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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)