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Home My WebLink About24856-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. 24856 Z Date MAY 6, 1998 Permission is hereby granted to: GORDON RACKETT 1785 SHIPYARD LA EAST MARION~NY 11939 for : CONSTRUCT A TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. at premises located at 370 County Tax Map No. 473889 Section 031 pursuant to application dated APRIL Building Inspector. ROCKY POINT RD EAST MARION Block 0002 Lot No. 024 9 1998 and approved by the Fee $ 405.80 ORIGINAL Rev. 2/19/98 FOUNDATION (1st) COMMgNTZ FOUNDATION ( 2nd ) ROUGH FRAME & ,PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ~TIONAL COMMENTS: FORH HO. I TO~N OF SOUTIIOI,D BUILDING DEPAR'I~ENT TOI~N HALL SOUTIIOLD, N.Y. ll97l TEl.: 765-1802 ....................... . ........... --%-; ........ APPLICATTON FOR ~U[LI)IHG PERHI'r INSTRUCTIONS BOARD OF HEALTH ............... SETS OF PLANS ............... IJRVEY ........................ CIiECK ......................... v/~E'PT'I C FORM ................... CALL ........... ~ . .~ . . .Ail, TO: ~..(. ~.~ ........ ............... ........ a. 'fids application namt be cor~letely filled in by t~ypc~riter or in ink sod anhnitted to tim Padlding Inspector ~itt' 3 sets of plans, accurate plot plan to scale. Fee according to sd~edule. b. ~Plot plan shc~ing locatins of lot and of buildings on premises, relationship to adjoining pre~ises or streets or areas, ,-md giving a detailed description of layoot of property ra~st be dra~n on the diagraa ~ddch is part of this application. c. "Ibc work covered by this application v~y Dot be cc~raenced before issuance of P~dlding Pensit. d. Ul~ approval of this application, tim Building inspector will issue a l~ildlng Permit to the applicaat. Such pemlt slmll be kept on tl~e premises available fey iaspectloa thro~glmt tl~e e. No boildlng sim11 be occupied or used in ~d~ole or in part for any put,pose ~hatever u~til a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICIq IS I~gl~BY 14N[E to the Building Departn~ant for the issuance of a l~ailding Pemit peraxmnt to the Building Zor~ Ordinance o1~ the Tcx~ of 8nstimld, Suffolk County, Ne~ York, and other applicable Laws, Orditmocea or F~gulatlons, for the construction of b~ildlngs, addition.s or al£eratlons, or for removal or demolition, aa herein described. T[~ appllcant agrees to eonply x*ith all applicable lax~s, ordlnaneea, buildlng code, hansing code, and regulations, aed to ad, it authorized inspectors on premises and in buildlng for necessary inspections. .......... (Si~mture of applicant, or name., if a corporation) (}lailing address o[ applicant) State M~ether applicant is cam~er, lessee, agent, architect, engineer, geseral contractor, electrician, 1)Itel)er or beihler. (aa on O}e tax r611 or latest deed) If applicaat is a corporation, signature of duly auti~)rizad officer. and title of coq~orate officer) 10. II. 14. 15. I~lture of ~ork (dmck ~dddl spplicable): ~ I~dhling ~' Addition Alteration ILe. l~dr ............ Remora! ............. I~m~l ltion ............ OUmr l¢ork (Description) Esti,~ted Cos~ .......... : ..... (Lo be paid orJ filing this applicatlcn) dt~l ling, I~,,t~er of ,~llil~ uaits ........... t~,,i~er o17 {~lling ,mits ~ each H~r ...~.~{~.~&~t garage~ mnimr of ~ra ............. ~ ..................... Inmilm$n, ~m~reial or mi~l ~mqm~y, s~ei~ tmture m~l o~tenr of each ty~ of u~ ....... ~ ........... i ri if I)i.~nai~m of e~ s ng nLnmturea~ any: J~(~L ................ ~at..,............~ }ill ................. Ibi~lt......,.... ............. , ~dmr of Stories ...................... I~pLh ............. ~ ...... I~i~lt ...... m ........... Kid~r ~s propel c~mgn~ti~ violnte any mdng 1~, o~i~me or re~latim: ... ~ ................ ~ilt lot be r~r~ ...... g.~ ......... ~ilI ~ens fill I~ ~ o~ ~ o~ ,~t~, .~<~.~~... ~, <~< ~vd$. ~ ....... n~, ~ .... ~ ....... ~a~ of Cmtr<tor . ~..~ .~<~.~.~. .... ~ress ............................... B~ ~ ............... this p~rty within ~ f~t of a ti(~l x~tla~? * ~ .......... ~ ...~... PI,OT DIAORAH Izacate clearly taxi distinctly all buihlings, ~lmther existing or prolposed, and indicate all set-back dimensions f-rm~ property lines. Give etraet and block [a~nber or deserlption according to deed, and sho~ street nnmas and indicate ,n,.er'ororeo. r lot. $'I'A'IE ()ir NI','~ ¥Ol~K, ,x,~,~ ~)i, .~¢.~LLL .......... · ........................... bei,,,, (~a~ of indivld~ml signing c~traeL) .... ................................................................................: , ~ ~,- m- ' :'~e~, r aen cot nte off said (~r or ~mrn, taxi ia duly ~thorir~ to ~rfoau or have i~rfo~ tile ~id ~rk and Co nnke and file thin appl Jest Jell; Ihol: ail $LaL~IIt$ contai~l in this al~l ieation are I.~ Lo file IEsI: of hi~ ktml~e and bel iefj lil~t Lile ~rk ~ili I~ ~ffOBl~l J, lbo l~lnt~r ~t [oftil iii Llle a~llt:al:ion fil~ ~rn ............. :~:;..day of ~ ~ .... 19. (.; ..... (sj~lual:Ure of Al~pljcanL) HELENE D, HORNE Not~ry Public, Slope of New York Qualified in Suffolk ~ounty ~ t-c~rn, delx),o, es aixl says that lie is LIE appl ic~Jnl: / / ,00'85 'a ,, Or, gE:. ~'OS