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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 ~&ether 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 .............~.~.~ .......... ~- ~ .+ ,.t, ,D % < .-. 1 7** ('1 0.4-0'