HomeMy WebLinkAbout24236-zFORM NO.$
TOWN OF SOUTHOLD
BUILQ|NG DEPARTMENT
TOWN ~
SOUTHOLD, N.Y.
24236 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date .....JIJLY ............... :LO. ........................... 19.9.'E. ....
Permission Is hereby granted to:
....... £550..CENT, RAL,..DRI,V~ ......................................
....... MA~.T.T.TLIC~;.. b[¥...;I.£952., ................................. ~..
to,,,.~E~ECT~A~.FENCE`,~A9~L~ED~FOR,~AR[~T~.~C~N]~IT~N~`~.~ARTICLE~X~ I
......... SECT, ION..,10.0.-. ~3L9 ....................................................................................................................
at premises located at ................ ;I.55Q.....CEN~HAL.,D~ .......................................................................
CountyTaxMap No......4,7,3fifi9. ..... Section ...lflt5 ............. Block .,,,QQ02, ......... Lot No. 0.1,1 ................
pursuant to application dated ...,.T, ULY .................. 2 ......................... 19,.....,,q,7. ...... and clppl'oved bythe
Building Inspector,
Fee $ ........ ~,5.,. O.Q .....
Rev. 6/3g/80
I.r, xam ined..
FORH NO. I
TOWN OF SOUTIIOLD
IH/II,DIN(; DEPAR'rMEw¥
TOWN IIAI,I,
SOU'I'IIOI.D, N.Y. 1197l
TEL: 765-1802
1)i sappn~l a/c ..................................
BOARD OF IIEAl,'rll ...............
.3 SETS OF PI,MiS ...............
SURVEY ........................
CIII".CK .........................
SEPTIC FORI4 ...................
NOTIFY:
..a~u ~Y..l/~ ..........
APPI,{CATION FOR BUII.OIHC PERHIT
1 NBTRUCTIONS
a. 'lhls application n~st be ccmpletely filled in by typ~,rriter or in init a~l md~itt~l to the ~dldlng ln~ctor tvllh
3 sets o[ plann, ac~rnt:e plot pl~ to ~ale. Fee acco~ling ~o ~h~lt{le.
b. PIoC plan sl~mlng l~atl~ of lot ami of l~fildlngs m ~on{~,, relatitmship to ~jolnlng p~lses or
str~t~ or arena, ntd giving a {~tail~ ~serlptlon of l~t of pretty mst ~ dr~m ~ the diagr~ ~id~-i, ~art
c. 'II~e ~rk c~l ~ U~is a~llca~m~ ~ ~t 1~ c~l ~fore issue of ~dldi~
d. U~ a~a] oE this n~/icntJm, the ~nldug ]troller-or will {s~ a Ik~ildlng ~mlt to the all}licant. Such
~mit shall. I~ kept ~ tim ~mi~s ~eilable for in~ti~,thr~t the ~rk.
e. ~ Nfihli~ ~ml.l I~ ~pi~ ~ u~t in d~ole or in Cart for a~ ~rl~ dmt~er ~mtll a (>rtlrlcate or
~s~a[my Mml I h~e t~n gr~t~l IW U~ ~HhlJng lns~:tor.
~.lC~'rl~ Is [~1~ ~ to tl~ ~ildlt~ l~art~nt for the J~mmnce of a hfildlng Pemit ~mmnt to the
~kdldJag 7~ O~Jm~e of tim 'r~ of ~flmld, ~rolk (~nt~, ~* York, ami other a~lleable I~, ~lln~es or
~gulations, for tim c~mstnmtlm~ of Ndldb~s, ~kl[ti{~m or alternti{am, or for ~al or d~mtit'ioa, an lwreln
~scri~. '11~ npplleant a~ to u~ly with all a~llcable Ires, o~i~mmes, ~ildlag ~e, I~sl.g c~,
State Omther applicant is ~r, les~, a~nt, nrddtect, engi~r, ge[rural c~tractor, electrician, Or.mr m' Imilder.
......O W~&2 ~PPR0Vt0 ~ NOIt~
.................... '2~'3' ~'"5 '}'~'~ 7'%5 ...................... ~;i7~ i,i' i'z
:: -. ,- . - ...............
fas m t e :~ mtr o latest o~{/ NOTIFY BUILDING DEPARTMENT AT
If a~[{cant i~ a co~ra~i~, ai~ture of ~dy ~LI~;r~I o~flcer. 765-1802 9 AM ~ 4 PM FOR THE
FOXING
1 F~NDA~ON - ~ RE~IRED
(~ a~ thle of co.rate officer) ~R~ED~
3. INSU~
BE COMPLETE ~O~ C.O.
Ph~rs lAcenr~ RD .......................... ALL~.CO~STRUCTIO~ SHALL
T~E REOU~R~MENTS OF THE
El~tr~c~a~ L~ce~ ~ ...................... STATE CONSTRUCTION &
Other Tc~ L}ce~m ~ ..................... CODE$. NOT RESP~IBLE FOR
/~O ~A~Es~ ~oNSTR~C~ON ERRORS
1. l~e~ o[ ]~1 ~ ~dd, ~] ~rk ~tl 1~ ~ ....................................... ~r. ...... : ..............
.................................................................................. ................
INto ~mr Strmt }~let
~,nty Tax ~np ~. I(m ~tim ..~O.O ........ Bl~k ...~.'.O~ ..... l~t .... ~/.~O ....
~i~ivi*{~ ...................................... Fil~ ~ap ~> ................ l~t ...............
2. State existing ur~ a~l ~,~y of ~i~s m~ inte~l~l u~ a[~l ~cu¢~y of ~l c~st-n~tion:
n. ~xlsti~ u~ ~1 ~ .............. ( ....................................................
fichu prOlX~ly l'ine~. Give
C~st
.,,, i ~.~ ~ 1.
ibit¢~t.
PI,OT
' '"~¢'(: ~"'"~r'~""~' ?~7". '~.e"~:: 0"'~.'.~', '~',".~':~? ...................Is~iUl~ duly [~Jxl~, tkqx)~s at~l says tJl~lt lie is the appl
,~, ,,, ,,,,, ............. ~~ ~....._............ .................................................
((~lllt rsctor, a~CllL, cO'ix)rate Ol fJc(~r, el(:.)
OURAN~ R~US[O V~ILIABI8 '
~TARY ~BLIC, State of New Yolk ~ "~ ~' ~ ',
~o, 4879333, Suffolk ~un~ ~ ~ ' '.
wm Expires ~c, i5, 19~