The URL can be used to link to this page

Home My WebLink About27017-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. 27017 Z Date JANUARY 17, 2001 Permission is hereby granted to: DONALD G FISHER PO BOX 39 SOUTHOLD,NY 11971 for : DEMOLITION OF AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. at premises located at 2975 County Tax Map No. 473889 Section 063 pursuant to application dated JANUARY Building Inspector. YOUNGS AVE SOUTHOLD Block 0001 Lot No. 026 11, 2001 and approved by the Fee $ 46.60 Author~ Signature ORIGINAL Rev. 2/19/98 ~ORMNO. I TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN BALL SOUTEOLB, N.Y. ll971 TRL: 765-1802 Disapproved a/c . · SURVEY ........................ CHECK ......................... SEPTIC FORN ................... NOTIFY: 765-2757 CALL .................. P.O. Bo× 39 5outhold NY 11971-0039 ~ (l~uilding ~eetor ) APPLICATION FOR BUILDING PERHIT INSTRUCTIONS 3 ~ts of pl~, ~ate plot p~ ~ ~le. F~ ~ffii~ to ~le. b. Plot pl~ ~ lmtim of lot ~ of hildi~s m ~s, relarion~ip to ~joining pr~i~s or ~>lic .struts or ~a, ~ glvi~ a ~tail~ ~i~im of l~t of Vo~ ~r ~ dr~ on rite dia~m Ofich is ~r~ of als ~liati~. d. ~ ~1 of ~is ~li~tlm, ~ ~ildi~ ~tor ~hll is~ a ~ilding Pemir to the appl [cant. e. ~ildi~ll~i~i~l~in~ for ~ ~at~er mtil a~rrificare of ~ildi~ ~ ~i~ of ~ ~ of ~ld~ ~f~Ik ~ ~ Yo~, a~ other a~licable I~s, ~dir~es or (Si~ture of a~licant, or ~, if a co.ration) 2975 Youngs Ave, POBt 39, Southold NY (~ili~ ~ress of a~l/cant) State ~aether ap~licaut is o~ner, lessee, agent, architect, engineer, general contractor, electrician, plum~r or build Owner . . m~e of o~er of premises .P.°.n..a.!d...%..a..n.d..S..u.s.a.n...K.'...Li.s.h..eE ....................................................... (as on the tax roll or latest deed) If applicant is a corl~ration, signature of duly authorized officer. (Nam and title of corporate officer) / Builders License No .............. ...~. ...... / Phmbers License No ............ 5~. .......... Electricians Lic~.se No ...... ~. ............ Other Trade's License No .... ~ ................ location of land on which pLoposed rank will be done. 2975 Youngs Avenue, Southold New York House Number Street Hanlet Ctxmty Ta~ Map No. I000 Section .. ffO~. Block / lot ~'~ aivision ........ Filed ltap No lot 2. State existing use and neeupa~_-y of premises and intended use and occupancy of proposed co.stmct ir,l: a. F~xisting use and occupancy ..~..q.a.r..g.a.r.a.g.e ............................................................ · Demolitio~ and removal from property b. Intended use and occulmnCy ............................. ............................................... 3. ff;)ture of work (d~ck ~?~_~ applicable): ~ .......... g~dition .......... Alteration .: ........ ~ri pti~) 4. Estitm~l (~st: no value - falling down f~ (to ~ ~id ~ fHi~ this a~li~t~) If garage, t~mt~r of cars -3- Ik~i~t .......... ~ ............. ~r of Stories . 1 l)inmnsi~s of ~,~ s/nm~re with alterati~s or ~itions: ~t ........ ].~] .... ~ar ............... ~pth .......... ~ ......... l~i~t ............. % ...... ~r of Stories . 8. Dh~mns[~s of entire ~ c~st~ti~: I~t . ~ ~r I~i~t . / ~r of Stories 9. Siz~ of lot: Fret 75' ~ar 75' ~pth 150' IO. [~te of I~n-cha~ April 1981 ~ of Four ~r W~lliam Moore Fisher 14. ~s of (~r of ~i~s Donald G. & Susan K. ~ress 2975 Youngs Ave. ~ ~. 765-2757 .................................... ~sa ................................... ~res~ ............................... ~ ~ ............... P1.OT DIAGRAH · A PROVJ;D AS NOTED l~cate clearly and discinctly ail l~ildings, ~/hetlmr existing or la'oposad: ~l?~. ~j-~ck dimensions . frr~, property lines. Give street ~ block nt~ber or description a~cording to deed, ~t-~ akxl indicate t~tber interior or co~ner lot. £~,,~,~ NOTIFY IBUILDING DEPARTM'ENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - I~NO REQUIRED FOR POURED CONCRelt: 2. ROUGH - FRAMING & PLUMBING 3. IN SUI. A'nON 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN O%IONSTRUCTION ERRORS ,~I'A'IE (]: bE'M YO~K, 021 INlY ()~: Suffolk SS Donald G. Fisher .......................................................... being duty ~orn, deOosas and says that be is the applicant (N,~ of individ~ml signi,g ccmtract) above I~ is lbe owner (Cx~ltrac[or, agent, corporate officer, etc.) of ,said o~n~er or c~ers, and is ~kdy authori7~l to perform or tm~ performed O~e said ~ork and to msl~ and file this applicatkm; tha~ rill statere,ts contained in thls appl [cation} are true to the best of his knowledge a~l betiefi atwl that the ~ork will be perfonr~l in tt~ mn,~r set forth in the application filed theremlth. .... 11 ..(lay o£ .J..a.n.u.a..ry .... Notary l~tbl ic ....~. ..... ~.....~.~.. ........... ANN O. ROMEO Notary Public. State of New York No. 4764227 Commis :ion Expires 7/,3//~ool (Sigma of ~tic~t)