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HomeMy WebLinkAbout25076-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. 25076 Z Date JULY 31~ 1998 Permission is hereby granted to: JOAN W. NORKUS & GAIL W. MOULT PO BOX 655 MATTITUCK,NY 11952 for : CONSTRUCTION OF A STOCKADE FENCE 4' MAXIMUM HEIGHT IN FRONT YARD "AS BUILT". at premises located at County Tax Map No. 473889 Section 126 pursuant to application dated JULY Building Inspector. 7972 GREAT PECONIC BAY BLVD LAUREL Block 0011 Lot No. 016 30 1998 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 FORH NO. I TOld~ OF SOUTltOLD BUll. DING DEPARTHENT TOI4N II^LL SOUTIIOLD, N.Y. I 197 I TEl.: 765-1802 D i ~appr~'ed c .................................. APPLICATION FOR BUILDING PERHIT BOARD OF IlEAL'M1 ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORM ................... .NOTIFY: CALL ................ .. HAIl, TO: .................... INSTRUCTIONS a. Ibis application trot I~ c~]etely [illed in Dy t-yl~.~riter or in ink ~l ~itt~ to the ~dldi~ Ins~ctor with ; ~ts o[ plans, ack,ate plot plan to scale. Fee acco~i~ to sch~de. b. Plot plan ~i~ l~atim of lot ~ of Imildi~gs m ~mi~s, relatimship to ~jolning ~i~s or ~hllc ;trots or areas, taxi 8{vi~ a ¢~tail~l (D~ript'{~ of I~,: of p~rty mint Im dram m the dln~ ~lid~ is part of his 9~1 icati~. c. ll~ ~rk c~ by this ~licatlm ~ ~t I~ c¢~1 lin[ore ismmme of ~dldi~ Pemit. d. U~ a~al o[ thls a~licatl*~, the l~JildhB lns~ctor will ]ssm a ~Jildlt¢ ~mlt to the a~llcant. eonir Mmll ~ kept m tim ~i~s ~ailable for ion~tlm I:hra~a~t the turk. e. ~ ladldi~ ~mll ~ ~pi~l or ami in ~mle or in l}art for a~ gJr~ ~mtmr tmtll a C~rtlflca~e of ~;I~TI~ IS IE~l~ ~ to tlc I~ildlng l~Dart~at for I.l~e iss~mme of a hdldi~ Pemit pw~nt to the uildi~ ~ O~im~e oE ~ ~ of ~tlmhl, ~fffolk ~mty, ~* York, ~ other a~llcable l~s, ~i~es or e~lati~s, for tim ~st~tlm o[ ~ildi~s, a~itlms or alteratlms, or formal or ~ition, as ~ri~. ~e a~lic~t ~s to c~ly wlth'all a~llcable 1~, ordlm~e~ldi~, ~msi~ ..............~~'~~)~ '. .~'~' ..... : .......... : .... / .... ;3~; :q.-V/ .... ;. .-¢..y-- Cate ~.~[~[..~.~.~.mr, , a~nt, arditt~t, engi~r, ~ral cmtractor, electrician, plier ~ I~ilcer ........... : ~' ~ ' "~' ~. ~ ......... A ' " ~ "~' :~'~. ................................................................................ _ o~ ~ ~.~.~~.,.~o~....ao.~...~.o,c...w..,bt,~.~9.,...o,..~:,~.~ .... ~ i.' .... ' ~* ' 2 ' ~ ' * ' ~ ...... ~t~r~:*~' ~ ' " ~ .............. ~ihkrs LJcen~ ~. ' Pl~rs Lic~ ~. "*' ., e,', (:I , gl~tricians Licen~ ~ ......... ~. ............ O~mr ~8 I. icm}~ ~ ..................... . l~aLim o[ la~ ~ ~fich ~1 ~rk ~ill 1~ ~ ......................... , ..... .__., .................. .............. 2.~ ............. ~~ ................................................... l~m ~r 8t~t/ l~et ~, ~ ~. ,~ ~,~ .... Z.~ ...... ~,~ ...... /! ....... ,~ ........ Z.~.. ~ivi~im ................................... Fil~ ~p ~ ............ I~t . ~ .... a Existi u~ ~ ~ . . . . ....., .... ...... . ........... · .................... . . . ~ -.~ .... -.~x~.~.~j ................................. // ~ ~ o~.~ ,~,~,' ~.. ,~',,,~ '1. I0. II. ~3. I/I. 15. Iq~ir ............ I~al ,~ ........... , ~.,~(l~ti~s) E~I: iu~t~l CX~st ............ ' ............ fee .................. ~ ....~'~;~'¥, ~-' ........... I~ Bflrage, ~d~r of ~at'~ .................................... If I.mi,mas~ ~mrclal or mi ~1 ~:o~l~c?, ~[~clr~ nfll.tl~e m.I ~xtent of end~ L~I~ of u~e ...................... I)imnMCxss uE ~i~tlng ~En~L,,re~, if any: t~r~st: ................ l~or ............... ~p~h ................. I)i.~nsi~s of entire ,~ ~.sstn.:l'lc.~: Ftcmt ..... , ........... I~.r ............... ~pth .............. I~t~lt ..................... ' ~I~F of ~torie~ ..................... l~ffe e~ l~Jrdm~ ........... ~ ......... ~s~ off Fonmr ~r ........................................ 2zx~ or u~ distrtct i, ddd~ pre. ise. are n{L~tel .............................................................. ~111 lot I~ re~rm~ ....... ; ............. ~ilI em:ess fill I~ res~ Finn pre.l~a: YES ~u~ oF Ardlitee~ .................................... ~lresfl .............................. 1~ ~ ........... · ~s~ off C~tractor .................................. ~klreflfl ............................... t~c)[~ ~ ........... lfl Ihifl pmlmr~y within ~) f~C off fl ti(~t ~Llmgl7 ~ YIL~ .......... ~ .......... PI.OT I) I^('lll^H clearly etd dlslclnel:iy sll I~dl(llngs, ~etlve;c existing or proposed, end hxltc~l:e sll ~el:~lmck dlmenMons pro[x~rLy liees, flim 8tr~l:lsr~l block txfd~r or ¢le~erJpt:Jcxi tu:conlln§ I:o deed, e~l eJ~cx~ etreet narefl m~l iwlicnte whether inter|or or con~r lot. occe ,^ cY OR USE"IS UNLA' FUL WITHOUT CE IFIC^TE OF OCCUPANGY --APPIU)V[D AS N~ED ~ , NOTIFY BUll. DING : ' 7e~.teol Il Aid TO 4 ~ FOR ~E 1 ~ON - ~ REQUIRED ~. ~. ~ & pL~BING ~. FINAL - CON$~RUCTION MUST BE COMmiE FOR C.O. ALL CONSTRUCTION ~HALL ~EET (xXJ~l'( (X' ~,° .~.~.~'(~' i SS THE REQUIREMENTS OF THE N Y. .................... ~ ~ATE CONSTRUCTION & ENERGY ~.. ~ , CODES. N~ RESPONSIBLE FO~ .~... ~'....~ r ~ ~ ~ ....... ,~,,,, ,,,,,, ,~,,.,,, ,,~,~,,~,,~, ~r~,~ (~sm o1' isxhvidm ~ll~ sl~ (m 'mt) ,,,. ~, ,,,, ...... ...... ~(~ ........ ;, ...... . ,:'":", .................................................. ((k),trnct()r, fll~ent:, corlx)rnt.e orl'i(.er, eli..r) o1: mlid (~U' or (~mttt, ill~l ill I{h,ly II~llhoI iz(t(I ro ixn',fo.u or liflv(~ ixtl'i()i,x'd Ih(t imhl ~)lk iiiKI Io ii,lice IIIX[ rile Ihin .ppli(:aL~o~l; (Iml. nil ~tal~f~zll. i ctmtaJm~l iJ) IhJfl nppI icat'iou m'e t tt~ Lo the I~ml: ol~ hi'0 ktx~l~ige ami t.~l Ilmi Ihe ~)lk witl I~ I~rront~l J, Ihe tw..~r ~t: rorth itt tile applitml:io, filed ti~rc~il.it. ~)ril Io I~rore Im this ~ ~