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Home My WebLink About24823-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. 24823 Z Date APRIL 14, 1998 Permission is hereby granted to: JOSEPH T MACARI 95-40 ROOSEVELT AVENUE JACKSON HEIGHTS,NY 11372 for : CONSTRUCT 3 WALLS IN THE FRONT YARD AS APPLIED FOR. at premises located at County Tax Map No. 473889 pursuant to application dated MARCH Building Inspector. Fee $ 35.00 3395 SOUND AVE MATTITUCK Section 121 Block 0001 Lot No. 001.003 31 1998 and approved by the /~B~i n = n~or ORIGINAL Rev. 2/19/98 i FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ^pproved.., 19 . ermit No. ? Disapproved a/c ..................................... BOARD OF }tEAI-TH ......... SEPTIC FORH CALL ................... MAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 seL~of plans, accurate plot plan to scale. Fee according to schedule. · o~Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cations. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 appl/cant agrees to comply with all applicable laws, ordinances, building code, h~using code, and regulations, and to admit gut horized inspec~e~m, building for necessaw inspections......NJ O. dhf... ~.dp7'_~.~ .~¢../.. ~..( ~ .~ ¢..C~., (Signature of applicant, or name, if a corporation) 1~ ~t-~ (Mailing address of applicant) State whether ~lll~]0~l~e~ ~~ ~chitect, engineer, general contractor, electrician, plumber or builder. · ........................................................ Name of owner ~~~i'. ~ ~ ~ ~ ........................................... ~~0:~ "~ (as on the tax roll or latest deed) If applicant is a ~~i~U~tq~{horized officer. Builder's License No...~.~.. .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .. 5fo. ................ ............ House Number Street Hamlet County Tax Map No. 1000 Section ...~.~...'~. ~7.~.?.'. I .l']Block .. O..O..O. ......... Lot..O.O. (.' .Q.O."~ ..... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~ l/~-'~. ...................... ~. .......... ~ ................. b. Intended use and occupancy ' [k). t. tJ.~ ..................... ~.~.(L(ff~ .b.~O~..~... 3. Nature ofwork (check which applicable): New Building .......... Addition ... Repair .............. RemlovaI .............. Demolition ............ 4. Estimated Cost ............................... Fee ......... i (to 5. If dwelling, number o f dwellingiunits ............... Number of dwelling units on each floor ............... If garage number of cars ' 6. If business, commercial or mixed occun v ,, ' ,, nature and extent of each type of use Dimensions of existing structures, if any: Front .... "' .................. 7. I ,an%, s,~ecif~ ........... Rear .............. Depth Height ............... Number of Stories ...: ............ Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth .................... i. · Height ....................... Number of Stories .............. ~ ....... 8. Dimensions of entire new construction:, Front ............... Rear ............... Depth ............... Height Number of Stories 9. Size of lot: Front ...~., ....... Rear .................. Depth ................. 10. Date of Purchase ........... : .................. Name of Former Owner ............................. 1 I. Zone or se district in which premises are situated . ,4,~-~'.~'~//~7-'~'~n~t. Does proposed construction vioJate any zoning law, ordinance or regulation: ...... Z,4t.O. ................ ' ...... 13. Will lot be regraded ...... ~/..O. ........... .. ......Will excess fill be removed from premises: Yes No ~ame o.[ contractorhl0~*6~..p~/~rtr. $[~-/~."/~ Address ~. O/~u~[~ ,d~2. Phone No ~.& ~.-./. ~.~ . 15. xs th~s property within 3.00 fe~t of a tidal wetland? *Yes ........ No.. ~. ' *' "",,r-qq' ' ~ *If yes, Southold ~own Trustees Permit may be required. ' }'' ..... ... PLOT DIAGRAM Locate clearly and distinctly ail ~uildings, whether existing or proposed, and~ indicate ail set-back d~nenmons from property lines. Giv~ street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. FEE:. 2. 3. INSULA~I~II 4, FINAL - CONI~I~I~ IiIUIT ALL CON~I'RUC~ THE RSOUIRI~MSI~I'~ STATS CONSTRUCI'IO# CODES. NOT RE$PONSt~UI DESIGN OR CONSIRUCIION STATE OF NEW YCIRK .. I coum¥ OF .... s.$ (Name of individual signing' contract) above named. XHe is the ~.,C~,~lO~.~ln;CZ-~. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly a~thorized 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 se! forth in the application flied therewith. Sworn to before me this ....... ?--/...:'....:: .... dayof... ~'~x~.~.,19.~..~-- ' Notary Pubbc · I.I~LENEO HORNE : " ~ ..~.~~ No,~,ry Publ'c, Smt~' of NewYork" "' ........ · '~''~ ...... ~ .~. · :. . ......... No. 49513~4 i (Signature of applicant) Ouslified in Suffolk C, ounty commission Expires Mev. p..2, · i