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Home My WebLink About25274-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. 25274 Z Date OCTOBER 23~ 1998 Permission is hereby granted to: NANCY E KUGLER RR1 MAIN RD BOX 107A MATTITUCK,NY 11952 for : CONSTRUCT FENCES TO A SINGLE FAMILY DWELLING AS APPLIED FOR AND TO THE YARD REQUIREMENTS FOR HEIGHT. at premises located at 19155 County Tax Map No. 473889 Section 108 pursuant to application dated SEPTEMBER Building Inspector. MAIN RD MATTITUCK Block 0004 Lot NO. 006 9 1998 and approved by the Fee $ 35.00 Building I nsp-e~or ORIGINAL Rev. 2/19/98 FOP&I NO. { TO~I OF SOUTItOLD BUILDING DEPABTi~NT TOION HALL SOUTHOLD, N.Y. ! 197 I ~L: 765-1802 ~..~~ 19 .... ,, .... .. Di~ a/c .... BLDG, OEPT, INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOP,-M ................... NOTIFY: C*LL ~.9.L...(.L~.~... lqAIL TO: .................... ' Date ................ ,19 .... a. 'Ibis application mint be completely filled in by tyoe~iter or in ink and au~nitted to the hfilding Inspector 3 sera of pl~, accurate plot plan to scale. Fee according to schedule. b. Plot plan aborting location of lot and of buildings on preufises, relationship to adjoining premises or pablic s~eets or areas, and giving a detailed description of layout of property n~mt be dry,ca on the diagran ~hich is part of this application. c. ~m ~ork covered by this application nay not be cc~eaced before issuance of Building Permit. i d. Upon approval of this application, the l~ilding Iaspector ~ill iasue a l~ilding Permit to the applicant. ,Sach permit ahall be k~pt on the premises available for inspection throt~hont the ~ork. e. NO heilding ahall be eccupied or used in ~onle or in part for any D~perm ~hatever ontil a Certificate of Occupascy aball have been granted by the l~ilding Inspsctor. API~ICATIClt IS ~ 14~[E to the l~ildiug Departn~nt for me iasuasce of a l~ildiug Pennlt parauant to the Building Zo~ Ordinance of the Toga of Sonthold, ~ffolk C~mty, N~ York, and other applicable La~a, Ordlna~es'or Ragulationa, for the conattmctian of heildings, additieas or alterations, or for removal or d~aolition, as herein described. The applicant agrees to comply wlth all applicable la~s, ordinssces, building code, beasing code, and rngulation~, and to a~a~t anthorized inspectors on pranlses and in bna, lng for necas~J inspections. (Signature of applicant, or nam, if a eorporation) .3.~.~.~.~...~ ~...~....%.~.. .... ..rS. ~..~....~.~. (Failing address of applicant) 3k(~'2~-~ State ~bether applicant is o~nar, lessee, agent, architect, engineer,'ganeral contractor, electrician, pluaber or bull& Nme of oar, er of premises , .c~.~..~ ................... (as on me tax roll or tat,st deed) / APPROVED AS IIOT~E~O If applicant is a corporation, signature of &l¥ aathorised officer. DATE: ~~.R ......................................................... FEE: ,~-~--. BUILDING (Narm and title o[ corporate officer) FOLLOWING Buil&rs License No .......................... J. FOUND~?[O~ - ~0 RgOUIR£D plr~hers Licetme Ro .......................... 2. ROUGH - FPd~|~ glectricians Licease No ...................... 4. F~A~ CONSTflOff[ION ~USt Other Wade's License No ..................... 8E COMPI-~ ~ FOR C.O. Location of land on ~hlch proposed ~ork ~ull he done ..................... v~-~ta~ma~a m~t. I] ~ . At.L CONGI'RUCTION 8..I~L.~ MEET ~k ~ ..,,, ................ ~ . ~. .... ......... · ~... .................................................. ,-- -~- a~- a~~ ~ ~r . Strut ~ _ , DESIG~NS~U~N~R'~ ~ ~= m~ m. ~ ~ ...... t~. ..... ~ ....... .~ ..... ~ ...~ .......... ~ivlsi~ ...................................... Fil~ ~ ~ ................ ~t ............... (~) 2. State ~isk[~ ~ ~ ~ of ~s ~ int~ ~ ~ ~ of pro~ ~... _ ?~~ ~ ~ ................. a. ~st~ ~ ~ ~y ............... ~ ...................... . b. Intended uae and occupancy .............................. II. ~3. M. 15. I~cate clearly ~ distioctly ali fr~ propart~ lin~s. Giv~ strut and whether interior or corner lot. a~li~ati~ that aH s~t~t, c~tat~ that the ~rk ~iH ~ ~rfo~ in th~ ~ P. at.re of work (check ~hich applicable): New Building .......... Mdition .... ~. .... Alteration .... ~ ..... (Deecri ption) Estimated Cost & ..~ ............ fee .............................................. ~,~.-~ (to be paid on filing this application) If dlmlllng, nunber of d~elli~ salts ............ Nc, raber of ~mlltng tmlts ¢~a each floor If garage, nt~i~r of cars ..... ~ ................................ If lmsinasa, com~reial or mi~ I Occupancy, specify nature ~ ~xteet og ead~ tyT~ of u~ ...................... Dimensions of existing etmeturea, if any: t~ont ................ Rear ............... I~pth ................. tl~ight ........................ ~ Ix~b~r of Stories ...................... Dimensions o~ sam struetur~ alterations or edd~tmna: Pront ............... R~ar. .............. Depth .................... l]~g~t ......... llmt~r of Stories .... l... · that' I~pth Dimensions of entire new cons Ion: Front ................ Rear ............................. Beight ........................ t Iximber of Stories ..................... Size of lot: Fret I Rear Depth ~te of ~rdmse ............... , ...... ~ of Former ~r ........................................ or use district in ~hich pr~misas ar~ situated ............................................. Does proposed construction violate any zoning law, ordinance or regulation: ...... Will lot be tegreded ........... i ......... Will e~aess fill be r~oved from premises: YES l~s of On{er of p~-=-isaS ' Addresa l~e No ~ of Architect I [%~me of COntractor ............. l ................. ~... ~drass ............................... l~ee No ............... Is this proparOy within 300 feetloi a tidal ~etlsad? * '/F3 .......... NO .......... PLOT DI AGRAH buildings, ~hetlmr existing or proposed, and indicate all sat-beck dimensions lock ntmber or description saeordlng to deed,, and show street names taxi indicate ...... being dul.y sw~m, depots and nays that he is the applicator ~rate officer, etc.) ~ri~l to perfom or have performed tim said w~rk a~l to make aed flie this t in this appli.cation are tn~e to the bast of his knowledge m~l beliefi ~er set forth m the application filed tberewlth. (SignaOare of Appticant)