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Home My WebLink About25035-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. 25035 Z Date JULY 15, 1998 Permission is hereby granted to: RICHARD W SLEDJESKI 1040 HOMESTEAD WAY GREENPORT~NY 11944 for : ERECTION OF A 4' AND 4 1/2' CHAIN LINK FENCE IN REQUIRED YARD AREAS AS APPLIED FOR. at premises located at 455 County Tax Map No. 473889 Section 035 pursuant to application dated JULY Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 021 8 1998 and approved by the Fee $ 35.00 Building InSpector f ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD ~1~!~1. ,,~],,o~li II[Jl~ BUILDING DEPARTMENT ILILII out: ow iWl TOWN HALL / ~ I ?~ ] SOUTHOLD, N.Y. 11971 /, L .,.~ ~,;;~ I ~- 7651802 / ; h, BLDG. DE~. ~ I ~L.: ' /. ~ ~W~OF ~UTHOLD .... I ~ , ' ...... , ' · Disapproved. a/c ................................ ( · · ., APPLICATION FOR BUILDING' PERMIT INSTRUCTIONS BOARD OF IIEALTII ......... 3 SETS OF PLAHS ......... SURVEY ................... CHECK .......... HAIL TO: ;-~-1 f-al?plica,/~' is a co/vl?oratiou, sigoatq[ff'~f duly authorized officer. . (~ and title of corporate offi ) Builder's I.~cense No .......................... lqumber's License No ..... '..' .................. Electrician's License No ................ . ....... Otl,er Traae's License No. ~ ~ :. {~ .... a. Tlds apl}lication ]nnst be completely filled in by typewriter or iu ink and submitted to the Building Inspector, with 3 sets of plans, accnrate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises 'or public stCeets or areas, and giving a detailed description of layout of properly mu~t be drawn ou the diagram which is part of this applP eation. c. The work covered by this application may not be commenced before issuance of Building Permit. ~ d. U >o ~ approval of this application the Buildiug Inspector will igsued a Building Permit to the applicant. Such permit simll be kept on the premises avallabl'e for inspection thronghont the work. e. No bnilding shall be occupied or used in whole or in part for any purpose whatever.until a Certificate of Occupancy shall have been granted bY the ~nilding Inspector. APPLICATION 1S ItEREBY MADE to the Bnilding Department for the issuaoce of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, aud other applicable Laws, Ordinauces or Regulations, for the construction of buildiugs, additions or alterations, or for removal or demolition, as herein described. The applicant ~rees to co np y with all applicable laws ordinances, building c~ hou~g code, and regulations, and to (Mailing address of applicant) Slate whetb~;, a~;i~ant~l, is~owner,, )les~e~agen[' architect, engineer,' general contractor, ,electrician, p~tunber or builder. ...... ...... ..............- ..... ,. '.: ............ . ......... Name of owner of premises ~[~..~. %~.ee~.~,~l.. ~~,,,~.... (as on the tax roll or lat~O~ aY:~ 7~1~ S M ~ 4 ~ F~ THE 1, ~ ' ~ RE~IRED 4. FINAl. - CONST~UCTI~ ~US~ BE COMPL~E FOR C.O. 'ALL CONSTRUCTION SHALL MEET ~HE REQUIREMENTS OF THE NY. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Localion ~f landoo which proposed work will ~e done ................ , .................................. ...... .. . ....... I lense Nomber Street llamlet County Tax Map No. 1000 Section .... ~.~ .......... Block ..,~.l. ' . Lot.~.~...~.~ .... Subdivision ............. Filed Map No ............ Lot ...... : · · · ~ (Name) 2: S a e extslmg use and occ) ~cy of premises and intended nsc and occupancy of proposed constrnction: ~J~ -t ;~)$ ............... a. Existing use and occnpancy ..................................... b. {nlcnded Dsc und occopancy .... ' .............. c ~'~ ~ " ............. I0, 11, 12. I~. N, ,3. Nalurf ofw k(checkwhicha~plicable): New Building ;". ....... ~ Ad tti0n ,.. ' ' .; - "' · ir ............ Remlova! ..... .,., ...... , Demolition . ........... ,. Other work .. '~/~'~"~ o~ "" .... ' < ' . ~_~ ~& (Descriptio)u 4. Estimated Cost . .V.: '. ........ Fee .... ~ ~'~.. ~ .... ' ' . (to be p~id o~fil,ing this a~plicati~n) 5. If dwelling, number of dwellinff, units ............ .,. Number of dwelhug units ~l{~6br¥':;.;.; ~ ~' ~'Z?..., j.. . If garage, number of cars .... ~ ............. , .......................... , .......................... 6. If bnsiness, commercial or mi,xe]d occupancy, specify nature and extent of,eacl} typ~ of use ............... , ..... 7 .... if any: Front ' Rear De~th' ~ Dimensions et ex,sting at,otter, s lleight Number of Stories ' ' Dimensions of shine stmctnro ~Hh ' ' ' Front Rear . . alterations or ad~ht~ons: ...................... ~ ........... Depth lleight ' ~ Number of Stories ' ' ' 8 .... Front Rear Depth ~. Dlmens o is of entire uew constriction, Height . ~ .~ '...~ ..... Number of Stories ....................................... ................ Size of I6t: Front YR~ ~ Rear ~.~ ' Depth Dale of Purchase.... .. . . .. .....~ ......... ' ....... '... Nam~ of Former Owner .................. ,... ~ ..... ' ' ' '" Zone or use district in winch premises are situated ..... . .................................. · ) . , , Does proposed construct on v o ate any Zolung law, ordina ice or reeulatton: ......... ; .. ...... ' .... Wdl lot be regraded ....... ~. . .,. ~...., ......... Wdl excess fill be removed from premises: '. Yes Namo of Owner of premises ~0. ~/~.eS~ ,,Address ~[Z~'~ ~/X~fl~2~hone'No.~7 Nam~ of ArchitSct .......... . .... ............. Address ................... Phon9 No. '; ........ ~..: .... 15.' t.s chis prop~r~y within 300 feet of a .tidal 'wet,and? *Yes ........ No, ~,...; .' ~If yes, Soutbold ]own Trustees Permit may be reqnired. :' , <~l< Locate clearly and distinctly all properrty lines. Give street and block interior or comer lot. PLOT DIAGRAM .~', ~:, ~ : ,. :bnildings, whether existing or proposed, ~ind. lildlcate all set-back dimensions frdm number or description according to deed, and show street names and indicate whether .... being duly sworn, clepose9 and says that'lie is tile applicant ' i k.~ontractor~ageut, cor'porate officer, etc.) · of said owner or owoers, ami is dulylanthorize~r£orm or bare performed the.said work and to make and file this application; that all statements contai~md in this application are t'rne to the best of bis knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. S om to befor~e~his ' i ' Nota~ Publi nt .