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Home My WebLink About16277-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ',~ ~ ) SOUTHOLD, NY ~'~1 WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 16277 Permission is hereby granted to: RICHARD & DORETHEA JORDAN 6075 PEQUASH AVENUE CUTCHOGU, NY 11935 Date: 311012010 To: INSTALL FENCE AS APPLIED FOR At premises located at: 50 EAST RD CUTCHOGUE SCTM # 473889 Sec/Block/Lot # 110.-7-14 Pursuant to application dated 3/10/2010 To expire on 9/1012011. Fees: and approved by the Building Inspector. NEW DWELLING/ADDITION/ALTER. Total: $249.55 $249.55 Building Inspector .% h Approved .... ~ ~..~.., 192 3. Permit No. J.~.~..~.7..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CIIECK .......... BUILDING DEPARTMENT SEPTIC FORH ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 (;ALI ................. MAil. TO: JUL 2 3 !~Y~ Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and sub~nitted 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 poblic 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 Occupan% 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 thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances o~ Regulations, for the construction of bnildings, 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 tc admit authorized inspectozs on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) (Name and title of corporate officer) AI.L CONTRACTOR'S MUS~.__~E~SUFFOLK COUNTY LICENSED Builder's License No .........................-~ C) k:g Plumber's License No ......................... Electrician's License No ....................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ·,~'/t;;;,;;g.~,..~ ~-&'~',~';~ ...................................................... Name of owner' of t~refi~Jses ~OR~. . .~ ..... ~-~ .......... ~0 ~ ....................................... (as on the tax roi1 or latest dh~DL,~ If applicant is a corporation, signature of duly authorized officer. NOTIFY ~ILDtNG DEPARTM~T AT I'~i OWING Other Trade's License No ...................... ~[ COMOt el'~ ~oP ~. ;~ 1. Location of land on which proposed work will be done. . .T.~ MEQU rlffME~?; ~- :+~. r, ~ .~.~ .7.~ ............. ~4s ~ ~. ~/~ff~~ ~.,,,.,, coo.~ ,,, ~,~ ~o. ]000 s~io. ..... /re. ......... mo~ ...... '/ .......... lot .... (.(~ ........... Subdivision ..................................... Filed Map No ............... loot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... (./ Jo. Intended use and occ, .......... 5~....~..~..N.~[~. ....................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ ~, 5-5- (Descriplion) 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 ............... lleight ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. I 1. Zone or use district in which premises are situated ..................................................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. ;Viii lot be regraded, ............................ Will excess fill be removed fronlpremises:,-o., ~Yqez},~, No 14. Name of Owner otP*p~%~'~tt ~A'~ .TI..°.~. ~>.~ql.q.. Address/0~/~.~ff( .~/.t/.~,./~'~ .~..~one No. ~.,J'~ 7-.7'Z' 7/~ ..... Name of Architect .................. :, ........ Address ............ -T .- .....Phone No ............. ._'.. ..................... Add .............. t.u ....... rnone ~o.../~¢.. ,'. t .z/. ·. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .,~... · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all s~t-back dimensions from property hnes. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. / g Foo-r STATE OF NEW YORK, S.S 'OUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ,bore uamed. le is the ......................................................................................... (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 ,pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the .york will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. · 'ff..ff. ....... day of...~-~/ ............ , 19 ~. Notary Public,.. ~t2~J4~.;..'~,.. ~...4..~..J ....... County,