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Home My WebLink About25307-ZFORM NO. 3 TOWN OF $OUTHOLD 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. 25307 Z Date NOVEMBER 5~ 1998 Permission is hereby granted to: NORTH FORK COUNTRY CLUB PO BOX 725 CUTCHOGUE~NY 11935 for : DEMOLITION OF AN EXISTING DWELLING AND GARAGE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 109 pursuant to application dated NOVEMBER Building Inspector. 300 LINDEN AVE CUTCHOGUE Block 0003 Lot No. 008 2 1998 and approved by the Fee $ 80.20 Building ~nspec/to~ ORIGINAL Rev. 2/19/98 FORI/NO. I TOM OF SOUTHOLD BUILDING DEPARTHENT TOI~ HALL SOUTNOLD, N.Y. 11971 Ti/L: 765-I802 Disapproved a/c .................................. (lhil&ng Insp~tor) ~ BOARD OF BEALT8 ....... · ........ SURVEY . SEPTIC FONH ................... I/OTIFY: CALL .................. PAIl. TO: .................... APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. 'mis applicatim u~at be ~pletely filled in by typewriter or in init and ~-!tted to tbe bailding Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Pl!~ plan st~rln~ ]_~'~tion of loc aed of buildings on premises, relati~ip w adjoiuing praises or public streets or areas, and 8ivin8 a de~ailed deseril~ion of layout of property ,m,r. be ckam no the dingra~ s/nid~ is part of chis application. c. 'lhe ~ork covered by chis applicatino my nor be comenced before issuance of lhilding Permit. d. Upon at~rc~al of chis application, the Building Inspector rill i_~ a lhilding Pemit to ~ applicant. Such pemit shall be k~pt no the premises available for inspection chrc~hnot the ~ork. e. No building aball be c~?ied or used in sa~ole or in par~ for any purpose ~hatever tmtil a Certificate of Occupancy shall have been Eranced by the Building Imspec~or. APPLICATIilN IS ~I~Y ~ ~o che lhilding De~-t for the is~m of a Buildin~ Pemit pur~mnt to the Buildin~ Zaue Ordinance of che T~n of ~:hold, ~uffolk County, ~ York, and other applicable La~a, Ordir~s or ReEulations, for che ~st~uction of buildinge, additions or alterati~s, or for ~uval or ~litino, as herein · described, lhe applicant a/~eea ~o ~.ly ~rlch all applicable la~, ord!r~r~'~s, buildin~ code, h~ming code, and regulations, and Co ~a~it onchorised inspectors on premises and in buildin~ for neeeasary inspections. (Siscatore of applicant, or ~, if a coqx~ration) ...... ........ O~ailing ~m of applie~t) State ~d~er. her applicant i~ mr, lesnee, agent, arohitect, engineer, general co~tractor~ electrician, plmt~r or I~ildm (*a on ~ m roi1 or late~t .......... l. : .......... ~ ~~ FOR THE l~ilder~ Licenee No .......................... 8. ~ 4. FINAL - CONS*RUCTION MUSi Plumbecs L~ce,~se Eo .......................... ~/ BE COMPLETE'FOR C.O. Erect;[clans Li~e t~ ............ . ... ...... ALL CONSTRUCTION SHALL MEE[ THE REOUIREMENTS OF THE N Y OCher ~cade's [~cense tlo ..................... ~TATE CONSTRUCTI~)N & ENERGY CODES. NOT RESPON$1.RI**E I. [~:cation o~ land on ~ic~ p~9osed ~od( ~fill be clone ......................... OE$~I~ OR-6ONs;r~[~¢-~q~*h-~;.. ~-. .... a .o ...................... ....... l~use I~ ~her 5troet Coant~ ~axV~p No. 1000 Seetim ...... LO.g .... ..... .3.. ........ ..... ......... Subdivisioa .............. ' ........................ Filed l~p ~b *""~ (~) 2. SCare existing uae and ocr,?nCy_ of premises and in~ond~ use and occupancy of proposed ccx~st-mction: ............... .......... ). gature of york (cl~ck ddch applicable): ~ l~ilding ...V~.~.. ~ddition .......... ~terati~ .......... ~ir ............ ~al ............. ~ltti~ ..... ~ .... ~r ~ .................................. ~- * O ~ipti~) ~.~i~t~ ~ ....... ~.~:~.~: ...... ~ .............. ~.q..~ ........................ (to ~ ~i8 ~ Hlt~ this ~li~ti~) 5. If ~11i~, ~ of ~111~ ~its ....... ~ .... ~r of ~lli~ ~its ~ e~ ~r ....... ~ ........ If ~, ~r o~ ~ ...................................... 1. Oi~si~ of ~sti~ st~s, if ~: ~t ................ ~ar ............... ~pth ................. l~i~ ......................... ~r of S~ies ........ /. ............ Di~i~ of ~ st~ ~ altera~i~ or ~iti~s: ~ ...... ~ .... ~ar .... ~ ........ ~th ~ ' ~ of S~orles 8. Di~i~ of ~ti~ ~ mt~ti~: ~t ....... ;L ....... ~ar ' ~ .... ~ ........ ~i~r ......................... ~r of St~ies ..................... ~0. ~, or ~,~ ........ ~ ........ ~ o~ ~o~ ~ ...~.&~....~/f ......... ~1. ~ or ~ district ia ~t& ~..i~s m si~t~ ....... e~ee~ ..... .~ ................................ 12, ~s ~,'o~ m~ti~ violate ~ ~t~ 1~, ~i~ ~ ~latt~: ~ ~ of ~it~t ......... ~.~ ................ ~ss .............................. ~ ~ ............... 15. Is ~is p~ ~in ~ f~ of a ti~l ~tl~7 t ~ .......... ~ .... ~ .... PLOT DIAGRAH Locate clearly and distiactly all buildings, ~hether existing or ~,~1~1, a~l irdicate all set-back dimensions ~,o~r~y lines, gi~ street and block nuat~r or description according to deed, and sho~ street nares a~d indicate ~ether interior or corner lot. /~ v o above se~ed, ;;. ~ , ~ is t,~ .f<~.. ~,.. ¢..~....k.~ ~ .~. 5~ .~ .a..~.. ~ ~.~ ~./.,.. ¢.~ ~.~ ~. ~.~ ........... (~tr~t~, ~,t, ~te officer, etc.) of ~d ~r ~ ~rs, ~ is ~Iy ~t~ri~ to ~rfom or h~ ~r[~ fl~ ~id ~ ~ to ~ ~ file ti, ia ~li~ti~; ~at ~1 stzt6~,~ts ~iM in ~is ~li~ti~ an t~ to ~e ~st of his ~1~ ~ ~liefi ~ Hint ~ ~ rill ~ ~r~ in tim .u~.~r ~t f~th in ~e ~li~ti~ fild ~. s~orn, deposes ~nd says that he is the applicant MAR~ON G. LATHAM Notary Public, State Of New York No. 52-.4649732, Suffolk County Term Explr# -;~>~.,_ ~_~..~ ~ ~. 3),