HomeMy WebLinkAbout25177-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. 25177 Z
Date SEPTEMBER 16~ 1998
Permission is hereby granted to:
for :
EDWARD & CAROL WORTH
275 BALDWIN PLACE
CUTCHOGUE~NY 11935
CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA
AS APPLIED FOR "AS BUILT."
at premises located at
County Tax Map No. 473889 Section 103
pursuant to application dated JULY
Building Inspector.
275 BALDWIN PL
CUTCHOGUE
Block 0010 Lot No. 002.002
27 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
C¥OOL
MAP OF'PP-OPE~TY
SURVEYED for~
TDWAF D CAROL
EA5T CUT~UE
~N OF ~UTHOLD ~.
VACANT
TO TEST HOLE
p, LE*S~TNOTE
Minimum distance between well
and cesspool is to be 150 feet.
t
P-ES.
oct.
RODERICK VAN TI~_YL.
LICENSED LAND SURVEYORS
GREENPORT NL=W YORK
OCT
~,(;, OEPT. OF
St~t~.~ ~i IqTENT
THE W*T[. SU..LV *.~ SEWAGE mS~SAL
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
APPLICANT
SUFFOLK COUNTY DEPT.I OF HEALTH
SERVICES -- FOR APPROVAL FOR
CONSTRUCTION ONLY
DIST. SECT. BLOCK ~ll
OWNERS ADDRESS:
N:~JE BOGu E ?A.M. 119~1
DEED: L
TEST HOLE
STAMP
SEAL