HomeMy WebLinkAbout25038-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. 25038 Z Date JULY 15t 1998
Permission is hereby granted to:
KELLY KAELIN
3312 SOUNDVIEW AVE
MATTITUCK~N~, 11952
for :
ERECTION OF 4' POST AND RAIL FENCE IN REQUIRED YARD AREA AS
APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 094
pursuant to application dated JULY
Building Inspector.
3312 SOUNDVIEW AVE
MATTITUCK
Block 0002 Lot No. 006
8 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
PORH NO. I
TOWN OF $OUTIIOLD
BUILDING DE PAR'I~4ENT
TOWN IIM.I.
SOtITIIOI.D, N.Y. 1197 I
TEl.: 765-1802
l) i ~a F4)t'c~e<l a/c ................... ~
(IkJtldIng ln6t~ctor)
BOARD OF UEALTtl ...............
3 BETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
SEI?TIC FORH
NOTIFY:
CALL ..................
HAil. TO:
INSTRUCTIONS
a. 'lhts application mast be conpletely filled in by LTl~riter or in ink and
3 ~C8 o~ pl~, acetate plot plan to ~ale. F~ accordl~ to ~hle.
b. PloC pl~ d~i~ l~tt~ o~ loc ~ of ~tldh~s ~ ~t~s, ~latt~dp to ~jotnt~ p~t~s or B~)lic
atr~t8 or areas, n~ 81vi~ a ~toil~ ~rlptlon of layonC o~ pro~rty ~mt I~ dr~
chis a~)l lcaCi~.
d. O~ a~al of O~is a~i. icaCi~, tl~ l~tldi~ lna~ccor will is~ a ~ilding PemiC to tim appll~C, aah
~ic ~oll ~.~pC ~ O~ ~s ~ail~le for ins~Ci~ CI~C tim x~rk.
e. ~ ~ildi~ ~mll ~ ~pi~ or ~ tn ~le or in ~rt for ~ ~ ~mt~er ~cil
~a.l~'rI~ IS t~ }~ to O~ l~tldi~ ~rt~nC for O~e issue of a ~ildl~ ~mlt ~r~C Co tl~
~laci~s, for tl~ ~st=Ci~ oi hdldi~, ~iti~s or alCeraci~, or for r~a] or
¢~scrl~. ~m appll~ ~a co ~ly wt~ all a~licabte l~s, ordinals, ~tldl~ ~, ~t~ c~, aal
re~daci~s,~m~ to ~tC ~ri~ in--tars on ~t~s aM in ~ild~ for ~es~
......... tlon)
(~11t~ ~ms8 oE a~ltcant) 119~
State ~dmr a~tlcanC Is ~r, le6~, ~enC, archtt~t, engi~r,'get~ral ~tr~tor, electrict~, pl~r or I~dlde
........ ~ ~.. r ~.~..~ ............................................. , .......................................
If a~)tic~nt i6 8 co.ratio, si~re of duly ~tl~)ri~l o[ficer. ~~{~
~ ~O DEPA~ENT fAT
~1~~4~ ~THE
.........................................................
(~ a~ c~C~e o[ co.raCe o~[ieer) ~IRED
~ ~. ~ & ~BINO
~1~c8 ~ee~ ~ .......................... 4. FINAL - CONSTRU~ION MUST
BE ~M~ P~ ~.0.
~cr~c~8 Liee~ ~ ...................... ALL ~NSTflUCTION SHALL MEET
THE flEOUIREMENT~ OF THE N.Y.
Ocl~r ~% C~ee~ ~ ..................... ~TATE CONSTRUCTION & ENERGY
,
3~ ~z ~oondv,~ ~ -- ...; ............................
..... ..... ........ .....
~Mivlsi~ ...................................... ~tl.M ~p ~ ......... ~ ..... 1~t ...............
2. ' State existing u~ a~ ~y of l)r~i~s ~ inte~ ~e ~ ~ of
a. ~sti~ ~ a~ ~y ...~l · t .,~..~,~ ............... ' ...........................
3. a,'am'e o1~ ~ork (ch~.k ~lildl
A, E~l:lmal:.l Co.t .... ............. ~
lx~ I~lldlnft .......... Mdl£i~ ......... , Alteration ..........
l~litl~ ............. Other I,brk
!Description)
(Uo ~ pld ~l £llln8 thta flppllcat:l~)
oF aald o,,~r <)~ ~te, m~l t~ tk~l.y ~Ul~rl~*."d to I~r~onn or h~e l~rFor,~l t.he ~1¢1 ~rk ami to n~ke m~l fl le Lhin
ala)licatltm; time all etatemnt, ca~t iI~ tn ~hLs nl~tlca~t(m are cn~ co tl~e Imac o~ hla k,~l~ga a,d I~l. ie~i taxi
ti,aU thp ~tk will I~ ~r~o~l In tl~ ttmm~r ~t ~orth La the a~t. lcatka~ ftl~ tlmr~tU~.
l~aue clearly and dlati~tly
I~rml prolmrl:y lit~a, Olv~ al:~et
~amtlmr Interior or eo~r loc.
duly ~)ru, delx)~a taxi nnye Lime lie in the appl. l<~m
15.
PI,OT DTAOIIAH.
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~.' RIGHT C,F' bqA'Y --~
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