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Home My WebLink About25593-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. 25593 Z Date MARCH 10 99 Permission is hereby granted to: for : EIDAL CORP. PO BOX 1406 MATTITUCKiNY 11952 REMOVAL OF THREE OIL TANKS AS APPLIED FOR. at premises located at 9605 County Tax Map No. 473889 Section 122 pursuant to application dated MARCH Building Inspector. MAIN RD MATTITUCK Block 0006 Lot No. 012 10 99 and approved by the Fee $ 15.00 ~zed Signature ORIGINAL Rev. 2/19/98 FORH NO. ! TOM OF SOUTHOLU BUILDING DEPARI~ENT TOI~ HALL SOUTHOLD, N.Y. 1197! TEL: 765-1802 BOARD OF BEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL .................. 14AIL TO: .................... (Building Inspector) APPLICATION FOR BUILDING PEP. HIT INSTRUCTIONS Date...~J.l.~ ...... a. This applieatim ~mt be ccmpletely filled in by typewriter or in ink and sehaitted to the Building Inspector vi 3 sets of plans, accurate plot plan to scale. Fee according to sd~edule. b. Plot plan sDowing lecation of lot and of buildings an premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of la. ut of property must be clra~n on the diagram ~hieh is part of this applieat ian. c. The york co.red by this applieatico my not be ece~eeeed before issuance of Building Permit. d. Upon at~oval of this application, the Building Inspector vfill issue a Building Permit to the applicant. Such pemit droll be keiat an the prendsee a~ailable for inspection throughout the ~ork. e. No building ~hall be occupied or used in ~laole or in part for ~y purpose ~hatever anti1 a Certificate of Oeo?ney simll have been granted by tim Building Inspector. APPLICATICH IS ~ ~ to the Building Departn~t for the issu~ee of a Building Pemit pursuant to the Building Z~ae Ordinance of the To~ of Sour_hold, Suffolk County, ~ York, and other applicable L~s, Ordimmees or Rel~lations, for the construction of buildings, ~litiotm or alteratiees, or for x~al or d~m~lition, as herein described. The applie~t agrees to ~y with ali applicable l~s, ordimmees, building cede, housing cede, and regulations, and to introit authorized inspectors an premises and in building for eeeessery inspections. (Signature of applicant, or na~e, if a corporation) (Hailing ~ress of applicant) State ~nether si~.licant is ca, r, lessee, agent, architect, engineer, I~eeral contractor, electrician, pl~ber or builder ~ of o~ser of premises .................. ~ ......................................................................... (as an the tax roll or latest deed) If a~plic~mt is a corporation, signature of duly authorized officer. (l~re and title of corporate officer) Builders License No .......................... Plts~bers Liceese No .......................... Electricians Lie~e No. . . Other Tra~e's License No ..................... I. Location of land on ~i~h propa~ ~ork will be done .............................................................. ........ .6.,.C. ............ .................................................................................. House ~her Street H~alet Cotmty TaxHap No. '000 Seetlc~ ....... [.~...~.... Block ..~.2. ........... Lot .J...~.. ......... Subdivision . Piled ~ No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and eceupaucy b. Inteeded ~se and occupasey ~ ......................................................................... 3. la~ture of ~ork (check ~id~ applicable): Ne~ I~ilding ._.~.... ~iti~ .......... Al~erati~ ~ir ............ ~l ............. ~liti~ ...~ ..... Offer ~A .................................. ~rip~im) Es~i~t~ ~s~ ......................... f~ ......................................... ~ ~ ~.. (to ~ ~id ~ fili~ this a~li~;j~Z~' If ~lli~, ~r of ~lli~ ~mits ............ ~r of ~lling ~its ~ e~ ~r ................ If ~r~e, ~r of ~rs ...................................... If ~imss, ~rcial or ~i~ ~, ~i~ m~e ~ ~tent of e~ ~ of ~ ...................... Di~nsi~s of ~isti~ stems, if ~: ff~t ................ ~ar ............... ~pth ................. I~i~t ......................... ~r of Stories ...................... ~mi~ of m st~me ~th alterati~ or ~iti~s: ~t ............... ~ar ............... ~pth .................... ~i~t .................... ~r of S[ories ............... 8. Di~nsi~ of ~tire ~ mt~ti~: ~t ................ ~ar ............... ~p~ .............. ~i~t ......................... ~r of Stories ..................... 9. Si~ of lot: ~t .................... ~ .................... ~pth ............... ..... I0. ~te of ~d~a~ ..................... ~ of Four ~r ........................................ I I. ~ or ~ district in ~i~ p~i~s a~ si~t~ .............................................................. 12. ~s ~ ~t~tim violate ~ ~i~ 1~, o~i~e or r~lati~: ........................ 13. ~ill lot ~ ~ .................... ~ill m~ fill ~ ~ ~ ~s: 14. ~s of ~r og ~s ........................... ~mss .............................. ~ ~ .............. ~ of ~it~t .................................... ~ss .............................. ~ ~ .............. ~ ~ ~F~OF ................................... ~SS ............................... 15. ls fids p~ ~in ~ f~ of a ~1 ~tl~? * ~ .......... ~ [~ate cl~rly ~ ~isti~ly all ~ildi~, ~r ~is~i~ o~ ~, ~ i~i~te aH ~t~ d~nsi~s .... .... .... .............. (~tr~~ ~r~te oIflcer, etc.) of ~id ~r or ~rs, ~ is &ly ~t~ri~ to ~rfom or I~ ~rIo~ O~ ~id ~ ~ to m ~ file Otis a~licatio~; ~t ~11 stat~nts c~tai~ in fils ~licat~ ~ t~ to ~ ~sr of his ~1~ ~ ~lief~ o~ tint ~ ~ ~ill ~ ~rfo~ i~ tt~ m~r mt forth in ~e ~li~ti~ fil~ ~. s~um, deposes and says that he is the applicant (Sigr~ture of pp ieant)