HomeMy WebLinkAbout25026-zFORM NO. 3
TOWN OF SOUTHOLD
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. 25026 Z Date JULY 13, 1998
Permission is hereby granted to:
PATRICIA A DURYEE
625 COREY CREEK LANE
$OUTHOLDrNY 11971
for :
ERECTION OF A 4'~¢~¢T~J=~$~W~ FENCE AND 6' ~+~A~FENCE WITH
GATE IN REQUIRED YARD AREAS AS APPLIED FOR.
at premises located at 625
County Tax Map No. 473889 Section 078
pursuant to application dated JULY
Building Inspector.
COREY CREEK LA SOUTHOLD
Block 0004 Lot No. 025
2 1998 and approved by the
Fee $ 35.00
Buildln~/Inspect~
ORIGINAL
Rev. 2/19/98
nimltlt~l~l'tl ......... : .....
~-91~N~J~NS ...............
SURVEY ........................
CI1E~K .........................
"~L'.'~TI~ y_~,~ ..................
HAIl. TO: ........... , .........
applicant is a corporation, signabJre of duly uutlg)rizc.~l o[[icer.
........
,~T~le'e License Ho .....................
~18l~ ~ AM TO 4 I~1 FOR THE
~. WOUld{, ~ & PLUMBING
$. II~Ut~flON ,
4. FINAL - CONSvRUCTION MUST
BE cOMPLEtE FOKC.O.
ALL CONSTRUCTION SHAL~ MEET
THE REQUIREMENTS OF
STATE CONSTRUCTION &~R~
I. I~co~ioa of laud tm sisidl proposed xaurk ~ill ~ (~ ....................... ~E~."NO7' flESPONS~t~'" ~
DESIGN OR CONSTRUCTION ~R~
I~ ~r Strut Ib~et
~t7 Tax ~p ~), I~ ~ti~, '~ g Bl.~k ~. lot ~.
~tvls~ ...................................... Fil~ ~p ~ ......... ~, ..... I~t ...............
(~)
.....---- .....................
b, ]nUe~ u~ 8~ ~ ..... ~~ ...... ~-~ ..........................................................
3 sets of plan~, accurate plot plan to scale. Fee according to schedule.
b. PloC plan ~ho~ing location of loc and of b~ildi~s on F~t~e, ~lati~ddp to ~jolni~ p~i~, Or ~)lic
struts or areas, a~ 81vi~ e ~tali~ ~:riptt~,
this a~)l icati~.
d. U~ a~al o~ ~ds a~l. tcatlon, tim l~ildl~ lns~ctor wtl[ is~ a ~tldt~ ~mlt to tim apOllc~t. ~h
~it Mmll ~ ~pt ~ dm ~a ~a/l~le for tns~tlm theft tl~ ~fk.
e. ~ ~iidi~ ~mll ~ ~pi~l or ~ In ~le or in ~rt ~r ~ ~ ~mt~er ~til a ~rtiHcate of
~H.I~'H~ I~ tE~ ~ to tl~ l~tldi~ ~Dart~nt for
I~ildin8 ~ ~di~ o~ t~ T~ o~ ~tl~ld, ~olk ~, ~ York, ~ otlmr a~ll~l~ l~a, ~l~es or
~lati~s, for tl~ ~at~ti~ o~ ~fildt~s, ~iti~ or alterati~s, or for ~al or ~lttt~, as ~reln
~scril~. ~m applier ~s to ~ly vim all a~}Icable
re~flaCi~s,~m~ Co ~tC ~rt~ i~tors on
.... : ....
(Stg~ture oi e~it~t,.~r ~,~ ~ c~r~tmn)
State ~r a~ltcan~ is ~r, 17~, ~epb~ardiit~t, en~r, geeeral c~t~tor, electrici~, plier or h,~hle
.........l~.~.a ~,~.~. ~ ....... .~.~ .... ~ ~.~.~ ~.~ ............ · ....................................
~ED~ N~ED .
(ee ~ tt~ tax ~lt or latee~ d~)
N~ ~ ~ENT ~T
~am',. (P: ~rk (d,,eck ~4i, td~ np~tlcah~e)~
l)e~l i~la~ ,. .......... Ocher
(to be paid ~m £11ing this appllcal:lca~)
6. ~ Ixmis~an, ~:erclal or m[~l ~oq~ ~ct~ ~l;ure m~ extent o~ ead~ ty~ o~ u~ ......................
IHnenMa~zrn~mre ~tlt alrerarl:ms or'a~lClona: Front ............... ~ar
PI.OT DIAOIIAH-
fron prolmrty lI~a. OI~ nt~t m~ bl~ asdmr or ~hncrlpt[~ according to (~, a~ ~ ntreet ~ma aal t~licate
~dmtlmr interior or eo~r
.......................................................................
(O~l~t~C~()f
that the ~k ~llt la ~r[o~l tn ti~ .umber ~c forth in Lhe nl~l, tcation fll,~l tlmr~tflt.
~)rn to I~fore 1,~ this
No. .,
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