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Home My WebLink About29690-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Tovm Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29690 Z Date SEPTEMBER 3 , 2003 Permission is hereb_T granted to: / ANDREW MCCOWAN /-TR PO BOX 1359 / CUTCHOGUE,NY/11935 for ALTERATIONS & ADDITIONS TO AN EXiISTINC SINCLE FAMILY DWELLING AS APPLIED FOR at premises located a`t/ % 280 FAIRWAY DR CUTCHOGUE County Tax Map Np\. 7388/9 Section 109 Block 0005 Lot No. 014 . 035 pursuant to appl'r' n atij dated JUNE 11} 2003 and approved by the Building Inspector o expire on MARCH 3 2005 _ Fee $ GiZ110 f Authorized Signature 1 ORIGINAL Rear. 5/9/02 1 � FIELD-INSFECTION REPORT DATE COAswiTS' FOUNDATION(1ST) C FOUNDATION(2ND) rn y ROUGH FRANIING& PLUMBING y ,r1 INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMVwl S Z. rn S O b ►06 r 2. State existing use and occupancy of premises and intended us�j and o cupanv y of proposed codstructi3n: a. Existing use and occupancy & /C�ii•�r/ C d E � b. Intended use and occupancy sl n fLG Fare" & R-cswl Ch C 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost _f Loa Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units N//4 Number of dwelling units on each floor If garage, number of cars 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /✓1� 7. Dimensions of existiag structures, if any: Front 2 . Rear �2 8, Z Depth Height � ,CJS Number of Stories / Dimensions of same structure with alterations or additions: Front 70, / Rear 4. Depth Height Number of Stories 2 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories_ 9. Size of lot: Front Rear 2 97 Depth 2 �q 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated R, 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO,)( 13. Will lot be re-graded? YES NO /"(Will excess fill be removed from premises? YES NO 14. Names of Owner of remises MCGow'1 n Address AA ,dox N C��eG1Vo. Name of Architect 44 Alon Address Phone No 73 ¢' 00// Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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 OF NEW YORK) SS: COUNTY OF ) f/4n being duly sworn, deposes and says 'that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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,be ore me this11 00, STUMPF NO AP, � Mate 01 Mbw Ytxk of Publicrai s;EV sR�s° ei3nty_f'" `Signat e'of plicant ,AHOLD BUILDING PERMIT APPLICATION CHECKbIST APARTMENT Do you have or need the following,before applying? -LL Board of Health _)LD,NY 11971 3 sets of Building Plans T&,. ,631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/South-old/ PERMIT NO. o?�6 Check Septic Form N.Y.S.D.E.C. Trustees Examined P3 ,20013 Contact: Approved 113 ,20 43 Mail to: Disapproved alc Phone: Expiration�� 20 03' B ilding Inspector APPLICATION FOR BUILDING PERMIT r , Date 20 ,03 INSTRUCTIONS a. This application MUST b�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 applicatio_i 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the;interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition..six nonths. Thereafter, a new permit shah be required. 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 co e, a gulation droit authorized inspectors,on premises and in building for necessary inspections. ( gnature of applicaann�t or name,if a corporation) -e (Mailing address of applicant) State whether applicant is owner, lessee, agent, chitect ngineer, general contractor, electrician,plumber or builder Name of owner of premises q /'Gw- A G �pw (As on t e 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: / House Number Street Ham et County Tax Map No. 1000 Section �( 9 Block rJ Lot Subdivision Filed Map No. Lot (Name)