HomeMy WebLinkAbout24290-zTOWN OF $OUTHOLO
BUILDING DEPARTMENT
TOWN HALl,
$OUTHO[D,
BUILDING PERMIT
[THIS PERMIT MUST BE KEPT ON THE PREMISES UN1]L FULL
COMPLEllON OF THE WORK AUTHORIZED)
Permission Is hereby granted to:
DAISY GILL
1850 GREENWAY E
....... g..R..Z...E..N..! ....N.Y.....Z...Z.~..5..7.., ............................................
to ERECT A FENCE AS APPLIED FOR
at premises located i 850 GREENWAY EAST OllIE~
Counh/TaxMap No, ....~'Z.5.B...B..~ ...... Section ....0,~.5. .............. Block ....0.,.0...0.~ ......... Lot No..0..9.5. ................
pursuant to applicatlon dated AUGUST 4 97
.......................................................... ~ g ................ and approved by the
Building Inspector.
F,~,~ ~ 35. O0
Rev, 6130/80
)4, .~ ZPA/s v-' ±-.
A-f-
'~., ~!
',,9
FO~ NO. 1
TO~IN OF SOUTHOLD
BUILDING DEPART14ENT
T O',,IN NALL
SOUTUOLD, N.Y. lm97m
TEL: 765- 1802
' i:,
Disappm~ a/c .................................,
(ltuilding ln~eetor )
BOARD OF REALTU ...............
3 SETS OF PLANS
SURVEY ........................
CBECK .........................
SEPTIC FORI4
HAIL TO: ....................
APPLICATION FOR BUILDING PERHIT
INSTRUCTIONS
~Date ................ ,19
a. ~his applicatiim mst be c(~pletely filled in ~ t~iter ~ in i~ ~ ~itt~ to ~e ~lildi~ I~s~tor
3 ~ts of pl~, ~ate plot pl~ to ~le. F~ ac~i~ to ~lle.
b. Mot pl~ ~ l~ti~ of lot ~ of ~ildi~s ~ ~i~s, mlati~ip to ~joini~ ~i~s or ~lic
st~ts or m~, ~ 8ivi~ a ~ta[l~ ~ripti~ of l~t of ~r~ ~st ~ flr~ ~ the di~ ~id~
c. ~ w~ ~ ~ ~is ~licati~ ~ mt ~ ~ ~fom is~ of ~ildi~ ~w~t.
d. ~ ~l of ~is ~li.cati~, t~ ~ildi~ In--tot xdll is~ a ~ildi~ ~mit to the ~1 ic~t.
~t flmll ~ ~pt ~ ~ ~i~s ~il~le for in~i~ theft ~ ~rk.
e. ~ildi~ ~11 ~ ~i~or ~ in~le~ inert for ~ ~at~r ~tll a~rtifi~Leof
~ ~11 h~ ~ ~ ~ ~ ~ildi~ I~tor.
~I~ IS ~ B~ to l:~ ~ildi~ ~nC for ~ is~ of a ~ildi~ Pe~t ~t to
~lati~s, f~ t~ ~t~ti~ ot~ ~ildi~, ~itlms ~ air,atlas, ~ for ~1 ~ d~llti~,
~ri~. ~ ~li~t ~s to ~ly ~th all ~licable 1~, o~i~es, ~ildi~ ~, ~i~ ~e,
~lati~, ~ to ~it ~ri~ i~to~ ~ ~i~s ~ in ~ild~ for ~es~ in~ti~.
.' ....................
. ~~ffi (Siam of ~lic~t, ~ m, if a ~ratim)
If ~lie~r is a mmtim,~ffi ~~o~r.
.....................
(~ ~ title of ~ate~~]8 ~ ~3 I
~il&rs Licm ~ .......................... ~
Pl~rs Li~ ~ ..........................
gl~trici~ Li~ ~ ......................
~r ~'s Li~ ~ .....................
~ivisim . Fil~ ~ ~ ................ ~t .......
(~)
2. Scare ~sti~ ~ ~ ~y of p,u,,i~s ~ int~ ~ ~ ~ of ~ c~stmct'i~:
3. t~;~lure ~[ ~mk (d~':-ck ~hid~ al~licable): Nc-,~ Ikdtdi~kg .......... Mditioo .......... Alteration ..........
Repair ............ P~ooual ............. l)e~x)l it:ice ............ Other i/otk
(Descript i~)
/,. Esti,rated Cx~st ...~.~.~.,..~.~ ............. fee ..............................................
(to be paid cai filing tiffs sppl ication)
5. If 8rolling, t~,~t~er of d~lli~g units ............ Ht~d~er of d~mlling traits o~ eacl~ floor ................
If garage, t.nt~er of cars ......................................
tS. If besi~}ess, ocmnercial or misdeal ncoff, at~, specify nature and extem' of each type of use ......................
7. l)imensioos of existi~g structures, if any: Froot ................ Rear ............... Bepth .................
lleight ......................... ~s~/~er of Stories ......................
I)in~rmicam of sam street~re ~aith alterstioos or axklit:ions: Froot ............... Rear ...............
Depth .................... tleight .................... I~dx~r of Stories ...............
8. Dimenai¢~dlf e,tlre t~.~ coastructic~: Froot ................ Rear ............... P, epth ..............
tleight ......................... l~x~iber of Stories .....................
9. Size of lot: F~ont .................... Rear .................... Bepth ....................
lO. I~t'e of Purctlase ..................... Name of Forraer Ouster ........................................
Il. Ztx~e or use district in ulrich premises are situated ..............................................................
12. Boes proposal c~mrruc, tioo violate any zca~ing la~, onlinm~ce or regulation: ..... f~.h ...............
i3. }/ill lot be regrad~l .......... ...... ~ill excess fill be renrr~ed from premises: YES K.~/
16. Ixlanes of Outset of pr~aises ........................... /~klrees .............................. Ptvo~ ~ ..........
l~ of Ard~itect .................................... A~lress .............................. I~x~ t4o ..........
I~ne of Cx~ntractor ................................... /~ldress ............................... [lw*ne ~ ..........
15. Is this property within 300 fleet of a tidal ~etlmxl? ~ YES .......... NO ..........
~IF YES, SOIIlltllD llOt~l ~[ltllbTl~ Pgllql'r 14AY ~ I1EQUIEFI}.
PI.OT DIAGRAH
lc, cate clearly and distinctly all Imilding,q, ~hetber existing or proposed, taxi indicate all set-lumk dimensions
fresh prol~rty llses. Give street and block a~imr or descriptioo ~:eording to d~d, ~ 8hc~t street hanes and indicate
xd}etlvar interior or cot~r lot.
4. FIN&L, - CO~ MU~T
.... ¢ .................... ,.,,,,, ,,,,,, _,,. ,, ,,,,,,,,,.,,,,,
(~-- ~of bxlivid~i .,ig, ing c~mtr~ct)
,~, ~ ,., ........... ~~..~ .................................................................
((~mtrsetor, agent, corlx}rate officer, elc.)
limt tim ~>rk will be perron~l in lie I~in,er ~t fotlh in Ihe al~licatlrnl fil~ ll~r~lth.
~m to ~fore t~ this ~
(Signahlre ~f hppl leant)