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Home My WebLink About25496-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. 25496 Z Date JANUARY 27t 1999 Permission is hereby granted to: for : JOAN CROSSON 4080 PECONIC BAY BLVD. LAUREL~NY 11948 DEMOLITION OF AN EXISTING PORCH ROOF AS APPLIED FOR. at premises located at 4080 County Tax Map No. 473889 Section 128 pursuant to application dated JANUARY Building Inspector. GREAT PECONIC BAY BLVD LAUREL Block 0004 Lot No. 025 27 1999 and approved by the Fee $ 15.00 ORIGINAL Rev. 2/19/98 SURVEY FOR ANNA MARIE DOHERT¥ AT LAUREL TOWNOF$OUTHOLD SUFFOLK COUNTY, N.~ SCALE: 1%40' JUL?' 9, 1968 FORH NO. I TOI~N OF SOUTHOLD BUILDING DF-PARTHENT TOI~N HALL SOUTHOLD, N.Y. ][97] TEL: 765-1802 Oisappreved a/c .................................. (Building Ianpector ) [/ 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL .................. HAlL TO: .................... APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. 'Ibis application mint be canpletely filled in by typewriter or in ink and sut~it~ed to the Building Inspector 3 sets of plans, accurate plot plan ro scale. Fee accordin~ to schedule. b. Plot plan siao~ing location of lot and of buildings on premises, relationship to adjoining praises or peblic streets or areas, aad giving a de~ailed deserip~ian of layout of property mint be draan on the diagram ~hich is part of this application. c. 2he turk cc~ered by this application ~ay not be ccr~esced before issuance of Building Pemit. d. Upon appLc~al of this application, the Building Inspector ~ri11 issue a Building Permit to the applicator. Such permit shall be kept an ~e premises available for inspection throughout the ~ark. e. No building dm11 be occupied or used in vhole or in part for any purpose ~hatever ontil a Certificate of Occupancy ~all have been granted by the Building Inspector. ~I~PLICATI(lt IS ~l~a~¥ ~ to the Building Department for the ism of a Building Permit pursuant to the Suilding Z~e Ordinance of the To~n of Sonthold, Suffolk County, ~ York, and other applicable La~s, Ordinates or Regulatiorm, for the construction of buildir~s, additions or alterations, or for removal or ~lition, as herein described. The applicant agrees to t~-2ly ~ith all applicable la~s, ordinances, building code, haming code, and ..~~/...~.. .......... (Signature of applicant, or n~e, ~f a corporation) (l~ailing addre~ of ~pplicant) State ~tmther applicant is o~ner, lessee, a~nt, architect, engineer, general eontrector, eleetricia~, plmber or builder ~ of amer of premises ....................................................................... ~..~...~.~.~...~.~..~...~...d.~.>..~.~e>c (~ ~ title of ~rate offi~r) I, ~ - ~ RE~iREO ~il~rs Li~ ~ ...... ~--~ ............. ~ ~ · ~ & ~UMeI~6 Pl~rs Li~ ~ .......................... ~l~trici~ Li~ ~ ...................... ~ C~UCTfON SH~ MEET ~ ~'s ~ ~ ..................... ~ REQUIREMENTS OFTHE N Y I. o~ ./ ~ _ ~ ~ ~ , co0~s. ,~ ~L~':~- ..... ~..~ .~.~. ....... ~ ~. ~.~ :~.~. ?. ~. ~.~ .~g ............ .~. ~ ~.~¢~9~ ~79.. ~ ~r St~t ~let ~, ~ ~. ,~ ~=i... ...... ~,~ .... < ......... ~..&.¢... ...... . ~iviai~ ...... 7 ...... ~ ...................... Fil~ ~ ~ .......... ~ ..... ~t ............... (~) 2. S~te ~$ti~ ~ ~ ~ of ~ ~ int~ ~ ~ ~ of ~o~ ~t~ti~: ti~ a. ~s ~ ~ ~ ............................................................ ~. ~ ~ ~ ~ ..~.~.~.?.~ a~ ................................................. 3. Rature of ~ork (cheek ~hich applicable): lt~ Building ...~..... Addition .......... Alteration .......... Repair ............ }a,m~al ........... ~..~. ....... Other l~ork ............................ fi~ ~- / .(1)eserlpt ion) 6. Est i,ted Cost . i.~.. ?...~.',. ............ fee .............................................. ~_~_~____~ ~ i.~_7-(.= ~.3~-,//~ff~__~ (to be paid on filing this application) 5. If d~mlling, n~ber of dselling traits ............ limber of duelling units en each floor ................ If garde, nmber of ears ..................................... . 6. If business, t~reial or mized neonpane7, specify nature and extent of each type of use ...................... ?. Dimensions of existing structures, if any: Front ................ Rear ............... Depth ................. lleight ....................... Nmber of Stories . Dimensions of sam structure vith alterations or additions: Front ............... Rear ............... Depth .................... Beight .................... limber of Stories ............... 8. Dimensions of entire ne~ construction: Front ................ Rear ............... Depth .............. lteight ......................... Na~ber of Stories ..................... 9. Size of lot: Front .................... Rear .................. Depth ................. I0. Date of Purdmze ..................... Name of Former Omer ~-~ '~ ~ ~-~ I I. Zone or use district in vhich prmizes are situated .............................................................. 12. Dees p, opo~d construction violate any zoning lac, ordinmace or regulation: ........................ 13. ~ill lot be regraded .................... l~ill eaaeens fill be removed from premises: YES 16. Nm~-s of O~n~r of p, emizes--.~ ~.~-:~¥-~...~=~.-'~.'.?~.~7~- .... fiddress d~.e..'~.?...~../~..~.. :.d'~.~.%.'L'~-.. Phon~ No ............... Na~ of Architect ................................. &ldress l~none No. ~ of Contractor L.$.~.~....C-..~../~.Z:..~..~.~.~... fiddress~-.~'--~.-a.-/~...t~?-.-~--'~.-.~-..~---~f~.--.Phone No.~-37--:~-~--~--/..- 15. Is this p,,~etty within 300 fe~t of a tidal vetland? ~ ~ .......... NO PLOT DIAGILAI4 Locate clearly and distinctly all buildings, vhelaher existing or piuposed, and indicate all set-back dimensions [~uu ptul~rty lines. Give street and block t~ber or description according to deed, and sho~ street ms and indicate ~hether interior or eoreer lot. .9~m to before~e this /q No~w Public, State of N~ Yo~ No. 4951364 (~ of iedividual slg~ing contract) above is t,,e ........... .C.. ............................................................. (~tr~tor, ~nt, ~ate officer, etc.) of ~d ~r ~ ~rs, ~ is ~ly ~t~rlM to ~rfom or h~ ~rf~ tim ~id ~ m~ to m~ ~ file this a~licatien; ~at that ~ ~ viii ~ ~r~M in tie ~r mt forth in ~ ~li~ti~ fil~ t~.