HomeMy WebLinkAbout24723-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. 24723 Z Date FEBRUARY 27, 1998
Permission is hereby granted to:
KIMBERLY A CARTER
1625 ORIOLE DRIVE
SOUTHOLD~NY 11971
for :
CONSTRUCT A 4 FOOT HIGH CHAIN LINK FENCE FOR A SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 1625
County Tax Map No. 473889 Section 055
pursuant to application dated FEBRUARY
Building Inspector.
ORIOLE DR SOUTHOLD
Block 0006 Lot No. 015.021
18 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
FORH NO. I
TONN OF SOUTIIOLD
BUI LI)I HG DEPAR'I~IENT
TOWN I1ALL
SOUTIIOLD, N.Y. 11971
TEl,: 7~5- 1802
I NS'I'RUCT l ()NS
BOARD OF HEAI,TII ...............
3 SETS OF PLANS ...............
SURVEY ........................
CI1ECK .........................
SEF'rIc FORH
NOTIFY:
~,l., 265. :.ct [.~.1 .......
~^tL ~'o:. .r~ C. :
a. 'Ibis applicatioa host be co~l)letely filled in I)y typca,~riter or in ink at~l sul~nitted to tbe P~tilding lnSlector will
3 ~ts of plans, acetate plot plan to ~ale. F~ acco~llog to scb~hde.
b. Plot plan ~i~ l~ati~ o~ lot a~ of I~ildb~s ~ pr~i~s, relatlonsbip to ~ljolnlng praises or
struts or areas, a~l givi~ a ~tall~l ~:rlptlon oE lay~l: o~ l)rol~rty .xmt I~ dr~ ~ the diagraa ~dch is l~arl of
this al)pi icat
c. 'llm ~rk c~r~ I~ tbls a~)licati~ pay ~)t be cmne~l before is~.~e o~ ~Hldi~ Pe~it.
d. 111~ a~al o[ tbis a~llcatlmJ, the l~dhli~ lns~ctor will ism~ a ~Hldlng Pe~mlt to the applicant. ~ch
i~tnlit ~mll be kept ~ Om ~i~s available for insl~cti~ thra~a~t the ~)rk.
e. ~ I~lldh~3 ~,oll be cmcup[~l or u~l in ~.)le or in imrt for a.y la~rlx)~ ~atever until a C~rtlficale of
~¢a~y ~mll bare I~e grant~ by tim I~ildlt~ Ins~tor.
aPlq,l(~'l'l(~ 18 IEla~SY ~ to tbe I~ildln8 I~Dart.ent for the is~nnce of a lkdldtn8 ~mit lan-m,a.t to Ibe
Ik~ilding ~ Ordi~e oE tbe 1~1 o[ ~.tl~ld, ~lEfolk Oa,.ty. ~e York, at~l olher a~lical)le l~s. Ordi.a~es or
l~lati~s, for tim c~st~ti~ o[ hHldi~s, ~iti~s or alterations, or for r~al or ~lltion, as
~scril~. 'llm applicant ~s to co~ly wltb all af,)llcable I~s, ordi~m~es, ladldil~ c~e. ~slng ctxle, at~l
(Si~t.re of~llcant, or ~, ii a cat.ration)
(F~il i~ ~lress o[ ~l leant)
SLate ~etlmr a~lJcant i8 ~mr. les~, agent, architect, engil~r, gee~ral contractor, electrician, i)lmt~r or I~ihler.
....................... .~.~ .....................................................................................
....... ..........
(as m the tax xoll or latest de~) ~
If a~licant is a ~rat~, s~re of duly a~tt~r~l o~f~cer. NOTt~ 8UILD]N-
7~5-1802 9 AM ~ 4 ~R THE
FOLLOWING INSPE~ONs:
(~ alxl title oE ~rate officer)
1. FOUNDATION ' ~0 REOUIRED
FOR POURED CONCR~E
2, ROUGH -
~dl~ss [Ace~ ~ .......................... 3. ;NSULATION
l'i~s ~ice~ ~ .......................... 4. FINAL . CONS~U~ON MUST
BE CO~P~E FOR C.O.
El~trJc~ans LJce~ ~ ...................... ALL CONSTRU~oN
O~l~ ~'s LJcen~ ~) ..................... THE REQUIREME~ OF
STATE CONS~u~oN & ENERGY
DES~ N 8~U~ON ERRORS
....... ..................... ....................... .........................
~,~ ~ ~ ~,. ~ ~d~, ... ~.~ ........ ~k ...... ~ ........ ~ ..~ 1 ~.~ ~L
..... ~.~......" · . ....................... 1~)
2. State existi~ u~ al~ <~l~y of [IonJ~s aM illLelx~ use al~ ~Ctl~ Of pro~l c~st~ction:
~. ~,,~ ,~ ~ ~,~ ...~.&,~,: lg. ~t[~'~x9 ...............................................
,,. n,~ ,~ ~ ~w ....~ ~ ~ ~.*~ ...................... ~ .......................................
3. P~anre of ~o~k (check ~A~id~ al~flicable)~ ~k~ Ikdlding .......... ~kli~i~ .......... ~' Alteration ..........
~ ~r i p~ i~)
(to I~ imid tm filing this al~licati~)
6, If Inmi~mafi~ ~nmrcial or ml~l ~oqmtmy. s~ci~ imture ami extent off each t~ of u~ ......................
7. I)i.~llaJ~m of ~iating atnmtt~rea, if any: Fr(mt ................ ~ar ............... I~pth .................
lhplh .................... lh~J~t .................... a~d~r of Storiea ...............
II. 7~a~ or u~ dial:rice in O~id~lp[~alsea axe 8i~mtal ..............................................................
12. IX~a prOlm~l ~ma:r~mtl~ violate any ~lng 1~ ordi*m~me or regnlatl~: . .~. ......
15.
PI,OT I)IAGRAM
l~fll:e clearly m~ distantly[ all I~dldh~a, d~tl~r ~iating or pro~, ami i~xlicate all ~t-I~k din~naiona
mi bl~k [~Imr or ~hacrlpti~ according to :~, ,ami d~ atreet nama a~l t~lical'e
h~m prol)elly liras. Give street
tvheth0, r interior or eorrar loc.
,-~[.~. .................. I~ is!lI (hlly
~ i
IIo iii Ih,a ................................................... ~ ...............................................
(Contractor, ngentl,~ corlx)rate o[flcer, etc.) j
I
al}Id icflCien; thai: all atat~lento c~hitaJl~l in thi8 nlq}l [carlo} nJ'e t.l~e Lo the I~at off his kill.Igc
thnt the ~)tk ~jt[ Im [~rl:omml iii ~tlm ]mnrar ~t fort.h in tho application fil.c~l tlmr~ith.
~rts Lo I~fore ne Ihis
...d..9. .......... ,,., ..... .....
..................... (Siglml;ure o~hPl)l leant)
~)ril) (le'lX},,m8 aixl aaya tJlfll~ he ia tile aj)j)J ir. miL