HomeMy WebLinkAbout25214-zFORM NO. 3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
25214 Z
Date OCTOBER 8, 1998
Permission is
hereby granted to:
MARIE L SCHLEGEL
PO BOX 987
SOUTHOLD,NY 11971
for :
ERECT FENCE IN REAR YARD AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 079 Block
pursuant to application dated AUGUST 14 1998
Building Inspector.
4240 NORTH BAYVIEW RD
SOUTHOLD
0002 Lot No. 003.001
and approved by the
Fee $ 35.00
-/ ~d/n~ nspedtor
ORIGINAL
Rev. 2/19/98
.FORH NO.
TOWN OF 80UTUOI,D
BUILD]NO DF, PARq~ENT
TOWN IIALL
SOUT{IOLD, N.Y-
TEl,: 765-1802
I)ls~ppr~ed u[¢ ...................
BOARD OF }IE~LTN ......... ; .....
3 SET60F~FLANS ...............
SURVEY [.~v'/ ....................
CIIECK . .v, ......................
gEPTIC FOPJ4 ...................
NOTIFY:
HAil, TO: ....................
3 ~ets o[ plans, accurate
APPIoICAT3ON FOR BUILDING PERMIT
ltlS'rRUCrIOHS
; be conpletely filled in by typewriter or in ink and ataxn[ttad to tim Ikdhling Inspector wi
)t plan to scale. Fee according to sdledule.
\/
Plumboru Ll.c~n~ Ro ..................... . -. --
l~leetrlct~na IAc~n~ No
Ocher Trede's Ltcan~e No .....................
b. Plot plan dx~atng location of lot and of buildings on pr~nlses, relattouehip to adjoining premises or l~,blic
streets or ureas, smd giving a detailed descrJptlo~ o[ layo~Jt of property mint be drmm on tim diagran d,ich is pert of
tills appl icatio~*.
c. 'lhe work covered by this al~plleetion may not be commended before issuance of I~utldlng Pemit.
d. Upen approval of fills appl. ication, tbs Building Inspector wtl]~ isles a Building ~emit to tim applicant, a~ch
permit ~hall be.kept on the pn~,-dsea available for inspection th~cn~hout tim
e. No building ~lmll be occupied or tu~d in ~iv~l~ or in part for any pJUpOse ,tmtevar tmtil a Certificate o~
Occupancy ~hall bare be~ grnnted by tbs lhlllding Inspector.
APFLICNrIGfl IS }IEi~ZBY M/~ to the Ikdlding Departr~nt for tile is~nce o~ a I~uildlug Pem{t purmmnt to the
IkJilding Zone Ordinance of the To~ o[ Sontbold, Suffolk County, NeY York, and otlmr applicable l.a~a, Ordtlumces or
Regula~iona, ~or the cec~t~uctton of hdldtng~, ~klittonu or alterations, or for removal or demlltion, as herein
described. 11~e applicant ngreea tO conply vith all applicable la~s, ordinances, building eucle, hc~tng code, ar~l
reg~datlons, ,m~l to ~lmlC ~uthorl~l inspectors ~* premises amd in building Jar necessary inspections.
(Signature oi applicant, or m~e, ii a corporat{oO
(Mailtn0 ~klmu~ o1~ appl teimt)
State ~l~H~°r uppllcunt is ~mer~ leasee, ngent~ erchlteet, enstneer,' geoeral contractor, ~l~ctrtctan, plmber or hHhle
Hame o[ o~mer o£ premises ....... ' ...............................
(as ~ t{~ t'ax roll or latest deed) ~'~
oU~icer.
NOTIFY BUILDING DEPARtmeNT
765-1802 9 AM TO 4 PM FOR
FOLLOWING INSPECTIONS:
1 FOUNDATION - ~O REQUIRED
FOR ~URED CONCR~E
2. ROIJGH - F~a. MING& PLUMBING
I. l~cution of land an ~hid~ proposed ~ork will be- done, .................. ~%' '3:1N~OL~ION' '; ......................
..
· . ' ~ ~d ~ STRUCTION MUST
. .5 ..... ......................... ..............
t~ ~r ~t A~ ~U~ON SHALL
OF
~E
N.Y.
............. 6TA~ ~N~U~ · ENERGY
~i ~ ~ .. . ... ~;1~ ~p ~ :~~.~E~IB~ FOR
(~) ~ ~ ~ ~.S
b. Intended use amd occupancy .............................................................................
I0.
12.
lit.
3. I~ml'e off ~rk (d~. Mildt ap~Llr~ble)~ n
,~,~,~ ............ ~ .+ ...... ' .... ~'/,~.~ ::::::::".: o,,~'"~,~ ..... .~.,~'°~ ......................... .... ~..~....
,,.,~l,,~, ~ ..~...~..~ ......... ~ ..~ ...................................
] (to ~ ~ld cm illin8 this nl~ttea~t~)
6. 1~ IXmllmaa, ~mrclal or mi~l'~qm~, s~ci~ ~l;ure ar~ ~Cen~ oE east ty~ of u~ ....
7, I)liielmi~m o~ ~lacin8 aCne,rea, ie any* ~,~c ................ ~ar ............... ~1)~1~ .................
....................... ... ~Ad~r o~ 8cortea ......................
I)lnenai~m ot ~m sCriPture ~ltl~ air,taChes or/aMi~Jona~ ~ronC ........
' lhpth .................... Ihl~C. .................... ~*l~r o[ SCot[es ...............
~'"~ "~ ~"~'~ ............. ~ ........ ~ ~ ~'~'"~ ~ ........................ ~>:"C ......... '.
Nill lot I~ r~r~ ' Nill ~as fill I~ r~
~.~ o~ ~,~o~ ~h.~ha ............. I ~ , ~..
15. Ts this p~Ly ~ithln ~
~ PLOT BIAGRAH.
l~a~e desr]y ~ dl~i~]y {all ~i]di~m, ~ ~i~in~ o~ pro~, ~ i~icaC~ {11 ~-{~ di~naion~
frml i)rof~r:y ll~a. Ol~ at~C a~ 1)1~ pillar or (hacrlpti~ acco~ln8 to t~, a~ ~ a:r~C ~m a~l i~llcace
,~I'KIIr, ()ir I~l'.'~
,~' ,.' ~l,~¢ ~,~ ~ ~.~:.z~ ~& /~ L ( ................. ',
H~e/~r~raCe officer, etc.)
(~,~I~R~o~{wi~ ~f{y ~tlmrl~ to I~r~onn or h~e t~rFor.~l the ~1(I ~rk a,xJ to n~ke a,xl ~ll,e thi.
~~t~aL~ tn [hie al~)Lica[icm are [n~ ~o ~lm Im8~ o~ Ida kt~t~Re
[h~Ll{J~}q~B~ ~n~m n~m~r ~[ ~orLh tn the ~ppl. icaCton [i}.~
Ou~fified in SuffOlk Coun~
Commission ~p{ms May 22, i'~ ~