Loading...
HomeMy WebLinkAbout25466-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. 25466 Z Date JANUARY 11~ 1999 Permission is for : hereby granted to: KEVIN T & EILEEN BOWEN 177 WEST MONTAUK HWY HAMPTON BAYS~NY 11946 DEMOLITION OF AN EXISTING ACCESSORY STRUCTURE 10.4' X 16.2' AS APPLIED FOR at premises located at 11005 County Tax Map No. 473889 Section 031 pursuant to application dated DECEMBER Building Inspector. MAIN RD EAST MARION Block 0004 Lot No. 029 16 1998 and approved by the Fee $ 15.00 Authoriz~ Signa6;ure ORIGINAL Rev. 2/19/98 INSTRUCTIONS BOARD OF IlEAl.TM ............... ~ ss?s o~ ~ss '"~.i ~ " SURVEY ............... cm~c~ .............. ~. .......... SEPTIC FOliH ................... a. 'Ibis applicatie~ mu~t be or~let~ly filled ~ by ~i~r or in i~ ~ m,~Itt~ ~ ~ ~1~ ~tor ~ 3 ~ts of pl~, ~ plot pl~ ~ ~e. F~ ~i~ ~ ~,~. b. Plot pl~ ~ l~!tim of lot ~ ~ M~ ~ ~, mlati~ip .m ~join~ ~a or ~lic ais ~li~im. c. '~ w~ m~ ~ ~is a~li~im ~ mi ~ ~ ~iom i~-~ oi ~ildi~ ~. d. O~ ~ of ~ia a~i~ci~, ~ ~1~ ~or ~11 i~ a Yldi~ ~: ~ ~ ~li~. ~l~ IS E ~ m ~ ~ildi~ ~nt for ~ i~mm of a El~i~ E~t mt to ~ .... ..... ...................... ........ ....... ~ili~ ~ of ~limc) -- ........... ~q.~ . · : .............................. : ..................... ~ ~ ~ ~1~ t ~ ~ 4 ~ ~ THE (~ ~ title of ~te offl~> //] f ~ ~ ~: ~il~rsLi~ ........................ ~ ~'~f~ ~ ~ ~ ~ I ~MBING ~=. u ~: ~ ........................ ~. ~Z~ ~ ~. /~. ~.A~ - CO.S-.U~O. ~us~ ....... [ ~ ~.~' / BE ~M~ FOR C O ~t~Cnc[~ ~ ~ ............... ~ ~ ~ / AL ' ' ..... ~ ~ /~' / L CONSTRUCTION SHALL MEET o~ ~,. u~ ~ ................... ~. ' ~- ~ T.~ .Eaum=M~NTS o~ THE ..*. . . ~ v / ~TATE CONSTRUCTION & ENERGY I ~ o~ 1~ ~ ~ ~ ~ ~11~/~ ............. ~.. N~ · ____ - .............. .... //~ s ....... i,&Ce...<¢~ ~ ~~T. UC~,O. ER.ORS ~ ~r S~t ~~m. ,~ ~i. .... ~/. ........ ~ ..... .q. ........ ~ ....... W.?. .... ~,Mivi~i~ .................... ~ilM ~ ~ .. ~ ..... (~) State ~sti~ m ~ =~ of ~m ~ ~,~ m ~ ~p~ ~ ~ mmtim: a. Nsti~ m a ~,~ ............ ~ ..... ~ .... ~ ......... I. ~ture of ~nk (cl~ck ~htd~ appltc~ble)~ ~ lhildl~ /~klition .... .~... ~terati~ .......... ~ir ............ ~. ~timt~ ~t .~...; ............ ~ ........................ (to ~ ~id ~ [llt~ this ~li~ti~) 5. If ~lli~, ~ of ~11t~ ~tts ............ ~r of ~11t~ ~its ~ ea& fl~r ................ I~ ~, ~r o[ ~ ...................................... 5. If ~i~ss, !--...~clal ~ ~ ~, ~i~ ~ ~ ~t ot e~ ~ o~ ~ ...................... Ibi~t .................. ~ o[ S~ies ...... ~ .......... D~i~ of ~ s~ ~ alte~tt~ ~ ~tti~: ~t ............... ~ar ............... ~th ~i~t ~ of Stories ............. 8. Di~si~ of ~ti~ ~ ~t~tt~: ~ ................ ~ar ............... ~ .............. ~ of 8~ies ....... ,0. ...... ...... I I. ~ ~ ~ dis~icr in ~i~ ~,o,,l~s ~ si~ .......................... 12. ~s ~ ~ti~ ~olat~ ~ ~l~ 1~, ~t~ ~ ~la~tm: ..... ~.~. .............. 13. ~11 lot ~ a~.. ~~..i~ ..... ~ ~ ............... ~ of ~tr~t~ ................................... ~ss ............................... ~ ~ ............... PLOT DIAGRAH l~cate clearly ard dlstiuctly all h~ildi~s, d~el~r existi~ ~ pi~, ~ i~i~te all ~t-~ d~nsi~s f,u, p~r~ li~s. ~i~ s~t ~ bl~ ~ ~ ~ripti~ ~i~ to ~, ~ ~ st~t ~s ~ i~i~te ~r int~i~ ~ ~ lot. I q~ .3( ........... (~ of (~t~t~, ~,t, ~e oilier, etc.) oi ~d ~r ~ ~rs, ~ is ~ly ~ri~ to ~r[~m ~ b~ ~r[~ fl~ ~id w~ ~ to rake ~ file this ~li~ti~; ~t that ~ ~ to ~f~ ~is ~ ' NOT~ PUBLIC, ~ of NmY~ ~.~1