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HomeMy WebLinkAbout24546-zFORM NO.~, TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT QN THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24546 Z Permlsslon Is hereby granted to: RICKY & MARYANN PALUMBO 460 COLONIAL ROAD ........ ....................................... to ERECT A FENCE IN REAR YARD AS APPLIED FOR. 460 COLONIAL RD SOUTHOLD at prem scs ocated at .................................................................................................................... County TaxMap No ...... 4. .?.. .3. ~ .8..9. , . .. Section ..,..0..?.9. ............ Block ...... 0...0..0..6. ....... Lot No..,.0..2...8. ............... pursuant to application dated ....~.O,~,..,...Z,.8. ........................ 19 ...... .,9..?'. ..... and approved bythe Building Inspector, 35 O0 Fee $ .............. : .......... Rev. 6/30/80 B'ulldlng Inspector~,,.,~ FORI4 NO. TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN BALL SOUTHOLD, N.Y.' 11971 TEL: 765-1802 BOARD, OE, HEALTH. J. · .';. ...... '- · · 3,., S~TS O~ ,PLANS ......... ' ...... ~SURW~. ~'~: .................... SEPTIC ,~ORI~ ................... NOTIFY'i ' ~IL TO: .; .................. APPLICATION FOR BUILDING PEI~IIT "Bate ................ ,19 .... INSTRUCTIONS a. This applicatiou mu~t be completely filled in by tYPewriter or in ink and aulxnitted to tim l~filding Inspector witl ~3 sets of plata, accurate plot pl~ to ~ale. F~ ac~i~ to ~le. ' b. Plot pl~ ~ l~ti~ of lot ~ of Mildi~s ~ ~s, ~latxonflup t9 .~3oxnx~ pr~s o~ ~hc struts or areas, ~ gDi~ a &tail~ &~ripci~ of last of p~r~ ~t ~ ~;~ the dl~ ~xd~ is pert of d. ~ a~al of ~is a~llati~, ~ ~ildi~ Ins~ctor will is~ a ~ilding Pemit to the applicant. ~lati~s, for tbe ~t~ti~ of ~ildi~s, ~iti~s or alterati~s, or for r~al or ~liti~,' ~ berein (~ili~ ~rens of ~lic~t) State ~m~r a~licmt is ~r, lesm, ~ent, archit~t, engimr,' ~ral c~tractor, el~tricim, pl~r or ~il&r. .............. .................................... :........... ............................. . ,.. . . .. . '- N~ 8UILDfNG OEPA~MENT ~T ......................................................... 765-1~2 9 AM ~ 4 ~ FOR THE Pl~rs Lice~ ~ .......................... 4. FINAL - ~N~TRU~ON MUST AL~ CONSTR~ION 6~ ME~ 0~ '~'s L]ce~ ~ ..................... THE REOUIREME~ OF ~[ N.Y, __. ~ . ~ ~ ~ , .~-- COOE~.:' NOT RESPONSIBLE FOR P:~tnre of work (c{~ek ~ddch appl!icable): ~qqe~ Ik~ilding .......... Addition ........ Repair Re.oval ................ i ......... I)enx}lition ............ Other Work ..... Est i.kated Cost ..... ? ...... ~...:.. ;. "~'. fee ............... ,,, ~, (to be paid on filing this If ck~lHng, IXmimr of d~lllng imits ............ HLmnber of d~lltng onits on each If garage, nauimer of care If I~mieess, co~mrclal or m~d occupancy, specify nature and extent of each type of nat ...................... DimenMons of existing $truet~ureB, if any: l?Yont ................ R~ar ............... Depth ................. ........ , ................ , lxlceL~r of Stories ...................... Dhnemainas of ~r~ struet~,re with alterations or additions: Front ............... liner ............... rk~pt! '...'; llaighlt Nt t)er of Stories 8. Dimensioma of entire ne~ construction: Frent ................ rmar ............... Depth .............. ......................... ~ Nmix~r of Stories 9. Size of lot: I~on't ' .................... ............ ........ l{~ar Depth .............. ... .... lO. Date of Purchase ............ ~ ......... Nar~ of Former O~n~r ....... , ................................ I }. Zone or uze district in ~hld~ procaines are situated ......................................... , .................... 12. Does propaaed eomatruetion viol'ate nay zoning la~, ordlnmaca or regulation: ........................ 13. Will lot be regraded : Will eJ~ceee fill be removed f-ct~n pccmiaes{ ~ IxlO 16. Names of Ommer of premJees . .......................... /~ldress .............................. l~lot~ Ho ............... llaa~ of Arddt~ct .............. : ...................... &klrees .............................. H~ee Ho ............... ............ ............ ............. 15. Ts Ods prep~rty wiLhin 300 feel::I of a tidal 'eetleed? * "lES .......... NO .......... WlF YES, S(I/IIlCJLD TO{~] Tll)bqv~8 llD~4¥r HiY I~ ]{E~IIRED. { * PLOT DIAGRAH I~cate clearly and distinctly al) LxJildings, ~lmLImr existing or proposed, and indicate all ret-back dimensions Etch* property lines. Give street and block n~ber or description according to deed, and aho~ street nt~aes aed indicate w{mther interior or career lot. ' i ~,7 ~0t Mq ~ OT MA e ;: ..... ~.:- ~: · ~0:~1:~0.~.~1~1~:~.$~:. ! ................... bel[~ duly 8wOtq~, delx)mas taxi mays timt he is Lhe app] {cast YOn~a ~ ~OIT~URTS~O~, 37AT~ .... 8flO~ ~OiT~t~ra~r~rate officer, etc.) nE maid ~er or ~era, a~l ia daly ~Lhori~ to ~rfo~ or h~e perfo~ I~e ~id ~ aed to rake a~l file this al~licati~; Umt aL1 stat~nt~ c~ta$~ in this a~l. icati~ are tn~ to that the ~rk will be ~rfom~ 'iff'tile ]~neev ~e f~rth'in the a~llcati~ ~m tobefore~ O~is ' ~ . )