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Home My WebLink About24821-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. 24821 Z Date APRIL 10~ 1998 Permission is hereby granted to: DONNA CAMPBELL 363 EAST 76TH ST APT 2A NEW ¥ORK~NY 10021 for : ERECT A 4 FOOT FENCE IN FRONT YARD AND A 6 FOOT FENCE IN SIDE AND REAR YARD AS APPLIED FOR, at premises 515 HORTON LA County Tax Map No. 473889 Section 063 pursuant to application dated MARCH Building Inspector. located at SOUTHOLD Block 0005 Lot No. 020 30 1998 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 OT:~T FORH NO. I TO~N OF SOUTIIOLD BUILDING DEPARTHENT TO, ti IIALI, SOUTIIOLD, N.Y. 1197 I TEll,: 765- lB02 APPLICATION FOR BUILI)ING PERHIT BOARD OF HEALTtl ............... 3 SETS OF PLANS ............... SURVEY ........................ CI1EC, K ......................... SEPTIC FORN ................... NOTI FY: H~IIo TO: .................... ]NS'I'RIIC'FI ONS a. 'lhls application ~t be conpletely filled in 3 ~ts of pl~ acmrste plot plan to ~ale. F~ acco~iag to sd~de. b. Plot plan i~t~ l~tt~ of lot ~ of ~ildi~s m ~mi~s, relatton~dp to ~joini~ prmi~s or pd~lie struts or sress~ ~ 8ivt~ s &tailed &~:rlption of layont of pro~rty mint be dr~ m the dls~n ~ich is Imrt of this application. c. 'lhe w~ c~r~ I~ this s~lieati~ my ~t be c~ed before is~e of ~dldi~ Pemit. d. U~ a~sl off fl~is a~licatia~, tbe l~ild[~ lnSl~Ctor will is~ a ~ildlng Pemlt to the applicaot. ~ch ~mit ~mll ~.kept ~ ~ ~s avall~le for ins~ti~ thm~lm~t the x~rk. e. ~ ~ildi~ ~mll I~ ~ied or ~ in ~le or in ~rt for a~ ~ ~mt~er imCil a C~rtificate of ~y ~all h~e l~n ~nt~ by fl~ ~ildii~ lns~tor. ~.ICATI~ IF I~ [~ ~o tbe l~ildi~ ~rt~nt for the issue of a ~ilding Pemit ~rmmnt to the I~ildlng ~ ~i~ of tbe ~ o[ ~tl~ld, ~ffolk ~n~, ~ York, ~ other a~ltcable l~s, ~dls~es or ~lati~s, for tbe ~st~tim of hdldi~s~ ~itt~s or alterati~s, or for ~,~al or ~llti~, os I~reln ~scrtl~. 1~ applt~t ~s to co~ly wi~ all a~licable ~,laci~s,,and to~it~ri~in~tors~,~i~a~ in~i~rTe~ (S light, or ~. if ~cor~ra~ion) (~ilt~ ~mss o[ a~llcant) State ~setber applicant is o~er, lessee, agent, architect, eagioe~r,'geoeral contractor, electrician, ph~ber or I~Jilde~ ................................. .... '~ o~ ~r o[ pr~t~s ........................... ~.--.~-.--.~..' ................ ~F~ ........... (ss ~ tl~ tax mil or latest d~) applicant is a corporation, signatx]re of duly autlg)rlzx~l o[[icer. Plt~bers Licen~ ~ .........................· El~trici~s l,ice~ ~ ...... Otlmr ~'s Licon~ ~ ..................... 7e~-tg02 t AM 10 4 IIM FOR FOLL.OVaN~ INIEIEi~110~ 4. FINAL - CONS?#UCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUC3'ION SHALL MEET THE REOUIREMENT$ OF THE I. l~cation of land on sd~id~ proposed x~ork will be. done ....................... STATE.C.OKSTRUCTION. ~.ENEBGY .... CODES,' NOT RESPONSIBLE FOR ................................................................................ PUI~0.O.R .~N~TOff~tQR g~SPfl~ .... I~ ~r St~t ~ I~et ~nty Tax ~p ~). I~ ~ti~ ........... Bl~k ............. lot ................ ~i isi~ Fil~ ~p ~ l~t . (~) 2. State existing u~ a~ ~y of I~ni~s a~ inte~ ~e m~ ~o~ of pm~ cmstmctlon~ a. F~sti~ ~ a~ ~y .............. b. Intended tJ.'~ and oceoix~ncy ............................................................................. ~0 ~ ~ (m~riptim) 4. Est i,at~l ~st ........ .... ', ... ~ ..... ... f~ ....................................... ; (to ~ ~id ~m filing this al~ltcati~) 7. I)ln~nai~m of ~iatingstnmturea,' ' If any: ~mt ................ ~ar ........ ...... ~p~h I~i~t ..................... ... ~ ~d~r o~ 8torioa ...................... I~pth .................... I~1~I~~ .................... lmt~r o~ 8torte8 ............... 8. I)iuenafcnm of entire nest conatrucl:ic~: Fro~t ................ Rear ............... DepLh ....... 9. 81~ of Iot~ l~mt ........... ~ ........ ~ar .................... ~pth .................... I0. I~al'e of Rtrdm~ .............. ~ ...... ~ of Forner ~er ........................................ 12. ~a prol~l mmt~tlm violate any ~in8 I~, ordinate or regularly: ........................ 15 la this pm~rty within ~ f~.of a tithl s~tlaM? * W3 .......... ~ .......... ~ PI.OT I)IAGRAH . l~ate clearly a~ dlarl~rly ail ~lhli~s, Mmtlmr ~lating or pro~, m~ itxlicata alt ~t-I~ di~nsiona ~rau prolmrty li~a. Bt~ ar~t m~l[bl~ a~timr or t~aeripti~ acco~tn8 to ~, a~ ~ atr~t ~ma ami i~lieat~ tdmtlmr interior or co~r lot. I said ~n~ar or~i~, m~l la duly n~ihoriaed to per£on, or hay, i~..rfor.~l I.he mhd turk m~l to .nke m~l file Ihi~ appl 'cation; tirol: atl stat,r~nt, e~mtalJvad in I:hl.s ~pplAeati~m ar~ tn~ to the I~t of Ida kw.r~ledg~ time th9 ~n~rk ,it! I~ perl~on~l tn tlmln~.,wr ~t forth in the appl. ieation filed there~i, th. .%nrl to beforo Ihis ~ II ....... ..... ........... ~)rn, delx,~s taxi ,mays LImC he ia the appl. h~,ll: