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Home My WebLink About24770-zFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24770 Z Date MARCH 16, 1998 Permission is hereby granted to: HELEN POLECKI PO BOX 147 CUTCHOGUE,NY 11935 for : ERECT A 4 FOOT FENCE IN THE REAR YARD AS APPLIED FOR. at premises located at 195 County Tax Map No. 473889 Section 116 pursuant to application dated MARCH Building Inspector. BAY RD Block 10 1998 CUTCHOGUE 0002 Lot No. 012 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 FORH NO. ! TOWN OF 8OU'I'IIOI,D BUILDIIIG DEPARTMENT TOWN IIALL ,~.OUTIIOLD, N.Y. ! 197 TEl.: 765-1802 l)isapproved a/c .................................. '" m.,(,m~ .nal~:,'~;' '~ BOARD OF I1EALTII ............... ,,~ SETS OF I*LAN$ ............... SURVEY ........................ ClllICK ......................... SEPTIC FORM ................... Ho'ri FY: ....... HAll. TO: ................... APPi,ICATION FOIl BUll.DING PERHIT Date ................ , 19 .... I NBTIIIICTIONS a. 'Ibis application n~mt De cot~letely rJlled in hy tyl~rlter or in ink taxi md:nitt~ I.o the ~dl(liag 3 ~ts of plans, ac~srate plot plan to ~ale. P~ according to h. Plot plan ~t~ l~att~ of lot ~ of lxdldhgs ~ ~i~a, relattonMdp to Mjotntng pr~i~a or pohllc str~ts or areas, and givi~ a ~tail~l &~r~pt~ of laya~t of pro~rty ~mt I~ dr~ on the dla~a, ddch this appl icatton. c. Ihe ~ c~r~ ~ fids a~licati~ ~y ~t 1~ c~se~l I~fore isam~e of ~flldlng Pe~it. (I. UI~ a~)~al of this a~llcation, the lMildi~ lna~ctor will iamm a ~ildlng Pe~it to the applicant. ~tch i~mlt droll ~.kep~ ~ tim ~i~a a~atlahle for tns~cri~ thro~a~t the x~rk. e. ~ ~ildt~ ~mll Im ~i~1 or ~1 in ~le or in ~rt for m~ po~ ~at~er ~mtil a V~rtificate of ~t~y droll h~e I~n grant~ hy U~ ~]iI(l{~ Ina~tor. bH~,ICATI~ 18 I~ $~ to tim I~iildin8 ~art~nt for the issue of a ~ildlng ~it ~r~tant ~o the I~ildlng ~ ~i~t~ of t~ T~ of ~tl~ld, ~affolk ~n~, ~ Yo~, a~ other a~ltcable l~a, ~di~es or ~flati~s, for tim ~st~tt~ oE ~alldi~s, ~itt~a or alterati~e, or for r~al or ~litton, a8 I~retn (~scril~. llm a~li~nt ~s to ~ly with all a~licable l~s, ordi~oces, I~tldlng c~, I~alng c~e, and re~dad~s,,and to ~it ~ri~ in~tora ~ ~i~s a~ in ~ildtn~r ~ "'~--'P~"2~-'Y'~ ................. ~"~' (S~g~ture~f a~llcan~, or ~, tf ~ corotar;on) (~]lnM ~rese of a~hc n .) State xa~ether applicant ia o~nmr, leseee, agent, ar(_'hite¢.~, engtneer,'geseral contractor, electrician, ph~her or lalil(let ........................................................... ....... . ...... (aa co the rex mil or latest deed) If applicant ia a corporation, ntgnat~re of duly autt,,riz~q oEflcer. ~:~~f~,~ 7el.liOl o AM 4 F0il THE 4, IqNAL - CONSTItOCTION MUST ~E COMFI.ETE FOIl C.O. All. CONSTNJCTION SHALL MEET Electricians License No ...................... ~ ~:IEQUIREMENT$ OF THE N.Y..cONSTRUCTiON & ENE~,~Y Otlmr Trade's License No ..................... 1~Tz.w~ I. l~catlon of land ot~ whld~ prolx~l work will be ck~q¢~..~. ........... '(~C~DE~,' '~OT' 'RE~P~I~}lfE' ~OJ~' .... DESIGN OR CONSTRUCTION ERRORS Ilcyase lqt~e r Street It~nlet S~lxlivis|oo ...................................... Filed Map No ......... 2, ..... l~t ............... 2. State exiatlng use and occupancy of prenlses and intended use and occupancy of proposed construction: a. F;xlsting ~me and occupancy ............................................................................. b Interbred u~ and occtrpency ..................... I(). Il. J2. I]. 15. P.'ltm'e o~ uork (check ~hich applicable): ' Estinnt~l ~st ............. : ......... f~ .............................................. ' ~ l~r of 8t~ri Dln~nsl~m of sis~ stnmt~re ~l{h alterations or ~ltlons~ Front ............... ~ar ............... Di.~nai~xm off entire ~ ~mtn~l:ien~ t~t ............ ~ar ............. ~pth 8i~ of Iot~ t~rast ........... ~ ........ I~ar .................... ~pth .................... [k~s propel ~mt~tl~ vlolSte any ~Hn ~e of Ardsitect : ~lresa ~ of Cx~tractor ............. ; ...................... ~klresa ............................... [~r~ ~ ............... : PI.OT I)TAGllAH locate clearly taxi distinctly alll buildh~a, ~4~el.l~r extstln8 or pro~, a~ i~llcate att ~t-I~k dt~nsioas prol~rty lh~s. Bi~ st~t m~! ~bl~k ~d~r or t~acriptl~ acco~dln~ to ~, a~ ~ street ~s a~l i~licate Id~eiher iaterlor or corset lot, I~]~Sl~)~n~$~.~...~ .... ~m8 duly ~rn, delX~a m~l says that h~ ia the applic~lnL of ~aid (~r o~:~m~l la duly m~thori~ to i~rform or have I~n'l'or.~sl th~ said ~k mwl to hake taxi file Ihia applleatlon; that aH stat.l~ats c¢~ai)~l in I:h[8 .pplication ar~ tll~ to Ih~ that th$ ~)[k ~ill I~ ~rfon~] in the ~l[ulntmr ~t forth i~l Lisa a)pl'cat~on fil~ (Silpmtur~/of ^ppi leal*t)