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HomeMy WebLinkAbout27021-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. 27021 Z Date JANUARY 18 2001 Permission is hereby granted to: BIG "E" FRAM INC. ONE JERICHO PLAZA JERICHO,NY 11753 for : REMOVAL OF AN EXISTING BARN AS APPLIED FOR. at premises located at 2675 County Tax Map No. 473889 Section 120 pursuant to application dated JANUARY Building Inspector. SOUND AVE MATTITUCK Block 0002 Lot No. 003.001 9, 2000 and approYed by the Fee $ 134.00 Rev. 2/19/98 ORIGINAL STATE OF NEW YORK: :SS.: COUNTY OF NEW YORK: PAMELA W. HUNT, having an office at Big E Farm, Inc. at 6133 Sound Avenue, Riverhead, N.Y. 11901, being duly sworn, deposes and says: 1. I am the agent of Big E Farm, Inc., which obtained Building Permit 27021 Z dated January 18, 2001 from the Town of Southold. Big E Farm, Inc. owns the property at 2675 Sound Avenue, Matfituck, N.Y. 1000-120-2-3.1. 2. Big E Farm, Inc. no longer intends to remove the barn and asks that the Building Permit be rescinded. The barn has not been moved since the permit was issued. Pamela W. Hunt Sworn to before me July /~, 2001 ubllo, 8tare of No. 52-4642871 (b~lllfled In Suffolk re/af~ ~ 8~. AVENUE S,18ol7'50"E. FENCE BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ NY 11971 TEL: 765-1802 Examined ,20_. Approved Il.q,[ ,200[ Disapproved ac , _ 9nnl :, ' ~UII.,DINU FlzKt'vl! 1 At-q-'LIL;A'fION CHECKL][S' Do you have or need the following, before applyin8 Board of Health . . 3 sets of Building Plans Survey_ PERMIT NO.. '. ~t'~Oc~ [ Check Septic Form " N.Y,S.D.E.C. Trustees Contact: tor APPLICATION FOR BUILDING PE~T Date INSTRUCTIONS Mail to: Phone: q[ - to(o 5 //5" _, 200/ 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 sghedule. b. Plot plan showing location of lot and of buildings ~n'premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work 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 a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the BuildingDepartrnent for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, SuffolklCounty, New York, and other applicable Laws, Ordinances or Regulations, for the cbnstruction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable law~, ordinances, building codc, housing code, and regulations, cml to adnfit authorized inspectors on premises and in building for neces. Sary inspections· ature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of p~'emises __ If a/pplicant is a qorporiti, o.q, signature,of duly authorized officer ~J (i'Ve and title ;f~orPor~te 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 doCe: '' APPROVED AS ~IOTED ~-_~ ) DATE: I-q-ol .B.P., oqgOoq, l_ . (as 9n ~he tax roll or lates~[~ ;UILDING"g~;A"~M~ AT 765-1802 g AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - ~/VO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY ' CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ./o V / / Harhlet House Number Street County Tax Map No. 1000 Section Subdivision (Name) /'ZO "Block '2~ Lot ~, I Filed Map No. Lot State existing use and occupancy of pr~mises and intended use and occupan.~cy of proposed construction: b. Intended use and occupancy Nature of work (check which apphcable) New Budding Repair Removal ] Demolition Estimated Cost /7., t,z)~--I Fee I/!/[//,,z] (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars i / If business, commercial or mixed occup, ancy, specify nature and extent of each type of use. Addition Alteration Other Work (Description) Dimensions of existing structures, if an' Height. ,~c/, Numb Dimensions of same structure with Depth Heigh Dimensions of entire new construction ,,: Front '3_ g t 6 ,t Rear ,r of Stori~'~ ! .Depth alterations or additions: Front Rear Number of Stories Front Rear Depth Height Size of lot: Front 0. Date of Purchase_C~/~y97 1. Zone or use district in which premises 2. ages proposect co.9..uxmae2rm violate any Numl ~er of Stories Name of Former Owner e situated. /~ ~ :oning law, ordinance or 3. Will lot be re-graded_ 4. Nmmes of Owner of premises Name of Architect Name of Contractor 5. Is 4his property within 100 feet of a tidal ! · · YES, SOUTHOLD TOWN 6. Provide survey, to scale, with accurate fo Depth regulation: Will excess fill be removed from premises: YES NO .Address ,~/.T.~ ~'~o~tag ffttF' PhoneNo. ~'g/ ..~q~'--/d)~'~' Address Phone No Address Phone No. 7. If elevation at any point on property is at vetland? *YES NO /~' TRUSTEES PERMITS MAY BE REQUItkED ~ndation plan and distances to property lines. f said owner or owners, and is duly authorized tc tat all statements contained in this application ar. erformed in the manner set forth in the applicati( worn to before me this .__.~.d,ay of_~amxZO, ax~ 200 ] ' '', ff ' Not-aw P~blic APl .:~AIL A, W OKI'lAM Notary P~bli~, atate of New Yot~( No. 52-464287¢ Qualified in Suffolk Coun~ (,ommission Exp{res Sept. 110 feet or below, must provide topographical data on survey. being duly sworn, deposes and says that (s)he is the applicant nt, Corporate Officer, etc.) perform or have performed the said work and to make and file this application ~ true to the best of his knowledge and belief; and that the work wiI1 be n filed therewith.