HomeMy WebLinkAbout25150-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.
25150 Z Date SEPTEMBER 1, 1998
Permission is
hereby granted to:
WALTER J BIALESKI
1205 HORSESHOE DRIVE
CUTCHOGUE~NY 11935
for :
ERECTION OF A 4 FT. HIGH WOOD FENCE IN THE REQUIRED YARD AREA AS
APPLIED FOR.
at premises located at 1205
County Tax Map No. 473889 Section 095
pursuant to application dated AUGUST
Building Inspector.
HORSESHOE DR
Block
4 1998
CUTCHOGUE
0004 Lot No. 018.031
and approved by the
Fee $ 35.00
Building ~I/nspectoz6'
ORIGINAL
Rev. 2/19/98
Y~
&ll~D ~0 ~'URVI~I~ ~'lf.'~ UCEN ll£ NO ~2845
NEW YORK
FORTH NO. I
TOgN OF SOUTUOI,D
BUILDING DE PAR'I]4I~NT
TO'JR IIALL
SOUTIIOLD~ N.Y. 1197 I
TEl.: 765- 1802
BOARD OF HEALTH ......... ; .....
3 SBT$ OF ~LANS ...............
SURVBY
CHECK .........................
SEYTXC ~OEH ...................
NOTIFY:
.... .......
HA]Il, TO: ....................
IH$'rRUUTIOH,q
e. 'Ibis application nust be conple~ely filled in by tTpe~riter or in ink and
3 ~ets of pl~n~, accurate plot lflan to scale. Fee accordi~& to schedule.
b. Plot plan oho~in& loc~:ioo oF lot and of buildings ~ pre~tsea, ~elatiou~dp to ndjoinl~ pr~nt~es Or lxi)lic
streets or areas, and ilivin~ a detailed descripttoo o[ layover o[ property ~mt I.~ drn~n oD t[~ dial{ran ~hich Is ~rt of
d. U~ a~ol o[ fids a~l.i~ci~, ~1~ Iulldi~ lus~cCor ~ill is~ a ~ilding
e. ~ ~iidi~ imll h ~pi~ or ~ in d~lm or in ~r~ for ~ ~ dm[~er ~iil a ~rCificaCe
~,I~'~ IS }E~ [~ Co ~1~ Ihildi~ ~r~nC for fl~ i~ o[ a ~{ldt~
~laci~s, for tim ~i~i~ o[ hdldi~, ~i~t~s or alteraCi~, or for ~al or ~lt~i~,
descri~. ~ appl{~ ~ Co ~ly via all a~licablm 1~8, ordinals, ~ildi~ &, ~t~ c~, and
re~flact~s,~ co ~lC ~ri~ tn~tors o~ ~i~s a~ in ~}ldi~ for ~ee~
.........
(~ili~ ~l~as o[ a~ltc~t)
State ~mfl~r a~lican~ 1~ ~r, lea~, ~en[, ~rchit~t, en~i~,'Ee~mral c~[r~tor, el~rici~, pl~r or I~tlde
............. .~ ........ ;~ ............................................. · ........................... ~ ...........
c. .........
applicant is a corporation, sil~naCure o[ duly autl~)rtzed of Eicer.
(l~re and title o[ cot-perate o[ficer)
ll~filders Iicense lqo .....
Plunber8 License ED ..........................
lllectriciana l,ieen~e No ..................... .
?~E-1~02 ~ AM TO 4 lam FOR THE
~ INSPECTIONS:
I FOUNDATION o TWO REQUIRED
FOR POUND CONCRET~
~ ~ .. [qlAMING & PLUMBING
4. FINAL - CONSm'NU~T,ION MUST
SE COMPLETE FOR
ALL CONSTRUCTION SHALL~ MEET
Ott~er Tc~de's Ltcerum Ho ..................... THE REQU REMENTS O~F ~TH~, ,~,Y.
........ ~-:-, -~ I r will be. (L'x~e ............. -..~TATE.~TR~CTJ,~.&..ENERGY ....
~, ~ut~ o~ ~a~, ..... ~, v,~ ~ k ....... CODES. NOT RESPON~t~ FOR
...'. ...... ........... ............... ....
l~ ~r Strut l~et
~v[si~ ~.~c.~.~..~ ....... ~ll~ ~ ~ .........;, ..... ~t ...............
(~>
2. Slate exisCing u~ a~ ~y o[ I~i~s ~ inte~ ~e ~ ~ of pm~ ~stn~ticu:
a. ~aci~ ~ a~ ~y :..~)~..~1~.~ .................. . ...........................
.........
b. ]n~e~ t~ a~ ~ ~y~~~
I0.
II,
12,
13.
16.
15.
l~cate ctearly e~d distinctly
rrm* protmrty },in~s. Ol~ street
~,~tl~r Interior or cot'nor
I~lwi r ............ Removal ,.I ....... ' ....1)emoll tlo~ .............
g. ra~% tx~d~r oE ora .... ~ ..................................
Ixmh~sa, ~rclal o~ ml~l ~o~1~~ a~l0 ~l:~r~ m~ e.~n~ ~ ~ ~ o~ u~,,,~ ..............
I~i~,~ ....................... ~,, ~1~ o~ S~orles ......................
l~pd, ................. ,,, lhJ~ .................... ~t~ o~ S~rle. ...............
I)lmensl~ o~ an~Jr~ w ~s~lm~ ~ .......... l~r ............... ~p~h ......
fll~ o~ ' ~ptl
~s propel ~t~tl~ vlQlete a~ ~lnfl l~, onll~e or regulaCtmt ,,,~ ......... , .......
~ili
~ ....~P.~ ........... ~ill ~e.s Hit I~
~me of ~r o~ ~a., ~ ........................ ~klreea .............................. l~ ~ .......
~m of Ar~tlt<t ........... ~ .......... ~ ............. ~lresa .............................. ~ ~ .... A .......
ti,la p~r~y ~lthln ~ f~t. ofa riehl ;~tla~? * W~ .......... ~ ..~. .....
~1~ ~. ~fl~ a~ aT~ ~L~I'I' ~Y ~ ~ll~,
PI,OT DIAORAH.
mi1 Mildl~a, ~tlzr ~Ja~Jng or pro~, ~ J~lJeata all ~t-I~ dJ~naions
.
thnt th~ ~rk viii 1~ ~r~o~l In t~m n~ntmr ~t forth in the n~l. lention flJ~ tlmr~lflt.
,q~)rn Lo t~fore me Lh{~ /~ i ~
..........
r'
($ilFml:ure oF Appl leto,t)