HomeMy WebLinkAbout25024-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. 25024 Z Date JULY 13~ 1998
Permission is hereby granted to:
ELIZABETH HARTMANN
PO BOX 1582
MATTITUCK~NY 11952
for :
ERECTION OF A 4' AND 6' STOCKADE FENCE
APPLIED FOR.
IN REQUIRED YARD AREAS AS
at premises located at 975
County Tax Map No. 473889 Section 038
pursuant to application dated JULY
Building Inspector.
SHIPYARD LA EAST MARION
Block 0001 Lot No. 010
8 1998 and approved by the
Fee $ 35.00
Buildln~Ins~ect~r
ORIGINAL
Rev. 2/19/98
TOWN
TONN OF $OUTUOLD
BU'ILD] NG DF, PAR'I14EHT
'I'ON H IIALL
SOUI'IIOI,D, H.Y. 1197 I
Tgi,; 765- 1802
Ih sappro~! al(: ................................
~SURVEY ' . "
/cn~c~ ' · ....
SEPTIC FO. RH .............
NOTIFY:
27=
HAil. TO: ....................
APPLICATION FOR BUILI)IN(~ PERHIT
IN$'rRUCTIONS
n. 'lhta appltcntioo m~t be conDletely filled in by.tTpc~riter or in ink nr~i m~itted to ~lm Ikdlding I~ctor
' 'j~s ~f pl~, ~rate plo~ plan to ~le. F~ a~co~i~ to
b. PloC pl~ ~J~ l~ti~ of lot ~ of ~ildt~s ~ ~t~s, ~lati~dp to ~joint~ prof.s or ~)l/c
struts or areas, ~ gtvi~ a ~tatl~ ~ri~t~ of lay~ ag pro~rty ~la~ ~ dr~ ~ tim divan ddch ia ~rt
rids
d. O~ aw~al ag Offs a~l.i~ti~, tim l~ildiq l~cror ~*ili is~ a ~ildiq ~mtt to tbe applier. ~th
~mi~ i~ll ~ ~pC m ~e ~s ~ail&le for ins~ti~ tl~C tim ~rk.
e. ~ ~iidi~ Jmll ~ ~pied or ~ tn d~le or in ~rC for ~ ~ dm~mr mtil a ~rtificate of
~ ~mll I~e ~n ~ by ~m ~dldi~ l~gtor.
~,1~'~ IS Ig~ t~ ~o O~ I~dldiq ~rtmnt for Om issue ag ~ ~ildiq ~mit wr~r ~o
Ihildi~ ~ ~di~ of ~ 2~ ag ~tl~ld, ~ffoik ~, ~ York, ~ otber a~li~le I~s, ~di~es or
~lari~, for rim ~r~rl~ ag hfltdi~, ~iCt~s or alterari~, or for r~al or ~liri~, es ~tn
~ri~. ~ ~ppltm~ ~s to ~ly ~i~ all a~llc~l)le l~s, ordim~m9, ~tldiq ~, ~[q ~,
re~dari~s,~m~ ~o ~ic m~ri~ l~ors o~ ~i~s ~ in ~[ldtq for ~e6~
(~tliq ~ss of a~licant)
Stare ~mOer a~lican~ t~ ~mr, les~, ~enC, archit~t, engi~r,'gmeral c~tr~tor, el~rrici~ plier or h*ilde~
......................... ............................................. , ......................... ............
~ APeRO~ED AS NOTED
. . FEE. V BY:
If a~)tic~nr is a co~ra~i~, si~e of duly ~t~r~l officer. N~I~ BUILDING DE~~
~-1~2 ~ AM TO 4 PM FOR THE
........................... ~_~
4. FINAL - CONSTRU¢ION MUST
El~rici~G l,i~ ~ ...................... A~ CONSTRUCTION SHALL MEET
,THE REQUIREME~S OF' THE
O~l~r ~'8 ~ice~ ~ ..................... STATE CONS~UCTION
........ ......... ..............
.......... .......... ..' '...
......... · &~. ............. ..
I~ ~r St~t i~et
~ Tax ~p ~, I~ ~i~ .... ~,.,.,... ~1.~ ,,., ..... ~,', w~, ................ . .
~ivl,i~ ...................................... FiI~ ~p ~ ......... ;~.~,,, !~ ~ ..............
(~)
2. StaCe exi.s~ing u~ ~ ~ of I~i~s ~ in~e~ ~e ~ ~ of pm~
,. ~,rt~ ,~ ,~ ~x ..... ~.~ ~ ~,.6~ ............................. . ...........................
b. ~,r,~ ~,~ ,~ ~ ...... ~(Y.~g~N~ .......................................................
T
(to ~ ~ld ~m filing thia al~licat']~) '~
5.
[)]senaio~a o~ ~m at~e~ ~th al:eratl~ma o~ 'm~i:lona~ Fret ............... ~ar
.I PI.OT DIAORAH ·
~ ..... I.,eh~l:: d~fly ~.~)rn, deix)ee.e et,xl ~ya
(C~tractor~ nRent~or~rnte o~lcer, etc.)
I
of said t~mr or m~rs~ e~xl la ¢haly ~tl~cl~ to i~r~om or h~a l~rfor,~l I.ha ~ld ~k at~l to
*~l~llc.ttnn~ kh.t ell stat~m~ts ca~tg~ tn this alq~tlcat[~l ara tn~ ~o the Imst of his k~l~8e
that th~ ~rk will I~ ~r~on~l In t 9 ant~v ~t farth tn the al~tlcatton fll~
(Stt~l:mre of Applicator)