HomeMy WebLinkAbout24927-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. 24927 Z Date JUNE 2, 1998
Permission is hereby granted to:
for :
WALTER & ALISON M MILLIS
1800 VILLAGE LANE
ORIENT~NY 11957
ERECTION OF A STOCKADE FENCE AS APPLIED FOR.
at premises located at 1800
County Tax Map No. 473889 Section
pursuant to application dated MAY
Building Inspector.
VILLAGE LA ORIENT
024 Block 0002 Lot No. 022
11 1998 and approved by the
Fee $ 35.00
Buildin~3~Inspec~r
ORIGINAL
Rev. 2/19/98
FORH NO.
TO~/N OF SOUTIIOLD
BU'{LDING DEPARTHENT
'i'Okl N HALl,
· $OUTIIOLU, N.Y. 1197 I
TEl.: 765-1802
I)l ~uppvt~¢~l a/c ................... ; ..............
APPLICATION FOR EUILUINO PERHIT
' Date ................ , 19 ....
INSTRUC'F]ONS
a. 'lhta application mast be conpletely filled in by typexvriter or in ink argl ~d~mittad to the Ik, ilding Inspector w
3 sets of plans, accurate plot plan to ~cale. Fee accord|r~g to 8chc~lule.
b. Plot plan ~ho~ing location o[ lot and of buildi~gs c~ Irc~ntsea, relationship to adjoining premises or I~,bllc
streets or areas, and giving a detailed dem:riptioo of. laycut of. property ~mt I)e drmm on tim diagr~n d~ich la I~urt of
tide al'4)l icat i~.
c. 'lhe work co~ered by rJds application my ~t be cmraenced I~fore is~ance o1' II~ilding Pemit.
d. Upon approval of this application, tl~ DJildlng Inspector will[ ias~ a ll~tlding l%mit to tim applicant. ~ch
I~rmit shall L~.lmpt au Om pr~m/ses a~atlable [or inspection three)oat ttm work.
e. NO building almll bu occupied or used in ~bole or in part for any purpo~ ~lmt~r Im~il a gerti[icate
~HA~TI~ IS }E~ [~ to Om lk~ildi~ ~rt~at for tl~e issue of a ~ildi~
~lati~s, for tim ~at~ti~ of hdldi~s, ~iti~s or altera~i~s, or for ~1 or ~liti~, as ~rein
~scri~. ~m applier ~8 Co co~ly wi~ all a~licable l~s, ordinates, ~tldi~
re~lati~s,~m~ ~o ~iC ~ri~ in~or8 on ~i~s a~ in ~ildi~ for ~
......... ..........
State~O~r a~llcant ts ~er, lee~, ~ent, archit~t, engt~r,'~~, electrician, pl~r or {aHhk
O C ~~c~oP ~ ...............
...... ...................... , ..................... , ................
(as on tim tax roll or latest deed)
%~,~
....... ';~ cu'-~7;}}iJ;;~ ...... ,
Pl~r8 Bice~ ~ .................... .... · ·
Electricians license No.... .. . ...
Otlmr Trnde's License No ................... ..
t {M)~ - ~ WEOUmED
I. lOO~ - 1~4M4m~ & I,UJMmNO
4. FINAL - COMSm'RUCTION MUST
BE COM~.ETE FOR C.O.
ALL CONSTRUCTION SHALL ~EET
THE REQU{REMENTS OF THE N.Y.
$TATE CONSTRUCTION & ENERGY
I. l~)catioo oE land o~ ~hidt proposed work will ~ (~ ........................ ~OE$"NOT'WESFONSfBL~ 'FOR'"
t ~00 ~1;{1 ~ ~ ~ L~ ~SI~~RUCTION ERRORS
...... .j..o .......................v. ~.~. { ~.~.. ~..~. t~ ........................... ~4~: ........................
l~et
'~ ~ ~ ~ 0 ~ ..~ .......
~t7 Tax ~p NO. I~ ~tton .... ~ ..... Bl.~k ................ lac
Film ~p ~ ' fat
kMivisim ................. ' .................
(~)
2. State existing u~ ~ ~y at ~ui~s a~ {ate~ ~e ~ ~m~ of p~ ~8tn~tlon:
~ ti~ ~ ~ ~M.~' ....... . ..........
~,. ~,~ ,,~ ~ ~ ~k'~.B ............................... ;...~~
I'~at i,~ed Cost ....... l~ea
(to ~ l~id I,~ filing this al~ticatl~)
If garage, i~mimr of car~ ......................................
7, I)l,eani~s of ~istin8 mtn~tu~a, Ir any~ ~lmt ................ ~ar ............... ~p~h .................
I~pLh ................. ~. IhJ~t .................... K~t~r of Stories ...............
ii. I)i,enat~ of entire ~ ~str~tl~: l~t ................ I~ar ............... ~pLh ..............
9. 81~ of lot: I~t ................ ?~.. ~ar .................... ~pth ....................
I I. ~m or u~ district in ~dd~ pr~[~s a~ st~td ..............................................................
13. ,
·me of irddt<t .~ ................................ ~lre~e~ ~ , ~ ~ ~ ~,~ .............................. Bm ~ ...............
15. Ia thl$ p~rty ~ithJn ~ fet.~i a tii~l ~etlaM7 ~ ~ .......... ~ ..........
PI.OT DIAGRAH
/ --'...
............... t
~ ..... ~.~ .. ,1., ~.~,, · ..............
~t~trnct~org)rate officer, etc.)
that LII~ ~rk ,ill Im ~rfon~l ht tim ,~mtmr ~t forth in
~)rn Lo ~fore im thin k J ~,
O.~5
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