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Home My WebLink About29033-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES LTNTIL FULL COMPLETION OF THE WORK AUTHORIZED) pE~T~o. 29033 Z Date DECEMBER 23, 2002 Permission is hereby granted JOSEPH T DIMIN0 PO BOX 492 RIDGE,NY 11961 for : CONSTRUCTION OF AN ACCESSORY GARAGE IN TEE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 014 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 305 MULFORD CT ORIENT Block 0002 Lot No. 003.023 19, 2002 and approved by the 23, 2004. Fee $ 155.40 Rev. 5/8/02 COPY TOWN OF S0~'IfrH~}LD BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northforkmet/Southold/ Approved 1~9-?'r~ ,20 oQ._ Mail to: Disapproved a/c ...... spec*or ~ j. { ~P~LICA~ON FOR B~D~G P~T ~STRUCT1ONS BUi-LDING PERMIT APPLICATION CIiECKLIST Do you have or need the following, before applying? Board of Health_ 3 sets of Building Plans Planning Board approval Survey_ Check SepficTFoma -- N.Y.S.D_E.C. Trustees_ Contact: 2062 a. This apphcation MUST be completely filled m by typewriter or in ink and submitted to the Building Inspector with 3 sets'~f 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 pubhc streets or ageas, and waterways, c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the apphcant. Such a perrmt shall be kept on the premises available for inspection throughout the x~ ork. e. No building shall be occupied or used in whole or in part for any purpose what so ever tmtfl the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months al[er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the proper~y have been enacted in the interim, the Building Inspector may anthorize, in writing, the extension of the permit for an addition six months. Thereafter. a new permit shall be rcquired. APPLICATION 1S HEREBY MADE .to the Building Department for the issuance of a Bttilding 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 apphcab[e laws, ordinances, building code, hous)~--eed~, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. / ) - (Q~ature Sf appl/cant or name,'~ a corporation) (Ma/ling address of applicant) State whether applicant is owner, lessee, agent, arct:fitect, engineer, general contractor, 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 dtle of Corporate officer) BuildersLicenseNo: ,.-J'~"-- ~-~c~F~_gg ff PlumberS License No. eM_,_['-~ ...~:f( ~2~/,~4 /~,~ : Electricians LicenseNo. ~L f }~"--.~?~ ~LC.- ~ Other Trade's License No. i. Location of land On wkich proposed work will be done: House Number Street Hamlet CountyTax MaP No. 1000 Section 0}~-, oo SUbdivision ~ ~ 0¢ ~cc~ g¢ S~r~'- Filed Map No. o Lot / y 2: State existing use ~mit occupancy ofpre*m~ es and ~nten~ded use and occupancy of proposed conslru tion. a. Existinguseandocckpanc3 ~> ~--~] ~'~'~o--~-(--{t/~L___ 'k/~-C/~u-~-- b. Intended use and occupancy ~-~--- ~Y- ~_~ ~-b~ ~- 3. Nature of work (check which applicable): New Building _ ~' Addition Alteration Repair Removal Demolition Other Work Estimated Cost ~ 2_--4;> ? c_9~c~ Fee If dwelling, number of dwelling units If garage, number of cars (Descripfion~ (To be paid on tiling tiffs 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. Dimensiorm of existing structures, if any: Front Rear Depth Height [ '~,ffz., Number of Stones I ~ x x-¢~L /~TTI ~ Size of lot: Front Date of Purchase Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stones 8. Dimer~sionsofe~tirenewconsumction:Front ~ '?'~- Rear _~-- Dep~ Height Number of Stories 9. Rear ( f~ .Depth 10. Name of Former Owner ~l ~5[~ 11. Zone or use district in which premises are situated ~ ~ O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO rXSY 13. Will lot be re-graded? YES '~NO Will excess fill be removed from premises? YES NO 14-NamesofOwnerofpremises'--~o-~¢-7', ~//?~(~'~d~'ess--l~g~?2 /~?~/ PhoneNo.~g/ Name of Architect ~O~e'a~/- o 5o~-~9 Address ~TA~ ~'~rrt~rcr~PhoneNo ~ NameofContractor..~q~'~/~O~~'~= ~ Address 75-£~ PhoneNo. dL~c __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 within 300 feet of a tidal wetland? * YES NO~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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 OFNEW YORK) COUNTY OF <qff'ax¢ ~-~ ~> ~ ~:/Tt~ '-[-' ~/~/03~ being duly sworn, deposes mad says tha'~ (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~C~ ¢-~ C'W-4.__ (Contractor, Agent, Corporate Officer, etc.) of said owner or ow-acrs, and is duly authorized 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 bis knowledge and belief; amd that the work will be performed in the mariner set forth in the application filed therewith. Sworn to before me tbi~_ /¢¢~- _dayof ~ _20 ~.~ck..-.- ~ Notar~Public Notaw Publ o, State o~ New l(Ork