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Home My WebLink About37800-ZTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37800 Permission is hereby granted to: Jaswal, Saroj 22 Nicole Ct Bohemia, NY 11716 To: DEMOLITION OF ACCESSORY STRUCTURE 15' X 40' AS APPLIED FOR Date: 2/11/2013 At premises located at: 35900 CR 48. Peconic SCTM # 473889 Sec/Block/Lot # 69.-4-5 Pursuant to application dated To expire on 8/13/2014. Fees: 2/8/2013 and approved by the Building Inspector. DEMOLITION Total: $280.00 $280.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c Expiration__ PERM1T NO. 3 7S-¢o t Bt[ildin,, Inspector BUILDING PERMIT APPLICATION CHECKLIST Do )ou have or need the following, betbre applying? Board of Health 4 sets of Building Plans Planning Board approval Survev .~ Check Septic Form N.Y.S.D.E.C. Trnstees C.C. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: ./~f ~-~01 q j~-~' Phone: APPLICATION FOIl tIUILD1NG PERMIT INSTRUCTIONS a. This application MUSI' be completely filled in by t3 pcxwiter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according lo schednle. b. Pict plan showing location of lot and of buildings on premises, relationship to ad. joining premises or public streets or areas, and waterways. c. The work covered by tbis application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Buildiag Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout tile work. e. No building shall be occupied or used in whole or in part fbr any purpose what so ever until tile Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after tile date of issuance or has not been completed within 18 months fi'om such date. If no zoning amendments or other regulations affecting the property have been enacted in the iaterim, the Building Inspector may authorize, in writing, tile 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 cfa Building Permit pursuant to tile Building Zone Ordiaance of the Town of Southold, Suffolk Connty, 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 a)~it authorized inspectors on premises and in buildiug for aecessaD inspections, y,.~.,¢ ~.,,.¢. ~/,,~ (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is o;~ her. lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~(3LCC) i "~' U~4-~.~lbo(,~,i (As on the tax roll or latest deed) If applicant is a corporation, signature of duly aathorized 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 which propped work wi_Il be done: Hou~'N'umber Str~/et e._con', C Hamlet County Tax Map No. 1000 Section tO~)~ Block (0q Lot q'5 Subdivision Filed Map No. Lot b. lntendeduseandoccupanc3 g lJ.O 0 bLd,d,,e Lo0 Natnre of work (check which applicable): New Building Repair Removal __Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (To be paid on filing this application) Nnmber of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of nse. 7. Dimensions of existing structures, if any: Front q0I Rear qOI Depth Height_ Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth. 9. Sizeoflot: Front Rear .Depth 10. Date of Purchase c~-O0 r~ Rear 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__ 13. Will lot be re-graded? YES NO ,,~Will excess fill be removed from premises? YES__ 14. Names of Owner ofpremises-,~,-~ t,J~.~l~4L( Address PhoneNo. Name of Architect ~ Address Phone No Name of Contractor J~-~0 1 12-~ Address Pbone No. NO )C 15 a. Is this property within 100 feet of a tidal wetland or a tkeshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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, nmst provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · 1F YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicaat (Name of individual signing contract) above named, (S)He is the (Contractor. Agent, Corporate Officer, etc.) of said owner or owaers, and is duly authorized to perlbrm or Imve performed the said work and to make and file this application; that all statements contained in this application are tree 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. S~vorn to before me this day of 20 Notary Public Signature of Applicant ~ ~0~ ~/~o~o~os SURVEY OF PROPERTY SITUATE ?ECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-69-04-05 SCALE 1"=30' JANUARY 26, 2012 AREA = 149,260 sq, ff. ;5.427 N.Y.S. Lic. No. 50467 Nathan Taft Corwln III Land Surveyor Successor To: Stanley J, Isaksen, Jr. L.S. Joseph A. Ingegno LS. Fox (651)727-1727