HomeMy WebLinkAbout24989-zFORM NO. 3
TOWN OF $OUTHOLD
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. 24989 Z Date JUNE 30 98
Permission is hereby granted to:
JOYCE E DEWAAL
25 SENECA DRIVE
BRIGHTWATERS~NY 11718
for :
CONSTRUCTION OF A 4' HIGH FENCE IN THE REQUIRED YARD AREA OF A
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 3985
County Tax Map No. 473889 Section 137
pursuant to application dated MAY
Building Inspector.
STILLWATER AVE CUTCHOGUE
Block 0001 Lot No. 006
26 98 and approved by the
Fee $ 35.00
ildin~gInspecto~
ORIGINAL
2/19/98
TOVqN (d SGU]HOIJ)
FORH NO. I
TO~N OF SOUTIIOLD
IIO]I,DINO DEPARTNENT
TONN IIALlo
SOUTIIOI,D, N.Y. 11971
TEl.: 765- 1802
Exanmed.. ~ 19 ....
1)i Sal-~)roved ..................................
· /(l~ld[ng Inspector) ~
All~IolChTION FOR llUILDINO PEEHIT
gOARD OF BEAI,TII ...............
3 SETS OF PLANS ......... ~ .....
SURVEY ......
CIIECK .........................
SEPTIC FORH ...................
NOTIFY:
NA]I. TO= ....................
INS'rRUC'FIONS
a. 'Ibis application mast be conpletely filled in by t-ypc~oriter or in ink aral md~nitted to tim Building Inspector w
3 sets of plans, accurate plot pisa to scale, Fee accord[~ to schedule.
b. Plot plan sl~o~iag loc~tion of lot and of buildis~s on premises, ~elatlon~htp to ~djoiniag pre,raises or pdflic
streets or areas, and givir~q a detailed descripttee of layont of property ~,st Im dra~n on tim disgrmn ~tch is part
this appl icaticu.
c. 'lhe tork co~ered by this application my ~0t be cmrneeced before ismmnce o~ Building Pemit.
d. Upon approval of thia nppllcatic~, the Building Inspector wilt issue ~ Buildtng P~rmtt to the applicant. ~ch
pennit ~hall be.kept cu tim preudsea ~vail~ble for inspection thr~ghcut tim tork.
e. No buildin~ ~hull be occupied or treed in ~lgole or in lmrt for any purpose ~hatever until a Certificate of
Occapency shall Imve been granted by tim l~dlding Inspector.
~I'I.IC~TI(I~ IS tlEREBY }lt~I~E to tim lhdldlng Department for tim isatmnce of a l~uilding Permit pursuant to tim
I~ildlng Zo~ Ordinance of the To~u of ~thold, ~ffolk County, P~ York, and oti~r applicable I~s, Ordinances or
llegulatleea, ~or tim ceeatruction og Ndldtngs, oddittons or alterations, or for removal or demolition, as herein
desct~il~l, ll~e applicant zgrees to comply with all applicable l~a, ordirm~ums, buildtn~ code, hoxslug code,
regulatlons, ~m~l, to ~lmlt anthoriz~d inspectors on premises sad in Imildlng~q.~/4~, ]t~ ~f~A~f°r necessary Ins ~p?cttcus. .
· .... ............ : ....
' (Stgq~/tur~]ol~ applicant, o~ name, ll~ a corporatmn)
...... .... .............
(B~iling ~ddres~ of applicant)
State ~t}ether applicant is o~er, lessee, agent, architect, engineer,'geeeral contractor, electrician, pl~mr or
(as ~ tim tax ~11 or latest d~) '" '
I~ applicant is a co. ratio, si~Nre of duly ~ti.)rir~l ogiicer.
l~dlders l,lcens~ I~. ................ ... . . . . . ·
Plmbers License lgo ...................
Electricians Licerme }1o .................
4, FINAL. *
Other Tr~le'a Licenae No ..................... 39~" S~]-)'I } ~~
l, location of land oo ~tcb proposed loork will be done ....................... ~ *"
· m ~OIR~MENyS OF ~ N, ,'
I~ ~r Strut COD~JESPONSIBLE
FOR
~ty ~ m~ ,,. ~ ~ee ..1~7.:~ .... ~.~t ..01:.9.¢ ....... ~to~p~?uc,~o~
2. State existing u~ aM ~y of preni~s ~ intea~ me ~ ~m~ of pro~ ~stnmt~on~
a. F~sti~ tm aM ~y ........................................ : ....................................
,,. .... .................... ............
3.
I0.
II.
12,
13.
15.
~=rc~l prol~arty llnee. (~l~m al:mi: nod
t,4mtlmr l~terlor or corr~r lot.
, (to ~ [mid (m ~illng this
cars ...... [ ................................
.... lining duly s~:)nl, delxmea taxi snya thai: he Jt~ Lhe ~ppl. lcmn.
.mu s~.~ .o.-~.~c~aU.(~ .......................... ' ......................
I~. ~,~,~ .~ .ST~M~ ~ ............
YD~]~ ~ ~~e~rF~rate o[ficer, etc.)
...... ~. . ' Iq . · ' ' m to t:lelmsco~hts k~l~e a,~ Iml ell ~.
that th~ ~rk ~ill I~ ~rEon~l in the .~mtmr ~t ~orth in the nppl. ic~titm ftl~ tlmr~[Ol.
~)rn to Imfore ,~ th[~ !
.... ~. ~...,,,, ,,~ .~, ..... ,~.~.~
UNDA d,; COOPER
Notary Publio, State of New Yo~
No. 4822563, Suffolk Coun!y ~(~
Term Expires December 31, 1 g
(Sll~~pl Ica.t) ~
~' -1 "4 " P/4,SE