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Home My WebLink About24569-zFGBM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 24569 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UN11L FULL COMPLETIQN OF THE WORK AUTHORIZED) Permission Is hereby granted to: EDWARD E KUGLER 3240 WICKHAM AVE MATTITUCK~ NY 11952 tn ERECT A FENCE AS APPLIED FOR 5240 WICKHAM AVE MATT ITUCK at premises located at ........................................................................... i ................................................... CountY Tax Map No, ....?,..7,,~. ..... Section ....!:.,0...7. ............. Block .,...,0...0, ,0.~. ........ Lot No...0...~.~ ............... pursuant to application dated ...,~o..g.~,~.E.~...,.~.7. ......................... 19......~,~. ..... and approved bythe Building Inspector. ~;5. O0 Fee $ ......................... Rev. 6/30/80 .PORH HO..I 'rOUN OF SOUTIIOLD BUILDINC DEFARTIqENT TOklll llALL SOUTIIOLD, N.Y, 1197! TEl.: 765-1802 BOARD'! OF,' IIEALTIi ..... ; ......... 3 SET8 ag .PI,ANS ............... SURVEY "' CllECK '. SEPTIC FORH ................... NOTIFY i CAI L Hill, TO: .................... APPl. ICATION FOE BUILDING PERHIT 'DaCe ........... ,19 .... INSTIIUCTIONS a. 'lhls appllcatlon mast be cc~letely filled in by t~mlter or in i~ a~ ~Irt~ to fl~e ~ilding,lus~ctor 3 ~ta of pl8~, ~rate plot plan to ~ale. F~ accotone--' to ~le. : . b. Plot plan g~i~ l~atlm of lot ~ of Imildi~s ~ ~i~s, relatlon~lip td Mjoini~ pr~i~a or ~bllc struts or areas, ~ 8ivi~ a &tail~ ~r~ptt~ of la,at of pm~rty ~t ~ dr~,~ Om dia~ ~*id~ this a~flicati~. ' ' ' ' '< c. 'lhe ~rk c~r~ ~ Od8 a~llca~i~ ~y ~t be c~nc~ ~fore isle o~ ~ld~ Pe~it. d. II~ a~al of ~is a~lica~i~, the ~ildi~ lns~ccor will is~ a ~tldlng Pemlt to the appli~nt. ~mlt Mmll ~.~pt ~ ~m ~8 avail~le for tns~ti~ thm~mt the ~rk. .' . . . e. ~ beildi~ ~11 ~ ~mpial or u~l in ~le or in ~rr for a~ ~r~ ~at~r,,, ~til, a ~r~f~cate o ~ol~,~ flmll h~e ~o ~t~ ~ Om ~ildlng Inserat. ' ~I~'fI~ I8 l~ff ~ to tie l~ildi~ ~art~nt for tl~ ~sa~a of a ~dty,g.~emt~ ~r~nt.to the ~tatims, Jar tbe ~st~tlm of ~ild~s, ~iti~s or alteratlms, or for r~al., ,, ,' ';°r ~lttia~,,, . as berem ~sdri~. r~ appli~nt ~s to ~ly wi~ all a~licable l~s,. o~tm~es,. . ~tldxpg' ~,. ~s~. cnde, and (~iling ~ress of ~llcant) ............... ~'.==..'.-= ................ , .......... 2 ........... = ........ ~~'"i~F~ .... r~'. ....... . (as m tbe tax mil or latest d~) 7~1~'~ ~ ~ 4 ~ ~ THE applicant is a corporation, si~mre of duly sstboriznd o[Hcer. Lmense No ..................... '.- Plo'~bera License lto .......................... ~leetr~e~arm IAeens~ NO ...................... ~'~~ ~e°"mm~e,Na 4. FINAL;,- CON$!'RUCTION MUST SE {~IPU~ffi FOR C.O. ALL.i~ONSTRUCTION S~ MEET THE.REQUIREMENTS OF THE N.Y. STATE.',cONSTRUCTION & ENERGY CODES., .N°T RESPONSIBLE FOR DESIG~ OR CONSTRUCTION ERRORS Other Trnda's License No ..................... . ". , ', :~ 1. l~catioo of land cu ~tdch proposed ~ork will be done .............................. ;.; .............................. II~se Dunt)er Street . ~ /! ll~nlei: ~ Ta~ ~p NO. ,000. ,~tlon .... /..¢..7 ...... ~ ............. ~,t ./~... '.,:..:... a~lxlivislon ...................................... Filed t4ap NO ............. ; .. i~t ................ (Nme) ' '" · · . 2. State existing tree and occupancy of premises and intended use and occupancy of. . construction: a. Existing t~se and occupancy ...................................................... , ....................... b. Intended use and occupnncy ..' ........ -v-Y--~-.~.; ............... ~J(;~.~,t~I;:F, il;~.;;..' ............... ]. I%l.rs n£ work cl~ck whid~ applicable)~ ~N~ t~dhling .......... ~klicion~ 6. If Ixmi~sa, ~rcial or mi~ [~;~, s~ci~ ~mmre ami ~ear of each ~ of use ................ 8. I)itmnsi~m of entire ~ · '" ................ ~stn~t~u t~t l~ar ............... ~pth .............. I~i~t .................. ~ ...... ~d~r off ~toriea ..................... - p~ui~a are aitx~t~ .............................................................. f ~ul ' ~"'e of C~tr~ror " ' I ¢ PI,OT D~AGRAH l~ate clearly a~ dlsti~t~y all] Mlldl~a, ~mtlzr ~l~ting or pro[~, aal ialicate all ~t-l~k dinensions fran pro~mrt~ l l~s. Oi~ at~t~ bl~ ~dmr xdmtlmr ;aterlor or co~r lot ' t ] or ~aeriptl~ acco~ing to ~l, aM ~l~ street ~a a~l i~lic~te ~am;:"",' ."~':[~xlLvm' ~J~{~:~'~_ ~0~~O~ '~: ,~90'~' ................. lining' duly ~rn, del~s m~l ~y~ tlm~ he i~ the applican~ (~tre agent, cor~rate officer, etc.) said (~mr or ~rs: arm ia duly autl~ori~ to l~rfo~ or have [~rf:oru~ Lhe said ~rk m~l to n~ke ami file Lift. ulq)l ieation; Umt aH atatemnta cmlta[l~ in Cilia application are trim to the Imal: of bib ktml~lge n[~ I~[Jefj a[xl Lhat the ~rk will Im ~rfoni~l xn U~e n~[ae~ ~t fo[ch'in the appticakinn fil~l tlmr~iUi. ~%orn to before .e this .... 1'~'¢~ ...day o ~ltary l~lbl ic (SignaCure I~ticaet) ,, , ' / / NOTE ~ O~ tU~ ~ or Sur~o~ ~ouurr ou YOUNG & YOUNG 400 OSTRANDF-.R ^V£NUE., SURVEY FOR: TEHHY I~ TUFHILL ~t DOROTHY' P. TUTHIL£ LOT NO, 12 "AMENDED MAP OF MATTtT~ICK AT "' }GUARANTEED to: " MA TTI TUCK I sout~oc ~ ~ v/~s e~K TOWN SOUTHOL D J