HomeMy WebLinkAbout25143-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.
25143 Z Date AUGUST 28 98
Permission is
for :
ERECTION OF A 4'
AS APPLIED FOR.
hereby granted to:
EILEEN E MCCARROLL
71-33 COOPER AVE
GLENDALE~NY 11385
HIGH CHAIN LINK FENCE IN THE REQUIRED YARD AREAS
at premises located at 4670
County Tax Map No. 473889 Section 110
pursuant to application dated AUGUST
Building Inspector.
PEQUASH AVE
Block
4 98
CUTCHOGUE
0003 Lot No. 029
and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
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BOARD OF UEALTli ......... ; .....
~3 SETS OF PLANS ...............
,,~URVEY ........................
CHECK .........................
SEPTIC FORH ...................
NOTIFY:
CALL ..................
HAIl. TO: ....................
INs'rRuC'FIONS
a. 'lhts application mst be conpletely filled in I)y L'ype~rlter or in ink and
3 sets of plans, accurate plot plan to scale. F~e according to schelkfle.
~ b. Plot plan it~o~lng location of lot and of l~lldtngs ua premises, relatto~gdp to adjoining pre~ises Or gallic
"'~'~eeCs or areas, ar~ giving e detailed descrlptt{~ of layont of property mist be dra~ on tim
Ods appl ic~t ton.
c. 'fl~e ~ ~r~ I~ this a~ltca~t~ ~y T~ be cm~ ~for~ issue
d. g~ a~al of fl~ie a~i. tca~i~, tl~ l~ild[~ ~us~cEor will ts~ a ~ildi~ PemtE to ti~e applicon. ~h
~mlt Mmll ~ ~pt ~ Om ~s ~all~le for ias~ti~ th~t tim ~rk.
~. ~ ~iidt~ ~mll ~ ~i~ or ~ tn ~le or in ~rt for a~ ~ ~mt~er mttla ~rtlflcate of
~M,l~'ff~ I8 }g~ ~ to tbe I~dldiq ~rtmnt for fl~e is~me of a ~lldl~g
~latim*, for ti~ mt~ttm of hdldt~s, ~ltl~s or alt~ra~t~*, or for ~al or
descrt~. ~ appltmt ~s to ~ly wt~ ali a~licable l~s, ordtm~as, ~tldl~
re~daCt~s,~md to ~tC ~ri~ tailors ~ ~i~s s~ in ~lldt~ for ~es~ insulins.
...............
(Stgmture of a~llmt, or ~, tf o eo~ratlon)
.......
State ~O~r a~llcnnC ls ~r, les~, ~ant, archit~t, engt~r, ge~ral cmtracEo ;, r or beihle
........................
(as on tim tax roll or latest deed)
If applicant is a corporation, signature of duly autl~)riz~l officer.
..
(~ a~ title of ~rate officer)
ltuilders Iicense No ·. ·
Plmbers License Ito ...............
'~11-~1t0~ t AM TO 4 PM FOR THE
_. /COldESt._ I~(}T RESPON$t8..~- FOR
~ El~trlcl~Sorl~r ~'.l't~Lice~ ~: ~~~~~~~~'"" ~ -- ~~ONSTRUCTIONu ERRORS
I. I~aCi~ o['la~ ddd) pr~l turk rill ~ (~ ......................... g ....................................
:' ,,, ...... .......... ....
............................................... ~ ............ l~e
I~ ~r 8tr~t~/~ ~ ~ t
~ivlsi~ ............... ~ ............ ~.... rtl.~ mp ~ ......... ~ ..... l~t ............... (~)
2. State existing u~ a~ ~y of ~*ni~s a~ intem~ ~e ~ ~ of pm~ ~stn~tlont
~l. ttiture oi ~,~rk (deckvhidl applieabla)~ ~ ~ilflifl~ ......... ~i~i~ .......
~'~ ............ ~..: ........... ~,,~ ............ o,,~ ~ ~ .............. : .....
~,.t~.~i,,~ ~ ...M~..:..: ....... ~
/~ ,,
}~ .... · .....
,~,, .... . .... ~ .......... .,,,~ ~,,0~.". .... ~..~ ........ // ~ .
e ~ th .................... I~ ~ ....... ·
. , .......... ...............
B. I)hm~Ma~ o~ e~l~e ~ al :=~t~l lk~ ...~:T-.. Ikar ............... kpfl~ ..............
· ~,~ ..... S;~'~. ~ .......... ,.. ~ o~ .,o,,.~ ..... .'
~..
~.,,~ o~ ,o,, ,~,~. ~.~."~'1'~'~ ..... ~.~ ...~.~4.~__ ....... ~,,,,, ..IZSZ~......
l I. ~ or u~ diacrict In ~lidt[prmi~s a~ si~t~ ...{~ ..........................................
12. ~s pro,al ~mc~Cl~ vl5late a~ ~1~ 1~. o~ll~e or re~ulact~ .....................
13. ~llt 1o~ I~ r~ra t..~...: .... ~.. ~ill ~e~8 it~l
~m o~ ~rd~it~t .
......... ~ ............. ~re6a .............................. H~ ~ .............
[5. la this p~r~y ~ithin ~ f~C. ota ci~l ~ecla~ * ~ .......... ~ .~ .....
PI.OT DIAGItAH.
clearly a~ dlaci~cly [all ~thll~a, dmclmr ~iactn
frmi pro[~r~y It~a, Oi~ at~ atxl bl~ ~ti~r or ihacripC[~ acco~[n8 to t~. n~ g~ atreeC ~ma aal t~ltcaCe
~d~tl~r Interior or co~r 1o~. I
tC~tractor, a~ent~cor~ra~e o~icer, etc.)
iff said (~r or ~ra, inK[ la (klLyJ~Llmcl~ to i~r~onn or h~e l~r~orn~ I. he aid turk axl ~o n~ke axl f ,e thi.
that Um ~rk will I~ ~rEon~l in t~m n~mtmr ~t ~orth ia the appl. icatton fll~
~rn to lab)re ne mia ~~ ,
// ...... :".~_ .... ~,.,.~.,.,,:.~.~,-.:.,,:.~.~
~ _ ROBERT I~ SC~ JR, , . (Sllpml:m'e
' ~ Pubt~9. ~ta~t N~w Yor~