HomeMy WebLinkAbout25013-zFORM NO. 3
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25013 Z Date JULY 13~ 1998
Permission is hereby granted to:
FRANCES M DEEGAN
410 HOMESTEAD WAY
GREENPORT~NY 11944
for :
ERECTION OF A 5' HIGH CHAIN LINK FENCE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 038
pursuant to application dated N/A
Building Inspector.
665 GILLETTE DR
Block
19
EAST MARION
0004 Lot No. 003
and approved by the
Fee $ 35.00
Bulldi~ Inspector
ORIGINAL
Rev. 2/19/98
~ FOEH NO.
TOWN OF SOUTIIOLD
BUILDING DE PARI~4ENT
TEL~ 765-1802
BOARD OF tl~oTtl
a ssts q~/~+s ...............
sorvsv .f.~ ....................
SbrPTIC FORH ..................·
HAIl, TO: ....................
a. 'Ibis appllcatios~ mst be conpletely filled in by tTl~riter or tn i~ n~l md~ltt~ to ~m Adlding lns~ctor
3 ~ts off pl~, acmrate plot plan to ~ale. F~ ~ccordiq to
b. Plot pl~ fl~i~ l~ti~ o~ lot ~ of ~lldis~s ~ p~t~s, ~latt~ddp to ~jotnt~ prmt~s or ~sl)llc
struts or areas, a~ ~ivi~ a ~t~il~ ~a:riptto~ o[ laya~t o[ pro~rty ~mt I~ dr~ m the die,an ~dch is I~rt of
this aa~l icatiu~.
c. '~{e w~ ~r~ IF fids a~licoti~ my ,~t tm cm~ ~fore issue of ~dldl~ Pemit.
d. U~ a~al off fl,ia a~licati~, tim l~ildl~ lus~ctor will is~ a ~ildlng PemiC Co tim e~liont.
~miC ~,all ~,~pt ~ fl~ ~s ~ail~le for ins~ti~ th~t tt~ ~rk.
e. ~ ~ildi~ grail ~ ~i~ or ~ in ~le or in ~r~ for aW ~ ~mt~er moil a ~rCiftcaCe of
· ~H.I~'FI~ Is I~ }~ to tt~ lh~ildi~ ~rt~at for the i8~ of a ~ildi~ ~mit ~r~t to
{~ilding ~ ~i~ of t~ 1~ of ~:fl~ld, ~ffolk ~, ~ Yo~, ~ oO~r a~li~le I~s, ~J~es or
~lati~a, ~r tbs ~rt~tt~ of hflldt~s, ~itt~s or alter~ti~s, or for ~al or ~litl~, as
~sertl~. ~m applt~c ~a to ~ly vi~ all a~licable l~s, ordinates, ~{ldi~ c~, ~l~ c~,
re~dati~s,~m~ to ~iC ~riM in~tor$ o~ ~mi~s aM in ~ildi~ for ~s~ tns~ti~s.
(81g~ture of a~lic~t, or ~, if a coition)
(~ilt~ ~mss of
State ~r a~lJcenC ts ~r) les~, ~en~, archlt~t~ engh~r,'ges~ral c~tractor, elec~rlcJafl, pl~r or
....... ~~~... ~.~.~ .~.% ....................... ~..,~. ~: ........
· ~ o, ~ o~ ,~l....~.~,~ ....... ~e .... ~ ............. ~~~.~
If ea,a~ant'cant is a co~rati~,~ s~si mrs o~ dul y,~O~,ri~ff ,/ ~°[f~er' ~L~]~~:m m [~ ~ THE
( / s. ~
V ~dl~rs I,ice~ m...t.~..~ ................ ~[~~0
Pl~rs Lice~ ~ ........................... ~ flO~$Y~U~ION SHALL S~'
"" THE REQUIREMENTS OF TH~:-
~l~trici~s l,i~ E ...................... $TATE CONSTRUCTION & ENEF
Otl~r ~'e [ice~ ~ ..................... CODES, NOT RESPONSIBLE
DESIGN OR CONST~UCTIOI~ E~KO
I, l~o~i~ of [a~ ~ ~sid~ pr~l ~rk will ~ <~ ............................. ;
.... ............. ............. ................
I~ ~r Strut .t l~et
...... ............. .............
~i~i~~.~..~,~ .......... ~,~ ~ ~...~.D.~.~. ~ -..~.~- .....
2. State existing u~ a~ ~ of I~ent~8 ~ inte~ ~e ~ ~o~ of pm~
a. F~sti~ ~ a~ ~y ............................................ : ................................
b. Tnte uae and occupanc~ ...................................................................
3. ~atu*'e of v~otk (d~k ~l{i~t app!icabte)~ ~ ~lldlog .......... ~ltia~ ..... era~ion ..........
~ ....
{ PLOT DIAOI{~H,
fr~. proi~rty l{~z. Oi~ a~ a~ ~i~ ~d~r or ~acripti~ acco~ln8 to t~, a~ ~ street m~ma ami
ilm[ th9 ~rk ~itl I~ ~r~on~l t~t the ,,Fm,~r ~C forth in the al)pi tc~toll ~[1~1
. HELENE o. HO~N~ j /~,~ of N~l~t)
Commmsion Expim~ May 22, 19 ~