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HomeMy WebLinkAbout30142-Z FORM N0. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT 0 Town Hall 1 f Southold, N.Y. N Cv" ALA L l BUILDING'PERMIT Pew -PP�M (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL l COMPLETION OF THE WORK AUTHORIZED) 06 PERMIT NO. 30142 Z Date MARCH 9, 2004 Permission is hereby granted to : JERICHO CORP 372 150 BERGEN AVENUE MATTITUCK,NY 11952 for GARAGE DOOR REPLACEMENT AS APPLIED FOR at premises located at 22355 CR 48 CUTCHOGUE County Tax Map No. 473889 Section 084 Block 0001 Lot No. 026 . 003 pursuant to application dated JANUARY 9, 2004 and approved by the Building Inspector to expire on SEPTEMBER 9, 2005 . Fee $ 200 . 00 i Authorized Signature ORIGINAL Rev. 5/8/02 o�,*pF SO(/T�ol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,New York 1 1 971-0959 �ycOUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD FINAL NOTICE October 21st, 2008 372 Jericho Corp. P.O. Box 2 Mattituck, N.Y. 11952 RE: 22355 CR. 48 (Garage Door) SCTM # 84.-1-26.3 To Whom it May Concern: Please be advised that your Building Permit # 30142 issued March 9th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit please submit a fee of $200.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions please call us at 631-765-1802 Respectfully, Southold Town Building Dept. CC: LEGAL DEPT: *QF SoUlyOl O Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 �y�4UNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD 2 ND NOTICE August 8th, 2007 Jericho Corp. P.O. Box 2 Mattituck, N.Y. 11952 RE: 22355 CR 48 (Garage Door) SCTM#84.-1-26.3 To Whom it May Concern: Please be advised that your Building Permit#30142 issued March 9th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$200.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. r *pF SO�ryolo Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G Telephone(631)765-1802 Southold,New York 11971-0959 o�yCOU ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD July 19th, 2006 Jericho Corp. P.O. Box 2 Mattituck,N.Y. 11952 RE: 22355 CR 48 SCTM# 084 0001 026.003 To Whom It May Concern: Please be advised that your Building Permit#30142 issued March 9th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$200.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: �� �� ►t `� L., A KkkfJ Die Z C'o fit--&-lb S pg3 41 DATE INSPECTOR 031- b\- 02(o.3 (?, 2-) 1 TOWN OF�SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. 3a142-7, Check Septic Form N.Y.S.D.E.C. 'I Trustees Examined 3 ,20 `t Contact: Approved 3 ,20 Mail to: Disapproved a/c 3V—ExPhone: 631— 7;V— Expiration piration ,20 / Building Inspector tD)34v\o&-) arvL-"S APPLICATION FOR BUILDING PERMIT Date , 20C)4 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 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 I-o-r 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 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 code, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. a, M -i A Zn�� (. 1 r re of ap o n ,if a corporation) (MAling address of appl can State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �- S&Ca Name of owner of premises 3 /7 4 01W X/e el e o fL r (As on the 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 whichro osed work will be done: 0-1 rfnh' CQtAC House Number Street Hamlet hi R4319 A1310TAIi Flu;'*9"Jo 002 aii100 ri�?cN County Tax Map No. 1000 Section Block _ Al an-CE.om (o. —5 Tib U 96VI M;D911116W Subdivision Filed Map No. (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 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of 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 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 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_ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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.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 4to4J, J01-1A,' tib/ Nr�? /Y�bein-,g duly sworn, deposes and says that(s)he is the applicant (Name of individuals�ign�ing contract)above named, (S)He is the / 7 ;aC'-S. (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 before me this y of 20_ Notary Publics gig-nature o t notor 43ft4l41d iNw ya* � �