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 ' ~ . )