impector ~i
(Nme and title of corporate officer)
Builders Licease 1~ ..........................
pi,reSets Licor~°-e No ..........................
El~ct"~.ci~n~ L/~-~n.~e t~ ......................
I. Iz~ati~ of 1~1 c~ dfich proposed ~ork ~rill be do~e ......................................................
~ ~ ~,. 1~o ~t~ ................ w~ ~ / '",: ~ / .--
9txtivlsio~ ........................... i.-' ........l~iled ltap.No ................ LoC ...............
(~)
2. State existing tt~ ~ oco?r~y 0~: l~L~m .~-~ ~ ~t_.---~ ~ ~=--~ --
a. Exlsti~g use ~ ~o .m.~a~ .... ~4..~. ............................................................
. ............................................
Pature of work (check ~dch appltc,~le)~
~ir ............ ~<~al .............
' (~tptt~) . ''~ .
~timt~ ~t ............ Z ............ f~ ..............................................
(to
I[ ~11i~, ~r o~ ~11t~ ~tts .......... '., t~r of ~11iu~ ~its ~ e~ ~r ................
I~ ~ ~r o~ ........
II ~i~8} Oilll~ial ~ ~ ~[ ~i~ ~ ~ ~ O[ ea~ ~ of ~ ......................
Di~st~ of ~s~i~ s~, if ~: ~C ................ ~ ............... ~p~h .................
t~i~C ......................... ~r of Stories ......................
9~i~ o[ ~ a~ ~ al~e~i~ or ~tti~s~ F~aC ............... ~ar ...............
~p~ .................... ~i~U .................... ~r of Stories ...............
Di~t~ o[ ~t~ ~ ~t~Ct~: F~aa~ ................ ~ar ............... ~ .... ; .........
~i~C ......................... ~r of Stories .....................
Si~ of loC: F,~,C .................... ~ .................... ~P~ .....................
~ce of ~-d~ ....... .... .. ...... .. ~ ofFo~r ~ .................................... . . · ·
~ or ~ dis~icc tu ~i~ ~at~ ~ si~ ...............................................................
~s p~ ~c~ti~ ~ola~ ~ ~i~ 1~, ~t~ ~ ~laCi~{ ........................
~ill loc ~ ~ .................... ~tll
'
~s of ~r of ~ ........................... ~ss ................. ~ ~ .............
~ of ~d,it~t .................................... ~ss .............................. ~ ~ ..............
~ off ~r~t~ ............................... ~... ~mss ............................... ~ ~ ..............
15. Is ~is ~ ~tu ~ f~ o~ a ti~t ~1~? * ~ .......... ~ ..........
~OT
whether interior or comer lot.
,q~m to be£ore ~ this < /~ '
............ ........... .....
.....
( / ' JOYCE ~. WILKINS
~ Nota~ Public, otate of New Yore
No. 4952246, Suffolk Coan~
Term Expires June 12, 19~/
oh
(~e of i~ivi~ ~i~i~~~)
Ih is ,im ........... J ...... J ........ ' .........................
of ~d ~r ~ ~rs, ~ is ~y ~r~ Co ~rfom or h~ ~r~ ~ ~td ~ ~ ~o ~ ~ file this
a~h~t~, ~at ~l statements ~t~I_~ i, ~ ~lt~ti~ a~ t~ ~O ~e ~st of his ~1~ ~ ~lie~i ~
fl~at ~ ~ will ~ ~r~ ~ g~ ~r ~t ~ ~ ~e ~li~ti~ film ~a; .