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Home My WebLink About24498-ZFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24498 Z Perml~lon Is he.by granted to: SHAWN P & DAWN I WILLIAMS 405 SOUTH DRIVE MATTITUCK,NY ii952 TO DEMOLISH AN EXISTING i STORY FRAME HOUSE AS APPLIED FOR 405 SOUTH DR MATTITUCK at premises located at ............................................................................................................................... 475889 106 0011 020 County Tax Map No ........................... Section ........................ Block ........................ Lot No ......................... pursuant to application dated OCTOBER 6 97 .......................................................... 19 ................ and approved byfne Building Inspector. 156.40 Fee $ ......................... Rev. 6/30/80 I~PLICATION FOR BUILDING PERI'lIT FORN NO. 1 TO~/N OF SOUTIIOI..D BUILDING DEPARTNENT TOWN ilALL SOUTHOLD, N.Y. 11971 TEL.' 765-1802 INSTRUCTIONS BOARD OF IlEAl. TH ............... 3 SETS OF PLANS ............... SURVEY ........................ CuEc~ att..~ ~.l...z~. ............. SEPTIC FOP~ . .~. ................ NOTIFY: NAIL TO: .................... a. ~his application mist be canpletety filled in by typewriter or in it~c and sohnitted to 3 ~cs o~ pl~, ~rate plot pl~ to ~ale. F~ ~i~ to ~le. b. Plo~ pl~ ~i~ l~ti~ of lot ~ of ~ildi~ ~ ~s, ~lari~ip to ~joini~ pr~s ~ ~lic s~r~s or areas, ~ givi~ a ~tail~ ~ripti~ of l~t of ~rty ~t ~ dr~ ~ ~ di~ ~i~ is ~rt of this a~li~ti~. ~ w~ ~ ~ ~ds ~li~ti~ ~ ~t ~ ~ ~fore is~ of ~ildi~ ~t. a. ~ ~al of rids a~li~ti~, ~ ~ildi~ l~tor will is~ a ~ildi~ e. ~ildi~ ~11 ~ ~i~ or ~ iu~le ~ in ~rt for ~ ~t~r~til a~rtifi~te of ~m~ ~11 I~ ~ ~mt~ ~ ~ ~ildi~ Ins~tor. ~.l~'r[~ Is ~ ~ to c~ ~ildi~ ~r~nt for ~ isle o~ a ~ildi~ ~mit ~ildi~ ~ ~i~ o[ ~ T~ o[ ~ld, ~ffolk ~t~, ~ Yo~, ~ otl~r a~lic~le ~, ~i~s'or ~lati~, for ~ ~t~ti~ of ~ildi~, ~iti~s ~ alterati~s, or f~ ~al ~ri~. ~ ~li~t ~s to ~ly ~ all ~li~le 1~, o~i~es, ~ildi~ ~dati~s, m~ to ~it m~ri~ i~tors m ~i~s ~ in ~ildi~ for ~s~ i,~i~. /// //~ State ~,t~tber applicant is o~er, lessee, a~ot, architect, e~ineer, ~ral ~Lr~tor, el~rici~, pl~r or ~fil~r. ..... Dx ................................................... ....................... .. . (~ ~ ~ ~ ~11 or l~ts~ ~) (~s~ a[ul title of (:or.rate offi~r) ......................... ................................................ ................................ ~ ......... . . . <-, ,-~..ac~O~ ~visi~ ..~.t ..-~ .............. FiI~ ~p ~ ............ .... ~ ....... ..~..~ 2. State ~sti~ ~ ~ ~ of ~s ~ inte~ ~ ~ ~ of 15. I~ntu[e (ff uo~k (d~ck ~hich.appllcal)le): Ne~ I~dldi:~ . ~kliti~ .......... Alterati~ .......... I~lmir ... ~ ........ ~al ............. I~1 ~tl~ L Oiler ~k .................................. ~l~r i pt i (x~) ~.,,~,~ ..... ~.~ .... ~ .............................................. (to I~ ~id ~nt filing this 1~ &~lli~, ~d~r o~ ~lli~ units ..... '~ ..... l~ni~r of &~lling ~mlts ~ each ~r ..... ~ ........ If I~mim~a, ~,,,~ceial or mi~l ~, a~if~ ~ture a~l extent of ead~ ty~ o~ · ,, .,, .~&~.-....._.._ L % 0 ~,,~ o~ .. ~ ...... I~i~lt ........ · ................. ' 8toriea ........... Ili~a~i~ o[ a~ ~tn~[~ ~[th alterati~ or ~iti~s: ~r~t ............... ~ar ............... I~pth .................... I~i~lt .................... ~i~ o[ ~t:orie~ ............... ~ 5'7 '" DJuelmJ~m Of entire ~ c~t~ti~l: F~t ..~ .... ~ar . /.~ ...... ~pth ........ ,~0,~ ..... ~.~,.Q~'~ ........ ;. ,,,,~ o~ ,~o~.. ~ .... ~ or u~ district in ~dd~ pr~i~ ~e ~it~t~ .............................................................. ~ o~ c~,t~o~ .%.~ ~ ........................ ~**~ ............................... "~ ~ ............... PI.fir IHAORAH i~,cote clearly m~! d~stinetl¥ all buildlr~s, ~lmtber exlstln~ or propel, .m~l i~llcate all ~t-I~k di~nsi~s fr~ prolmrty liras. Oi~ st~t ~ bilk n~r or (~scripti~ ~conling to ~, a~ ~ strut ~ms a~l tJ,]ll.~r inlel'ior or corlmr lot. ",'~1,"__. ~-i[-..-... ..... ~x~ lie is tl,e ................. .O:.'~..p,~. (Co~ltractor, agent, corporate o[[icer, etc.) oF said (~r or ~rs, nr~ is (kdy ~tl~)ri~l to ~rfo~ or It~e I~rfor~ 1.1~ ~id ~rk taxi to ~ke nmi file Oils that the ~rk uill Im I~rfon~l In tl~ imlu~r ~t forlh in the niVI ~m I.o Imf()re thin .......... ~....~ o~ ~)tary Bd)lic ..