HomeMy WebLinkAbout25034-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. 25034 Z Date JULY 15 98
Permission is hereby granted to:
for :
BERLY E STEADMAN
PO BOX 13
MATTITUCK~NY 11952
ERECTION OF A 4' FENCE AND 5' FENCE IN REQUIRED YARD AREAS.
at premises located at
County Tax Map No. 473889 Section 121
pursuant to application dated JULY
Building Inspector.
9395 SOUND AVE
MATTITUCK
Block 0002 Lot No. 004
6 98 and approved by the
Fee $ 35.00
~p~eBulldl~ s ~
ORIGINAL
Rev. 2/19/98
SURVEY ........................
CIIBCK .........................
SEVTIC FORH ...................
NOTIFY:
CAt .......
HAIl. TO:
APPI, TCAT1ON FOR BUTLI)INO PERHIT
INT]'RUCTIONS
a. 'Ibis applicaCtoo must be canpletely filled in by t~ix.~rtter or in Ink ami md~.itted to rl~e ~,ildlng TnapecCor ~i
3 r~ta oE plar~, accurate plot plan to acale. Fee accordir~ to ~w. hedule.
b. Plo: plan dx~ing location of lot and of butldi,&a on ~remi~ea, ~latt~dF to
str~ts or areas, n~ Blvt~ a ~tall~ ~:ripCt~ o[ layonC o[ pro~r:y ~mt I~ dr~ ~ tim dla~an ddch is ~rt of
this appl icati~.
c. 'fl~e ~ ~r~ I~ tiffs a~licati~ ~y ~ be cm~ ~for~ issue o[ ~ildl~ Pemit.
e. ~ ~ildi~ droll ~ ~pt~l or ~ In d~le or In ~rt for a~ ~
~5.I~TI~ IS t~ ~ Co tl~ I~Hldi~ ~r~nt for fl~ issue o~ a ~ildl~
~laci~s, for fl~ ~st~ti~ of hfildi~, ~itt~s or al~eraCi~, or for ~al or
~~ ~ a~lt~ o~, ti ~ co.ration)
(~ili~ ~ss oE a~licanC)
SLate t/~etber applicant ia o~er, lessee, a&ent, arcidtecC, engineer, geoeral c(mtractor, electrician, plumber or hHlde
If,applicant ia a corporation, eignature of duly autlx)rized officer, r~~~. ~
' N~ ~ DE~ENW~T
7~1~e~4~ ~R THE
title of co~rate officer) ~~
I ~~ · ~ R~U~ED
l~,ilders License No .......................... ~ ~ '~ ~'& I~.U~BING
Pl~rs bice~ ~ .......................... 4. FINAL - CONSVflU~ION MUST
gl~trici~s l,lce~ ~ ...................... ~M~E ~.
ALL CONSTRUCTION SHALL MEET
Oiler ~'a Ltce~ ~ ..................... . THE REQUIREMENT~ OF THE N.Y.
~oti~ o~ ~ ~ ~,id, p~ ~ ,lu ~ ,~ ...................... 'COO~g."~'Ot '~g~6'~l~'~k*'"
...... ~3~.~ ........ ~h. ~v~' ........ : ............................... ~?!~~?~ ~ ....
I~ ~r Strut l~e~
~,~ ~.~ ~ No. ,~ ~,,on ..~ ....... ,,.~ ........... ,~, ...z. ..........
~t1~ t~p '
~Mi i i ' ~ .......... , ..... lat ...............
(~)
a. F~t~ ~ a~ ~y ..... ~ · ' ...........
I0.
II,
12.
13.
15.
I}lnaflalam of ~m atnm~ra wlltlt altarach~a or '~ltlofls: Profit ............... ~ar ...............
I~pth .................... I~t~lt .................... ~d~r ce Stories ...............
~./~etber l,terior or corner loc.
). ......... I~111 excess I~ill be retired fl'~n premises.- Y~ NO
,. .......... ,o.
~I~'F~'A~'~.~ ............. A&lress . I'1~ ~ ~.~i~. V{~ ....l~a NO. ..
....................... /'~ldress ................................ H~o~ No ............
PI.OT DIAGItAtt.
locate clearly and dlatinccly ~11 buildlr~ta
exiacinlt or proposed, a~d ialicaCe all ~eC~t~ck dineaeions
according to deed, a~d M~ street r~s ar~! indica~:e
..... ;?~0~ ...... ~~"l' ..................... t~tlqt duly ~)r,, de x)~n aixl ~y~ Lime he
(~it~d~tO~ e~nlt cor~rate oE~icer, eta,)
.
aiqfl icatio,; LImE all etatemtts ~x~at~ in thtn aiq)l, lcachm are tn~ Lo t:l~e I~sc oi his k~T~ge
that th~ ~rk ~[t[ 1~ ~rio~l In t~m litl[iter ~C forth in Lhe ni~l. icntion fll~ tl~r~tU~.
UNDA A, O ' '
N~a~ Public. State of N~ /
No. 01DO4811441 - ~
Oua}ifie~ n S~olk County /
Corniness on Expires ~,ept, 3 . ~