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HomeMy WebLinkAbout30000-Z t FORM 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. 30000 Z Date JANUARY 27, 2004 Permission is hereby granted to: AGRICULTURAL INC LAV-COR 605 THIRD AVE -34TH FLOOR NEW YORK,NY 10158 for CONSTRUCTION OF A WINERY AS PER NEW YORK TATE a fILDING CODE ZBA AND PLANNING at premises 1 cated at /32180 MAI RD C CHOGUE— _ County Tax Map o. 473 89 Section 103 tock 01 t No. 019 - 0?.1 pursuant to appl catio ated JANUARY 7004 and a oved by the Building Inspecto to xp're on JUL 27 20 Fee $ 5, 663 . 0 1 Authot' d Sign Lure COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT ` Da you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,tlY 11971 3 sets of Building Plans TEL: 765-1802 ey . PERMIT NO, ?p X00 : sureCheck Septic Form _ N.Y.S.D.E.C. 20 Trustees Examined Contact: APPIo 20� a Mail to: Disappr a/c !L.1 u- P.L DG. DPhone: a. VJ,•d i S� L ID ^73o-Rus J0 7 V4 i�1 ''..,..1 APPLICATION FOR B ' T — . Date. A04 I r ?-9 , 20±/ INSTRUCTIONS - 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 commenced 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 until a Certificate of Occupancy 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 bed.The applicant agrees to comply with all applicable laws,ordinances,building code, ing code,and regulations to admit authorized RR _ f ; rJit f �� i} APR ; �, �(Siguaput of applicant or name,if a c ration) BLDG.D� r T N u7' �5 Tt ( ailing address of applicant) State whether applicant is owner,lessee, agent, architect, en eer,general contractor, electrician,plumber or builder G"'�1U'� Com Tae�9-C.Zc�i 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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 319Z19 Oyf/A/ ,l?o.40 Cv rcr{oc �' House Number Street Hamlet County Tax Tax Map No. 1000 Section I 103 Block o/ Lo Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 6�/ivE�7' 77N1 Com/ b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal _Demolition Other Work (Description) 4. Estimated Cost .2 , /'P.-00 ©©o Fee (to be paid on filing this application) 5. If dwelling,number of dwelling units /V f l, l bV&elhng units on each floor If garage, number of cars /'l A. 6. If business, commercial or mixed occup�anEcy,,�specify�,nature and extent of each a of used�i►Ac.�t ��tr..- wrc'K ieET.FlL 5'AQW s P `v R rovvg6•�3f �f+a f "�29�•� �S�G/ 7. Dimensions of existing structures,if az T n '�`~'. a "tea '� Depth Height [�`"be ,Stories ivswBr- a- FA woow-sar -2 74 x M-e-ea u-; -2 Dimensions of same structure with alterations or additions: Front A✓-4 Rear Depth Height Number of Stories. 8. Dimensions of entire new construction:Front "3•/2 Rear %P3--ex Depth 'f• M/ Height SZNumber of Stories 4. 9. Size of lot: Front Z?=Z 3 Rear Depth 10. Date of Purchase . oV, I fff Name of Former Owner 94 Y 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: /VO - t1 �.4svG�/�/AtsyG� 13. Will lot be re-graded YDS Will excess fill be removed fiom premises: YES����T pyvL E.�C9RS�+Gq Uo ElowR+6a P1e�'S�>J' prvitbA�'d��3�e?'n �,�IZ�,S"S 14.Names of Owner of premises�"�' '� Address o 3'�h``� s�hon,�'.N��o. Ex Z Name of Architect l�ea9�T Lu�O Address " ori' /�c ioireelRo - o Name of Contractor ge^yrz0 Gx-4-7' Address moo, em; .hohe No-! f'qE JV-"/ft4 15. Is this property within 100 feet of a tidal wetland? *YES _, NO • X RMITS • IF YES, SOUTHOLD TOWN TRUSTEES PEMAY BE0, 1 UIRED 16. Provide survey,to scale,with accurate foundation 14 an and distances to proway.1gift. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF S � rQ,4 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing con ct)above named, (S)He is the 6�-S� i"f r_ _614A r57J ce_. `✓J u i LOOP K 'k , (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,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 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 this 6 - day of_1�-'P lei- 20 u Nota !c NAPOLI10, Signature of Applicant NOTARY PUBLIC. state of New Yce No. 92-2848112, Suffolk County commission b0m