HomeMy WebLinkAbout24870-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. 24870 Z Date MAY 12, 1998
Permission is hereby granted to:
DAVID ZUHOSKI
PO BOX 465
CUTCHOGUE,NY 11935
for :
ERECTION OF A 4 FOOT HIGH PICKET FENCE IN REQUIRED SIDE AND REAR
YARDS AS APPLIED FOR.
at premises located at 3870
County Tax Map No. 473889 Section 084
pursuant to application dated APRIL
Building Inspector.
BRIDGE LA CUTCHOGUE
Block 0005 Lot No. 009
10 1998 and approved by the
Fee $ 35.00
Building Inspector
ORIGINAL
Rev. 2/19/98
BOARD OF HEALTtl ...............
3 SETS OF...PLANS ...............
SURVEY-~'{- - -. ·... ....................
c. Ec~ '~ ~,s.g ..................
SF. PTIC PORN ...................
NOTIFY:
c^~.~ 75y.~.5~?.~ .....
HAll, TO: ....................
APPLICATION FOR BU. ILDINO PERHIT
INSTRUCTIONS
a. 'lh|s application mint be conpletely filled in I)y t3rpe~riter or in ink and md~ltted to the Buihllng Tnapector
3 sera of plans, accurate plot plan to ~cale. Fee according to ~chedule.
b. Plot plan d~<:~in8 location al lot and of buildi~gs on pre:ni~es, relattonddp to adjoining premtsea or lmbllc
streets or areaa, and giving a detailed deeA:riptlo~ of. layont o[ property must be drt~n on tile dtagran ~hlch is part
this appl icat i(~l.
¢. 'lhe ~ork covered I~J thta application may ~t be cm~nenced before i~smance al IAdldlng Permit.
d[ Upen approval of thla application, tire lh~ildlng lnapector uil[ ia~ue a lluilding Petmlt to tile applicant. .~ch
permit ~hall be.kept on t~va premises avaiiable l~or tnapectlon three,out Cbc
e. ~ building droll be nccupied or used in ~dvale or in part for any gJrpose ~mtever until a Oerti[tcate of
Occupancy ~hall have been granted by the P~lilding Inspector.
APPLICATI(~I IS t£1~BY NI~ to tl~e IAdlding Departraent for the issuance al a i~ailding Pemlt purmmat to the
I~uilding Zone Ordinance al the To~n al Sunthold, Su[£olk County, Nee York, and otber applicable l~a, Ordinancea or
Regulations, £or the construction al botldlnga, additie~a or alteraCto~m, or for r~oval or demolition, as herein
deacribed. ~e applicant ngreea to ccmply ~ith all applicable la~a, ordtnaneee, building code, housing code,
regulatlona, ~md to ad, it ~Jthort~ed tn~ctore on prenisea and in .b~ilding for necessary tnapecttona.
............... :..:.
(Signature al o~tcant, or name, if o corporation)
(Hailtl~g address al applicant)
State ~ether applicant ia o~n~er, leeaee, agent, architect, engineer, geoeral eontrecto~:, electrician, plumber or
.......................................................................................--z'_;~-a~ ~ ~~ ............
(aa on tbe ta~ mil or lateet aec-d)
l~dldere License l~ .......................... ~.
*. FINAL - ¢ON$?RUCTION MUST
Plunbera I,icenae leo ..................... .. .. . BE ¢OMPLE~ FOR C.O.
AU. CONSTRUCTION SH~LL MEET
Electriciana Licenae No ..... ;'. ............... THE REQUIREMENTS O~ T~iE
Other Trade% License No ..................... STATE CONSTBUCTIOH & ENERGY
· ,~ ~..~ ._...~) __. ........... RESPONSIBLE FOR
I, location oE lam m ~hldl propeeed ~x~rk wtll se dooe.~L"~.'I~f~-O~:~,ONSTRU~,TtON'K'RRORS ....
Sro-z, .o. ~..a.~. p. c~.E .~, ~... ................................. .6.0..~..q ~..~..G.q £.... N. ~., ......
IIoase Nun~er St~e~.~t ~ ~ "~nlet
c~.t~ xa~ ..p No. ~0 ~t~un ...~.~ ......... ~lo~ ....~. .......... ~ ................
~Jbdlvlalon. ....................... . .. . . .. . .. ... Filed Nap [1o ....... ... ~ ..... Lot ...............
State exlatJn§ use and nccupancy o~ premlsea and intended uae and ncctq.~ncy of proposed conatroctlon:
lng .......
a. F~x/at ~me and occupancy ..............................
