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Home My WebLink About43443-Z TOWN OF SOUTHOLD Z BUILDING DEPARTMENT 0044 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#: 43443 Date: 2/5/2019 Permission is hereby granted to: LNV Corp 7195 Dallas Pkwy Plano, TX 75024 To: demolish an existing swimming pool. At premises located at: 610 Tuthill Rd Ext., Southold SCTM #473889 Sec/Block/Lot# 55.-6-15.22 Pursuant to application dated 1/30/2019 and approved by the Building Inspector. To expire on 8/6/2020. Fees: DEMOLITION $100.00 Total: $100.00 Building Inspector 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 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 t� Survey Southoldtownny.gov PERMIT NO. 1 ��"�3 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,2D ��("� Single&Separate I rte' DD Truss Identification Form b Storm-Water Assessment Form JAN 3 0 ?019 tact: r^ Approved 120_ Disapproved a/c "umD ilo 'Zi. OWN OF 'SOT & /- Phon : �3tD � � 0 Expiration ,20 i Building In APPLICATION FOR BUILDING PERMIT Dated 1,L},,ir j �� , 20� INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 for 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. r r (Sign e of appli&ffiflor name,if a corporation) (Mailing address of applicant) H aL-D /v y l i q -7 I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder AJrJ'e_oC- Name of owner of premises r'CMEAM Ez -�f�il 14 LU PFJ 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) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Lo ation of land on which proosed work will be done: 0 14 1�L TP,3 L 1) /Q y T7 House Number Street Hamlet County Tax Map No. 1000 Section 5 Block (q Lot j 5' Z 2— Subdivision Filed Map No. Lot 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 Addition Alteration Repair Removal Demolition Other Work 0 � go (Description) 4. Estimated Cost 9 e (To be paid on filing this application) 5. If dwelling, number of dwelling units Ntumbbr 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 v 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO J 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO_V— * IF YES, PROVIDE A COPY. STATE OF NEW YORK) S: 1' COUNTY OF��G Y— Q (( C, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (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 hefore me thi.�-- '?Q day of �p n.�v\ 20A MARINA K01(KiN08 otary Public ry Public-State of New o*6ignature of Applicant No.01 KO6101941 Qualified in Suffolk County My Commisslon Expires Aug,2s,2020 W, ? W -51992 1`4 V —A Lot 2222.1500 - \ C Ln A W 0.:Te!,4 X. 3-Or , V' -, . . I ')3 1 0. K �/ 180 Z x 1, 4 A"T"..", q OCC I.I, 1990 JE4 L Tfi SM SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SURVEY FOR RICHARD QUARTY a JENNIFER QUARTY SINGLE FAMILY DWELLING ONLYLOT N0.19,"HIGHPOINT MEADOWS,SECTION TWO" DEC 15,1990 OCT.15 10 :990 Ms LOT NO. QQ=2Q:s07 AT SOUTHOLD DATE AUG : 990 The sewage disposal and water supply facilities for this TOWN OF SOUTHOLD SCALE I"t 40' location have been inspected Ijy this Opp-iritilent and/or I d t=fis�tiy. SUFFOLK COUNTY, NEW YORK NO 90-0609 other d a. ) . . .UNAUTHORIZEDALruAnoM OM TDITI TO THIS GUARANTEED TO L ChielVf Bureau of wastewater Managemont 5 AVIV 9 A VIOL ION OF SECTION ?209 OF THE RICHARD OUARTYYv NEW YORK STATE IDUCATIO0 LAW J R IT NOT THIS COPIES OF SUSEARING THE LAND SU ,JENNIFER A CI, ' ED I(AL 00 EMBOSSED SEAL SHALL SUFFO RVI YOR 3 INK N L BANK HOT'I CONSIDERED 10 Of A YA1IO T.LF COPY TICO TI E OMPANY .GUARANTEE!INDICATED HEREON SHALL RUN'SILT TO -DATA FOR APPROV11L TO CONSTRUE T HEALTH DEPARTMENT t" N0FOR 400 IN, .5 Uftf, P....... (TI E ..,".1 1 1..1H X.71 TO ,TITLE CO.— ,C"... D. :ATEAPtSYWATM 11MIM—MI! *SOUPCtOFWATCH P*I`WIT1_,,AkIC_ MENTAL.AD MCV AMD LENDING INSTITUTION LISTED surr Co T"NAP On?1Q=qtCTIOM__U_bLOCx_A__LOT-1,151 HERON,AMO TO �( ASSIOH"S Or THE LENDING AT TWIN AMC NO OWILLINS WITHIN 100 FEET OF THIS PROPERTY It"0D 7 TAITOUI CATION A DINSTI' TU,ARAMTEES AMC .01'a OTHER THAN THOSE lHow" "MOM ION$OR 3 stout.1 0 T"t WATER SUPPLY ANDIEVIASE DISMAL SYSTEM FOR THIS RESIDENCE O.W-.ET`.N VICtS SHO,,,. [REO. FAOR PROPERTY LINES or LL CONFORM TO THE STANDAM Of THE SUFrF0LX COUNTY DEPARTMENT IDR TOEIST1.4 1"uCt."Es MEopt AI't 111C HEALTH SONIC[[ TO AND CAE NOT TO Of USED TO ESTABLISH 45 PROPERTY LINES 00 FOR THE ERECTION OF PENCE$ (A a IN Rmet n TELAVERK NUE YOUNG a YOUNG R`1VERHTERAA0,DNEE1 YO NOTE =STAKE O-PIPE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER • SUFFOLK COUNTY ON MAR.19,1990 AS FILE NO.8911. AND LAND SURVEYOR N YS LICENSE NO.12845 HOWARD W YOUNG, LAND SURVEYOR RM LOCATION OF WIS. HEREON NYS LICENSE NO 45893 ARE?11014 F1 I LD DISK Co.*—TW OBTAINED rtCWPZ*0,T"M I A 3 11MAINDIS 6 10"3 1-.