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Home My WebLink About25309-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25309 Z Date NOVEMBER 5~ 1998 Permission is hereby granted to: ISLAND INTERIORS~ LLC 722 BROAD STREET EXT WATERFORD~CT 06385 for : DEMOLISH EXISTING GARAGE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 005 pursuant to application dated OCTOBER Building Inspector. ORIENTAL WAY Block 30 1998 FISHERS ISLAND 0002 Lot No. 001 and approved by the Fee $ 81.00 ORIGINAL Rev..2/19/98 FORMNO. TOWN OF SOUTHOLD BUILDING DEPARI~gNT TOWN 1 tALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 Disapproved afc .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FOI~ .................. · NOTIFY: CALL .................. HAIL TO:. .................. . BLDG. DEPT. i TOWN OF $OUTHOLO ,"~. 'lw.s applicati~ must (l~ilding In~ector) APPLICATION FOR BUILDIl{G PEIIHIT INSTRUCTIONS ~121ecoly filled in bt typewriter or in ink and ,~itted to tt~ Building Inspector 3 sets of plans, accurate plot plan Co ~ule. Fee a~muting to sdr~i,le. b. Plot plan st,,ring locaCioa of loc and of buildlngs m premises, mlatic~_~hip Co adjoining premises or Iz~.lic streets or areas, and giving a derailed daacril~ion of la~ of property mmC be dra~ tiff the dial~-m~ ~aicb is ~ of this applicuciee. c. 'lhe ~ork covered by chis application my not be c~xmnced before is~mnee of l~ilding Penuit. d. Upon approval of chis application, ~ lhildlng In*peecor ~ill i~ a Building Pemit to the applicant. 8t~h pemit *hall be h~pt on the pr~isee available for inspection chronghont the ~ork. e. No bailding ~hall .be occupied or u~d in x~aale or in part for any ~ ~4aatever tmtil i Certificate of Occupancy aball have been granted by the l~ilding Inspector. APPLICATItlq IS ~ PAlE to the l~ilding Peparr~.t for the ia~mn~ of ~ l~ilding Permit paumant to the l~ilding ?~ Ordinance of tl~ To~ of 8auchold, Suffolk County, ~ York, and other applicable l~, Ordin~ees or Regulations, for the co.t-ruction of bailings, addition~ or alcor~tior~, or for ,~,:~al or a,~lit~rein (Mailing ~ of ~lic~t) State ~mcher applicant is omar, leeaee, agent, architect, engineer, general c~tractor, electrician, plunher or hdldm .................................. . Ca .............................................. N~ of cwner of premiees (as on the to~ roll or latest deed) If applicant is a curperation, signature of duly anthorized officer. (N~me and title of corporate officer) Plumbers Liren~e lqo .......................... Electrician~ Lie~e No. .. Other Trade's License 19o ..................... l. Locatian of land on tahidl ~ ~ork willie done .............................................................. ............................. .............................................................. Bmme ~m~er Street Camty Tax Map 1{o. 1000 Sectim 005 Block ..c~ I~t I S~bdivisiee ...................................... Filed Hap 1~ .... Et ........... 2. State en~sting us~ and ocn~nt~ of premises and intonrloa use ~ a. ~,~ ~ ~ ~ ....... ~ ~. fff~ ~O~ .................................. .... ................... L ~la~ure of work (check ~ddch applicable): ~ l~{lding ~iti~ .......... ~tera~i~ .......... ~ir ............ ~al ............. ~,~liti~............'"~'" O~r ~ .................................. ~ ~ (~ipti~) (to ~ ~id ~ fJli~ 5. If ~lli~, ~ of ~lli~ *rolls ............ I~r of ~lling ~its ~ ea~ fl~r ................ If ~, ~r offs 5. If ~imss, ~amial ~ MM ~, ~t~ m~ ~ ~t~t of ea~ ~ of ~ ..... ] ............... D~i~ of ~ St~ ~ alte~tt~s or ~iti~s: ~t ............... ~ar ............... ~th .................... ~i~t .................... ~r o[ Stories ........... ~i~t ......................... ~r ot atmle~ ..................... 9. si~ o~ ' '. -' - I~,° ~, t~, ~,, /0~ .. ,0. ..................... ..... [ }. ~ e ~ district in li~ ~{~s a si~t~ .............................................................. m2. ~s ~u~ ~t~ti~ violate ~ ~i~ 1~, ~i~ ~ ~latt~: ...~Q ................ m3. ~iil lot ~ k~a ...... ~ .......... Will ~ fill ~ ~ ~. }4. ~s o~ ~r o~ ~ ~Y~ ~ss~ u~,~ ~ of ~it~t ....~/ ...... , .......... [~ ........... ~msa .............................. ~ ~ ............... 15. Is this p~ ~in ~ f~t of ~ ti&l mtl~? * ~ .......... ~ .......... PLOT DIAORAH Ia:ate clearly and distinctly all buildl;~,~, ~hether existing or proposed, and indicate all set-back dimensions fro~ pro.try lises. ~i~ street ~d block r~nber or description according to deed, acd sho~ st~et names and indicate ~bether interior or onrner lot. comrt 0~ ..0. y~..~....c~. .......... ...... !4..~.fP.k.&. CO°° ~ ...being duly s~om, deposes and ,says that he is tbe appl. ic~,t (aa~e of individual si~ing contract) Es tbe ........ ............................................................................ (Co~trsctor, ag~at, c~q~ate officer, etc.) of said c~er or o~'~rs, ~ is duly ~tberlz~t to perfom or hav~ I~rf~rr~d the said ~ork and to rmke and file this application; that all stat,=i~,,~s contained in this aPPlication ar~ trt~ to the best of his Ic~a~ledg~ end bellefi and that the writ viii be perfora~d in tbe n~,.er set £~rth in the application filed there~rlth.