HomeMy WebLinkAbout25371-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. 25371 Z
Date DECEMBER 3 98
Permission is hereby granted to:
WALTER & JANET DAVIS
485 CARRINGTON RD
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A 4' HIGH FENCE ALONG THE SOUTHERLY PROPERTY LINE
AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 111
pursuant to application dated OCTOBER
Building Inspector.
3095 HAYWATERS RD
CUTCHOGUE
Block 0011 Lot No. 017
7 98 and approved by the
Fee $ 35.00
~ Bu~~d/~ctor
ORIGINAL
Rev. 2/19/98
FORH HO. I
TOWN OF SOUTBOLD
BUILDING DEPARTNENT
TOb'N HALL
SOUTHOLD, N.Y. 11971
TEL: 765-1802
Disapproved a/c .........
BLDG. DEPT.
T~WN 0 SOUTHOLD
APPLICATION FOR BUILDING PEILMIT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
NOTIFY:
CALL ..................
NAIL TO: ....................
Date ................. 19.~.
a. This application mint be c~npletely filled in by typewriter or in ink and set~nitted to the Building Inspector
3 sets of plans, accurate plot plan to scale. Fee according to ~hec~le.
b. Plot plan ~hoaing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed de~crlption of layout of property mast be dra~n on the diagrm ~hich is part of
~his (~pplication.
c. 'llm ~ork covered by [his application r~y ant be coca, aced before issuance of Building Permit.
d. Upon approval of this application, the l~ildlng Inspector will issue a Building Permit ~o the applicau~. Such
pemit %hall be kept on the prauises available for inspection thronShont the ~ork.
e. No building shall be occupied or used in ~hole or in part for any purpose ~hatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
~PLIC/fI'IC~I IS ~ PAIE to the Building Dep~rrment for the issuance of a Building p~mit permmnt to the
Building Zose Ordinance of the Tm of Sonthold, Suffolk Con. fy, New York, and other applicable I~as, Ordinances or
l~gulatloon, for the construction of buildings, additions or alterations, or for removal or demolition, az herein
described. ~be applieaut agrees to co~ly with all applicable la~s, ordinances, building code, housing code, and
inspec ' lya~ 'ng for, ne~e~ '
regulations, and to ed~it authorized tors on premises and m ld~ sary ~n~spect~ons.
(Signature of applicant, or m' if a corporation)
:.. ..........
(Nailing ~ese o~Ja~lie-~t) C'~ ~ta~
State ~ðer applicant is oaeer, lessee, agent, archlrect, engineer, general contractor, electrician, phn6er or Bulidex
of pr se ..w. ..............................
(as on the tax roll or latest deed) ? APPROVED AS NOTED
.......................................................... FEE: ~)~ T-',.r---------By:
(k~e and title of corporate officer) NOTIFY BUILDING DEPARTMENT AT
765-~802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
Builders License ~o .......................... ] FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
Plumbers License ~o .......................... 2, ROUGH - FRAMING & PLUMBING
3, iNSULATION
Eleccrlclaas Licev~e ~0 ...................... 4. FINAL - CONSTRUCTION MU$T
O~e~ ~'~ ~ine~ ~. /. ~**~. 2..V***~./. BE CO~'~ ~OR C.O.
ALL CONSTRUCTION SHALL MEET
I. Location of laed on ~hlch *proposed ~ork will be done ........................ THE* ~E~REMENT$* OF* q~lE'
.~.~.!T~ .A'. ~,.~..'~/] f, STATE CON$TRUCTIOI~ & ENERGY
.. 3.~.f..4i. .... ,~.~.7.~. .... ....................... ~-~O~_*~*~~E--FOR***
House R~ber -- Street DESI~DR CONSTRUCTION ERRORS
~ ~o. 1000 s~r~on ./../.../. ........ BI~ .././. ..... :.,.. ~ot .../..Z ........
Subdi~islon .................... ...... . . .. . .... .o. Filed [~lap No.'.. ....... ..... . I~t .... .. .........
2. State existing use and occupancy of premises and ~n~eeded use and occupancy of propesed co~truction:
a. I~isting use and occupancy .............................................................................
P~tnle o[ uork (check ~hid~ apl
licable): ~ lhilding .......... /~dition .......... Alteration .......
.......... l~mlition ............ Other l~ork ...... ~..~.~t C-r .... ,,......~. ,./3..
,(rleseription)
......... ~ ...... ~.~.,...~. .....................
(to Be paid o~ l~iling this application)
If d~elling, m~ber of ~llin traits ............ l~k~ber of riling traits on ead~ H~r ................
If ~ra~, ~r of ~ra ......................................
6. If ~i~ss, ~a,=~ial or ~ ~, ~ci~ ~mre ~ ~tent of ea~ ~ of ~ ......................
8. Bi,mnsi~ of entire ~ ~st~tl~: ~t ................ ~ar ......... J"":'~l ~P~ ........ 7~"lf~ ~
......................... .................... I .... . ,,
9. fii~ o[ lot: ~t .................... ~ar .................... ~pth ....................
lO. ~te o[ ~rdm~ ..................... ~ of Fomr ~r ........................................
d
/
Il. ~ or u~ district in ~i~ ~s a~ ,i=t~ ....................... C. 5(i.~m ~.~ ~.t ................
~s ~ ~t=ti~ wo~ate a~ ~mg 1~, o~e or r~lat~: ...... ~.u ..............
~. ,m ~ ...... ~.~ .......... ~ ~. ~r.. ~ ~W .,
g~ oi arddt~t ............ ~ ....................... ~ress .............................. H~ ~..----~ ..........
15. Is tiffs ~r~ ~flfin ~ f~t of a ti~l ~tl~7 ~ ~ ..........
~ PLOT DIAGRA~I
locate clearly and distiuetly all buildinss, t~aetlmr exit. ting or ..psopoued, and indicate all set-back dinensions
fr~ property lines. Give street and bleck n~Ber or deaeript~on according to deed, and sho~ street names and indicate
~{~etBer interior or corner lot.
.............. Being duty ~orn, depots and ~ays that he is tim applleant
I~e t~'tbe.'~'.,,.'., .,'DLg).,8.~ .ET ...............................................................
o~ ~i~ ~r or ~r~ ~ i~ ~ly ~fl~ori~ to ~r~om or h~ ~r~o~ fl~e ~i~ ~A ~.I to m~ a~ ~ile tbi~
a~l. icatia~; ~at alt stat~nt, c~t fi~ in ~is a~l. icati~ are t~ to fl~e Best of his ~IM~ and Betlefi and
that tBe ~rk will ~ ~r[o~l in th miner ~t ~orth in ~e a~tlcati~ filed t~ia.
....... ~ ......... 0~ o~ .~.~.' ...... ,s.~.g..
t~ ~nc .............~.~.~ ..........
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