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Home My WebLink About24453-z24455 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENt' TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT Ill-IlS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Z D - OCTOBER 50 ate .............................................................. Permls~on is hereby granted to: CONSTANCE ZAHRA PO BOX 262 LAUREL,NY i1~48 t~ CONSTRUCT A STOCKADE FENCE AS APPLIED FOR AND TO CODE at premises located ~' 2085 BRAY AVE LAUREL County Tax Map No ....... ~,.7.~..B...B..e..... Section ...,..fl:.2.,~.. ........... Block ...... ..0,.0..0..~ ....... Lot No....0..~,5. .............. pursuant to application dated ,,,, ,,~...~..P..T.~..~..B...E.~....2...~. ....................... 19 ....... ?..?...., and approved bythe Building Inspeotor. 55.00 Fee $ ......................... Rev. 6/30/80 Copies of this sulvey map not bearing the Lend Surveyors inhed seal or embossed seal shall not be considered to be a valid true ~AP OF PROPERTY Tow. o. .a. ~~ ~..~~_ ................ DONALD J, TASE, L,S. -- SUCCESSOR TO -- RICHARD WILHELM AND ASSOCIATE$ LICENSED LAND SURVi:YORS ' Center Moriches, N. Y. 11934 gren~wood, N.Y. 117i~ s:,~. ," ~ s,.~., S~o~. TI., -_ ~ ~ 2 3 FORM NO. I TOWN OF SOUTtlOI.D BUILDING DEPARTMENT TOWN I1ALL SOUTBOLD, N.Y. ll971 'FEI,: 765-1802 INSTRUCTIONS BOARD OF IlEAL'I'll ............... 3 SETS OF PLANS ............... SURVEY ........................ CllECK ......................... SEPTIC FORM ................... NOTIFY: MAIl. TO: ................... 'Date. ~¢p~glnbgr. 19~..,19 93. a. 'Ibis application n~st be conpletely filled in by typewriter or in ink and submitted to the P~ilding Inspector 3 sets of plans, accurate plot plan to scale. Fee according to sd~edule. b. Plot plan sl~owing location of lot and of L~Hldlx~s on premises, relationship to adjoining premises or ptd)lic streets or areas, and giving a detailed description of lay~]t of property must be drawn on the diagram ~ich is part o this application. e. ~e work covered by this application may not be cannenced before issuance of Building Permit. d. Upon approval of this application, the Pa~ilding Inspector will iss~e a Building Penni, to tim applicant. Suc permit slmll be kept on the pr~nises available for inspection thrc~ghout the work. e. No building shall be occupied or used in r~hole or in part for any purpose ~hatever tmtil a Certificate of Occupancy stroll Imve been grins,ed by fi~e Building Inspector. · API~ICATICI'I lB l '~I~Y I~3UE to the Building Department for the isstlance of a Building Pemit pursuing, to the +lkiilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable I~r~s, Ordinances or tibia,ions, for the construction of buildings, additions or alterations, or for roroval or demolition, as herein d~scrlbed. The applicant agrees to co~ply with all applicable laws, ordinances, building cocl~, housing code, and regulatinss, a~] to admit anthorized inspectors on premises and in boild'/l~ for necessary inspe~ctions. ... ¢.~.e~.. .~,-~d .......... (Signsture of applieant,~ na~, if a corporation) . .~...0.....~p.x...2.6.2. ,..~.a..u .r.e.~. ,. ~ ..¥..... !.L9.4 ~ ......... (Mailing address o~ appl leant) State wtmther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, phmber or bull .......... p..wq..e.r ........................................................................ ':'.'~'~::V~ Ai-~ ~T~D .......... Name of cromer of premises ...~D~l~i~r~. 7~a~ .................................... __ ~I.R #. (as on tim tax roll or latest deed) , ....... iii'fl If applicant is a eorporatim, signat~ure of duly authorized officer. : : ' 'v"; -. , ~,h, ~ ~,fvl TO 4 PM FOR TH~ !':C!i LC.'A:~T~'f~ ~NSEECTIONS: .........................................................' ' FOHNDAT{O~ TWO REQUIRED (Nmne and title of corlx~rate officer) F<~;~ F'['~t,IRED ~ONCRET~ :? ~C'~3ON - FRAMING L~ PLUM~ING Builders I,icense No .......................... ~ ,., CONSTRUCTION MUST Plumbers Licerme 14o .......................... ..