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Home My WebLink About33265-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. 33265 Z Date JULY 20, 2007 Permission is hereby granted to: LEANDER B JR GLOVER 815 COX LANE CUTCHOGUE,NY 11935 for : DMOLISH AN EXISTING BUILDING AS APPLIED FOR at premises located at 1855 COX LA CUTCHOGUE County Tax Map No. 473889 Section 096 Block 0003 Lot No. 007.004 pursuant to application dated JULY 20, 2007 and approved by the Building Inspector to expire on JANUARY 20, 2009. Fee $ 235.00 ORIGINAL Rev. 5/8/02 FROM :LI C~stom Mocl~lar ..1' d '\;l,l.OJ. LIPA lliIII8---1lIlI Jl.lly 18, 2007 FRX NO. :631-765-8410 ~tftJ ; 1-0 : ., 'f; Lklalors PIlm Rive/he.d, NY 1100 I East Elld Constnlction Services, Inc. 150 Wat~rview Drive Southold, NY 11971 R.E!: 875 Cox Lane, Clltcho!lu~ UJ>A Ref. # TlO0770328 l!.leclrlc MeIer #062301879 Dear M:I. l3i~hop: J~l. 20 2007 02:21PM Pi bflMGr0 (;, LoJ(;;;r- D<..;;;:M,O C O)t L.t0 w"n".kl. c> wvd Thi$letl'" b to advi~ YO~I thllllhe ~Iacll'k, ~elv;ce "-' the above reCerenc.ed prem\.~.$ wa.~ removed on Jllly 17,2007. If you have any questions, plea~e contact Fred Perez at (631) 548.7037. Very ~ruly yoms, teve Aylward Oeslp,n Engineer Electric DCllign & Construction SAlam ,. t.....: M'" 07-20C2607 '13: 22 SOUTHOLD BUILDING DEPT 16317659502 ~."'T 1""''D'~no~_..,...,,.. PAGEl TOWN OF SOVTllOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ ,PERMIT NO. c)'3 d-Q,-S-::r:;- ..BUILDING PERMIT APPLICATION CHECKLIST Do you have or he.\d the foIiowilig; heforeapplying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Exarniued Approved Disapproved alc ,20~ ,20_ Expiration ,20_ Mail to: e.G',jo . L\^,JTL<lc.;f1dU <SUQ; I~ W~~~(~O~ SD~ Phone: ;f,.s- ~8'-f1C APPLICATlONFORBUlLDING 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. Tbe work covered by this application may not be commenced befof\' issuance offlullding Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sucb a perinit shall be kept on the premises available for inspection throughout the work. . .. e. No building shall be occupied or used in wbole 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 IIlliY 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 BuildWltPermitPWID1antto the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction ofbUIldingsJ,jl.dditions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with alll\mll~~S' o' ces, building cooe, housing code, and regulations, and to admit authorized inspectors on~~~~~' cessary inspections. ~~ 6~S.~~ \)f>-i'C.~"?1.! o..<:,r S~P-i (Si tnreo 'ppIicantorname,ifacorporation) ~ - Ol'.p~.\, 1'\ i\-lc 1'1010. DII..IlI\-IG A pl-ll 1'0 Oill''i S f>-\-II ,0 Ol'<S'. e-bJI'-s ~lWtm~ SVc> .!.sD cJ/'.'f'/:;rt..Vf~ ~"s.\ea'/, ~ I~S'?t.Ci\ I'cODII'\CIl (Mailing address of applicant) 1'01..\..0\1'111'< 10\01'< ,i'~~'\';SII'. ll'<G 0,0(/-<-, J'6v,",^,,(..( /;('i7 ( State whether appli,\~\'\\l!"";;:::';"\}egP.J:& ~~Wchitect, engineer, general contractor, electrician, plumber or builder 1'01'\ ~~I'P-"'~ '" \lG\-I . , tJi.\5\ '/,.1'\0,:-\>> "'iIOl'< c:?\ ICIIOl'< ~("(,,,~t '0. \I'I'<P-I..' OJ\~3SI'0p. G.o.\.. \-IIcci \ '\N Name of owner of prdhi~ Co\J\,?\..cI " . \ s\-lP-\: 9.F 1'<'2 "~ f>-\..\.. COl'< "I'<IS 01' 'i:.S?Ol'<S\ .the tax roll or latest deed) If applicant is a corpora~qfi,D~r~~~Ut;~lft'!\.o zed officer 'i0p.~ O~ cOl'<S . (Name and ti*of)~~rate officeJ') . "- -',-- Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. J0, Ocr,"", <-' I. Location ofIand on which proposed work will be done: ns D..x L,J '. .... I House Number Street {' L-l TLJ.;, 1 (~ Hamlet County Tax Map No. 1000 Section Subdivision qlo Block .3 Filed Map No. I'" '~.'..L ....:>/~3,.,'\Fc,n. L/ Loi,~ ',Y;'t' .. ...' ..... J ___.ULfV... ;, ;:~) .... -,,.,..,~..,.,"t ,- .,,,...,, ~ '" Il\.T':"n"IA'\ State. existing, use and occupancy of premises and intended use and occupancy of proposed constrllction: . a. Existing use and occupancy S'/>J(Qu; ~ w" '--'( (M~(. . b. Intendeduseandoccuparicy A)M MoOUl.A4/1. ,(].Jl,(J.;- ;;'",,'L-y IO~ Addition other Work 'Alteration Nature of work (check which applicable): New Building y. Repair . Removal . Demolition )( (Description) Estimated Cost Fee If dwelling, number of dwelling uuits I If garage, number of cars J6' r (To be paid on filing this application) Number of dwelling units on each floor I Ifbusiness, cOIlm1ercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories 7 A.S;,Sc:-:r.so-<J ?:ftZt=- vn.,..),,,(i2 ~ 'pldl CMr-d-- c/t-e",-r ~J <5+rvcAVv--<-. t& ~. cf<:>o-d".r-o ..ri5 Or. Dimensions of same structure with alterations or additions: Front Rear Depth Height. Number of Stories Dimensions of entire new construction: Front ;J 7' c;, if Rear,;J"7 f (p If Depth if(; ( Height .2 r; I .. 1 7(/1_ f( Number of Stories ~ Size oflot: Front }/'l Rear ~\ 8'" I Depth O)cp I O. Date of Purchase Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance orregulation? YES_NO ~ 3. Will lot be re-graded? YES ~ NO_Will excess fill be removed from premises? YES_NO )L- 4. Names ofQwner of premises (b\Y.1. c:'~tL Name of Architect JlroJ~ re...r'€Af-i NameofContractoI:. t-.X eM \ 'NM. M.Uf.>II'-I"''- cJ2{ Address E!7r Co,c c.,J ~ Phone No. cf'<?lS- S""J" - .2..:2 'I 20- Address .<;;,,~~~) . PhoneNo ;;2&'3-,,3S-~ Address ,(\,,*,- \.J.. Phone No. 7(,I'NiP. 5 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L * IF YES, soUTH OLD 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. 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation atany point Qn property is at 10 feet or below, must provide topographical data on survey. TAT!) OF NEW YORK) ss: :OUNTY O€.\J'fYbU4- S Th~ ""6J,y(4f5YO being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named., S)He is the (ioo..n- (Contractor, Agent, Corporate Officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; hat all statements contained in this application are true tl? the best of his knowledge and belief; and that the work will be ,erformed in the manner set forth in the application filed therewith, 20JLL 1 MELANIE DOROSKI NOTARY PUBUC, State 01 New York No. 01004634870 aaallfied in Suffolk County. z,o(;O Commission Expires September 20....,-