HomeMy WebLinkAbout25160-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. 25160 Z Date SEPTEMBER 4, 1998
Permission is hereby granted to:
EDWARD & CATHERINE MILLER
P.O. BOX 548
LAUREL,NY 11948
for :
CONSTRUCTION OFAN ENTRY ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 3534
County Tax Map No. 473889 Section 128
pursuant to application dated JULY
Building Inspector.
GREAT PECONIC BAY BLVD LAUREL
Block 0006 Lot No. 005
21 98 and approved by the
Fee $ 75.00
COPY
,Rev. 2/19/98
(1st)
(2nd)
ROUGH FRAME &
.PLUMBING'
INSULATION FEE N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
L
....... :, . ,?... Pen.il; lb. .,... .. ....
.Disapproved s/c ..............................
HOTIFY:
............... . ...
APPI, ICATT ON FOR ~BU'ILDTNG PERHIT
'Date .............. , .. 19 ....
l HS'rRLICTTORS
a. 'lhis spplication r~st be co~letely £itled in
3 ~s o[ pl~, ac~ra~ plo~ plan to ~ale~
- - b. Plot pl~ ~i~'l~tt~ at lot
"rids applicari~.
d. ~ a~al o[ ~ds a~lt~ci~, tl~ l~ildi~
e. ~ ~ildi~ ~mll ~ ~pi~ or
,. ~H.I~'rt~ IS 1~ ~ to tim ~dldi~ ~rt~nt tar tim is~ o[ a ~ildiu ~mlt ~r~t to tbe
~lati~s, for tim ~t~ti~ O[
.. ..............
(Si~}ure ~t,,or ~, if ~ co~ratio.)
State ~i~et2~er applicant is o~er, lessee, ~gent, arddtect, engineer, §enerat cantractor, electrician, plud~er or belhl
lrchiteq,t . ..~. .........
premises..J~ d.w.a~.ql.. . . .8.,.. ~:~1.1~ ~.r ................................................................ ..
(as ~ ~LI~ I:ax roll or latest deed)
If applicant is a taft,oration, signature oFduly ~atborizc~l ollicer;
I~filders License No ................. ..... .. ..
Pl~bers License.No .................... ... ...
Eleatricitms I ice~ ~
Odmr ~'s Lice~ ~ ............
I. I~aCi~ of la~ m ~id~ pr~l ~rk will ~ ~ ............................
ic Bay B 1 Laurel. NY
Pecon ou evard .....................................................
I~ ~r St~t l~et
S~ate exis~Ing ~ ~ ~ of pr~i~s ~ iute~ ~e ~ ~ of pm~
i~ ~y Sinqle fam'ilv residence ......
a. F~st ~ ~ ~ .................................................. - .....................
3. R'JU,re o/~ ~ork (dmek tlildt al~llcable)a New ~lldlng , ......... ~iti~ .......... Alteration X~' li:~ ·
I~l~ir ............ ~al ............. I~1 ttl~ ............. Other .~ ~. ,... :. ;...~ ............ ; ?. L .......
(to
If garage, ~imr of ~rs ~[~ .................................
7 ' 7~.' '
1. I)i,,~asl~m o~ ~tstl~ stnmmres, tf ~y= ~t...O ............ mar .............. ~Pih .}~.~. ............
I~i~t .~.6.=~. ................ ~,imr o~ Stories .J ....................
7 '
I)l.ensi~m o~ ~m stnmmra ulth al teratt~s or '~l~lons: Fret .~O.' .......... ~ac .P .............
~ Ibpth ..33~ ...... ..... ,.. tgJ~t 16'-9" ~mlmr oi Stories 1
fl. I)i.ensl~m oe entire ~ =at~tt~: I~ 2~ ~E1 0" . '. ~ar ~pth . ..~ ........
' ...........................
i~ 9 7 rl 1
~. sl~ ~r loc: ~t L~J..0.I~ .......... ~,r .O.Q,~QO.'. .......... ~pm .93~.~9.~ ..... ~ ....
.~ ~...a,a. September ~995
m. ~,,.~. ............................ ~ oC ~'o~,~r ~,r ~Kk%~.9. D~8~P~9~ ..............
13. gill lot I~ rqr~ ~.~k
m,m of C~tr~tor ................................... m~r~a, ............................... lam ~ ........ i...
15. la this p~rty wlthln ~ f~t. ofa tt~l ~tla~l * ~3 ....... ~.. ~ ..........
PI.OT DIAORAH'
l~ate clearly ~ dlatl~tly all
z~etl~er t.terior ar corner ~C.
-<. I~.° ~' d~'~ ~;Z.~,O' ,
~n~ ~ .~P~ ..............
Ernest J. LaFemina ..tmi,ng duly ~rn, delx~s taxi ~ys L!~ot he i. the
alx~e
Ua is the 3r.a~t,e~:.t .......................................... ; ..........................................
(('~trector, .p, ent;eorporate o£~tcer, etc.)
of .aid <~r or c~n~rn, taxi t~ ~ty ~tl~rJ~ to l~rfonn or li~e l~rrOrn~l the .id ~rk taxi to .~k~:a=l file tl,i.
alq~l!cati~m; that att stat~nts c~,tat~ in this ,l~ttcatt~ are t~ to the I~,C of his kt~l~e
that th9 ~rk uitl Im ~r~o~l tn the n~m~mr ~t forO~ ~n the a~tleati~n~ fil~
~)~1 lO I~fore ~th{s ~ ' ~~Jglml~lre C