I~lmir ............ ~al ......... ' .... I~lttlml .. ........... Odmr ~ ..~.~ .... ~.:~..~ .....
4.
............ ............ ,. ............... ....
If gnr~ge, ~Mdmr of cars ......................................
7, Di,ensimm of ~lating strictures, 1~ any: ~(mC ................ ~sr ............... ~p~h .................
l~pth .................... Ibl~lt .................... K~dmr o~ Stories ...............
~i. I)JlJ~nai~ of eotJre ~ ~lat~tJm; I~mt ................ l~ar ............... ~pth ..............
9. Sl~ of IotJ l%lt .................... ~ar .................... ~pth ....................
I0. I~*l'e off ~irdm~ ..................... ~m of Forn~r ~mr ........................................
II. ~m or u~ district In ~ddl prml~s a~ at~t~l ..............................................................
12. ~s propel ~mt~tl~ ~lolate any ~lng Ira, ordl~me or regulatl~J ..,~g ..................
13. ~ill lot I~ rear~..-.-.....,.........~ 0 ~111 ~ess fill Im r~
14. ~us of ~mr of p~J~a ........................... Mklresa .............................. l~m ~ ........ ' .......
~m~ of Arddt~t ......................... · --. .. · · ... ~lress .............................
· . -: .......................... ~klren$ ............................... Hm~ ~ ...............
15. [a this p~rty ~ithin ~ f~t. ofa ti~Ml t~tla~? * W~q
PI,OT DIAORAH.
I~ate clearly ~ dl~ti~tly all ~ildl~s, ~mtlmr ~ls~Jng or pro~, m~ tt~licate all ~t-I~ dt~nsions
tdmtlmr Jeterlor or co~r lot,
,t
' .9?) nos aYa. M~Oa~$
:~qO'~'TI,t~M:~I1J~"~T .................... I~i,,B duly ~,rn, del.,~s taxi mays Lime he i, the appl. itmnt
I~ i~ Lhe ...................................................................................................
o~ said (~er or ~[s, ami la (ktty mthorlM to I~rgonn or h~e [~rfor.~] the ~J(J zrk algl to nmke taxi file t. hi.
alq~l JcnLion; tirol rill atata~nea cimtai. M in this nlq)l.l(:ati(~ are tn~ to tile ImaC of his km~l~ge m~ I~l. lef~ mgl
that Lh~ ~rk will Im ~rfon~l in the .~m~mr ~t forth in the application fli~ tter~ifll.
~)rn Lo Imfore nn Lids
...... .........
...............
{ ~. ~i ~COl'~, J~/ (Silllml:t,re of Al~cant) -
' ~No~i~, Stat~oC~York
Qualifi~ in S~gunN
SUFFOLK
SINGLE
H.D. I:IEF. NO.
DATE JUL '2 7
THE BEWAGE DISPOSAL. AND WAT~=.R SUPPLY FACILml
~;~ATION HAVE BEEN INSPECTED BY THIS DEPARTMENT
ND TO BE SATISFACTORY.
ONef o WaMewater nag~ment Section
HEALTH DEPARTMENT -DATA FOR APPRO'~:/AL TO CONSTRUCT
, ,EAR"ST ""'" .A,,,...~,:.~.".'.O.~."C'.? ~L"' ~,',%~ ;,"".lC__
AODRES$
IOTE: · -- MONUMENT ~ = STAKE
SUBDIVISION MAP FILED INTHE OFFICE OFTHE CLERK OF
SUFF CO, ON MAR. 15~I973 AS FILE
SURVEY FOR
DAVID ZUHOSKI I~ JACQUELINE ZUHOSKI
LOT 17 "ISMAR ACRES"
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
NUHAUTHORIZEO ALTERATION OR ADDITION TO 'tHIS
SURVEY ~S A VIOLATION OF SECTfON 7209 OF THE
HEW YORK STATE EDaJCATION LAW
~¢OPIE$ OF THIS SURVEY NOT ~ARI~G THE LANO
NOV. 21, 1986
APR. 17, 1986
DATE AUG. 6,1985
SCALE' I" = 50'
NO. 85 - 867
GU AR A N T E_~,..T,~.~ CO.
· ~,....,~.~ -, ~/~,'~llkl~'~ 400 0sTRANDER AVENUE
1'y~,~[..,J[~..~ ~1, '~,..JUl~l~..~ RIVERHEAD, NEW YORK
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N,Y.S. UCENSE NO. 12845
HOWARD W. YOUNG~ LANO SURVEYOR
, NY.S. LICENSE N0,4§895