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Home My WebLink About22268-zFO~M Ne.3 TOWN OF eOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. NO BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZEDI Date ...... .A.~.S.~...!~.: .................................... 19..~ ..... ,22268 Z Permission Is hereby granted to: RICNARD LEE 152 l~dl}SON TERIL~CE PIEI~ONT, N.Y. 10968 t CONSTRUCT 6 f FENCE TO CODE AS APPLIED FOR. , ~+ 3050 KENNEYS ROAD SOU'rltOLD~ N.Y. at promises located u, .............................................................................................................................. CountyTax Map No. 1000 Section ......... .5.~ ............ Block ......... :~ ............... Lot No....3. ...................... pursuant to application dated ......... ...3~....~....!..5.t ................................. 19....~.~ ........ and approved bythe Building Inspector. Rev. 6/30/80 FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL RI INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Mr. Richard Lee 152 Hudson Terrace Piermont, N ¥ 10968 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Dear Sir: Please have your signature notarized. What kind of fence, how high is fence, three copies of plan. Thank you Southold building department ( L BLDG. DEPT I .'.~7~ i To.W.~.N_O_F S~,O_L)T H 0 L P "il o tR ....... ,~,. VrE'V'v' .z-.ME. 0 '72_ AI.OI-.16 LIN~ /: BOAgD OF iIEALTH ......... 3 SETS OF PLANS ......... SURVgY .................. CIIECK ......... : .... ::-. SEPTIC ~ O R,~I .......... Disapproved a/c ......... ' { · ' - ........... /2,,0 ', '~"~(guilding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This ap~Iicati~n must be c~mp~ete~y fi~ed in by typewriter ~r in ink and subm~t~d:t~ the BuiIding Inspect~r~ with 3 sots of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship t/~ adjoining premises or public sti'eets o~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ' c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. .- e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate' of Occupancy shall have been granted l?y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South01d, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins~pections~;~~ (~Signature of applicant, or name, if, a corporation) (MaiLing, address of applicant) State xvhether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder. N~me of owner of premises ..... '~ l .Q,J.~... ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' ; (Name and title of corporate officer) Builder's License No. ' .................. Pl mbcr s L~cense No. Electrician's License No. Other Trade's License No ............. ~. ~ 1. Location of land on,wh ch proposed work will be'done. ...~.Q~..~...c- . .~. './f..~' ...~...~.~...~.. 2~.' .L~. fi~/. :y.: ../(? Ilouse Number ................................................... ' : Street Hamlet County Tax Map No. 1000 Section . ..: .............. Block ............... Lot ................ Subdivision ........ . ........ (iX{a; {~) ................ Filed Map No ......... Lot :'712-~'-7:7'7 :'.'.. State existing use and occupancy of premises and mteuded use and occupancy of proposed construction: a. Extstmg Use and occupancy ' . ...... - ........... b Int nded Use and occupancy .3. Nature of work (check whichlapplicab e)' New Building , '~, ' ~, Repair ...... ' ...... ~.. Addition ...... .r,.,',- ~u~ratllofi~ 4 ....... .. ...... Removal .... ...~ ..., ......Demdli'tldh~ . Othei,-W6,i.k~,7-. ,~. ,~_~?~... 4. Estimated Cost ... - · ~ (Description) ' ............ filing this application 5. Ifdwelling number ~e~..,~-:-[, ,~" '~ - ,1~ ' (to be paid on ) If garage, n~mber o *-~cma,~ units ........ ~ ...... Number Or.~velling units on eacb floor ~2-7V . fears ...~ ............. ~ ...... ' . , ... If business, ....................................... 6. commercial or m x~ed occupancy, specify nature and extent of,eaell type of use . Dnnens~ons of exmhng structures; if any' Front~C .v. ............... 7. ~ ~g. .... Rear ' Height .... x~ ~_~ ' '~' ~ m .t~, · .............. ~epth ....... · " ...... i.umoer ofStories ..o&.. ........ ith alterations or additions: ....................... ' Dimensions of shine structure ~ Front ............. Depth ' I Rear HeiDht ................................... ' Number of Stories · Dimensions of entire new cons}ruction: Front ' ' .................. .............. t Rear ............... Depth ............... Height ...... , Nu~ 12. Does proposed construction vidlate a ..... :--: ...... ' . 14. ~¢;~;~:;dfffipr;~'i;;s' ' } ~:: ~;~Q~: ...... Will excess fill.be removed from premises: ....... ' : · ~ .... Address g~.~~ .... Phone No. · · · cress ~ . ~ ~t~4.~?,. ~7~ ~ I ~: ""' '~' 15.' I~ thl~_~ropert~ within BOO feet of a tidal wetland'? ''&y~ ../, ~one No .......... · ~ yes, 5outhold ~own Trustees Permit may be requZ~g~j'?""~ ......... '". I P~OT DIAG~ Locate clearly ~d distinctly ~1~ bulldogs, Whether existing or proposed, ~d, indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block gumber or description accord~g to deed and she ~tefior or corner lot. ' . w street nines and indicate whether mO :o 0 . STATE OFNEW¥ORK ~ , i ' coum¥ (Name of individual signin~ contract)" ......... ~bove named. being duly sworn, depose.s and says that he is the applicant leis the ' ~, " ' i (Contractor, agent, corporate officer, etc.) . f said owner or owners, and is duly alufi~orized to perform or have performed the sakl work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner se:t forth in the application filed therewith. worn to before ;ne this [ i ' ...... : ...... /. .. '...day of.. 4 ....... , 19./.9./ ' JESSICA M. LEEo' fl '?' . Otary Public, Notary Public ~State of New Yor~ /~/' ...... Res~cting' in 't~od¢la'n~l 'iOo'u nty .......... Countv ~ /~ /73 _.~ · r', Commission exp:re~ ~ 19~A'"'- ' ~" ~/ /~ ""~-~' ", '" ' .. ...... ........... (/ ' I . . (Signature of applicant)