HomeMy WebLinkAbout24907-zFORM NO. 3
TOWN OF $OUTHOLD
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. 24907 Z Date MAY 27, 1998
Permission is hereby granted to:
MICHAEL C GIORDANO
215 MEDAY AVE
MATTITUCK~NY 11952
for :
ERECTION OF A FOUR (4') HIGH FENCE AS APPLIED FOR.
at premises located at 215
County Tax Map No. 473889 Section
pursuant to application dated MAY
Bulldlng Inspector.
MEDAY AVE
MATTITUCK
113
Block 0008 Lot No. 011
12 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
'THE REQUIREMt ~ITS OF THE
STATE CONSTRU :TION & ENERGY
CODES. NOT ~RI SPONSIBLE FOR
DESIGN OR CONt 'RUCTION ERRORS
FORH
TOI4N OF SOUTIIOI,D
BUI1A)ING DRPARTHENT
TOWN IIALL
SOIITHOLD, N.Y.
TEl,: 765-1802
BOARD OF HEAI.TH ...............
3 SETS OF PLANS ................
SURVEY ........................
CIIECK .........................
SEPTIC FORIfl ...................
NOTIFY:
HAIl, TO: ....................
APPLICATION FOR BDILI)ING PERHUf
Date ................ ,19 ....
INSTRUCTIONS
a. 'lh|s aoplicatio~ mist be conoletely filled in hy t~lx~riter or in i~ a~l
3 ~ts of pl~, acetate plot plan to ~ale. F~ acco~ing to sdt~h~le.
h. Plot plan ~t~ l~ti~ of lot aM o~ ~ildi,gs ~ ~i~s, relatton~dp to Mjotni~ pr~i~s or ~d)lic
str~ts or areas, n~ givt~ a ~tail~ ~:rlpt{~ of layout of pro~rty mint 1~ dr~ ~ the dia~n ~dch is I~art of
this nH~I icatio~.
c. lhe ~ c~r~ I~ this a~licati~ ~y ~t 1~ cm~m~ t~fore is~a~e of ~dldl~ Pemit.
d. U~ a~al of ~ds a~licati~, tl~ l~ildi~ lns~ctor will is~ a ~ilding Pemlt to the applicant. ~tch
~mit grail I~.kept ~ Om ~ avait~le for ins~t{~ thro~m~t the x~rk.
e. ~ ~ildi~ ~mll ~ ~pi~l or ~ in ~le or in ~rt for a~ ~ ~mt~er ~til a C~rtlficate of
~y ~mlt h~e l~a ~t~ by ~ ~dldiag Ins~tor.
~H.[~TI~ 18 t~ }~ to tim l~dldi~ ~act~ne for the issue of a ~ildi~ ~tt ~rmmnt to the
I~ild[~ ~ ~di~t~ of fl~ ~ of ~tl~ld, ~ffolk ~n~, ~ York, ~ otlmr a~ltcable I~, ~di~ea or
~lati~s, for tim ~st~ti~ of hdldi~s, ~iti~a or atterati~s, or for r~al or ~ltti~, as Imrein
~acrit~. ~ applier ~s to ~ly with ali a~lleahle l~a, ordinates, ~ilding c~, I~ing c~, ami
re~dati~s,,at~ to ~ie ~ri~ in~tor$ ~ ~i~s a~ in ~ildi~ for ~ea~
(Sig~mture of a~ltcant, or ~, if e co~ration)
~. ..... ~ ..... ~.~ ........ ~:...
(~iliag ~ss of a~licant)
State wl~etl~r applicant is cx,n~r, leaaee, agent, architect~ engineer, general c~traetor, electrician, plt~r or Ixdhle~
~ o~ ~ o~ ~.~...~~
~.~.~..
(as ~ LI~ tax ~11 or latest d~)
If aHfiicant is a co~ra~im, si~ture of duly mtlmriral officer.
(Nam~ and title of corporate officer)
NOnFY SUILOING DEPA~£N~ AT
76E-1802 9 AM TO 4 PM FOR THE
FOL.L.OWING INSI~CTIONS:
1 FOUNDATION. TWO REqUIREd .,
2. aOU~ - ~ & PLUMBINd
3. INSUUgION
ll~fildera License t~ .......................... 4. FINAL. - CON~/IUCTION MUST
PIlLars l,icen~ ~ .......................... BE COMPL~ F~C.O.
. . ALL CONSTRUC~IO~ SHALL M~T
.................. THE REOUIREM~S ~F ~E N.Y.
Od~r ~'. Uce.. ~ ..................... STATE CONSTRUq~ a ENERGy
........ COl)ES. N~ R~PoNSIBLE F~
l, I~ati~ of lam ~ ~,,~, pr~ ~r~ .m ~ (~ ....................... D~IGR'OW ~ON~Ud~ON'~O~ ....
...... ~./~ ..................... ~~...A.~ ................ ~.:.'.J~ .... ' ...........
1~ ~r Strut l~et
~, aa .. ~ IZ,.Qo.O
~,~i~i,~ ...................................... ~,~ ~. ~ /J.~¢~.. ,~ .66., ~.7 ....
2. State existing u~ a~ ~y of I~eni~s a~ inte~ ~e ~ ~ of pro~ c~mtn~ti~:
~. ~,,~ ,, ,~ ~. ~c~¢~ ........................................................
.......
h. lnte~ u~ aM <~ ................................................
3.
8.
I0.
II.
1:2.
13.
I/~.
15.
~,tm'e of ~ork (d~ck ~hidt Sl~ticfll:le)..
garag% ~Mdmr of cars
IIl.~sla~ si ~la~lni a~n~t~s, If any: ~l~t ................ ~or ............... ~l)[h .................
Ihi~l~ ......................... ~dmr of $~orle~ .....................
of ~o~: ~u~,~
....................... ~,~, ....~Z~.,.?.~ .....
......... .................
prol~l ~1~ ~lola~e any ~1o~ I~ ordi~e or retula~J~ ~ ...................
lot Im relr~ ~..~ .............
o~ ~rd~lt~t ................................. ~lre~a .............................. ~ ~ ...............
o~ C~tr~ror ...~.~ ~ ........................ ~hlres~ ............................... ~ ~ ...............
PI.OT
I~)cste clearly n~l dlsl:lnct:l¥ all ~[ldl~n,
fro, pr~a. Oi~ nt~t ami Ifl~ n~si~r or t~scripti~ acco~tn8 to (~, a~ ~1~ street ms~e ami l~licate
(C~,tractor, a~e,t ~ cora)rate oiftcar, etc.)
o~ ~aid t~mr or ~rO. n~l is duly ~thor]z~l ~o Imr~on, or h~me imrfor,~l I.he ~id ~k
tha~ ih~ ~[k wlt~ I~ I~fon~l tn the n~m~r ~ [o~th in the ~q~pl. lca~ion fil~l
~)rn Lo I~fore ,~
............ Imi,it duly ~)nl, delXJ~s a,~l m~ys Lltat he i~ Lite sppl, h~ml:
($:lp~ :t,'e of Api)l iCIIIIJ:)