HomeMy WebLinkAbout25010-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. 25010 Z Date JULY 9, 1998
Permission is hereby granted to:
for :
FRANCES COUTTS
FACTORY AVE
MATTITUCK~NY 11952
ERECTION OF 4' CHAINLINK FENCE & 6' STOCKADE FENCE (REAR YARD) AS
APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 142
pursuant to application dated MAY
Building Inspector.
1570 FACTORY AVE
MATTITUCK
Block' 0001 Lot No. 003.003
15 1998 and approved by the
Fee $ 35.00
Building~~or~
ORIGINAL
Rev. 2/19/98
PORH HO. I
TO~4Iq OF SOUTIIOLD
BUll. DING DE PAR'IMENT
'rO~t~ IIALL
SOU'I'IIOLO ~ N.Y. 11971
TEl,: 765- 1802
I)|sappr~J ale ................... ~ ..............
.... .....
APPLICATION FOR IlIIILI)ING PERHIT
~fNS'rRUCT] ONS
B(~RD OF flEAI,Ttl ...............
3 SET8 OF PLAN~ ...............
SURVEY
CHECK .........................
BE~TI~ FORH
NOT1 FY:
c^;.~ 210 ................ .'~
TO: ....................
a. 'ihis application m~t.b~ conpletely fl]led in by t~ypcnvriter or in i~ a~l ~itt~ to ~te ~dldinl l.sffctor
o~ pl~, at.rate plo~ plan to ~ale. F~ accordi~ to ~d.e.
b. Plot pl~ d~i~ l~tt~ og lot ~ o[ ~tldi~s ~ ~t~8, ~latio~dp to ~joini~ pr~t~s or ~,bllc
struts or areas, o~ 8ivi~ a ~tail~ ~m:riptt~ of InyonC o~ pro~rty mint J~ dr~ ~ Ute di~n ~dch is I~qrt of
apphcat ~.
d. U~ a~al of fide a~llcati~, tl~ l~ild{~ Tus~ctor ~i]~ is~ a ~llding ~mit to the applicaot. ~ch
~all ~ kept ~ fie ~s ~ail~le for ins~tt~ th~t Ct~ x~rk.
e. ~ ~iidi~ ~mll ~ ~ied or ~ in d~le or in ~rt for a~ ~ ~at~r ~cll a C~rtliicate of
~y ~mll h~ I~n grant~ by U~ ~ildi~ lna~tor.
~,I~TI~ 18 IE~ ~ [o t{~ l~ildlng ~rtu~t for the issue o~ a ~ild{~ ~mit ~r~nC ~o the
I~ild{ng ~ ~i~ o[ t~ T~ o~ ~tl~ld, ~[folk ~n~, ~ Yo~, ~ otter a~ttcable I~s, ~di~ea or
~lati~s, for Ue mt~tt~ of hflldi~s, ~iti~s or alceraci~, or for ~,~al or ~lttt~, as I~reln
~acri~. ~m applt~: ~s to co~ly wi~ all a~llcable l~s, ordinates, ~{lding c~, ~i~ c~, and
re~datt~s,~m~ Co ~}t ~ri~ in--tots on pr~i~s a~ in ~ildi~ for ~ea~ tns~ti~s.
~g~ture o[ a~lic~t, or ~, if a cor~rat~on)
~/-~C~ ~,' . . ~' ~ ~. ~..
~ ~ ~ ~-~ ...~~ .... ~,~ .................... ~ff~L~=~-~,~.~.~-..
(as ~ LI~ tax'~ll or latest d~. ~~~l
s~)ticaaC is a co.ratio, si~re of duly a]tl~)ri~l o//ice~. ~~1~
........................................... ~ ............ ,. ~. I~
(~ a~ title o[ co,rate officer) 4. FINAL - CONSTRUCTION MUST
' ~ BE ~M~i e FOR C.O.
~ ALL CONSTRUCTION SHALL ME~
~fil~rs l,ice~ ~ .......................... THE REQUIREMENTS OF TH~ N.~
STA~ CONSTRUCTION & ENER~
Pl~rs l.tce~ ~ ..........................
CODES. NOT RESPONSIBLE F~
1,ice~ ~ ................. : .... ,~L .J, DE~IGN OR CONSTRUCTION ERROr,
El~trici~s
...... ........... ........... .........................................
,on ....... ..... ...........
~i~[si~ ................................... .. . ~[1~ ~g~ ~ .......... ~ ..... I~t ........ ... ....
State exist~ng u~ a~ ~y o[ prani~s a~ inte~ me ~ ~ of pro~
a~ ~y ..........................
tended nd cui~ncy ...................................
3.
work (d~oek which al~lieabie): ~ ~dldinl~ ........... ~lri~ ......... ~eratio6 ..........
............ ~al ...~ .......... I~li~i~ ............ O~her I~ ...... ~.~.~ ................
..............................................
(t:o ~ lmld em ~iling this al~lieatt~)
il~, ~x~ll~r al ~11~ imlra ............ tk~ll~r o~ ¢~11 lng tmlta ~1 eadl ~c~r ................
Dh*~naiam o~ ~lating arnmtum , If any: ~m~ ................ ~ar ............... ~p~h .................
......................... ~dmv of 8;ortea ......................
I)taeaai~m o~ ~m at~m~r~ ~[t alteratl¢ms or ~lkl~a: Front ............... ~ar ...............
Ilhtenalam o~ entire ~ ~m~r~'l;l~: l~lt ................ I~ar ............... ~l~li ..............
Io~ l~*t ................... ~ar .................... ~pch
u~ dlzCrle$ ia ~l[~l pta ~1~ am at~r~ .....................................................
I~ r~r~ ~ ............ ~ ....... Nlll ~eas fill Im r~
.................................... ll~m ~ ..............
................................. I~ ~ ..............
~[ldlogs, ~mflmr ~lartng or pr~, ~ hxlica~e ail at-I~ dl~nmiona
(1~,,~ or: h~lividt~H Ml~ufn§ contract) ,,
~)ra Lo I~fore ,u thi.