HomeMy WebLinkAbout23749-zTOWN OF SOUTNOLD
B~ILDING DI~PARTM£NT
TOWN HALl.
SOUTHOLD, N.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK ^UTHORIZED)
N.° 23749 Z
County Tax Map No. 1000 Section ......... ..~/.. .......... Block ........... ~ ..... Lot No ...../../. .............
pur~uont to ~ppli¢oHon dotod ..............................................., 19 .. ond opproYed blt the
Building Inspector.
Fee $.......~....~...'~'./...~
Rev. 6/30/80
IIOARI} OF IIKAI.TII ...............
3 .ql~,'f$ JDF [q,AN$ ...............
SURVEY ........................
CIIECK .........................
$1~F'l'l C FORH ....................
NO'l'l FY:
C^I.I ...................
HA~I, '1'0: ....................
APPI,ICATIOH FOR llUII.DING I)ERI4IT
Date. 9-19 . , 19.9.6.
i N,qTIIUCT l Ol~S
a. 'il)is apl)llc,qtiO~ lal~qt J~ co~t~lel.ely [illed in 1~ tyl~,n-iLer or in ink ai~l m~l~,itl:~ to the lkHldlng InSl~Ctor with
.'3 sets of plans, accurate plot plan to scale. Fee according to scll~lule.
h. Plot: plau ~ing l~al:itm of lot mKl of IzHldi[~s mi pr~d~s, relationship to ~joiniug pr~.isea or lx~hlic
Lhls ai~l lcati~.
c. 'lhe ~)rk c(~r~l by this all)licati(a~ v~y ~)1:
4. Uixm a~al of this aiq)llca~Jon, the lhJildJng h~Sl~Ctor will ism~ a l~ilding Permit to IlJe a[~Jicant:. ~ch
(k'cui~m~:y ~alall have l~en STartLed hy I.J~ Ikiildin[~ lnsi~etor.
Atqq,l(~'l'l(~l lB Ifl;~l~Y F~IE t~ tie lk~lldmg' ' I~l~rtnem. for the issma~ee of a lh~il¢lit~8 lemtL ~ ' DlJ'ln~qllt tO Ihe
~nc:ril~l. 'lhe oppllcaat sgr~s to ca~Idy with all al~lJcable
(8J[~Lure O[ nppl leant, M~ i~l~e, if a Call.ration)
P.O. ~ox 144 S~oning~on,CT
(~;'Hlin8 ~klress o~ all, ih:ant)
Si:ate xa~etlmr alq)llcant is ¢~r, le.~, agent, architect, e~*gb~r, germrnJ c¢mttackor, electrJcia., l)h~d~t-or la~Jhler.
Owne~
F~.,~ of ca~,,er of l)r~$1?~s Janet A. Ferguson (Fitzgerald)
(Ss ¢.1 II,e I:a~: roll or latest
~/a
(Nmx~ afxl LiLle of coq~ral.~ o~[iCer)
I k~,se Rl,l~l' Street IlanJeL
(ka.,ty Tax ~)1) Nc). 10(X) Sect i~, ...... ~ ......... I)l~k .... ~ ........... l,)t .. ~.! ...........
Sa)l~livisi~ ...................................... Fil~l ~)1) ~) ................ l~)k .. ~... .........
(~) --
a, l,lxisth)g ~,~ atxl c~(nqx.s:y Vacant
'l.
I0.
II.
(il) b~ paid on I:ilil~l~ Ihi[i npi)l hmrion)
,,.. , 153.15i
........... I ............................. I~q)lh ....................
lille of ltir(:hn~le 1981 I l~¢,,~ .1: Fm,,~r (~,~.~,- Annette M. Zabohonsk~
· General business district
~ No
h~ thio p~q~zly .iddn :~X) fee~ [)f ,~ tidal ~tln~l'/ ~ Yl~i .......... Fl) ..........
S
PI.OT 1) [AOIIAH
~e Attached
:;I'A'II'~ 0{" NI~4
Ik~ ia Iht! ...........................
Ihel. ti~e ~),l( will I~ I~rl:olu~.d ill Ih
............... dn~ ol: . . . 19 ......
I'~P,:!'E: ................ ¢.P ~ ....i..
765-,1802 9 ¢,,f~ TO 4 PM FOt:t T~'IE
'~, FOU~VD/YRON 'iWO REQUIRED
4. (::iNA;, CO~SI'RUCTK}N
(~E COJCPL,ETE ~:OR
ALL CONSTRgCTiON SHAt, L MEET
THE R/OIItREMENTS OF THE
SIAIE CONSTRUCTION ~ ENERGY
CODES, NO'I RESPONSIBLE FOR
OES~[;N OR CONSTRUCflON ERRORS
:orl~)rnte officer, el(:.)
iI[K~(I in Illin nj)iH icnt Jo:l are lite Lo lhe IKml: of hill kla~ledi~e mKI I~]liefj nlm
.~..~r riel: I:o[ th ill Ihe apl)l leal. ion l i led thert~d'th.