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
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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
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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'
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COUNTY OF )
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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.