~,~L CONSTRUCTION SHALL MEET Electricians License No ...................... ?HM MEGUIREMENTS OF THE N,Y~ Otber Trade's License No ..................... ~'TATE COMSTRUCTtON & ENERGY CODES. NOT MESPONSIBLE FOR I. l~cation of land on ~hid~ proposed work will be done ....................... [~FSk~t OR~ONS~RWOTIOg~R~OP~- .2.0.~ 3 ................... ~.a~. Kv.~ ~.e. .............................. L~$~..~,Z,.. ~k[ 9.4A .............. ' ~;"1 '~'~ber Street ll~,let C~mty Tax Map No. I000 Section ..)2.~t~ ......... Block . ..~ ............ l~t .l.~ ............. Sulxtlvlslon ...................................... Filed Map No ................ Lot ............... State existing use and occupancy of premises and intended use ai~l occupancy of proposed construction: a. Existing ase and occupancy ..... l~rl~fl.l$f~g .............................................................. b. Intended use and occulmn~ ..... F~Io, q~ .................................................................. 3. ~.ulure of '.,,ork (d~,~zk v~ich applicable): ~ ~ilding .......... ~i~i~ .......... Alteration .......... l~lx{i r ~al l~liti~ Other ~ ~rlpti~) t~. Ssti~t~ mst ...... .%~ ~ ~.Q~ 5~ ....... f~ ..... $h~, PP. ................................. (to ~ ~id ~ filing this a~li~ci~) 5. I~ &~lli~, m~{~r oF ~lli~ traits .... h ....... l~r of t~lllng traits ~ e~ fl~r ................ If garage, ~r of ~ra ...................................... 6. I~ lami~ss, ~ercial or mi~ ~o~t~, s~eify ~mture m~ ~tent of e~ ty~ of u~ ...................... 7. I)inensi~s of ~isti~ stn~mms, if ~: ~t ................ ~ar ............... ~pti~ ................. I~i~tt ......................... ~tmr of Stories- . ..................... Di~nsiam of ~ st~mre with alterati~ or ~itions: Fret ............... ~ar ............... ~pth .................... lkiO~t .......... ; ....c .... R~r of Stories .......... . ..... 8. Di.ensi~m of entire ~ =static: Fia~t ................ ~ar ............... ~pfl~ .............. I~iO~t ......................... ~mr o[ Stories ..................... 9. Si~ of lot: ~t .................... ~ar .................... ~pth .................... 10. I~te of ~rd~a~ ..................... ~ of Fon~r ~r ........................................ 11. ~ or u~ district in ~id~ pr~i~s am si~t~ .............................................................. 12. ~a pro~ ~mt~ti~ violate any ~i~ 1~, o~i~e or regularly: ........................ 13. ~ill lot ~ r~r~ .................... ~ill ~esa till ~ r~ fT~ ~i~s: ~ 16. ~s off ~r of ~{~s ........................... ~k{ress .............................. H~e ~ ............ ~ o~ Ard~it~t .................................... ~ress .............................. H~ ~ ............ ~,m of Cmtr~tor ................................... &~ress ............................... H~ ~ ............ 15. ls dtis p~rty within ~ f~t of a till ~tl~? * ~ .......... ~ .......... PLOT DIAGRAH l~aCe clearly ~ dlsti~tly all ~ildi~s, ~mtlmr ~is~i~ or pro~, a~ iallca~e all ~t-~ di~nsions Frm~ prol~rty li~s. Gi~ st~t ~ bl~ ~r or ~ripci~ ~ing to I~, ~ g~ strut ~ms ~1 i~icace ~mtl~r interior or corer lot. COUN i'Y (Ir Suffolk ............. .QQB~.t:.~n..c.e..~r.a. .......................... I~air~l duly ~)rn, delx~s m~l says that he is tl~ appl i~mnt (~ of i~ivi(h~t signing c~krac~) ~'lk_~ is the ....Qlv33..,e.r,.. (C~mtracLor, agent, corporate officer, etc.) of said cxm~r or o~a~rs, arxl is okily a~tharized to ixarform or have ix~rfotqved the said ~k at~l to make and file ti, is slid icaticm; that al 1 sCaCe~nts ccmt'ai~l in this ai~l icaCk,~ are tn~ to the I~st o[ his kl~l~l~ that tl~ ~rk witl 1~ ~rfon~l in the ~m,~r ~t forth in the al~l icaci~fil~ tlm~iU~. ~r,, to I~fo, e ~ this ....... ..... Z. ($iumt,,re of Appl