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Home My WebLink About25594-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT PERMIT NO. (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: for : 25594 Z ~ ALPHONSE J NARI~//~7~/ / 3955 PARK VIEW LA~__ ~ ~-~/~..-/ ORIENT~NY 11957 DEMOLITION OF 8' X 12' TOOL STORAGE SHED. at premises located at 3955 County Tax Map No. 473889 Section 015 pursuant to application dated MARCH Building Inspector. PARK VIEW LA ORIENT Block 0001 Lot No. 033 11 1999 and approved by the Fee $ 15.00 Au[ho zed Signature ORIGINAL Rev. 2/19/98 MAR I 11999 BLDG. OEPT FORM NO. I TOt~N OF SOUTHOLD BUILDING DEPAR~NT TOUN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 R~;eined ................. , 19 .... Disa~oved a/c .................................. ...........................................- ~:E ;EUILDINC PELIT (Hff~iiii' :~ BOARD OF HEALTH ............... ,.13 SETS OF PLANS ............... JSURWY ........................ ca~c~ ......................... SEPTIC FORM ................... CALL J~J ~' ~ .~.~16~. ..... HAlL TO: .................... ........... ~.z. ~:: .~.~.( ........ Date ................ ,19 .... INSTRUCTIONS a. This applicatiou euat be c~pletely filled in by typmrriter or in ink anti submitted to the Building Inspector ~i~ 3 sets of plans, accurate plot plm~ to scale. Fee according to ad~dule. b. Plot plan shewing leeation of lot and of buildings on ~,~niaes, relatiouahip to adjoining premises or pablic streets or areas, and giving a ~etailed descripcitm of layout of property re,at be drmm an the dingran ~ahic~ is part of thid applicatiou. c. The ~ork co.red by this application my not be cu,~nced before ism~ce of lluilding Permit. d. Upon approval of this applicatian, the Building Inspector will issue a Building Permit to the applicant. Such permit slmll be kept au the premises available for inspection throughout the ~ork. e. No building shall be occupied or used in ~t~ole or in part for any purpose ~hatever tmtil a Certificate of Oeo .mancy d~tll have been granted by the Building Inspector. APPLICATI(lt IS ~ ~ to tim Building Oepa~tn~t for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the To~n of Southold, Suffolk Coanty, ~ Yonk, and other applicable La~s, Ordinances or P,c~ulatians, for the construction of buildings, additions or alterations, or for re~val or d~olitiou, as herein described. The applicant agrees to et,~ly with all al~licable l~s, ordinm~es, building code, housing code, and regulations, and to mtmlt anthorized inspectors m presses and in building for necessary inspeetions~ ..... .................. (Sigcatdre of applicant, or r~ne, if a corporation) .a~-.<..~&~:~..~....~....~.nCd..~m.~?.... (Nailing aaa~es~ of applic.~t) State vhether applicant is o~er, lessee, ng~nt, architect, engineer, ~ral ~tr~tor, el~trici~, pl~r or ~il~r. ......... __ __ .......... (~ ~ ~ t~ roll ~ latest ~) ~f ~h~ ~s ~ ~.t~, ~ of ~y ~ om~. (~ ~ title of ~te offi~r) 765-1~ ~il~ [i~ ~ .......................... Pl~ u~ ~ .......................... ~l~triei~ Li~ ~ ...................... ~r ~ ~ ~ ..................... ~ 1~ ~18~ ~ ~8 ~.~- ]. ~tim of 1~ m ~i~ ~ ~ ~11 ~ ~= ................ ~8:' N~' ~~'~ON ........... ...... v~:~ .......... a~.~...~ ................. ~ ~r ~t ~et ~ Ta~ m. I~ ~tim .~&~fi~ ..... m~ ..?~.=.~ ...... ~t ..~ ........... ~iviaim ..firgCa..~figr.~ ................ grim ~ ~ ................ lot ..~ ........... (~) 2. S~te ~sti~ ~ ~ ~ or ~s ~ iat~ ~ ~ ~ of ~ mt~ti~: a. ~sti~ ~ ~ ~ ... 5¢.~....O...~ ....... ~-:-- ~e~-aJ~L~q ~&a~ ........ ~. ~ ~ ~ ~ .......... ~.~>.D~... ~...~~k"~.~T ............ 3. I~ture of ~unk (check ~hidt applicable): ~ Building .......... ~klitiee . ..~.'. ..... Altsration Repair ............ I~m~val ..!.~. ........ Ik~uolltlon ............ Other Work ~Descri ption) (to be paid on filing this application) 5. If d~elling, n~ber of dselling ttnits ............ hl~ber of d~elling mits on each floor ................ If garage, nt~ber of cars ...................................... 6. If business, c¢~rcial or mi:~/ occupancy, specify nature and extent of ead~ type of use ...................... 7. Dimensions of existing structures, if any: Front ................ Rear ............... Hepth ................. Height ......................... l~aber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Hepth .................... Height .................... lqm~er of Stories ............... 8. Dimensions of entire ne~ construction: Front ................ Rear ............... Oepth .............. Height ......................... l~.ber of Stories ..................... 9. Size of lot: Fmut .................... Rear .................... Hepth .................... I0. Dote of Purdlase ..................... blmre of Former (l~er ........................................ I !. Zone or use district in vhi~h premises are situated .............................................................. !2. Does proposed constnmtion violate any zoning la~, ordinsnee or regulation: ........................ 13. Will lot be regradnd ..... ~.{~ ............ Will ea~cess fill be removed f,cm premises: Name of Architect .................................... Address .............................. Foone No .............. !5. Is this property within ]00 feet of a tidal wetland? * YES .......... ~ .......... ' PLOT DIAGRAM I~cate clearly and distinctly all buildings, t~hether existing or proposed, and indicate all set-back dimensions frcm property lines. Give street and block nt~ber or description ~ccording to deed, and show street na~s and indicate ~aether interior or corner lot. 1Ti't'F ...................... i{'~i40~{{{JOq{K)~ ............. being duly s~ure, deposes and says that he is the appl, ic~m~t above ~, {~fr-A.ltl;~kh ................................................ of said o,~e~t~l~i~rdl, I&~llTl~l~lll~t~ to perform or have perfon~d the said turk and to make and file this application; ~ a~l~t~li~li c~t~inai~ln tthis application are true to the best of his knowledge and betiefi and that the ~rk~.~flgOe~~/~ Lnbt forth in the application filed therewith. NOTARY I~JBLIC, State of New Yod[ No. 015T~08173, Suffolk G~j~y Term Exl~ June l, ~- (Sig~tore of Applicant)