Loading...
HomeMy WebLinkAbout25180-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25180 Z Date SEPTEMBER 17~ 1998 Permission is hereby granted to: RITA J GILLEY 3 WELLINGTON COURT NORTH MERRICK~NY 11566 for : DEMOLISH AN EXISTING DECK 15'X15' AND REMOVE DEBRIS AS APPLIED FOR at premises located at 3245 County Tax Map No. 473889 Section 103 pursuant to application dated JULY Building Inspector. BEEBE DR CUTCHOGUE Block 0009 Lot No. 004 28 1998 and approved by the Fee $ 15.00 ORIGINAL Rev. 2/19/98 FORH BO. i TOI~H OF SOUTUOLD BU] L1)]N(~ DI~. P AR'il'iR NT 'l'0T~H UALL SOUTIIOLD, N.Y. i ]97 I TEl.: 765-11102 IHSTRUCTTOHS BOARD OF UEA&TH ............... 3 SETS OF PLANS ............... SURVEY ........................ CH~CK ......................... S~TTC ~OP.H ................... HOTIFY; CALL ........ ti&II, TO:..... ................. ' DaCe ................ ~. 'ibis upplicatio~m ut~t be conDletely filled tn by ~riCer or 3 ~ o~ pl~,. ac~rute plot pI~ to ~le. ~ ~cordi~ to ~Ie. b. Plot pl~ ~i~ l~tt~ o[ lot ~ o[ ~ildtt~ ~ ~s, mlati~dp strut} or ureau, ~ 8ivt~ a ~ca[l~ ~ri~lo~ o[ layout DE pro~rty e. ~ ~ildi~ dm11 ~ ~pi~ or ~ In d~le or in ~rt ~aa~'a~ IS ~ ~ co tl~ ~tldi~ {~r:~nc for ~ ia~ o: a ~laci~s, ~or U~ ~:~ti~ o[ h~ildi~, ~i:t~s or alteraCt~, or ~scri~. ~ appll~c ~ Co ~ly vt~ all a~li~)le l~a, ordl~a, ....... ................. (Sl~ur~ o[ g~lm~, or ~, ii e co~ratt*O S~uCe ~O~r ~ltcanC i~ ~r, les~, ~enC, ~rd~i~c, enlist, ~e{~ral (air/on O~e tax n,~l or lo,est deed) apl)lica~c is u corporation, ui~naCure o[ duly aoU~)riz~l o[[tcer. ual ~itle o[ corporu~e o[ficer) lk~ilOers t,icense ~o .......................... 4. FINAL Plumber~ License Itu ........... ALL CON~[I~JC~O~ ~l~crici~ I,i~ ~ .... y .............. THE REQU~ STATE ~N~ OCi~r ~'a Lice~ ~...;'. ................ CODES, ~ ~ *~ ~ ~. ~ ~ .. J. ~ J ........ m~ ..... ~. ........ ~ .. ~. ........... ~ivlsi~ ............ ~- FiT~ f~p w ~t (~) ,. ~,~i~ ,~ ,a ~ ..~Z<:S~X6... ~P~I~ NS~ ..................... . ........................... % I~m~ra oE turk (d~lt ~ild~ af~llenbla)~ It~ ~lldlng .~... ~ltl~ .......... Alraratt~ I~lr ............ ~1 ,. ....... ' ....~lltlm .... ~. Other [~ ...... ~ ........................... (to ~ ~ld {~} flllng this al~lteatl~) If garage, t~Jmr of ~r~ ...... ~.<~ .......................... If I~tah~ns, ~rclal ~ ml~q~, ~el~ ~t:uro n~ ~tent of east ty~ of u~..~ ............. ~ ~cn 1~ . ~ ............ I~pth .............. w ..... l~ ~t ................. ~l~r o~ Btorle$ .~ ... ,. nt~ ~ ~ t~t ........................................ v .................... . ~ ~ i C~o~ . ........... 12. ~n p~l.~mt~tl~ ~iolnen n~ ~1~g I~, o~ll~m~ 13. ~lll lot I~ ~ .... [D.Q..~ ....... ~111 ~e8~ fill Iz ~ oe ~,~t<~ ..O~.e..-..~o.~s~ ......... ~ ~e~.~/m.~ ........ ..:.,. n~ m, ~: ~., .... 15. l~ thl~ p~rt~ ~lfldn ~ f~t. ofa tkMl mela~ · ~ .......... Pi.OT DIAORAH. Ix~cate clearly and dletlnctly all ~lldl~n, Om~mr ~latlflg or ~, ~ IMtcate all ~t-I~ Interior or ~r ................. bei.It duly ~>rn, delx>~.ea elxl enys thai: he it~ ~.he nPPl. lc>ml: .~,m to bel'ore me thla · Notary Public, State of New Yo~k No. 01JA5024916 Qualified in Nassau County Commission Expires Maroh 1~1 t~i~q~ ~¥~.'~ ............................................................................... (C~ltractot', t~lent,' corporate afl'leer, ere,) said {~mr or ~ra~ ~ is (~ty ~tl~rl~ to ~rfonn oc h~e l~rfor,ml Lhe ~kl ~rk taxi to nnke o~l file this tirol tl~ ~rk ~[11 Im ~r~l In tl~ nnm~r ~t f~rth tn the n~l{cntt(m ftl~ el~r~[O~.