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Home My WebLink About28904-Z FORM NO. 3 TOWN OF SOUTHOLD V IJ\ BUILDING DEPARTMENT Town Hall Southold, N.Y. �N^ 'UT /%Qc U t ) '' /1 �6 �C BUILDING PERMIT )"A r C- L,--)� f 2/L tiY 30,1'-) L] (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28904 Z Date NOVEMBER 12 , 2002 Permission is hereby granted to : JOHN J REARDON 30 WILTON ROAD COLD SPRING HARBOR,NY 11724 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BUILDING PERMIT #23445 at premises located at 920 E CEDAR POINT DR SOUTHOLD County Tax Map No. 473889 Section 090 Block 0002 Lot No. 019 pursuant to application dated NOVEMBER 12 , 2002 and approved by the Building Inspector to expire on MAY 12 , 2004 . r Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 D FBOARD OF HEALTH . . . . . . . , FORM NO. 1 3 SETS OF PLANS z 9 TOWN OF SOUTHOLD SURVEY . . . . . . _ . . . . . . . . . . . AAM BUILDING DEPARTMENT_ CIIECI: . . _ . . . . . , . , TOWN HALL SEPTIC FORtl _ . . . . . . . . . BLDG.DEPT SOUTHOLD, N.Y. 11971 TOWN OF SOUT_ HO._D TEL : 765-1802 N O T I F Y ff �� . CALL -� -� . . . . . . . . Examined . .� . . . . . .. . . .1 19 . t1A I L TO : Approved' . . . . . . . .. 19*`Permit Noj3 " + . . . . ,t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disapproved ac . . . . . . . . . . . .. .. . . . . . . . . . . (Bujlding inspector) •�:.�; ` LICATION'FOR BUILDING PERMIT ►;;� .�, _.- �' °. : Pate �' •2�. . . . .. 19114 :� :.; ,. . r, is i ,•,. 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted 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 described, The applicant agrees to comply with all applicable laws, ordinances, buildin code, lining code, and regulations, and to admit authorized inspectors on premises and in building for necessary ions. -- ignatur applicant,, or name, if a corporation) (Mailing address of applic nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .� . . . . . . . . Name of owner of premises ,.. n . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q'2o. . . . . . . . . . . . . . . . . . . r Fork-Vr. . :. . . . . . . . . .1_5 18. . . . ... . : . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . Block . . . . Z. . . . . . . .. . . . Lot . . .19. . . . . . . . . . . . . . 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 b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . s. . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition .AC . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition Other Work 4. Estimated Cost .' " Co . .. . . . . . ... . . . . . . . . . . . . . . . . . Fee . . . . . . . .. . . . . . . . . . . . 41k�ription) (to be paid on filing ff%oapp kation) 5. If dwelling,numbeT.r of dwelling units . . . . !0!0!. . , . . , Number of dwelling units on each floor . If garage,ptirnhr `'o"f cars 6. If business, commercial or mixed occupancy, specify nature and extent of•each type of use -- 7. Dimensions of existing structures, if any: Front . . . . . . Rear f/.e,..1" . • , . . Depth . . AS. Height . . .ZZ. . . . . . . . . Number of Stories . . . .II,Z.- Dimensions of same structure with alterations or additions: Front Oe'.4*A tw-.* Rear Depth . . .. U� . Height . . . . Number of Stories . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear Depth .Height .. . . : . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . 9. Size of lot: Front . ?!. . . ..: . . Rear . . . .5l4"4. . . . . . . Depth . . . . . . . . . . . . . . 10. Date of Purchase !J, , . . . . , . , . . • , , 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: /'Jd , Will lot be regrd04dt '. t10. , , , , , , , , Will excess filltbere oved from premises: • Yesi4•. Name of'Otvnei otf remises•,k; !tib 1 . , . Address.50WIL µ'YPhone No. ].6 -.a6 ,Name of Architect 0S*4W ik1. . . . . . . . . Address2l 15Com'. Phone No. 754:-: �Q.r.,�. . Name of Contractor •k.,�il'0OMk%. , . Address . . . . .Phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes. jK' , No. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. t: TATE OF NEW YORK, S.S 'OU F . . . . . . . . . . . . . . . . • • • • • • • • • • • • • • • . . . . . . . being duly sworn, deposes and says that he is the applicant (N e of individual signing contract) bove named. ieis the . . . . T . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, c9,rporate gfficer, etch f said owner or owners, and-is':duly`,h6thorized to perform-Ir Said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the fork will be performed in the manner set forth iii the application filed therewitlp. worn to before me this . . . . . . . . . l. . . . . . ... . .day of. . , 19 .�C otary Public, . . County NoterY�blic.State of Ne2246.Sufft& owuyork , �: . . . . . . . . . . Term EaAires June VL 7 � `..,Y .a.J (Signature of applicant)