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Home My WebLink About25761-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. 25761 Z Date MAY 28 99 Permission is hereby granted to: DANIEL DENN 23-01 150TH STREET WHITESTONE~NY 11357 for : DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AND DECK AS APPLIED FOR. ALL UTILITIES TO BE DISCONNECTED PRIOR TO DEMOLITION. at premises located at 330 County Tax Map No. 473889 Section 054 pursuant to application dated MAY Building Inspector. HILLTOP PATH SOUTHOLD Block 0001 Lot No. 023 7 99 and approved by the Fee $ 91.10 Authori~ignature ORIGINAL Rev. 2/19/98 FORH NO. 1 TORN OF SOUTHOLU BUILDING DEPARTHENT TOI4N HAI.I. SOUTHOLD, N.Y. 1197 I TEL: 765-1802 l)is~l~oved a/c .................................. BOARD OF HEALTE ............... =--3 SETS OF PLANS ............... --SURVEY ........................ · CHECK ......................... SEPTIC FOR~ ................... HOTIF¥ :(~ I~IL TO: .................... INSTRUCTIONS Dace. , ;~ t BLDG. DEPT. ' i TOWN OF SOUTHDLD ' '~: - a. 'ires appn,.~.,~,~.._.L _ completely filled in by typeardter or in in/ at/ sdeitted to the lhilding Inspector ~i 3 sets of plms, aconra~e plot flan to scale. Eee according to schedule. b. Plot plan dm~i~g location of lot ~d of buildi~s ~m p~'~/ans, relatiom~ip Co adjoining premises or l~blic streets or areas, and givinE a detailed description of layout of property ~mst be dr~m on the diagr~ ~&ich is part of this application. c. The ~ork co~ered by this application ~y not be co--riced before issumce of Building Permit. d. U~,~, ~,,,~al of this application, the Building Inspector will issue a Building Pemit to ~he applicant. Such pemit ~all be kept on the premises available for inspecti~ throngh~t the work. e. Ho building droll be occupied or used in qnole or in part for any purpose whatever u~til a Certificate of Oco .,?~y aha11 have been granted by the Buildi~ Inspector. AR%ICATI(I~ IS ~m~mf ~ to the Building ~ a..~t for the issum~ of a Building Permit pursuant to the Building Zone O~di,~ce of fl~ To~ of Southold, Suffolk Count-y, Ne~ York, and other applicable La~s, Ordinm~ces or lk, gulations, for the c~srruction of lmildJ~, aiditions or alterations, or for r~0val or demolition, as herein described. The ,~pp~l~j~d~y wlth all applicable la~s. ordinances, buildin8 code, housbg code, and regulations, ard to~me~r~e~°rs on pL~..~ses and in buildin& for necessary inspections. -- ~ .... :]3t (Sisanture of al~licant, or ~aae, if a corporation) O~lll~ll OWT o ~ I (ltailing address of applicant) State ~ahethe~ll~l~t~[~l~, architect, eogineer, general contractor, electrician, plmber or builder ........... · ~u~ ...... ~~~~ .............. m~rausPl~O:)__. ~u4a~a & .................... ....................... ........... ?.~?~..t*9.~.~..u?..k~. R0.ea:-~ ........... (l/me and title of corporate officer) lhilders License Ito .......................... Pl~bers License No. . Electrici~s Lice~e No ...................... 0t~er Trade's License No ..................... ~';L~ l.~'][--~,o~/ --- ....... ................. ......................... iii .y. .................. iiottse lt~ber Street R~let a~=~. i~o ~tion ...L7.. ....... Bi~ ..... Z ......... ~t ..~...s. ......... Sulxli~ision ...................................... ~iled ltap lto ................ Lot ............... (~.~) 2. State ex/sting use and oc~?~cy of preaises and ~te~. ,use and oceul~a~T of proposed construction: a. Existing use and occuDency .V ..... ~..~..~...~. ]~. ~ ['2~.l~....(~....~{ J)..~. .............................. ~e~air ............ I~ov~l .......... (.. l~h'tio~ ...... ~,./ ....O~er ~i ~ ....................... ~. ~t~t~ ~t ..~ .................... ~ ~ ........ ~ .................................... ~ 1~ ~id ~ fili~ this a~li~ti~) 5. If ~lli~, ~r of ~lli~ ~mits .../. ....... ~r of ~lli~ ~its ~ e~ fl~r ................ If ~r~e, ~r of ~r$ ...................................... 6. If Mi~ss, ~e~ial or M~ <~, gi~ mt~e ~ ~tent of e~ ~ of ~ ...................... l. Di~si~s of ~isti~ st~s, if ~: D~ ...... ~.~ ...... ~ .. ~ .......... ~pth ................. / t~i~t ...... /.. ................ ~r of S~ories .~. ................. ~im~i~ of ~gh .................... ~i~t .................... ~r o[ 8rorles ............... 8. Di~nsi~ of entire ~ ~t~ti~: ~t ................ ~ar ............... ~p~ .............. }~i~t ......................... ~r of Stories ..................... 9. Si~ of lot: I0. ~te of Mdmm ........... ~ o[ ~ir~r . ~re~ ........ ~ ~ .............. ~ of ~tr~tor ............................... .... ~re~* ............. .~.~ ........ ~ ~ .............. 15. Is Cds p~ ~in ~ f~t o[ a till ~rl~ a ~ .......... ~ .......... PLOT III AGRAI4 l~cste clearly and distlactly all buildings, vhether existing or proposed, and indicate all act-back dlmeosions fr~ propert~ lines. Give street and block number or description aeco~dlng to deed, and ~ street na~s a~d indicate ~fiether interior or corner lot. (Ita~ o[ individual sig~ing co~tr<t) above r~eed, I~' is the ~ ..................... (Contractor, agent, corporate officer, etc.) of said o~er or o~ers, and is &ly ~t~ri~ to ~rfo~ or h~ ~r[o~ fl~ ~id ~i ~ to ~ ~ file this a~licati~; ~at all stat~nts c~tai~ in ~is a~licatl~ a~ t~ Lo ~ ~st of his ~1~ a~ ~lie~i a~ that ~ ~i will ~ ~rfo~ in tim m~r ~t forth in ~ a~l. iati~ fil~ ~. · °~orn to b~fore me this ...... ...... dayof .... ~a~ Public, State of New YO~ No. 41-6443615 (Signature o[ Al~tica~t)