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Home My WebLink About25066-zFORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BU%LDIN(~ PF2Q~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMLTT NO. 25066 Z .Date J_ULY 18~ 199~ Permission is hereby granted LENORE ADAMSON 4770 JACOB'S L~2~E SOUTHOLD,Ny 11971 ERECTION OF A 6' STOCF~%DE FENCE ALONG PROPERTY LINE & 6' STOCKADE AROUND DUMPSTER AREA AS APPLIED FOR "AS BUILT". at p:.~mises located at 555?$ MAIN RD Cour~ty Tax,W ap NO. 4738~9 Section 062 pur~,s-t to application dated JULY Buildin9 Inspector. ~ SOUTHOLD Block 0001 .. Lot No. 015 27, 1998 and approved 'by the Fee s 35.00 Authorized Signature Rev. 2/19/98 ORIGINAL -7 SUB"SURFACE STR[JCTURES, WHERE NOT~2' ~,, WS~BLE OR ,EAD,_V APPA,AN~', W~LL NO'r ,E SHOWN AND 'ruE,, LOCA~r~O, AND Unauthorized alteration or adddlon to this document is a violation of Section 7209 el the New York State Education Law Certdlcations ~nd*cated hereon shall ~un only to the person for whom i~ is prepared and on h~s behalf to the Title Company, Governmental Agency and Lending Instdut~on listed hereon, and Io the assignees OI the lending institutions or subse- quenl owners, Copies el this document not bearing the professlonars inked seal or embossed seal shall no~ be considered a valid true copy, The o~sets (or dimensions) shown hereon from structures to the properbJ lioes are tot a specific purpose and use and therelore are not imended to guide the erection Of lances, reta~nmg walls,pools, patios, plan~lng areas, addition to buildings or any other CERTIFI By DE5 50067 I.D, N0, oo0~ ~,?..~ o1~ I~ SURVEYOF: '~/----~i¢/¢---~ ~~ DATE: ~1 q~ SCALE: DESTIN G. G~ ~ S~YOR 73 WOODLAWN ROAD ROCKY POIN?, NEW YORK 11778 PHONE (516} 821-3442 I=:-I I /'~r~';~ - , ...... J ~1 L: 765--1802 l/ ~ ?*2' ~ OF SOUTHOLD .... ............................................ . (l~ihlJ~ ln~¢ BOARD OF tlEAL~ll ............... 3 SETS OF P~ANS ............... SURVEY ........................ CUECK ......................... SEPTIC FORH ................... ~OTIPY: CALL .................. HAll, TO: APPLICATION FOR BUll,DING PERHIT INSTRUCTIONS a. lids aFplicaden ,nat te ccn~letely filled in by typca,rrlter or in ink and mflra|tted to the Building Inspector with 3 sets o15 plans, aco~rate plot plan to scale. Fee accordll~ to sch~kde. b. Plot pl~ ~i~ l~ati~ of lot a~ of Imildi~s ~ ~i~s, relatJ~dp to ~joining ~i~s or ~blic struts or flreaa, fl~l 8lvi~ a detailed (~ripri~ of I~a: of p~rl:y .~mt I~ dram ~ Lhe dia~ ~llcJ~ ia Dirt of this a~fl icati~. c. ~m ~rk ~ by this ~licati~ ~ ~t I~ ~ed Imfore iaan~e of Buildi~ Pe~it. d. D~ o~al o~ thls application, the Buildi~ Ins~ctor will ia~ a Buildi~ ~mlt to the a~lleant. ~lch ffmlt ~mll I~ kept m tim ~i~a ~ailable For ins~ctlm I.hr~t the ~rk. e. ~ Imlldi~ ~mll ~ ~a~i~l or n~l in ~mle or in Imrt for m~ D~r~ ~mt~r ontll a C~rtifieate of ~ ~all fla ~ ~t~l ~ tie ~ildi~ In~etor. ~I~TI~ Ig IE~I~ ~ to tim I~ildi~ ~rt~at for O~e iaa~e of a BUildi~ Pe~it D~r~ant to the ~ildi~ ~ ~i~e of tim ~ of ~tl~hl, afffolk ~ty, ~ York, a~ other a~licabl~, ~i~e~ or ~lati~s, for tim ~,t~ti~ of ~iidi~s, ~kliti~s ~ alterati~a, or f~al o~it~n, an ~rem (~ili~ ~klress of a~licant) State .abetlmr applicant is ~.er, lessee, agent, architect, eaglneer, general contractor, electrician, plmtmr or Imilder. Hare o~ ¢~mer of In~nises .................................................... (as on tim tax roll or latent deed) If applicant ia a corporation, signature of thdy anthoriz~t officer. (ltame and title of corporate officer) Builders License No .......................... Plt~bers License No .......................... Electricians License lqo ...................... Otlmr Tra~e's License No ..................... THE REOHIR';MENT$ OF THF N Y C · · . STA~E I. ~t~ off la~ ~ ~nch ~1 ~rk u~ll I~ (~ ............................. ~DE~"N{~¥'.~9~$'~t.~''"~'f~ ........ ............ .................................................................................. 1~ ~r St~t l~let ~ty T~ ~ap ~. I~D ~ti~ .............. B[~ / lot ................................ ~ivlsi~ ...................................... Filmdom................ l~t .~.. ........... (~) 2. State ~isting u~ m~ ~o~ of ~mi~s Gal inteM~ u~ ~1 ~a~ of I~ c~stmction: a. Existi~ u~ ~ ~a~ ............................................................................. b Intended use and oco]pancy ......... 7. Din~naitms of exintin~ ntn~ture~ ir u,y: tu~l ................. I~nr ............... ~pth ................. i~ ' Ik~ fl: ..................... .... ~nd~ of ~torie~ ...................... I)ln~rmlOm of ~v~ nt~tmture' ~[llx ~fiterati~m o~ ~kliLions~ Fronl' . .............. l~ar ............... ,~nz~ of lot: Fx~t ........ [ ............ l~ar .................... I~pth II. ~x~ or u~ district in ~lic~l pronisea are slt~t~l 12. lk~ propel c~,stn~tim v~lolnte m~y ~flng 1~, ordis~e or reBulal:l~: ........................ I PI,iff xdmtl~r ifi~erior or toner lot, ((~ml. roctor, dizenS:, corlx)rtfle officer,