HomeMy WebLinkAbout25018-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. 25018 Z Date JULY 13, 1998
Permission is hereby granted to:
JOHN H & WF BECKER
BOX 368 N BAYVIEW RD
$OUTHOLD~NY 11971
for :
ERECTION OF A 4' HIGH CHAIN LINK FENCE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 079 Block
pursuant to application dated JUNE 19 1998
Building Inspector.
4415 NORTH BAYVIEW RD
SOUTHOLD
0003 Lot No. 014
and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
FOEH NO. I
TOWN OF
III/ILDI NG DEPAR'II4ENT
'roan IIALL
SOUTI1OI.D, N.¥
TEl.: 765- 1802
Al~n-ov~'..~/.O~.~;~./.. .... 19/..'. e ..................
ale ................... : ..............
....
· ' (Building lns~r~-ctor) KO
BOARD OF HEALTH ...............
3 SETS OF FLANS ...............
SURVEY ........................
CIIECK .........................
SEPTIC FORIq ...................
NOTIFY:
NAIl. TO= .................. ..
'Date ............... ,I ....
INS'fRUC'FIONS
a. 'Ibis application utmt be c~npletely filled in by typewriter or in Ink and mi~itted to the Building Tnapector
3 r, eta of plane, accurate plot plan to ~cale. Fee according to acl~lule.
b. Plot plan sbo~alng location of lot and of buildings on premises, relatlunahip to adjoining presides or lxd)ltc
streets or areas, and givir~g a detailed dea~:rtptico of laycot of property mist be dratnn on the dlagraa d~id~ is pert of
this appl ica|ion.
c. 'Ihs ~ork covered I~] this application may not be cmuenced before issuance oE Building Penni|.
d. Upoo approval of this appl. icatlo~*, the l!uildlng Inspector will| issue a Building Pemtt to the applicant.
permit shall be,kept on the prendeea available ~or inspection thrcuglmut the work.
e. I~o building ~lmll be occupied or used in vivole or in part for any purpose dm|ever until a Certificate of
Occupancy shall have been granted Ir/ rl~e Butlding Inspector.
APPLICATICH IS }ill. BY N/~ to the lhlilding l~epartment for the issuance of a l~ulldlng Penni| pursuant to tbs
I~uilding Zone Ordinance ol~ the Toan of 8on|hold, ~uffolk County, I~ York, and other applicable l~aa, Ordlttancea or
Relg01atlooa, for tim cun~t~uctton of t~tldtngs, addittcms or alteraCtuna, or for reroval or demolition, aa herein
described. Tim applicant agrees to comply with all applicable la~s, ordinances, building code, housing code, and
regulations,iraqi to admit authorized inspectors on premises and in buildln~ for nece~arg inspections,
(Signature o[ ppltcan or , if a corperatio~)
(Nailing ad~}reaa of a_nplicanO_z~. ,/
State ~d~ether applicant is o~er, lessee, ~o~nt, ?chltect,.engineer,' general cee|factor, electrician, plmt~er or |xdhte
....................... ~ ......... ~ .~' · :4 · ~,' .......... 5>~" "~'~' ....................................... '
,,.|.s ' .... ...... ..........
NOlIPt BUILDING DEPA~'MEN~ AT
If applicant is a corporation, signature of duly autl.~rlv~l officer.
(Nam and title of corporate officer)
/¥.,T---
Builders l,icer~e
Pb~nbera LicenS~ Eo .............
Electricians I,tcerme
~l~,~I}~ I AM TO 4 ISM FOR THE
~. It~,ll~ - ~ REQUIRED
4. FINAL - CON$~fON MUST
BE COMPL~ FOR
ALL CONSTRUCTION SHALL MEET
Other Trade% License t~o ..................... THE REQUIREMENTS OF THE N Y.
I. lots|text of land o~ vhid~ proposed ~rk wtll~ (~ ........................ STATE ~O~'T~U~T~D'&"ENE~Y'"
2. State exl.ting u~ a~ ~y of preside a~ tnte~ ~e ~m~ of p~ ~stnmtlee~
b. Intended o~,e and occupancy .............................................................................
3, I~am'e of ~ork (ctmck ~lilch appllieable)l ~ Ihlidlng ........... ~itia~ .......... Mreracioa ..........
I~l~lr ............ ~al .... , ..... ' ....l~litl~ ,, ........... Ocher t~ ..................................
I (~rlpti~)
I .
(to ~ ~ld cm filing this al~llcatl~)
5. If &~lll~, ~a~imr o~ ~llh~ unlta ............ tl~l~r o~ tk~lltng tmita tnt ea~ H~r ................
If garaga~ ~dmr of eara ..... , ................................
I,
7, Dl.~nalom of ~Iatlng atnmtur.:a, if any: ~t ................ ~ar ............... ~p~h .................
Dlnenai~m o~ ~m atnm~ra wi altaratltma or'mHlclonaa Front ............... ~ar ...............
I~pth .................... !~1 .................... ~t~tmr o~ 8toriea ...............
I)i.~nMam o~ entira ~ ~at I;t~ [~t ................ l~ar ............... ~pkh ..............
I~l~t ........................ ~dmr of 8torlea .....................
9. 8i~ of ~o~l t~t ..' ......... : ......... ~ar .................... ~pch ... ..................
II. ~m or u~ diatrtet In M~ldt pk~l~a a~ ai~t~ ..............................................................
12. ~a propel ~mt~tJ~ vlol~ta a~ ~Ing I~, ordl~ma or regulatl~
13. 9il1 lot Im r~r~ ~ ......... l~ .......... 9ill ~eaa fill Im r~
14. ~ua of ~r of p~l~a ........................... &klreaa ..............................
~e of Arddt~t ...................... ~ ............. ~lreaa .............................. ~ ~ .............
· ~ of C~tr~tor ................................... &klreaa ...............................
15. la thla p~rty within ~ f~:.og a riehl ~la~? * W3 .......... ~ ..........
PI,OT
l~ate clearly ~ dlKl~tly ~tl ~tldl~n. ~tl~r ~ln~tn~ or proDS. ~ l~ltcat~ MI ~-I~ dl~nMo~o
~dmtlmr Interior or co~r lot. n._
..................... I~a[n{t doly ~worn, delx)~s taxi mays Lime he la the appl. it~mt
corporate o~icer, etc.)
authorized to lYarfonn or Imve l~rforl,~l t,he ~id ~rk taxi Lo n~ke o,xl file this
at~ in ti{ts nl~l. icatltm ara tn~ to the I~st o~ his kt~l~ga
sum~r ~t forth in the al~l. lcatton film
WOBEKr I. ~COTT, JR.
'rsrm ExCre, Iv~ 31, ~