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HomeMy WebLinkAbout24853-zFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24853 Z Date APRIL 30, 1998 Permission is hereby granted to: DEBORAH PENNEY PO BOX 470 MATTITUCK~NY 11952 for : ENCLOSING AN EXISTING ROOFED AREA FOR STORAGE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 144 Block pursuant to application dated APRIL 7 1998 Building Inspector. 160 SAILORS NEEDLE RD MATTITUCK 0005 Lot No. 026 and approved by the Fee $ 75.00 Building Inspec or ORIGINAL Rev. 2/19/98 FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORH HO. I TO~dN OF SOUTIIOI,D IIUILU1NG DEPARTHENT TO~N [IAI,I, SOUTIIOLI), N.Y. 1197 I TEL: 765-11102 BOARD OF-HEALTII ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTTC FORN ................... CALl ................... HAIT. TO: .................... APPLICATION FOR BUILDING PERHIT ' Date 19 INSTRUCTIONS a. '~his appltcatio~ nttst be ~letely filled in by ty~riter or in i~ and ~d~itt~ to 3 ~Cs oF pla~, at,rate plot plan to ~ale. F~ according to sd~hde. b. Plo~ plan M~t~ l~ttm o~ lot aM of ~tldh~s ~ ~i~a, relatton~dp~to ~jotnlng struts or areas, a~ 8lvi~ a ~btall~l ~:rlpti~ of layout off pro~rty mint I~ dr~ ~ the dia~an ddch is l~rt of this appl icati~. c. 'lhe ~ c~r~ I~ this a~llcati~ my ~t I~ ~1 tmfore is~a~e of ~dldi~ Pemit. d. tl~ a~al off ~ds a~llcatla~, tl~ Iklildi~ Ins~ctor will is~ a ~ildlng Pemit to the applicant. ~ch ~mlt Mmall ~ kep~ ~ U~ ~{~s avall~le for {ns~ti~ th~t tim ~rk. e. ~ ~iidi~ ~mll ~ ~pi~l or ~ in ~le or in ~rt for a~ ~ ~mt~er ~til a C~rtificate of ~y ~,alt h~e I~a gr~tM by He ~dldi~ Ins~tor. ~HACA'rI~ I9 IE~ ~ to tie Ik, ildi~ ~Dart~nt for the issue of a ~ildlng Pemit F,r~nt to the I~ilding ~ ~im~ sE t~ 1~ off ~tl~ld, ~ffolk ~n~, ~ York, ~ slier a~licable las, ~i~mes or ~lati~s, for tie ~st~ti~ of hdldi~s, ~iti~s or alterati~, or for r~al or ~ltti~, as lerein ~kscril~. ~e appltc~C ~s to c~ly vlth all a~licable l~s, ordim,~es, ~ilding c~, I~ing c~, ami re~daCi~s,~and to ~ic ~ri~ ins~tors ~ prmi~s aM in ' ' ' ' SLate d~etJ~r applicant ia os~er, lessee, agent, architect, enSineer,'ge~eral c~trector, electrician, plt~nber or Iafilde~ Nave of o~mer of premises ............ .~...~.~=.~7.~..Y~...O-~....~..~X.~ ......................................... (as o~ the tax roll or latest deed) If applicant is a corporatloa, slgnata)re of duly aul:l,)rlz~t~l oEficer. (lime and title of corporate oEficer) l~dlders ' l.tcettse ~ .......................... Plt~bers Licen~ lqo .......................... Electricians License No ...................... Otl r So ..................... l, l~¢atloo of land c~n ~ddch propo~l ~ork will I~ ......................................... ' Ilouse lx~i~er Street L~-/~q ~aty Tax ~p ~. I~ ~ti~ ................ Bilk ................ T~L ................ ~l~ivlsi~ ...................................... Fil~ ~p ~ .......... ~ ..... l~t ............... (~) 2. State existing u~ a~ ~y of l~ni~s ....................... a. F~st ~ a~ ~i~y .................................................. ........ .... 3. ~nm'e of ~rk (clmck,~liich applicabte)~ ~ lhilding .......... ~kJiri~ .......... Alteration .... ~ .... f~fmJr ............ ~1 ............. I~1 t~f~J. ........... O~her ~i,,~ ~ ..~/.~.~.~!~po,~ ~ . .......................................... ... If g~ruge, ~mtmr oe care .......... ~ ...... ~ ......................... ~imr of 8torlea ........ ~ ............ Ilt,,~n~i~m o~ m,m .trimLy,re .lth alreratl,mu or ~ittons= Front . I~pth ....~.~ .......... I~i$,t .... ~.-.. }.~ ....... ~,amr of 8torie~ ..... ~ ......... " ~.si~ ,,~ ~o~, ~=,~ ...2.B,.~O ....... ~ ...}!~:.e.9. ....... ~,,~, .~.~.~:.Z~. ...... m. ~..~ o~ ~,.~,~ .O~.~3. g. ....... ~ o~ Fo.,~ ~.~ ..~.iA~kO.m.~~.~... 12. ~ prolm~l m~attmti~ ~lol~ta a~ ~flng I~. ordi~me or regulatl~ .... ~O ................ 13. ~ill lot Im regr~hl ~ ..... ~. .......... ~ill ~eaa fill Im rm~ ,,,. ", ~'" ~Oc ,~ .............. ' ' ........................................... B~m ~ .............. }5. Is Ibis p~rty within ~ i~t. ot a ti~l *mtla~l · ~ ...~ .... ~ .......... PI.OT IIIAO, RAH · locate clearly and dlatincrly all Imildinga, tl~etlmr exiettn§ or proposal, and indicate all ~e£-Imck dirmnaiona prolmrty li~es. Give etreet m~l block r~imr or description accordtn§ to deed. and ~hoa ~treet re, nee a[~l tvalicate ~d~etlmr interior or corner lot. is the ........... ~ ................................................................................. (O~tractor, nge.t r corlx)rate officer, etc.) .aid i~mr or ~mr~, m~l ia duly ~thori~l to [mrfonu or h;me lmrfor,~l the .aid ~rk m~l to n~ke m~l file Lhi. appl lcatinn; thet ail atatomnt, c~mtai~l in this nl~)licati~m are trim to the Im~t of his kill.ge and Imliefi thak th~ ~k ~itl Im ~rfon~l in the ,~m~mr ~t forth in the application fil~l ~)rn LO tmfore n~ thia ...... ' CAROL A, SEARS (SiRlml:m'e ()f Appl leant) ~TARY PUBLIC, SteLe of New York No. 4~84~ Suffolk County. lmm Expire~ June 29, 1~ ~ duly s~)rn, (lelx)Be8 alxl mqy8 Lhnt lie |. LITe ~LE DATE ~ SEPT, 2~', i980- ~U EiANK Et TRUST CO. ' '