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Home My WebLink About25435-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. 25435 Z Date DECEMBER 22, 1998 Permission is hereby granted to: INDEPENDENT GROUP HOME 62 PINE STREET EAST MORICHES~NY 11940 for : CONSTRUCT 42" HIGH PICKET FENCE TO CODEr AS APPLIED FOR. at premises located at 52550 MAIN RD County Tax Map No. 473889 Section 061 pursuant to application dated NOVEMBER Building Inspector. SOUTHOLD Block 0003 Lot No. 001 16 1998 and approved by the Fee $ 35.00 Author z~d Signature ORIGINAL Rev. 2/19/98 Z AREA = 15;920 SO. FT. ANY ALTERATION eR AI~IIION. I'~ ~ ~URVEY IS ,4 VIOLA TI~V Of' SECTION 7~09 OF THE ~ YORK ~il'A:l~ S~..4 ll~ l,A~', EX~rPT AS PER ~ECTIIW ~09.$IAIOIVIEION g, ALI, CERTIFICA TIt~ HEREON ARE FAil, lO FOR ~ M~P ~1~ Ct~E$ Ti. EAEOF ONL )'IF SAri) MAI? OR COPE,; 8~AR.Ti~ ~$..~D ~AL OF' ~I~ &UR~VE1EYOR ~4BDtTIONA£I, Y TO CGIIPL Y II1TH SAI~ LA~ THE TERM 'AL rEREO SY' 'MoUM T- tO.O~ TF. ' ,41~ NOr /N CO~a~.MNC~ ~/ TH ~. LIC'. NO. 49618 SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. - 061 03 - SCALE I"= 30, .JELL Y 8..1992. Sept. 15, Ol 1998 ( Pool FORM HO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~/N HALL SOUTHOLD. N.Y. ] 197 I TEL: 765- 1802 Disapproved a/c ............................, .. . . . 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... NOTIFY: ~ob ~~ e ~a'r ~IL TO: .................... ' NOV I 6 1998 APPLICATION FOE BUILDING PERMIT a. 'this application mint be campletely filled in by typewriter or in ink and suhnitted to t. he Building Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sbe~ing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of pmparty mast be dra~m on the diagram ~4hich is part of this application. c. 'llm work covered by this application r~y not be cceeenced before issuance of Building Pemit. d., Upon approval of this application, the Building Inspector ~ill issue a Building Permit to the applicant. Sud~ pemlt shall bekept on the premises available for inspection threughont the ~ork. e. No building ~hall be occupied or used in Yahole or in part for any parpo~ ~d~atever ~mtil a Certificate of Occopanc~ shall have been granted by the Building Inspector. APPLICATICI~ IS ~ ~ to the Building Deparmcot for the issuance of a Building Pemlt puranant to the Building Zone Ordinance of the T~m of S~uthold, Suffolk County, Ne~ York, and other applicable La~s, Ordiasr~es or l~gulatians, for the ce~stmction of buildings, additions or alterations, or for re~mval or demolition, as herein described. 1he applicant agrees to canply ~rlth all applicable la~s, ordinances, building code, housing code, and regulatlans, and to ~.-I~iC authorized inspectors on premises and in building for necossar~ inspections. ........ (Signature of applicant, or name, if a corporation) (Nailing .~a~eas of applicant)/t'~y //'=~ ~d~ Stare ~,~hether applicam: is o~er, lessee, agent, architect, engineer, general contractor, electrician, plmaher or heilde~ (a~ on fl~ ~x roll or/latest deed) . ' If applicant is aicorporation, signature of duly antho, r~ized officer. ..... (l~ne and title of corparate/officer) I0. II. 12. 13. 15. gatore of ~ork (check ~hidJ applicable): [L~a Building .......... Mdition .......... Alterati~o .......... Repair ............ Removal ............. Bamolltlon ............ Other Work ..~.~fid/~.~..~.../~'.~..~,/.~..~ (Bascription) Estimated Cost ..~./~',~/~ .......... fee ................................. . .. ...... ... . (to be paid on filing this application) If ~lling, n~ber of d~lllng units ............ Number of d~elltng traits on each floor ................ If garage, number of cars ........................ If business, ccmmreial or mi~d occupancy, spacify nature and extent of each type of use ...................... Dimensions of existing structures, if any: Front ................ Rear ......... r..~.. Bapth.....,. ............. tleight ................. Nmtmr of Stories Dimensions ot sam str~cture wlth alterations or additions; Front ' Rear Bapth ........... Beight ............ l~raber of Stories . .! ',.. Dimensions of entire ne~ construction: Front ................ Rear ........... t"' pepth .............. tleight .................... Ix~rber of Stories ..................... Size of lot: lqnc~t .................... Rear .................... Bapth Bate of Purchase ............. ~ of Former Owner .................. Zo~ or use district in ~hlch premises sre sltt~ted ..................... Does prepared conetrectlon violate say zoning 1~, ordinance ot re§ulstlna: . ../J~...~. ................. Will lot be regrndnd /g/g) Will e~cese fill be removed from l~emires: YES NO ......................... ~lclress ........ rts~e ~ ............... ~ of Architect ........... t~ of C~tr~to~ ,g-..F.~..~ .................... .... ~ress ~..~. ~ ............. '~¢D~.,...~ ~ ~o~ ~o.~'. 2~:...77...~. Is this property within 300 feot of a tidal ~,~tland? PLOT DIAGRAH Ix)cate clearly and distinctly all buildings, ~hether existing or proposed, and indicate all set-back dimensions from proparDj lines. Give street and block m~ber or description according tu deed, and gho~ street ms ard indicate lot. MARTINE (~3NE ~r^'~ ~ ~ ro~, ~Coj ~ .o,o~,~ .. ~., ~,~... 1~ K[~ .................. ,,.,bel-~_,, duly ~re, depa~s and ~ys that be J~ tbe a~li~nt (~ o~ i~[vi~I si~ing c~tract) a~ ~, Ba ........................................................ [~tractor, a~nt, cor~rete officer, etc.) o[ ~id ~r or ~rs, a~ is ~[y ~thorlr~ to ~r[om or hm ~r[o~ fl~e ~id m~ md to mk~ a~ ~ile this a~lieati.~; that: all statmnts c~ta[~ in ~is a~licati~ are t~ tu U~e ~st of his ~1~ a[~ belief~ at~ that the ~rk will be ~rfo~l i. the m~r ~t forth in the a~llcati~ fil~ t~l. ~ / eec e~ qf ....... // ........ .... ........ (8i~al~re of A~tlc~t)