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HomeMy WebLinkAbout28481-Z FORM 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. 28481 Z Date J0 20 , 2002 Permission is hereby granted to: / GIAN MARIO MANGIER PO BOX 368 LAUREL,NY 11948 / for CONSTRUCTION OF A 30 X 40 AGRICULTTdRAL BUILDING AS APPLIED FOR at premises located at /2n50 MAIN RD LAUREL County Tax Map No. 47388 Section 125 Block 0003 Lot No. 002 . 003 pursuant to applicati dated MAY 21, 2002 and approved by the Building Inspector o expire on DECEMBER 20 , 2003 Fee $ 1 0 . 00 /// 1Authoriz Signature -}- b �� 1 �UII �I ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health la— SOUTHOLD,NY 11971 3 sets ofBuilding Plans TEL: (631) 765-1802 Planning Board approval iz FAX: (631) 765-9502 Survey � PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved 1 20. Mail to: Disapproved a/c Phone: Expiration ding r� P j ' APPLICATION FOR BUILDING PERMIT Date a , 200 ), INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale.Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The weak covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings,additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signatu�ofplican or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder () Name of owner of premises __ t (A ✓r,( � r (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: I P1() 0-h L, House Number Street Hamlet County Tax Map No. 000 Section Block_ 0 Lot Subdivision 1A - Filed Map No. Lot (Name) 2. State existing use and occupancy of premises anj intended use and occupancy of proposed construction: a. Existing use and occupancy S C LA+- t4l' b. Intended use and occupancy 1`' L/t VIE Z ✓, �- 3. Nature of work(check which applicable): New Buildina___�< Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost �► d G cq Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwellin units on each floor If garage, number of cars r- `� - �� 5 � iQ 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use. JA 1/-J 7. Dimensions of existing structures,if any. Front /7 Rear Depth Height Number of Stones ' Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new nsttuction: Front. ��-�t Rear r-4Depth Height - Number of Stories e r U (,�}" Rear.l9 C� �G} Depth 9. Size of lot: Front ^' h r 10. Date of Purchase Name of Former OwnerA I k-/ �'��� >1��� 11. Zone or use district in which premises are situated A C 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO� 13. Will lot be re-graded? YES_K_NO Will excess fill be removed from premises?YES( NO tv'%�), 14. Names of Owner of premises 'e-/i Address P0. 3CQr Lcv— Phone No. 2 q y"' - � Name of Architect t&% e'l Address it (�Iw ( Cv,�'PhoneWo 0_ 4-r- G 3 Name of Contractor" -w4C- � r ss�° 4' Phone No. ��- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wedand? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO 'X' * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.'� / A STATE OF NEW YORK) /" H' SS: COUNTY OF ) k. T I%- being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing ntract)above named, (S)He is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this od- day of �20 D�L ' otary Public Signature of Applicant' JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk County Term Expires June 12, j3 PLANNING BOARD ORLOWBMKEIMB ERS O�O$VFF�(�►COG P.O. Box 1179 Chairman �� y� Town Hall, 53095 State Route 25 WILLIAM J.CREMERS y Southold, New York 11971-0959 KENNETH L.EDWARDS V. Telephone(631) 765-1938 GEORGE RITCHIE LATHAM,JR. • Fax(631) 765-3136 RICHARD CAGGIANO I r, 1 juN 2 0 2002 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Damon Rallis, Plans Inspector From: Scott Hughes, Senior Environmental Planner Re: Laurel Creek Landscape, Glan Mangier! Main Road, Laurel SCTM: 1000-125-3-2.3 Date: 20 June 2002 1 have discussed the matter with members of the Planning Board. Since the zoning is AC and this nursery strictly deals in wholesale sales, no site plan is needed for this agricultural type use. However, if the scope of the business later includes retail sales then site plan review must be conducted.