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~.