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Home My WebLink About24449-zFORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN11L FULL COMPLETION OF THE WORK AUTHORIZED] 24449 Z OCTOBER 30 97 ................................................................ 19 ........... Permission Is hereby granted to: ,.1EFFREY S CLAUSEN 2590 KERWIN BLVD GREENPORT,NY li~44 to ERECT A FENCE AS APPLIED FOR nn~+~w ~+ GREENPORT at premises 2390 KERWIN BLVD CountyTax Map No. 473889 Section 055 Block 0004 Lot No. 044. 008 pursuant to application dated SEPTEMBER 29 19 ....... ..~..7...., and approved bythe Building Inspector. 55.00 Fee $ ......................... / / B,~fJldlng Inspector Rev, 6/80/80 ~O0~L~I FORN NO. I TONN OF SOUTI1OLD BUILDING DEPARTNENT TONN ItALL SOUTttOLD, N.Y. 11971 TEl.: 765-1802 Di~apprtr0~l a/c .................................. BOARD OF HEALTII ............... 3 SETS OF PLANS ......... ...... SURVEY ........................ CHECK ......................... SEPTIC FOEN ................... NOTIFY: HAIL TO: ................... APPLICATION FOR BUILI)ING PERHIT INSTRUCTIONS a. 'Ibis application nust be coapletely filled in by t~riter or in ink and sehnitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to scl~lule. b. Plot plan abouing location o[ lot and of Imildings on premises, relationship to adjoining pr~oises or pt,blic streets ~or areas, and giving a detailed description of layout of property mast be drmm on the diagram ~hich is port ol this aloft ication. ' c. TI~ ~ork covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Suct permit ~hall be kept on the pr~mlses available for inspection througtmut tim work. e. No building aball be occupied or used in ~hole or in port for any purpose ,ahatever tmtil a Certificate of Occupancy slmll lmve been granted by tl~e Building Inspector. f&PLICA~CIq I$ ~ ~ to the Building Deportn~nt for rte issuance of a Building Pemit Imrseant to the Building Zone Ordinance of tl~ To~n of Southold, Suffolk County, ~ York, and other applicable l~vs, Ordinances or Regulations, for tbe construction of buildings, additicos or alterations, or for removal or demolition, as berein described. The applicant agrees to comply with all applicable la~s, ordinances, building code, housing code, and ...... / ........ ?, ............ ~ ................... (Sigdature o£/'applicent~ or nar~, if a corporation) State ~bether applicant is mr, les~, agent, architect, engineer,' ganeral contractor, electrician, pltmher or buil, (a~ on the tax roll or latest deed) If applicant is a corporation, signature of duIy anthorized officer. (Na~ and title of corporate officer) Pltrabers License F.o .......................... Electricians License N0 ...................... Other Trade's License No ..................... I. Iocation of land on ,~hlch proposed uork will be done ............................................................. ........ ........... ..... .............. ....................... llouse IxJc~]d~er Street t~et can~ty T~o. moo s~¢tion .... ~.~ ....... mock ...~. .......... :or ..~6..4~.. .... ~ivision ...................................... Filed ~ 14o ................ lot ............... 2. State existing use and occupancy of preraises and intended use and occupancy of proposed construction: a. Existing use ami ocoJpancy ............................................................................. b. Intended use and oeeupan~................ ............................................................ '"~," 3. I%L~re of ~rk (c]~ ~41id! applicable): ~ L~Jildin~ .......... /kldition .......... Atteration .......... Repair ............ Removal ............. Den~l trion ............ Other t~. Estimated Cost .............. fee (to be paid on fillng this applicatlon) 5. If da~lling, r~,liber of ck~elllng La, its ............ ~ber of ~k~lling ~aits on each flexor ................ If garage, ~t~ber of cars ...................................... 6. If t~aainass~ caanereial or mixed occupancy, specify nature and e~tent of each type of use ...................... ?. Din~nsic~,s of existing structures, if any: Front ................ Rear ............... Depth ................. lleight ......................... Nt~tmr of Stories ...................... Din~nsions olY s~ne stP.~ture with alterations or additions: Front ............... Rear ............... Depth .................... lleight .................... ~imr of Stories ............... 8. Din~nsions of entire ne~ constroctio~: l%ot~t ................ Rear ............... Depth .............. IleiOlt ......................... Nurber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of P~rdmse ..................... ~ of Forn~r O~mr ........................................ 11. Zone or use district in ~ict~ premises are situated .............................................................. 12. Does propased ca~mtroctlon rio]ate any zoning la~, ordinance or regulation: ........................ 13. Will lot be regrg~led .................... ~4ill excess l~ill be removed ~r~m ~nises: 14. ~nea of O~er of premises ........................... Address .............................. Phc~ No...~ ........ Nam of Ard~iteet .................................... Address .............................. Pl~c~ No ........ :... 'Kk~ne of Cx~tractor ................................... /~ldress ............................... t~one No ............ 15. Is this property within 300 feet off s tidal ~etland? * YES .......... ND .......... · IF YES, SOUIII~D T~t Tf~STEF~S PEI~FI' t4tIY Ilg t PLOT ])IAGRAH I~cate clearly and distinctly all buildings~ ~,tmther existing or proposed, and indicate all set-back dimensions f~r~u pro[~rty lines. Give s£reet and block rt~rber or description according to deed, and sho~ street names and i~dicate ~t~etber interior or corner lot. duly b~g)rtl) delx)ses a~xl m'~ys that he is the appl leant of said (~x~r or ~,rsers, a~xl ia dtJ[y ,-~Jthorlzed to i~rform or h,?~e perforn~d ihe naid ~ork aixl to make and file this al~)licati~,l; that alt statan~nts ¢c~tainetl i~ Ihis nl~plicat:i(a~ are tr~ to t]~e Ixast of his k[xxotedge and t~llefg that the ~]~k ~iit be perfotanml in the ~mser .set forth in the al~Pl ieatico filed therewith.