The URL can be used to link to this page

Home My WebLink About24769-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. 24769 Z Date MARCH 16, 1998 Permission is hereby granted to: BRUCE & MARILYN JOHNSON P.O. BOX 914 MATTITUCK,NY 11952 for : ERECT A 6 1/2 FOOT FENCE IN SIDE AND REAR YARD AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 103 pursuant to application dated MARCH Building Inspector. 740 PEQUASH AVE CUTCHOGUE Block 0011 Lot No. 005 9 1998 and approved by the Fee $ 35.00 Bu i ldin~n~s~p~ect o r ORIGINAL Rev. 2/19/98 1)i~pl~r~l n/c .................................. ( Ithhnp, n FORH NO. I TOWN OF SOUTIIOI,D BUI 1,DllqG DEPARq~ENT TOWN IIALI. Sou'rlIOI,D, N.Y. 1197 I TEl.: 765- lB02 BOARD OF HEAl/I'll ............... ,~ SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORN ................... NAIl, TO: .................... aPPI, ICAT1ON FOIl BUII.I)]NG PERNYF Date ................ , 19 .... 1 N,qTllllC'r 10NS n. 'lhi~ nffollcat-|on ~mt be ¢~,pletely Filled in 16, ty~ril:er or in ink m~l m~l~itL~ to the ~dhling Rml~Clor 3 ~ts of plans, at.irate plot plan to ~ale. F~ accordlag to b. Plot plan ~[~ l~ntt~ of lot nM of Ixdldtngs ~ ~i~s, relntton~dp to ~joJnlng pr~l~en or I~bllc tl~i~ appl icatlon. 'Iht ~ e~ I~ H~in o~llcnti~ ~y ~t 1~ e~l I~fore issue of ~fildi~ Permit. d. Ui~ appeal of thia n~lication, the I~{hli~ lns~ctor xdlt i~m~ n ~ildlng Pe~it to the applicant. ~ch e. ~ ~ildi~ ~mIl Im ~o~pi~l or ~l in ~le or in ~rt for mW ~m ~nt~er tmtil n C~rtlflcnte ~<y ~mll h~e I~n grant~ by Om lgdlditg lnn~tor. AH~,TCA'FI~ TS I~ }~ to tim I~il(ling ~art~nt: for the is~e of n ~tldtng Pe~lt ~]rmmnt to the I~ildlng ~ ~di~ of t~ ~ of ~tl~ld, ~ffolk ~m~, ~ York, a~ other n~lieable I~$, ~it~e8 or (~scrlM. ~lm a~li~nt ~s to c~ly vi~ all a~licnbl~ 1~s, ordl~t~es, ~tlding c~, I~iag c~e, re~dations,,nt~ to ~it ~rl~ in--tots ~ ~i~s a~ in ~tldi~~ins~ett~s. (S~g~%re of a~l~c,.~0r ~ ~f n cor~ratm ) ........... (~ilhg ~lre~s of n~licant) State ,A~etber applicant ia o~ner, lessee, agent, architect, eagtneer,'ger~ral contractor, electrictnn, pl~r or I~dhlet '" ...... .......... ' ' ' i ~e of ~,1 ~tl~rlr~ officer 7~-1~ ~ M ~ 4 M FOR THE (~ a~ title of co.rate officer) I~ilders License N~ .......................... Pl~bera Licen~ Ho ......................... · Electriclana Lice~ No ...................... Otl~r Trade'a Licen~ I~o t I~JNDATION - lWO REQUIRED ~. ROUGH · ~ & ~UMBING t.~ 4. FINAL - CONSYRU~ION Must BE C~l~ FOR C.O. A~ CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE ~]~,-~- trrAT~ ~,ONSTRUCTION & ENER~I' ]. Nature o~ ~ork (dleek Odei, al)PilJcable): Nc~ I~ihlinl~ .......... ~Uiti~ .. ~~ton .~..~,.: '~,~J~ ............ ~al ...~ .......... ]~'~]ition ............ Other ~)~ ~~j::::~ ..... 4. Est i.~lt~l C~sl: ............ l~i~l[ ......................... ~sd~ o~ 8~o[Je~ ...... ~, ......... I~lJtJl .................... I~i~ Jt .................... ~i~r o~ 8t'orie~ ............... I I. ~ or u~ dl~rtc~ In ~lJdl ~ni~ ~[e 8J~[~l .............................................................. 13. ~ill · ~1~ ~ ArdlJ[e~[ .................................... ~lre~ .............................. ~ ~ ............... ~s~m o~ ~l~r~o~ ................................... ~lre~ ............................... J~j~ ~ ............... 15. I~ Ihi~ pml~rL PI.OT di~nsioJm locale clearly taxi clJaCincrly prol~rCy )il~ee. Give xd~e(Imr imerior or comer CI]UfllY ~'~OI~'~JTA'~JJl .................... Imi,l~ d~Jly m,~Jrn, clelx)m~s alxl ~ye tlmt he I~ i, Lhe ............................ ~ ...................................................................... O~ ~fiJd (~r or (~r~ IllKI JS duly auihori~ to i~rfi)rm or have i~,'l'or,~l I,i~e m~Jd ~rk m~l to .r~ke taxi file lili~ alqd iuatio,; thru: ali stato~e~ts eoma~l i, Lhls nlq~licacio, are Ine Lo die I~sc off his k~l~ge tirol th9 ~)[k ~iLi I~ ~rfon~el Jn I.he~,~mter ~t forth i, tile al)l)l, icatic~n fil~ Llmr~[dt. ................... day o~ ..~ ............. 19 ...... (Sil~,~l:m'e ol: Appl