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Home My WebLink About31948-Z 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. 31948 Z Date MAY 1, 2006 permission is hereby granted to: PECONIC LANDING 1500 BRECKNOCK ROAD GREENPORT,NY 11971 for : DEMOLITION OF GARAGE AS APPLIED FOR (NO ELECTRIC) at premises located at 1205 MAIN RD GREENPORT County Tax Map No. 47388~ Section 035 Block 0001 Lot No. 025 pursuant to application dated APRIL 27, 2006 and approved by the Building Inspector to expire on NOVEMBER 1, 2007. Fee $ 65.00 .ti~ ~2u.-. Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthoId/ I:' BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey ;; / '7 t/- ~-C Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: '27 -',", PERMIT NO. Phone:j(;,'; /~~ If y... ~ - ~ 16-.3)1 -W'O -ic~ t/-' f'luilding Inspector , APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot 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 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 months. Thereafter, a new permit shall 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 South old, 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 authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electIjcian, plumber or builder Nameofownerofpremises \'l;:-C.C)\,-h C L.A0 \ ~<S- lNC- (As on the tax roll or lliMlt: - . # If applicant is a corporation, signature of duly authorized officer FEE: (.S. 'Ic~ - NOTIFY BUll'" '.. ',en RTMENT AT 765-1802 8 AM TO c. "\1 FOR THE FOllOWING INSPECh)NS: 1. Fe '.~;,....::.!' ('~~'-""':::~ FO" POUREC 'o,;;~L 2. ROUGH - FriAr;:::'S ., FLL;Mc:r:G 3. INSULATION 4. FINAL - cmiSTF, ':'..)N MUST BE r:OMPLETl: ;::::\. e.o. lL CONSTRUCT::I, SHf\lL MEET THE TS OF THE CODES OF NEW APPROVED AS NOTED c (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: 1.205 '/'Y)~. House Number Street County Tax Map No. 1000 Section Subdivision 3'5" . UJ .,:;2.:<....'1\i0Ib - DESIGN OR CONSTRUCTION ERRORS. /' Block l Lot 2 '-J 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 erClI.d) ~ ,j. b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ~ Addition Repair Removal DemolItIon'/ ~ atJ,Qther Work Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specity nature and extent of each type of use. ~_ 7. Dimensions of existing structures, if any: ~ :)\(;0 ~( Height Number of Stories Depth________~__. Rear Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Depth Rear Depth 9. Size oflot: Front Rear 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_Will excess fill be removed from premises? YES_NO_ Phone No. Phone No Phone No. 14. Nmnes of Owner of premises Name of Architect Name of Contractor Address Address Address 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO __ * 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.e. 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' COUNTYOISv~L) . ~\ ~ eJ> ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ('\l,.)'(,e y/ (Contractor, Agent, Corporate Officer. etc.) of said owner or owners, and is duly authorized to perform or have perfonned 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. 20~ " Notary Public ,,~'-"Z Signat BARBARA ANN RUDDER Notary Public, State o! 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