HomeMy WebLinkAbout25248-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. 25248 Z
Date OCTOBER 20, 1998
Permission is hereby granted to:
ROBERT J KULL
350 PINEWOOD ROAD
CUTCHOGUE,NY 11935
for :
CONSTRUCT A 5' HIGH FENCE IN THE REQUIRED REAR YARD AREA OF SINGLE
FAMILY DWELLING AS APPLIED FOR.
at premises located at 17425 CR 48
County Tax Map No. 473889 Section 101
pursuant to application dated SEPTEMBER
Building Inspector.
CUTCHOGUE
Block 0001 Lot No. 021
10 1998 and approved by the
Fee $ 35.00
uilding ~s~ect or
ORIGINAL
Rev. 2/19/98
FORH NO. I
TOI~N OF SOUT}IOLD
BUILDING DEPARTiqI/NT
TOI~I HALL
SOUTItOLD, N.Y. I ]97l
TEL: F65- 1802
EOARD OF EEALTH ...............
3 SETS OF PLANS ................
SURVEY ........................
CHECK
SEPTIC FOPd'i ...................
NOTIFY:
C,LL .q. 2). :.~. ¢..
ined .... o. HAIL TO: .. .
~o~.. .... ~e~it ~o...~.P~?...~. ............................ .. .. ., .. ·
Disapproved a c .................................. '
~ a. '~is a~li~ti~ ~t ~ ~letely fill~ in by ~iter or in i~ ~ ~itt~ to ~e ~ilding Ins~ctor
3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~rdi~ m ~l.e.
b. Plot pla ~q l~tim of lot ~ of ~ildi~s m ~s, mlati~ip to ~joinig pr~s or ~lic
struts or aea, ~ givi~ a &tail~ &~ripti~ of lay~t of pm~ ~t ~ ~ ~ ~e di~ ~i~ is ~rt of
this a~li~tim.
c. '~m ~ ~r~ by ~is a~licati~ my ~t ~ ~ ~fore isle of ~ildi~ Pe~t.
d. U~ ~al of ~is a~licati~, ~ ~ildi~ I~ctor x~11 is~ a ~ildi~ ~t to the ~pli~t.
~ ~11 ~ ~pt ~ ~ ~s avail~le for i~tim a~mt ~ ~rk.
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le ~ in ~rt for ~ ~ ~t~er ~til a ~rtificate of
~m~ ~all ~e ~n ~t~ ~ ~m ~ildi~ ~tor.
aI~ IS '~ ~ to t~ ~ildi~ ~at Mr ~ isae of a ~ildi~ Pe~t ~t to the
~ildi~ ~ ~di~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er a~li~le ~s, Mi~es or
~lati~, for ~ ~t~ti~ of ~ildi~, ~itim or alteration, or for r~al or ~liti~, '~ ~in
~ri~. ~ a~li~t ~s to ~ly ~ all a~li~le 1~, o~i~s, ~ildi~ ~, ~i~ c~,
$1ati~, ~ to ~it m~ri~ i~tors m ~ms ~ in ~ildi~ for ~~ti~.
..... ~J...j y..~~~ .............................
..... ........ :....: ...... ..... ....
(~ ~ ~ ~ mll or latest ~)
If a~licmt is ~&o~rati~, si~ of ~ly ~t~ri~officer.
(~ ~ title of ~rate offi~r) N~
~L.P~ ~/l
~il&rs Lia~ ~ ...... ~ ,~. .............. i, ~ ' ~ ~
gl~rrlci~ ~im~ ~ ...................... 8.
I. ~ti~ of 1~ ~ lia ~ ~t ~ill ~ ~ ................ ~ilf.~[~O]~.~ ~: ..........
............................. ~oo~;'~' ~{~"~"' ''~ ......
~mp~. I~ ~ti~ ..... ~ .... { .... ~la ~t .
~ivisi~ ...................................... ~il~ ~p ~ ................ ~C ...............
2. aCaCe ~sCi~ ~ ~ ~ of ~s ~ inte~ ~. ~ ~ of ~ ~t~tion:
a. ~sCi~ ~ ~ ~ .......................................................... ~ ..................
I0.
12.
I~.
I~.
15.
P~t,re of ~ork (check ~hich ap~ ticable): Ne~ l~)ilding .......... Addition .......... Alteration ..........
~epalr ............ l~ova! ........ .. .. Demolition ........ . . .. Other I~ork
Estimated Cost fee
(to be paid on filing this application)
If d~lllng, ~r of a~elling units ............ Nomber of d~lllng onits on e~ch floor ................
If garage, n~ber of ears ... '
If business, ccmmreial or mlxe( occupancy, spaelfy nature and extent of each type of tree ......................
Dimensions of existing atruetun a, if any: Front ................ P~ear ............... Depth .................
tle~ght ....................... l~k~l~r of 8torles
Dimenslon~ Of ~ structure mllh alterations or t~lttions: Front ............... l~ar ~ ..... ? .....
ttelg~t lis~ber f Sro les '~ :
Depth .......................... o r .
Bi~ensio~s of entire ne~ co~str~ctlon: Front ................ Rear ............... Depth ..............
[lslght ......................... [ Nmi)er of Stories
Siz~ of lot: Fro~t ............ ! ........ Rear .................... Depth ...............
Bate of P~rchase ............... ! ...... Nam of Former 0~er ........................................
or use district in ~hich p~mises are slt~ated ..................
Does proposed construction violalte any zoatng law, ordinance
........... I ......... I/ill e~zess fill be rem3ved from premises: YES NO
Names of Onner of F~emises ..... I ...................... fiddress ............... ............... Pt~ No ...............
Nam of Architect .............. [ ...................... /kldress .............................. Pt~e No ...............
Nam of Contractor ............. I ...................... fiddrees ............................... Phone No ...............
feet of a
Is ads property ~ithin 300 tidal ~tland? * YF.q .......... NO ..........
! PI,OT DIAGRAH
1
I~cate clearly and distinctly al~ buildi~s, ~ae~her existing or proposed, and indicate all set-back dimensions
)lock ~a~ber or description according to deed, and sbeq street n~res and indicate
[x~ proper~y lines, Give street and
~etber interior or corner lot.
a~llcatlon; ~mt all stat~nts c~ta[
that ~e ~rk ~iH ~ ~rfo~ in the
~E ~ O~ York.
duly s~on~, depa~es and aays that he is tt~e applicant
~f~','>9 ................................................................
,~'l~e offleer, etc.)
:hori~J to ~rfom or h~ ~rfo~ ~m ~id ~ m~ to ~ a~ ~He this
~ in ~is a~].icati~ are t~ to ~e ~t o[ his k~l~ and ~lief~ a~
~r ~t forth in the a~ticati~ fil~l
..........
($~ g~at'u/o~ ^ppl.~ c~t )
Ir_-