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Home My WebLink About24574-zFORM NO.$ TOWN OF $OUTHOLO BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLEtiON OF THE WORK AUTHORIZED) 24574 Z Permission Is hereby granted to: HELEN W EST TERRY PO BOX ii SOUTHOLD, NY 11971 ERECT A FENCE IN REAR YARD AS APPLIED FOR 52645 MAIN RD SOUTHOLD at premises located at ............................................................................................................................... CountyTax Map NO, ......4.7..5,.,8.8,~ ..... Section ,,, ,0.~..5. ............. Block ......0..0...0...5. ........ Lot No..0....1:...4. ............... NOVEMBER pursuant to application dated .......................................................... 19 ................ and approved by the Building Inspector. 55.00 Fee $ ............. , ........... Rev. 6/30/80 ·"~ ~ ~ [~ ~ ~ I~ i!~'~I ~.o.. ,o. ~ ~'~,~'"~S ............ 1~}~.' ~-~itlt~ I ~'o~. m, so.~.o].~ ~ s~w~ ", ;': ..................... I 11 t. t99 .,.o. ............. , ..... ~~ [ [ SOU'I*IIOLD, N.Y. 1191 I , 7 ,, C?.},~ m, ~ t/ , ~ [ TEL' 765- 1802 NOTi~X ~. DEe. / ' Di~ a/c .................................. ' ................... ~ .......... ^PPLICATION FOR BUILDING PRRHIT INSTRUCTIONS ' ' a. 'lhi$ a~li~ati~ ~t lm ~letely fill~l in by t~iter or in i~& a~ ~hn{tt~ to the ~nldmg Ins~{.(:o 3 ~ta of pla~, ~rate plot plaa to ~ale. F~ acco~li~ to ~hle.. b. Plot las ~i l~atx~ of lot ~ of ~tldxtgn ~ ~m~a, relatmndnp.to ~jOlOl~ prm~ or ~bhc P ~ < , . . . . . .tr~ts or areas, a~ gi~i~ a ~tail~ ~ripti~ of layalt of p~rty mat ~ dr~ tim d~a~m duch an ~rt of d. U~ a~al of ~dn n~li~ti~, t~ ~ildi~ lna~ctor wi1} i$~ a ~ild{ng Pemlt to tl~e applicant. e. ~} I~ildi~ ~ll ~ <~pial or uml in d~le or in ~rt for a~ ~m ~at~er Until a ~rtificate of ~I~TI~ Ig 1~ ~ to tim ~ildi~ ~r~nt for file i$~e of a ~ilding Pe~dt ~rmmnt to the ~llat~s, for tl~ ~t~ti~ of hill(ii.s, amities or alterati~s, or for'r~aL~$r ~liti~, as {mreln ................ (91gmture of a~llcant, or ~e, i~ a cor~ratlon) ~/. 'if aBlicant is a e~rati~, .ictwe of ~ly atl~rl?~l officer. ~,~ ~E~ ~ title of corporate officer) , / l~,ilders l.lcease ~ ...... ~.. .... .L/:. ........... l'h~d)ers License Ro .......................... 4. FIN~ - CONSTRUCTION MUST Electricians License ~ ...................... &ih ,{~ON~rffl~lON SHALL MEET THE./W~MENTs OF THE N.Y. Otl~er Trad~'s l.icen~e Ho. ................ i .... . ..... 9.~Rl~l}i./lllAY~' ~ ,~,mueno#, R~$POK~I}LE & ENERGY ......... ...... ..... . ..... I~ ~r Strut ' d. l~let . .':/~,.',, . . ~ty t~ ~p m. I~ . ~ti~, .... ~.~ ........ Bl<k .... ¢~ ........ l~t' .. a[;:..~ ;.-;-'. ~Mivisi~ ...................................... Fil~ ~p ~. ' ' : (~) , ,. ,, ,,.; :,0, 2. State ~ist]~ ~ aM ~o~y of ~mi~s a~l inte~ ~ m~ ~c~ o¢ ~o~ a. E~sti~ t~ ~ ~ ...................... ............... ; ........................ , ,,;,~ :: h,- , ,,', .., - , , '. LSi~ . , , S. ~111~, ~, If Ixmimss, ~l~rcial or'~ 7, I)i.~nsitm~ oi ~[sEi~ s~tures~ if any: ~ ................ l~ar ............... ~p~ll ................. l~pUi ' ' Ihi~ C~ ~ ~i~ of ~tories 8, Dllt~nsi~ of e tire ~ ~C~,Cs~:" I~C ................ l~ar ............... l~pLh .............. Ihi~ ................ ,. · ~. ,.,. ~i~r of Scorie~ ..................... 9. Si~ of lot: l~r ~ ' ...... t* ..... : ....... ~ar .................... l~ptiJ ............... , ..... ,o. 1 .... I I. ~ or u~ ~i~rte~ tn ~ltdl vr~l~s ~ sit~ ............................................................. 13. Rill lo~ I~ ~r~ ...~j~,,...~ ........ ~ilI ~ess [iii ~ E~ f~ml wmli~s: YES ~e of Ardli .... ; ' ~ ..... * e ....................... ~lres~ ........................ H~ ~ ............... ..... , · · .................. ~lre~ .......... ~ ........ ~ ~ .............. , 15. I8 thl~ pm~rty within ~ f~ 9~ a till ~tl~ ~ ~ .......... ~) ....... . {~FLOT DIAGRAH l~ute clearly ~ disci~tly ~llJ ~i]dl~s, ~eO~r ~isting or pro~, m~ i~ie~te ~ll ~t-I~ di~usions ~, lwo~rt~ li~s. gi~ st~,J~ b{~k ~r or ~seripti~ ~co~ing to ~, s~ ~{~ strut ~s ami i~lie~Ce, ~mtlmr interior or co~r 1o~, ?,' ~ /O]TOH ~ l~Oflq~lA , (Sis,mtere oE Applicant)