HomeMy WebLinkAbout20997-ZFORM 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. 20997 Z
Date OCTOBER 5, 1992
iPermission is hereby granted to:
LAVIN, JOANNE
444 EAST 86TH STREET APT 18D
NEW YORK,NY 10028
for :
BP #20997-Z issued to erect a storaqe shed as applied for.
at premises located at 70
County Tax Map No. 473889 Section 061
ipursuant to application dated N/A
Building Inspector to expire on APRIL
MECHANIC STREET EAST
Block 0004 Lot No. 033
and approved by the
5, 1994.
Fee $ 0.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
3. Nature dr fitork (check which applicable): New Building .... .,~, .... dillon .....~.... Alteration ...
Repair .......... Removal Demolition .............. Other Work ....
t .~,.57.~.r/..: .c?..~. ..........
4. Estimated Cos (Description)
.................
$. If dwelling, number 6f dwelling units ... ' 5' · · (to be paid on filing this application)
· Il'garage, numberofcars ........... · '- · Number of dwelling units on each floor .......
If business, co.mmercial or mixed occupancy, specify nature and extent of each type of use .. 7...T/. .
Dimensions ot existing structures, if any: Front .......... ' · · · Rear .......... Depth . . .
Dimensions of same structure, with alterations or additi n · Fro .
8. /am~ensions of entire new construc,;~-.gh~ "; ' "'7/~'7 'gW'L'r ..... Number of Storles ...............
9. Size of lot: Front ....................... Rear .................. Depth .............
10. Date of Vurcha,e ........ ~/~./.~.~ .... . ~ , . .
II. ~Z°ne °r use district in which premises a're s[t~,~3~,~ .... NameofFormerOwner .~-/'/f-6-.L~...~.0~ .....
12. ~oc., P..~cs,.d Consriuuhon violate ~'
--.¥ ,-umng law, ordinance or rc-ulation. M 0 ................
13. Willlot be regraded ...... ...~ ............. , q .
14..N, ame o_f Owner of premises..D. 0..~l~.~.~ .q./~'.l~ .... Will e~cess fill be r~/'qoved from premise~:/~//* Yes No
v~me or Architect ..... "' ' · j ~ddd tess ~.q).~., ~.~.J~.
Name of Contractor .... j .................... dress .........
................. ' .... Address ................... Phone No ..........
15. Is this property within 300 feet of a tidal wetland? *Yes ....... No. ~. .... ' .....
· If yes, Southold Town Trustees Permit may be require~. ''
-. PLOT DIAG RAM .
Locate clearly and distinctly all' buildings, whether existing or proposed, and, indicate all set-baak dimensions from
pre)percy lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
ATE OF NEW yt ........ -,--- -
UhTYoF .... .~.~ 8-$ ,~/ . ..
...... -
. .(Name of individual signing ~ont~ · · · being duly SWorn, deposes and says that he is the applicant
Ihe '
(COntractor ..............
· agent Corporate offi~e~ ................................
' ' , etc.)
)id Owner or owners, and is duly authorized to perform or have performed the said Work had to make and file this
cation: that all statements contained in this application are true to the best of his know/edge and belief; and that the
wdl be performed in the manner set forth in the application filed therewith.
n to before me this
· .............day ,,
a-.~.. ~s~, zt i! 7'--~ ~aJgnaturc of applicant)