HomeMy WebLinkAbout24925-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. 24925 Z Date JUNE id 1998
Permission is hereby granted to:
CESARE (WICKEY)
27 TAYLOR ROAD
HUNTINGTON~NY 11743
for :
CONSTRUCTION OF A 4' HIGH CHAIN LINK FENCE
IN THE REQUIRED REAR
YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 625
County Tax Map No. 473889 Section 078
pursuant to application dated MAY
Building Inspector.
VICTORIA DR $OUTHOLD
Block 0009 Lot No. 059
4 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
FOP, H NO. I
TONN OF SOUTHOLD
BU1LDINC DEPARTHENT
TOI~ ltALL
SOUTHOLD, N.Y. 1197 I
TEL: 765-1802'
INSTRUCTIONS
BOARD OF HEALTR ...............
3 SETS OF ~,ANS ...............
SURVEY ......... ~v/
s~mc F0~... .
NOTIFY:
CALL ..:V~.5.:../!/.?
HAlL TO: ....................
"Date ...... / .....
a.' This application ~st be completely filled in by Lyl~vriter or in ink ond anlxnitted to tbe Building Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of prol~rty ~ust be drmm on the diagram ~ich is part of
this application.
c. The work covered by this application may not be coammoced before issusece of B~ilding Pemnit.
d. Upon approval of this application, tbe Building Inspector will issue a Building Permit to the applicant. ~uch
ps,mit shall be kept on the premises available for inspection thr~t the work.
e. No building shall be occupied or used in ~hole or in part for any purpose ~hatever until a C~rtificate of
Occupancy shall haw been granted by the Building Inspector.
APPLICATI~I IS ~a~gl~ ~ to the Building Departmmnt for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Toan of Su~thold, Suffolk County, ~ York, and other applicable Laws, Ordisa~ces'.or
P~l~ulatlons, for the cc~stroction of buildings, additions or alterations, or for re~oval or demolition, as herein
described. Th~ applicant agrees to canply with all applicable l~s~s, ordinances, building code, housing code, and
regulations, and to admit authorized inspectors on premises and in building for necessary inspections.
~ '
.,~?.b.~.~..Bg. ~.....£~.~..~% ~..~.:~ o.
(S~gnature of apphcant, or uaw, if a corporatio~t)
9...6..~.5. ..... P..e~ ....,...¥ ......
6Maillng address of appllcanO
State ~hether applicant is o~er, lessee, agent, architect, engineer, general contractor, electrician, plt~ber or builder.
...... ..~e~_.......~..~~. ~D~,w~ ~,cae~ ..........................................................................~0J?Jla~0~ ,.~: .~. ~..c..~..e.,~ ....
(as an the tax roll or latlst deed)
APPROVED AS NOTED
'If applicant is a corporation, signature of duly authorized officer. ' DATE: ~~f~aR # ~¢?~:~
......................................................... FEe: ,m'~--SV.' ~)
(N~me and title of corporate officer) N~O~T~.FY SUI_L~{NG DEP~E~T.-~
765 1802 9 AM TO 4 RM~"~R THE
~z~ /_/ / ~-~ FOLLOWING ,NSRECTIONS:
Builders License No ..... .~ .................. ~, FOUNDATION - ~JVO REOUIRED
FOR POURED CONCRETE
IU~rs Liconse No .......................... 2, ROUGH - FRAMING & PLUMBING
gi~trlclans Liceese No ...................... 3. ~NSULATION
4. FINAL CONSTRUCTION MUST
(~r ~'s Li~se No ..................... BE COM~qE FOR CO.
{. ~tlon of l~ on ~i~ p~ wo~ will be ~ ..................... AL~ · ~ON$TRUCTIQN* SHAi~ · MEET .....
........... ~TAT~. ~qi{~RO G{TON. &..ENERGV .....
~ ~r Street . CODE$.Rg~ RESPONSIBLE FOR
ERRORS
o~ty T~.~No. ,~ ~tion ......... .0..... BI~, ..... ., ........ .... .., .........
Subdivision ...................................... Filed ~ No ................ Lot ...............
(N~)
2. State eld.ting use and occupancy of premises, and ~ended ~se and occupancy of proposed conJtroction:
b. Intended use and oconpasey ..~./.~....~.-,~ ................................. ~.-,.~,j~j
I0.
II.
12.
13.
Ill.
15.
t~ature ¢2[ ~o[k (el~k .hidl applicable): Ne~ I~dl(lilkg .......... /~ldition ......... Alteration ......... ~t
,mir ............ ~al ............. l~liti~ ............ O~her ~ ..~ .............
~ .... ~ ......... ~ ........ t .......... ~.~l..~]J~ ~ .
:~elli~. ~d~r o~ ~lli~ units ............ tb~t~r of t~lling t~its ee eacl~ fl~r ................
garage, ~r o~ ears ......................................
l~sieesa, ~reial or mi~ Xeel~, s~eify mture ~1 ex~eet o~ eeeh ~ of u~ ......................
t)inensla~s of ~isti~ a~n~res, if a~: b~t ................ ~ar ............... ~pth .................
I~i~ ......................... ~d~r off Stories ......................
Dimensi~s o~ sam stn~m~e ~ith alteratita~s or ~itions: Front ............... ~ar ...............
~p~l~ .................... I~i~t .................... N~d~r of S~oriea ...............
l)i.easia~ o~ entire ~ ~st~iee: Ik~ ................ ~ar ............... ~l)tl~ ..............
l~ig~ ......................... ~:i~r of Stories .....................
of lot: ~t .................... ~ar .................... ~pfl~ ....................
of ~rdm~ ..................... ~ of Fonmr ~mr ........................................
or u~ dlatriet in ~id~ pr~i~s a~ ai~tM ........................................................ ,, ......
propel ast~ti~ violate a~ sing la, onli~nce or regularly: ........................
lot I~ rq~ .................... ~ill seas Hll I~ rm~ rrm ~mias: ~ ~ . "
o[ ~r~dt~r .................................... ~r~t~ .............................. ~m ~ ...............
PI,OT DIAGRAN
Ix)cate clearly and distinctly all buildings~ ~hei:lmr existing or propo~d, and indicate all ~et-I~ck dimensions
fr~ propert3~ lines. Give street ~ block raNi)er or description according to deed, and sho~ street n~mr~a and indicate
~d~etlmr interior or corner lot.
) ....
. ..~'~- . · ........ , ...................... being
(l~'~m o[ lndivldlml sigulng contract) '
duly b-morn, ¢lelx)ees and mays Lhat he is Lira alq)l ie-~nt
' . ..~ ;~)~r
I~ is the ~ ...................................................................... __.~..._~_.___.
of .aid ~r or ~r~ m~l J~ duty ~l.hori~ to ~r[on~ o~ Ii~ i~rfo~ tim ~id ~k, and to rake and file
aiq)l ication; timt aH s/ata~ll/S calLai~ J. this al~)] ieatl~, are
Ihat the ~)rk wilt I~ i~rfon~l in the ~wm,~r ~t forth in
~)~ Lo I~[~r~ me this . I
',1
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