HomeMy WebLinkAbout24918-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. 24918 Z Date MAY 29 98
Permission is hereby granted to:
RICHARD A RIVERA
22 WILLETTS COURT
ROCKVILLE CENTRE~NY 11570
for :
CONSTRUCTION OF A FENCE 4' IN HEIGHT AS APPLIED FOR.
at premises located at 250
County Tax Map No. 473889 Section 099
pursuant to application dated APRIL
Building Inspector.
SOUND BEACH DR MATTITUCK
Block 0001 Lot No. 016
27 98 and approved by the
Fee $ 35.00
~di~ Insfector
ORIGINAL
Rev. 2/19/98
TO~N OF $OUTtl]OI,D
'['0~ H IIALL
.5OII1'11OI,O, N.Y. 1197 I
OLDG. DEPT.
--~! ~.~D _ Tgi,: 765- 1802
~pp~ed ........... , ~.~.
Permit
.
D~pp~ ~[c ...................................
APPi, ICATIO~ FOR BUILI)IN~ PgR~rr
BOARD OF BEALTH ...............
3 SBT$ OF FLANS ...............
SURVEY ........................
CB~CK .........................
$~PTIC FOIi~ ..................-
NOTIFY:
CALL ..................
HAIl. TO: ....................
' Date
INS'rRIIC*rlOHS
a. 'lids appltcattoo mast be conDletely filled in by typewriter or in ink and s~draitted to tJ~e Ikdhling Inspector
3 sets of plans, accurate plot plan to scale. Fee accordlug to sched~de.
'b. Floc plan sluing leeatio- of loc and of builditvls cu premises, relatiunship to edjofnlug premises or
streets or areas, and 8ivtng a detailed descriptlan at layonC at property ~mt be dra~n on the dialp'an ddch
chis appl icatlan.
c. 'lhe ~ork covered by this application may not be cm~uenced before issuance of Building {'emit,
d. Upen approval of tills appltcatiun, the Building Inspector ~ili tanee a Building Permit to tim applicant. ,tk~h
i~mlC ~hall be kept on Cbe i,,~,,~ises available for inspection thro~out the work.
e. ~o buiidin~ slmll be occupied or used in ~hole or in part for any purpose vimtever until a Certificate of
Occupancy shall Imve been granted by the Ikdidiug Inspector.
APPl,lCYVrl~{ I$ Illll~.JlY HAI~ to tim Ikdldln~ {3epartmen~ [or tt~e isanance of a gutlding Permit pursuant to the
Ikdldlug Zone 0rdlnar~ o[ the Town o[ Sonthold, gu~foik County, He~ York, and other applicable l~s, Orditumees or
Regulations, for the construction of buildings, additions or alterations, or for t~,,~eal or d~rolitiun, as herein
described. 3ira applicant atireea to couply vlth all applicable laws, ordinances, building code; houslug code, and
regulaCions,~m~I to admit authorized inspectors on pre~ntses and in building f,o~ neqeamary lnspectl~s.
(Sfgnatnre of appi~t, Or f~e, if a coq~rs[~o,O
State d~eti~er applicant is o~er, lessee, a~ent, architect, enplinser,'ge~ral contractor, e{ectrietan, p{tr~ber or
~ X'.. g..'ffr ......................................
~ of o~er of premises ........................
If applicant is a corporaClon, signature of duly anCt~)riz~ud officer.
(Nam and title of corporate officer)
Builders License I~ ..........................
Plt~r8 1 tcense ~Io . ... .........
Electricians License lto ......................
Ocher Trade'a License ltd .....................
.~n,5'0 ~,~>.~ /~-,~ ,.a~, . ................
I. l~eocic~a of land un x~ddl proposed work will be. done. ~ .-; .............. ~/ .......................
Ilou~e lqunber Street ill,let
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....... .......... , ..... ...........
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a. F~sc~ ~ a~ ~Y ...~,.~. ~-"'~ ...... /' ........... ~"
b. Inte~ t~ a~ ~
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II.
12.
13.
14.
I~l~aJt ............ Jl~m~o~al ......... ' ....l~l~ol trio., . Other ~: [J~ ~ .. :. T 5'
(to ~ Did i~ ~1' J~l thii ~'~11~t~)
If Bara~e~ ~imr o~ cars ......................................
I)l,~JJ~lol~ of ~l~l~l ~t~r~ 1~ ~J ~t ................ '~t ............... ~l)~ll .................
lli$1~ ......................... I~l~f of 8~orle~ ......................
I~pth .................... lil$~ .................... I~i~r of itorie~ ...............
I)l,~im~ o~ ~[Jt~ ~ ~l~J~J ~ ................ ~t ............... ~IiLIi ..............
ltl~l~ ......................... ~i~r of 8~orl~ .....................
I~il'e o[ ~lrltll~ ..................... h~ ot For~ler ~r ........................................
~ or ~ dl~rle~ 1~ ~liil ~rol~ i~ ~ ..............................................................
~ of ~r o~ ~l~ ........................... ~lre~ .............................. 1~ ~ ..............
hl~ of lrdlit~ .................................... ~lr~ .................. ' ............ ~ ~ ........... ',,,
· J~ of C~r~or ................................... &~re8~ ............................... 1~ ~ ..............
Pi,OT DIAI~I~At4 ~
I~cate ctearl~/ a~d dlatlncl:ly all ~ill~l~a. d~tlmr ~lsttn& or pro~. ~ t~licate all ~:-I~ dl~naiona
~ro. i)roi~rLy ll~a. gi~ at~t m~l I)1~ airier or ~scrioRlm according [o ~, a~ Im s~r~C ~n ami talica~e
~d~tl~r i.~erlor or co~r lo~.
· ~I'A'IE (X~' ll~ YOlk, ·
.......................................................... I~ifly) duly ~)r,~ (l~lx)~ ntxl ~yn Lho~ I~e ~, the
(~l~ ()~ imli~i(h~l. ~ll~,i,~
of snid (~mr or ~f8~ llt~J la i~Jy ~[l~rl~ ~o I~rfonn or h~me I~rfor,~l Lhe ~J(I ~rk nt~l ~o ,rake nmi fil.e Lhis
~)m Lo I~fure ~ O~{s
.................. ....
~SW Publio, ~ta}~ of New ~K
~lifi~ In =unol~ Co~
~01 'uo[,
'~ 'oeo
NWl'
,..77V~£
66 - O00l
0 ~170.,-I.,'1['1£
-,'10 N44 01
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~=! '~Z91 'ON.:771d
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_ ~ 09 ' 19 ..,el 07 ............... ~-
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