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Home My WebLink About25300-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. 25300 Z Date NOVEMBER 2~ 1998 Permission is hereby granted to: for : UGO L POLLA 1345 COREY CREEK LA SOUTHOLD~NY 11971 DEMOLISH AN EXISTING ACCY STORAGE BUILDING AS BUILT UNDER BP10682 NOT CO'D. at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated OCTOBER Building Inspector. 1345 COREY CREEK LA SOUTHOLD Block 0004 Lot No. 021 30 1998 and approved by the Fee $ 15.00 -Building InspecTor/ ORIGINAL Rev. 2/19/98 FOILH NO. I TOI~{ OF SOUTBOLD BUILDING DEPARTHF-NT TOI4M HALL SOUTNOLD, N.Y. 1197 ! TEL: 765- ~802 I~T~N ~R BUILDING PE~IT INSTRUCTIONS BOARD OF BEALTB ............... 3 SETS OF PLAMS ............... SURVEY ...................... . . SEPTIC FORM ................... HOTIFY: . 1.~.I L TO: .................... a. This a~plicatiro mst be em~.le~ely filled in by type~iter or in ink and =0~it~ed to ~e BuiMing Iaspector B sets of plans, accurate plot plan to scale. Fee a,v~rdiug to sch~hle. b. Plot plan six,ring locatio~ of lor and of buildings rD pr~mises, relationship to edjoiuin~ praises or public streets or areas, and iivi~ a de~ailed deacrip~ic~ of layout of property m~st be dr~n c~ the diagr~ ~ich is part of this applicat iro. c. 'lhe ~ork covered by ~his applicatioa my rot be ccr~eaced before i-~,-~e o[ l~ildir~ Pemlt. d. Upro approval of flais appllcetic~, ~ l~ildi~g Inspector v/11 issue a lhildi~ Permit to r_he applicant. pemir shall be kept rD ~ ~eufisea available for inspection r-hmt~h0ut the ~rk. e. No buildin~ dm11 be ~pied or u~ in ~/aole or in part for any purix~ ~/~atever ~til a Certificate of Cccupancy shall have been granted by the lhildi~ Inspector. APi%I~(I'/ IS ~ ~ to r~e lhildiug l~elmrCu~t for ~he ia~e of a Buildi~ Pemit pursuant to the Buildir~ Z~e Ordianv~ of ~he To~ of Se,,~ld, Suffolk Carney, Ne~ York, and ocher applicable L~a, Ordln~.es or ReE~latiofls, for the c~ust-rrotiro of bu/]a4~,, mtdlticas or alterations, or for re,oval or ~lkio~, as herein described, lhe applicant agrees to ~.ly ~ith all appliceble la~s, ordim~cea, build~t~ .~u_~i~ code, and reg~la~ioos, a~d~o ~4mlt rothorized inspectors c~l premises and in · ............................. (Si~mre of applica~, or ,~, if a corperatiou) State ~beOaer applicant is oa~er, lessee, a~.nt, architect, er~iroer,' general contractor, elactricia~, plu~er or builde, lqare of o~er of pr~nises .~.~..~......~....~.~.//~..'~'~" --~' // ............. '" ' .-~.~.~`~~~..~.---...~..~.....~.....~~.~~.~-.--...~..-.`~~.--~---~~~~.~.--~...~........... (as c~ ~he r~x roll or latest deed) If applicaat is a corporatic~, sil~amre of duly authorized officer. ..... ...... APPROVED AS NOTED FOLLOWING 1. FOUNDATION . ~RE~IR~ FOE POURED CONCR~ D ROUGH - FRAM~G & ~BING 3. :~ :JLATION 4. r ~,~. CONS~U~N MUST COMPL~E ~R OCher 'rrade's License t,b ..................... ,g/~/e ~,,/Sl//./~ . ~ CONSTRUCTION ~ MEET I. h:)catice of laud ro ~hich prot~ ',~ork ~ill be droe ...................... ';2; J..8~UJB~ .O~..~ .~V .... ................. ~, ~.~.. ~.. ~o; .... ......... .......... ........... ~i~isi~ ...................................... ~il~ ~p ~ ................ ~t ............... 2. Sure ~sti~ ~ ~ ~ of ~s ~ int~ ~ ~ ~ of ~ ~ti~: L ~£are o~ ~ark (check ~hich apglicable): l~a Building .......... ~lditiou .......... Mteratioo .......... ~pair ............ ~val ............. lkr~lttio~ ...~ ...... Ot~er ~ork ..... ................ ~. ~timted Cna~ ............ ~ ............ ~ee .............................................. (to be paid on filing this al~licatioo) 5. If t~aelling, m~er of tfaelltng units ............ li~nber of n~elling units un each floor ................ If ~arage, r~nber of nara ... ............................... . . . . 5. If business, .--.-.=,cial or mt~ eecup~cy, specify nature ar~ extent of each type of use ...................... ?. Di~enslens of existing atrneturea, ii en~: Front ................ Rear ............... Depth ................. Iieight ......................... Nm~er of Stories ...................... Dimensions oE same structure ~ith alterations or additions: Proot ............... Rear ............... Oepth .................... Beight .................... Nm~r o/ Stories ............... 8. Dimensions of entire r~/cmstruetion: Front ................ Rear ............... Oepth .............. Reight ......................... Nt~ber oE Stories ..................... 9. Sine of lot: Pront ................... . Rear .................... Depth ................... . I0. Date of Purchase ..................... ~ of Former Oa~er ........................................ ! I. Zone or use district in ~hich [,l~,,iees are slt~ated .............................................................. 12. Ooes p~opnaed construction violate ~V aching 1~, ordinmace or regulation: ........................ 13. 5~ill lot be xt,~racled .................... ~lill e~ess /ill be ren~w~t f~d,i v,~ines: W~ NO 14. lt~es of Oanar oE p,~iees ........................... /~dress .............................. Phone NO ............... ~ of Ax~fiitent .............. ~atdress ......... Pt~na No ............... ~ of Cnatrector ................................... /~]ress ............................... Phone No ............... 15. Is this p~operty vithin 300 feet of a tidal ~eclend? * ~ .......... NO .......... PLOT DIAGRAH Locate clearly and distinctly all buildings, ~l~ther existing or p~oposed, and indicate all eet-bauk dimensions ~,operDy lines, give s~reet 8~1 block msuber or description sccotfling to deed, and sho~ street nares and iudicate ~he~er interior or comer lot. t~°'~ ~ ' . . ~rA~E O~ ~ ~, .... .......................... tbe ........ "~t~t~, ~t, ~ute o~ieer, etc.) o[ ~d ~r or ~rs, ~ is ~ly ~ri~ ~o ~rfo~ or h~ ~r~ O~ ~ifl ~ ~ to ~ke ~ file this ~lieati~; ~at fll star--ts ~tai~ ia ~is ~lieati~ u~ t~ to ~e ~st of his ~l~ ~ ~liefl a~ that ~ ~ ~ill ~ ~r~ in tl~ ~,.~r ~t ~th in ~e ~li~ti~ fil~ ~. .9~orn to ~be~e me this ' .... ......... NOTARY PUBLIC, S~e of New Y~ N~. 018T600817~ ~ulf~k Ctx~I~ Te~n F. xi~l~ Jun/~. ~.o -