HomeMy WebLinkAbout25310-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. 25310 Z
Date NOVEMBER 6~ 1998
Permission is hereby granted to:
GERARD W SR GAUGHRAN
PO BOX 998
SOUTHOLD~NY 11971
for :
ERECTION OF A 3' HIGH PVC POST & RAIL AS APPLIED FOR.
at premises located at 49925
County Tax Map No. 473889 Section 070
pursuant to application dated OCTOBER
Building Inspector.
MAIN RD SOUTHOLD
Block 0005 Lot No. 002
2 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 1197 I
TEL: 765-1802
Disapproved a/c ......................... .. .. . .. ..
BLDG. DEPT.
TOWN OF SOUTHOLD ItiSTRUCTIONS
SURVEY ........................
CHECK .........................
SEPTIC FORN ....................
I'~.IL TO: ....................
' Date ................ , 19.
a. 'rnls application mast be coRfletely filled in by type~iter or in ink and submitted to the i~fitding Inspector wi
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan shoving location of lot and of buildings on premises, relationship to adjoining premises or p~lic
streets or areas, and giving a detailed description of layont of property mast be dra~u on the diagram ~hlch is pert of
this application.
~. 'Hm ~ork covered by this application may not be cormesced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Sud~
pe~mit~ shall be kept an the premises available for inspection throu~hont the work.
~. No building shall be occupied or used in ~l~ole or in part for any purpose ~hatever until a Certificate of
Occupancy shall have been granted by tim Building Inspector.
~PPLICATICI~ IS ~ MAlE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of ~ To~m of Sanr_hold, Suffolk County, ~ York, and other applicable La~s, Ordinances or
l{egulations, for the construction of buildings, additioas or alterations, or for removal or a~n~lition, as herein
described. The applicant agrees to comply with all applicable la~s, ordinances, building code, housing code, and
regulations, and to ~,t~it aur_horized inspectors on premises and in building for necessary inspections, ffl ·
(Signature of applicant, or na~., if a &~pora~tio~n).~
(Mailing address of applicant)
S~ate ~lether applicant is oaner, les~nge~architect, an~i~er,~lectrician, plumber or hiilde
............ .... ...............................
of ...............................
~ (t~ m Ctm tax roi1 or latest deed) APP,IIO)/ED AS ITED
If appl/ant isa c}~oratlon, '~ture of~y autt~orized officer. ~. '.~ ~'~ ~~
(N~ and title of corp~r)~te officer) ~~¶80~ 9 AM ~0 4 PM FOR 'THF
/ / ..~_ /// ~ ~Z..f--- 1 FOU#[}~I1ONm- IIWc~WO REQUIRED
i / Builders License I~...:-J..O....-~../.. ..... /--/..-'~-" ~I~TE .
k / ... t ~- ~ & PLUMBING~
~J Plmbers license No .......................
Electricians License No ...... 4. FINAl. - CoN~rRUCTION MUST
................ I~ COMPLETE ~OR C.O.
Ocher Trade's License No ..................... ~ CONSTRU~JlON SHALL MEET
THE REQUIREMENTS OF THE N.Y.
I. location of land on which proposed ~ork ~rill be done ......................... $~lkTE 'COR'ST#f~CTr~ '&' ~NEHG~ ' '
...... L... ll~,~ ......... A-,-~. ~~,C. ~ .................................... .~"!~4t~-~ I~ C~JI~T~ H OTi ON -E. RROR~ · ·
Hoase limber Street ~let
mp No. tion .... .... ........
Subdivision Filed Map No Iht ·. ·
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ................................
[~cate clearly and distinctly al'
~m property lines. Give street ond 1
~ether inter/er or corner lot.
P~ture of ~ork (check ~idd~ appli :able):
If ~i~ss, ~rcial or ~ ~, ~i~ ~ture ~ ~tent sE ead~ ~ of ~ ......................
Di~nsi~ of ~ st~e ~t alterati~s or ~tmns: ~nt .............
~pth ............ ~ ............ ~r of Stories .......
Di~nsi~ of entire ~ ~st~t~: ~t ~ar .............. ~p~ ..............
Si~ of lot: ~t ............ ~ ....... ~ar ............. ~pth ...........
di i i ~i~ ~i ~t~ .. -- · · · ....
/
~ st ~fit~t .............. ir ..................... ~ress .............................. ~ ~ ...... t .........
PLOT DIAG~M
d~ ~r or ~scripti~ ~ing to ~, ~ ~ strut ~s ~ iMicate
(~tract~
of ~id ~r or ~rs,
a~licatlon; that all
that the ~rk will ~
~ to ~fo~ ~ this
.................... being duly s-sore, deposes aral says that he is tim sppl. icant
porate officer )
or ~ etc.
othorlzed to perform or have perfon~d the said work m~l to .rake and file this
:[ned in this application are true to U]e best of his koowledge a[~ b6liefi and
~ m~m~r ~et forth in the application filed therewith.
~'NOTARY PUBUC
NO. 01ST~O0~t! ~/~1~ /'(SPgfmt-are st ^pl~] cant )
Term Explml,
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