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Home My WebLink About24985-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. 24985 Z Date JUNE 29~ 1998 Permission is hereby granted to: CHARLES & WF GERBER PO BOX 769 MATTITUCKiNY 11952 for : CONSTRUCTION OF FENCES IN THE REQUIRED YARD AREA OF A SINGLE FAMILY DWELLING. at premises located at 17950 County Tax Map No. 473889 Section pursuant to application dated MAY Building Inspector. MAIN RD MATTITUCK 115 Block 0004 Lot No. 015 22 1998 and approved by the Fee $ 35.00 Bui ld'in~ Inspec~r ORIGINAL Rev. 2/19/98 TOWN QF SOU HO "!i / FORH NO. I TOI4N OF $OUTIIOIoD II, U'I LD'I NG DEl.'AR'Il'iISI'IT 'I'ONH IIALI. SOUTIIOLD ~ N. Y. I 197 I TEl.'. 765-1802 APPL BOARD OF HEAltH ............... 3 SETS OF FLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... 'Date ................ ,19 .... · 1 NS'I'RIIC'r IONS a, 'll~is application nos~ be completely filled in by type~ri[er or in ink an~i min[tted to tie lk~ihling Inspector 3 sets of plans, accurate plot l)lan to scale. Fee accordi~& to schedtsIe. b! Plot plan abc~in& location of lot and of buildings on premises, relationship Ko adjoinin& premises or peblic streets or urese, and ISivtng a detailed description o[ layont ol~ property ,~mt be dra~ oo ti~ d{sgra, ~,t~ich is pert of tills sppl icstlon. c. 'Ihs ~ork covered by Ods ~pplicaticu may not be cc~meeced before issuance oF Sutldinlt Permit. d. Upon approval of this appl. icati~x~, tl~e l~utldintt Inspector ~ill issue a autldin& Pemit to the ~pplicant. permit shall be kept cu tbs premises available for inspection thrauE)~cut the ~ork. e. HO buiidin~ shall be occupied or used in ~hole or in part for any purpose dmtever until a Certificate of Occupancy shall Imve been granted by the I~ltldi~& Inspector. ael~ac~'rtc~ Is t~m~ ~t~l[ to d~ lk~ildintl Depertnent for the issuance of a guilding Pemit poranan~ to the {luildln§ Zone Ordinance ol~ the ~ o~ Sonthold, Suffolk County, Ne~ York, and other appIicable I~s, Ordi~mnces or llel~ulations, for O~e construction of hHldtnss, additions or alterations, or for rerov~l or demolition, as herein described. Ti~e applicant attrees to cc~ply with ~11 applicable la~s, ordina]~ces, beildin& code, hcuslag code, a~xl regulations,~ux] ~o admit authorized iuspac~ors o~ premises ~nd in beil~in& for necessaty,iuspe~tions. (Signature o[ applicant, or na~e, IF s corporation) .B.~..~.3 a~ a ~.~om ~. ~.. ~..~....~. [..~.a. (tiailtn& address o[ applicant) State ~BetJ~er a~p~icant is o~a~er, lessee, a&ent, architect, engineer,' i~eoeral ccutractor, electrician, plt~d~er or Ixlilde, ~ ..oJ..~.i~:~ ............ Name oE o~ner oJ~ premises .... L. .. ~..~7 .......................... V(as on tbs tax roll or latest deed) 1[ spplican~ is a corporation, sillnaCure o~ duly au[Ir)rlzc~l ofl~icer. (Nors and title of corporate officer) ilder ice,se' No License Ho ................. Pl~oers ' Electricians License Ho ...................., I. location of land on ~dlich p 11 be. close .... ~,~..C~,~, ..... ~ ..... ~..~ ..... .~ ............ ..~..~..~.:j ... c~ty T~ ~p Ho. ~ooo ~ti~,, .... ~.~. ....... El.oc~ ..... ~ ......... ~t .... \~ ......... ~ubdlv.~,sion ...................................... Filed Nap Ho. ......... · ..... Lo~' ............... 2. State existing use and occupancy o[ presntses and intended use and occtq~ncy of proposed const~ct~on; ........... a. F.~isting ~se and occupancy ......~..?O ................................................. b. ],te~d use, ~nd occu~c~ ...... .~...°.m-~.- ...........................,",",'"'?-"? .................. ~1. I,~aure o~ ~rk (d~ck ~lildl ap~ltobleh ~ liildln~ ...... ~ ....~1Ii~ .... :~l~d~tio~ ..,/, (to ~ Imld lm filing this al~llcatl~) /' ?. I~la~nnl~m of ~lstlflg ~tnm~?ee.. le any: ~r ................ ~ar ............... ~p~h ................. Ilinen~l~m of ~m strip.re ~th alteratllm$ 0r mMJtional Pr~t ............... ~nr ............... ~ ' 8. I)i.ensi~m of entire .......... ~-.~.~ ........ ~pt, .. ~.~ ........... Il. ~z or u~ district In ~dd~ train* ~ ~t=t~ ....................................................... ¢ ...... 12. ~s propel m~t~tl~ rio ac~ a~ ~lng I~, ordl~mn or regulntt~: ..... ~ ~ .............. 13. ~111 lot Im r~r~ ~ ........ ~ ......... ~111 ~eas fill Im r~ ~m prml~: ~ ~,.~,~ ~ ~ o~ p~l~. ...................... .. · . ~u~ ........................... ... n~ ~.~.~ I ' I%. la dd~ ~r~y within ~ ~ ~,~ a ~h~l ~la~? ~ ~ .......... ~ ..~. PLOT I)IA~II~. l~a~ clea~ly a~ dl~l~ly ~1 ~lldl~, ~1~ ~l~tn~ o~ p~o~, ~ l~llca~ all ~-I~ fmu prolmrty ll~a, Ol~ atmC ami blA a,~lmr or ~$crlptl~ according to (~, a~ ~ strut ~ma a~l ialhmt~ · dmtlmr interior or co~r lot. NO]IFY BUlL,DING ~~AT 7~5-1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED · FOB POURED CONCRETE 2. ROUGH* FRAMING & PLUMBING 3. ',NSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSISI.,E, FOR DESIGN OR CONSTRUCTION, ERRORS ~rn, delxmee taxi ~ayfl Lhat he la Lhe applJ(mnl: (Cxmtractor, agent;,, o1: nahl (~er or o~.ra~ m~l ia duly , nlq)l lcflti(m; that all 8tatemnts c(x)t, that th~ ~rk will Im ~rfon~l tn tl~ MARIE CONWAY ~' NOTARY PUBLIC, ~t~f N~ Yo~ ( / ~. 016050~56 v :orlx)rate officer, etc.) ,JLImrJ~c~ll to ix~.rfonn or have l~rfor,~] I. he ~hl ~rk fllxl to nnke arxl file ti)ia this nl~)l, lcathm are tn~ to the I~t of his k(~l~e m~ I~lJefl olxl ~t forth in the flppl, ication fiJ~ tlmr~ifll. lc:ant)