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Home My WebLink About29060-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. 29060 Z Date JA/qUARY 3, 2003 Permission is hereby granted to: LINKS LTD LAUREL 1833 MAIN ROAD DR31WER A JAMESPORT,NY 11947 for : CONSTRUCTION OF A NEW SINGLE FDJ4ILY WITH ATTACHED THREE CAR GAP_AGE AND COVERED FRONT PORCH AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 125 pursuant to application dated DECEMBER Building Inspector to expire on JULY Fee $ 2,305.20 190 LAUREL CT LAUREL Block 0004 Lot No. 024.013 30, 2002 and approved by the 3, 2004. ORIGINAL Rev. 5/8/02 BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ,20 Approved ,20 Disapproved a/c PERMIT NO. BUILDIN(J I'EF,-MIT AFFLICA'IION CHE(2KLIS' Do you have or need the followingi before applying Board of Health 3 sel~ of Building Plans Survey Cheek Septic Form N.Y.S.D.E.C. Tmst~es Contact: Phone: r-f q q -/~3 ~ INSTRUCTIONS Building Iuspeetor APPLICATION FOR BUILDING PERMIT ,20 O~ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commemced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever lmfil a Certificate of Oceupan¢ is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing 9pde, and regulations, and m adm/t authorized inspectors on premises and in building for necessary inspections. ~ // __ .~,/ (slgnaturo of~pplieant or nam*., ifa corporation) (Mailing ~nar~ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractox, electrician, plumber or builder Name of owner of premises (as on the tax roll or latest deed) If_applicant is a corporation,, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plmnbers License No. Electricians License No. %'o06. E_ Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 State exis/ing,us.e and occupancy of'premises and intended use and occupancy of proposed construction: a. Existing use and occuPancy k 3 c>,, ~ Co,- w~,-'V I (Xc~ ~ ' .- ,~_~, b. lntendeduse and occupancy Ch cx ~ ~:~v~i [x.{ ~3 i Cleat -e Nature of work (check which applicable): New Building Demolition o ~ Fee Repair Estimated Cost Removal If dwelling, number of dwelling units If garage, number of cars ~ Addition Alteration Other Work (Description) (to be paid on filing this application) .Number of dwelling units on each floor 5. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 71 Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth. Dimensions of same structure with alterations or additions: Front Rear Height ~ Size of lot: Front 10. Date of Purchase Depth. Height Dimensions of entire new construction: Front ~o3 ~ Number of Stories Re r/ Number of Stories Rear. ~ ~ ~ ~ ~ l Depth t./.~" c( ' .Name of Forrner Owner [-,C& ~t r~\. I 1. Zone or USe district in which premises are situated 12. Does proposed conslrac'don violate any zoning law, ordinance or ~'egulation: 13. Will lot be re,graded ? .~ 3 Will excess fill be removed from premises: YES NO 14. Names of Owner of premises Name of Architect , Name of Contractor g&c,~,i 15. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. [ 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 3TATE OF NEW YORK) SS: ;OUNTY OF ) x'~C~ [/'~. ~ . ~"7~vn nt~,~'~,C~ (~D . berg d~y swo~ d~oses ~d sa~ ~at (s)he is ~e apphc~t ~e of ~d~ sJ~ ' g con~ct) above n~, S)Heis~e ~ ~Ce - ~31~1' (Con~or, Agar, Co.orate Office, ~c.). ~ sEd o~ or o~, ~d is d~y au~ofizM to p~o~ er Mve p~omed ~e ~d work ~d to make ~d ~e ~s a~fion; tat ali smt~ts cont~ed E ~s applicaion ~e ~e to ~e best offs ~owledge ~d be~ef; ~d ~t the work wi~ be ~o~ed ~ ~e ~ s~ fo~ ~ ~e app~cafion filed ~e~. ~orn to before me this "~r' dayof STEVEN E. LOSQUADRO Notary Public, State of New York Reg, No. 20LO5076843 Qualified in Suffolk County Commission Expires April 28, ~ pphca~t