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HomeMy WebLinkAbout30175-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 30175 Z Date MARCH 18, 2004 Permzsszon is hereby granted DANIEL & TINA FINNE 120 CENTER ST GREENPORT,NY 11944 for : DEMOLITION OF 3kW EXISTING STRUCTUP~E AS APPLIED FOR at premises located at 1020 SEVENTH ST GREENPORT County Tax Map No. 473889 Section 048 Block 0002 Lot No. 040 pursuant to application dated MARCH 11, 2004 and approved by the BUilding Inspector to expire on SEPTEMBER 18, 2005. Fee $ 35.00 Authorized Signature Rev. 5/8/02 ORIGINAL Officers MAYOR DAViD E. KAPELL (631) 477-3000 TRUSTEES WILLIAM J. MILLS RI GEOKGEW. HUBBARD GAlL F, nORTON BRADLEy B. BURNS March 17, 2004 TO: Town r~£ S outhold Building Department FROM: Greenport Utilities William Swiskey To Whom It May Concern The electrical service to 301 ? Street, 2004 at the request of D, Finne, owner. Respectfully, William Swiskey 236 THIRD STREET GREENPORT, NEW YORK 11944 Greenport, New York has been removed as of March 17. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOW~ HALL SOU~I~HOLD, NY 11971 T~EL: (631) 765-1802 FAX: (631) 765-9502 ww~v. northfork, net/Southold/ Approved ~/)f' ,20 O~ Disapproved a/c Expiration -- ~ .~, 20 ~ BUILD~ PEILMIT AVPLICATION CHECKLIST Do you have or need the following, before appl~ying? Board of Health 3 sets ofBuildrng Plans Plann/ng Board approval Survey Check Sevtio om '.. " N.Y.S.D'.E'~C.~ Trustees Contact: Mall to: ~'hone: O'?~-- ?7~vt0 ~ding Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 0.5/. a. This application MUST be completely filled in by typewriter or in ink anc submitted to the Building Inspector wtth 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on prermses, relationship to adjoining premises or public streets or and waterways. c. The work covered by this application may not be commenced before issuarfce of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit available for inspection throughout the work. e. No buildLng shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector _" fi Every building permit shall expire if the work author/zed has not commenced wittfm 12 months after the date of ,~ or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the pr~eerty have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter. a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permi~ pursuant to the Build/ag 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 code, and regulations, and to admit auth°rizedinspect°rs°npremisesandinbuildingf°rnecessmT~nspecti°ns' ~d '~.~/,...~.~,,.,~ (S~gnamre of applicant or name, if a corporation) CMailing address of applicant) applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nmne 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 officeO Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed woe will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block oo- Filed Map No. State existing use and occupancy of premises and intended us,e and occupancy of proposed construction: a. Existing use and occupancy __ff,),~,/f.z~ .//~,~/?, ~arr~/g,//;~., b. Intended use and occupancy Nature of work (check which applicable): New Bui]ding Repair Removal Demolition Estimated Cost Fee 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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions ofexisting structures, ifany:Front /,~, /d' Rear /~/c(/~ Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size oflot: Front ~'/>/'- ; Rear '"~- Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO /XWill excess fill be removed from premises? YES 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES. SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property with'm 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16: Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) C ........ .J~,r~.~SS: /k~ff~ g ~/~//'b'J'-e being duly sworn, deposes and says that (s,he is the applicant ~me of indihdual si~ng conWact) above rimed, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly attthorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knoWledge and belief; and that the work Will be performed in the manner set forth in the application filed therewith. Sworn to before me tkis / ~ day of~ / Nota~ Public 20 aC/ SignatUre of Applicant LOT 58 I~'RIVIN® PARK" f'dAP ~ CRE:L-NPOP. T TAX f~ 0 PIPE IOtNE~ PROPERT'¢[ Z~N~ Fi 40 FEf'4A FLO~D X AREA 0 <l FLINT STIlE. ET OISAPPROVAL N w %1~ s JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 R1VERI-IEAD, N.Y'. 11901 369-8288 Fax 369-8287 REF.\~Ip serve~dXPROS\03-130.pro '1