HomeMy WebLinkAbout24867-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. 24867 Z Date MAY 12, 1998
Permission is hereby granted to:
MICHAEL G KAVOURIAS
154-28 17TH ROAD
WHITESTONE~NY 11357
for :
TO CONSTRUCT A FENCE NOT MORE THAN 4 FEET IN HEIGHT ON A VACANT
LOT AS APPLIED FOR.
at premises located at 185 RHODA RD
County Tax Map No. 473889 Section 106
pursuant to application dated APRIL
Building Inspector.
MATTITUCK
Block 0001 Lot No. 010
13 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
F~Oh~ONDO~ '0
~ - ' TORN OF SOUTIJOLU
i ~'~ ;' gUILDING DEPARTMENT
%.!~[ ~ $OIITIlOl,O, N.Y. I 1971
'rovw~ oF so~g~-~
:::::
Ih~ed ~/c ................... ; · · ............
~PI,TCATION FOR BU.HoD]NG PERMIT
INS'I'RUCTIONS
BOARD OF HEALTt!. .............
3 SETS OF PLANS ...............
SURVEY ....... ~ ...............
ClIRCK .........................
SEPT]lC FoRM ...................
..-~ a. 'lhia appli~tion must be conpletely filled iff by t~riter or in ink aed md~itted to
3 ~ts of pl~, acetate plot plan to ~ale. F~ according to sch~lule.
b. Plot plan ~he~hl8 i~tion of lot ~ of ~ildi~s ~ ~i~, ~latt~ddp ~o ~joini~ pr~t~ or p,blic
~t[~rs or areas, ~ 8ivi~ a ~to[l~ ~ripti~, o[ layont of pro~rty ~mt Im dr~
this a~fl ication.
c. 'lhe ~ c~r~ I~ this a~llcati~ my ~t 1~ cm~ed [mfo~e is~e oE ~flldl~ Pamit.
d. U~ a~al of fids a~llcation, tlw l~ildi~ lns~ctor wilt ie~ a ~ildlng Pemi~ to the applicant. ~ch
~ml~ ~mll ~ ~pt ~ ~ ~s ~ail~le for ins~ti~ tl~t O~ ~rk.
e, ~ ~iidi~ ~mll ~ ~ied or ~ in d~le or in ~rt for a~ ~ ~mt~er
~ ~ml[ h~e I~n ~t~ by fl~ ~dldi~ Inserat,
~l~'rl~ IS t~ [~ to tl~ IkHldi~ ~rt~nt for the issue at a ~ildi~ ~mit ~rmmnt to tl~e
~lati~s~ tar tl~ ~t~ti~ at hdldi~s, ~iti~a or alterati~, or for ~al or
~scri[~. ~ avpll~t ~s to c~ly ~t~ all a~lcable l~s~ ~rdt~es, ~tldlng c~
State d~O~r a~lJcang is ~r, les~, agent, nrchit~t, engit~r,'get~ral c~tractor, electriclnn, ph~r or
..~.~?~C .............................................................................. : ............
(1/am and title of corporate officer)
~%PPROVED AS NOTED
NOTI~ BUILDING O~
765-18029 AM ~ ~M FOR THE
~fil~rs l,lce~ ~ .......................... FOLLOWING
1. FOUNDATION ~ ~0 REQUIRED
Viers l,ice~ ~. .... ............... ---- · · FOR POURED CONCRETE
Et~trici~s l,i~ ~ ..... '~ ................ 2. ROUGH -FRAMING &PLUMBING
3. :NSU~TION
Oder ~'~ Li~ ~ .............. -- · · -- · 4. FINAL CONSTRUCTION MUST
~at -" ~ ~ ALL CONSTRUCTION- ~HAL[
c,.t Lo~ 0~,,.~.. ~. .................. ~.. ..........................................
...... '='": ...................... ;~2~' ...... s~*~
I~ ~r ..... . · CO, DES N~. ~ESPONSIBLE
~,~ ~..~.~. ....... ~,~ ,~, ~... ..... ~ .......
(~)
. ~~ I.o5 ....................................
a. F~sti~ ~ a~ ~y ..............................
..................................................
(aa on the tax roll or latest deed)
applicant is a corporation, aisnab~re of duly autl~)ri~x~! oEficer.
]. ~m*e ~1~ ~rk (d~ck ~[cl~ epptic~le)~ Ne~ ~lldl~8 ........... ~lCt~ . ......... Al~eratlon ..........
I~l~ir ............ ~al ............. l~mltrl~ ............ Oflter ~ ,~ ........................
~rlp~)
6. Esti,~t~l ~st ..... .................. ' . . f~ ..............................................
(Lo ~ ~ld tm Eiling this al~ttcatJ~)
5. 1~ IL~lti~. ~x,~i~r oE ~lth~ ~mi~s ............
J ~ 8ara~e, ~l~r o~ care
6. if txmi~mss, ~ercial or ml~f~ojIm~, s~c{~ mi:ufa m~ exgenC of ea~ /yl~ o~ u~ ......................
7. lli~*mi~{s ~[ ~is~ing atn~Lures, if any; ~mt ................ ~ar ............... ~l)~h .................
I~i~c ......................... ~1~ of S[ories ......................
l~pth .................... I~l~ .................... R~i~r o~ S~ories ...............
8, l)i~*ensl~m ag entire ~ ~m~r~l:i~t; [~C ................ I~ar ............... ~pLh ..............
I~i~c ......................... R~d~r of 8Cor[es, .....................
I0. I~l*e of · . ....... . .... ~ .......................
II. ~e or u~ district In dddt pr~l~s am
12. ~s prol~l ~mc~i~ violate any ~ln
I:L Hill loc I~ regra~ ...... .:.;..:..;;... ~ilt ~ess fill
.................................... ~lreaa .............................. ~ ~ ...............
· ~e of ~mtr~tor.. ......... . -. .... .,.,,,.. ....,,... &~lre~ ............................... l~ ~ ......
lq,OT I}IAC~IJAH.
I~cate ctearly awl distinctly alt txfildin~s, ~hether exlsctn§ or proposed, and itxllcate all set-lmck dimensions
property lines. G[~ al:reel: taxi block nt~i~er or descrlptio~ according I:a deed, and g~ stree~ n~nee ami ir~ticace
~d~ethar interior or corner
GoT
doly s~x)rn, delxlses taxi maya Llml: lie is theeppl. immL'
~ltx~ve ~[nl, 0.~. ~/
lie i~ the ............................................................
(Con,tractor, el[ent,-corporate o£1~tcer, eta.)
o~ said (~r or ~rs, tn[I is (A~ty ~thocJ~ to I~rfonn or ht~e l~rh)r,~l Lhe ~ld ~rk taxi to n~ke afxl Eile I.hi~
that th9 ~rk ~itl I~ ~r~on~l in tl~ u~mt~r ~C forLh in the appl. ieation
~,ratol~forem this ~ ,
....."-¢ ..... ......
No. 41-4955812 ~,
Ouallfied i~ Queens Co~_~