HomeMy WebLinkAbout25040-zFORM NO. 3
TOWN OF $OUTHOLD
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. 25040 Z Date JULY 15r 1998
Permission is hereby granted to:
RICHARD & MIRIAM KLEIN
335 MINEOLA AVE
CARLE PLACE~NY 11514
for :
CONSTRUCTION OF A 6' WOOD FENCE IN THE REAR YARD OF A DWELLING AS
APPLIED FOR.
at premises located at 9955
County Tax Map No. 473889 Section 059
pursuant to application dated JUNE
Building Inspector.
$OUNDVIEW AVE SOUTHOLD
Block 0002 Lot No. 005
1 1998 and approved by the
Fee $ 35.00
ildin~gg~
ORIGINAL
Rev. 2/19/98
FORH HO. I
TO~IN OF SOUTIIOloD
BUILDING DEFAR'INENT
'fO~lH llAL1,
SOUTIIOI,D, N.Y. 11971
TEl.: 765-1802
BOARD OF BEALTII ......... ; .....
3 SETS OF PLANS ...............
~ SURVI~(~ .....................
ClIECK ~ ......................
...................
CALL ..................
NAIL TO~ ....................
'Date ................ , I9 ....
s. 'Ibis applicatio~ ~u~t I~ conpletely filial in by L~Tl~riter or in ink and
3 ~s of pl~, acetate plot plan Co ~ale. F~ ~cordl~ ~o
b. Plo~ pl~ ~t~ l~tt~ of 1o~ ~ of ~ildi~s ~ ~i~s~ ~la[iou~dp
struts or areas, n~ givt~ a ~Ea[l~ ~rip~ion of lay~ of pro~r~y ~s~ I~ dr~
this a~l ica~ion.
d. tl~ a~al of ~ds a~ltcati~, tl~ lhild[~ lus~c[or ~dl[ is~ a ~tldt~ Pemit to the applicant. ~ch
~mlt ~mll ~.~pt ~ dm ~e ~all~le tot ip~ttm th~t tim ~rk.
e~ ~ ~ildi~ ~mll ~ ~i~ or ~ iu ~le or tn ~rt for ~ ~ ~t~er ~til a ~rtiftcate
~H.I~'FI~ IS IE~ [~ to tim Ikfildi~ ~partmnt for tim issue of a ~ildt~
IMildiag ~ ~di~ of t~ ~ of ~ltl~ld, ~ffolk ~, ~ Yo~, ~ otl~r a~li~le I~s, ~di~es or
~latims, for tl~ ~st~ti~ of ~Hldt~, ~itlmn or alteratl~, or for r~al or
¢~scril~. aim applier ~a to eo~ly vi~ all a~licable l~s, ordinates, ~ildt~ ~, ~i~ c~, a~l
re~datlms,~$~ to ~it m~rI~ in--toro ~ ~i~s a~ in ~ildi~ for ~es~ tns~tima.
(Signature of applicant, or .n~e, if s c.C. orpora'clon)
'- (tialltn8 address of applicant) '
SLate ~betber applicant i~er~ffleasee, .agent, arddtect, engineer,' get~eral cofltractor~ electrician, pl~ber or
Naue of o~er of pretties ................. '}' .
(as on IJ~e tax roll or latast deed) ~t'~,.~._~ .... /'~%'q.~)c?
I[ aPoIica.,t isa co~poratlc~, sisnature o[ duly autix,rt,~<l o[[,cer. NOTIFY 8UILOING'DEEIm~/J)TN[EIiR~-AT
~5-1802 9 AM TO
4~HE
.................................. FOLLOWING INSPECTIONS:
ou. o co.c.
2. ROUGH - FRAMING & PLUMBING
~)il~rs l,lce~ ~ .......................... 3.
4. FINAL CO~STRUCT[ON MUST
Pl~s Lice~ ~ .......................... ~' . BE COMPLETE FOR
gt~trici~s l,im~ ~ ...................... ALL ~NSTRU~GN SHALL
. ~ THE R~QU~EMEN~ OF THE NY
· .... .......... .......................................
~ivi~i~ ...................................... ~il~ ~k~ ~./~Z~[$~ l~t .. ~ ..........
(~)
2. State exlsti~ u~ ad ~ of I~ni~s ~ inte~ ~ d ~ of p~ c~st~tla~:
...................
a. F~st t~ a~ ~y ...............................................
b. Inte~ u~ a~ ~ ...... ~ .............................................................
(~o ~ [~id ~ ~Jling this
1~ garage, ,MdMr o~ car~ ......... ~ .....................
12, ~s propel amt=tl~ vlolat a~ alug l~, ordi~e or re~ulati~x .,,~ ..................
~ PLOT DIAGRAM *
I~ate clearly a~ dlsti~tly atl~tldl~s, ~mtlmr ~iarlng or pro~, ~ i~licate all ~t-J~ di~nalona
~m, pro[~r~y It.s. Gl~ agog taxi I)~ mtd~r ~r t~acrlp~l~cco~lng ~o <~, a~ ~t~eet m,~a a~l J~iica~e
that tl~ ~rk ~itl I~ ~r~on~l hi tl~ tr~?ter ~t f~rth in the flppl, tcation ftl~ tl~r~td~.
....... t ........... ,,,m,~ .~ .... ~.,,~..?..F
JOY~'M. WILKINS
Notary Publl~, Stat~ of New Yolk
No, 4952246, Suffolk ~u¢~
Term ~pir~ Ju~ 1~ 19~
~....Z..~ ......... ./.~ .... ......
(S~ :m'e ol: Appl icnt ')
7 _
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