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Home My WebLink About27357-Z -~ FORM NO. 3 '\JDlD Nu-1~ ----- TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIWING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27357 Z Date JUNE 6, 2001 permission is hereby granted to: PT CO KIMOGENOR 226 WEST LANE RIDGEFIELD,CT 06877 for NEW CONSTRUCTION OF AN ADDITION AND ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. INCLUDES FLOOD PERMIT. at premises located at 80 JACKSON ST NEW SUFFOLK. County Tax Map No. 473889 Section 117 Block 0010 Lot No. 001 pursuant to application dated NOVEMBER 17, 2000 and approved by the Building Inspector. Fee $ 178.20 COpy Rev. 2/19/98 FORM NO. 3 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PER~IT /~ (THIS 'PEP_MIT MUST BE KEPT ON THE PREMISES UNTIL/~ULL' COMPLETION OF THE WORK AUTHORIZED) / ' ~IT'N0. 27357 Z Date JUNE// 6, 2001 Permission is hereby granted to: PT CO KIMOGENOR .. 226 WEST LANE / RIDGEFIELD,CT 06~77 for : NEW CONSTRUCTION OF AN ADDITION AND/ALTERATION TO AN EXISTING / SINGLE FAMILY DWELLING AS APPLIEQ" FOR. INCLUDES FLOOD PERMIT· at premises located at ·,/ 80 County Ts Map No. 473889/~ection 117 pursuant, to apph_eat]_on/dated NOVEMBER Bu±ld±ng Inspecr__or. Fee $ 178. / / [3· / / ! Rev. JACKSON ST NEW SUFFOLK 17, 2000 a~d approved by the Authorized Signature ORIGINAL Block 0010 Lot No. 00I :FOUNDATION (2ND) PLUHBTNC~ Il " INSULATION PgR N. STA~ ENERGY II CODE II II Il II 'ADDITIONAL COI.~ENTS: FORM NO. I TONN OF SOUTIlOLD BUILDING DEPART[lENT TOt~l HALL SOUTHOLD, N.Y. 1197l .TEL: 765~1802 BOARD OF HEA~TH ............... SURVEY ........................ CHECK ......................... SEPTIC FOI~I ................... DEC ........................... TRUSTEES ...................... 'I~OTIFY: CALL ................... HAIL TO: .................... Date ................ , 2(; .... ; a. This application mint be conpletely filled in by t3q0ewriter or in ink and sut~it£ed to rim Building Inspactor :3 mi~.s bf plus, acoarete plot plan to scale. Fee aCCOrding to acbedule. b. Plot plum liaoalng location o[ lot and of buildings on pl~rlses, relationship £o adjoining pr~nises or l~blic struts or areas, ~.-: giving a dea'~iled ~escription o[ layout of property mint be drnun ee the dingran ~hich is part of this application. c. ~be wrk covered by this application r~ay at be co~enced before ismance of Building Permit. d. Upon approval of this application, the Building Ins1~tor ~ill issoe a Buildin~ Pemic to pemil: shall be.kept on the p,o...'ses available for in2~pac£ion throughout the · e. Ilo building shall be occupied or used in ~/aole or in .part for any purpose ~hatever ~mtil a Certificate Occupan~ shall basra been l~m,ted by ~ Building Inspector. APPLICATI~I IS I~omt ~ £o the Building Depa, l~,t for the issuance oi a lhiilding Permit parsuant £o the Building Zone Ordinarme of the Town of S0~thold, ~of~olk CoanL'yj .Ne~ York, and other applicable L,~s, Ordirk~ces'or [~,u~tlons~ ;~or the cons~n~crlon of buildings, additions or aIteret~ees, or for re~val or de~h~on, as herein &aciibed, The applie~t ~ to c~ply with all applicable, laws, ee , re~u!atiims, and to ,,,,dmlt ~,thorim¢l inspectors (Hailing :~laress of applicant) SZate u~ether applie~t is ~aeer, lessee~ ageot, arcbiteet, engineer, g~eral contractor, eleetricias, plmtmr or build~ ......................... ............................................................................ (as on lira tax mi1 or latest deed) I[ applicast is a corl~ration, sJgna_rure of duly authorized officer. and title ut corporete o[[iCer) Boilders Liceose No .......................... Od,ar Tradu's IXc~se No ..................... (~) I~epair ............ I~nr,vat ............. I]t~.~l ition ............ Other ~or~ .................................. ~timt~ ~t .................. ' f~ .............................................. (to ~ ~id m fili~ ~is a~tl~tim) ~. ~. o~ ~, ....... ~/~ ....................... Di~s]~ ~'E~isti~ st~s, iE ~: ~t ................ ~r ............... ~pth ................. I~i~t ........ ' . ~ oE Stories ...................... .i~i~ o~ ~ ~t~ ~iu, .tt~.d~ or ~iti~: ~t .Z/,.~ ....... ~,~ .~/,.~ ...... ~pth .... ~ ~. ........... t~i~t .................... bt o[ 5torles ............... oi~i~ o~ ~i,, ~ ~,~i~: ~. ZZ ......... ~.. ~/,. ~: ..... ~,~ ..~ ....... ~i~ ~ ~o~: ~ ...~ff~ .......... ~., .................... ~, .................... ~e of ~dm~ ..................... ~ o~ Po~r ~r ........................................ ~ o, ~ ai,~,i~ i, ,,i~ ~i~, ~ ,i~ .... ~.:.~ g. ............................................... ~, ~ ~t~ti~ ,io~,t~ ~ ~i~ ~. o~i~e ~ ~t,ti~: ...~ ................. ~ of ~tr~tor ................................... ~ress .. .............................. B~ ~ ............. fids p~r~d~ E~t ora ti&t~tl~ *~ ..~ .... ~ .......... PLOT DIA~RAI~ I~cate clearly and distinctly all buildings, deU~r ~xisting or pro[~ased, and indicate all sat-ha~k dhrensions ~u pnaperty lines, gi~ steer and block r~her or d~acriptlon aecozfling to deed, ar~ ~ street nm~ and ir~ieate _-rl~er interior o£ corr~r lot. · ~ 2~ .being dui.), s~a~rn, deposes and ~s t~t I~ is Ue a~l.i~t t'~ ~ of i~dioi~t signi~ cmtract) ,. ,,. ....................... .............................................................. '~j (C~traetor, ~ent, cor~rate of Eicer. etc.) ~ ~id ~r or ~rs, a~ is ~[y ~fl~orJr~ to ~r[o~ or I~ ~r[o~ ~ ~id ~ ~ to ~ a~ fire O~i. ~ ~ ]ticatla~; tl~t ail stat~nts cmtai~ in this a~limtla~ am t~ to fl~e ~st of his ~l~ aid ~[ief~ aM ~(~at O~rk~ill~r[ou~lintl~mm~c~t[octhlud,ea~ti~ti~ [~1~.~,. . L.