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Home My WebLink About43735-Z V= TOWN OF SOUTHOLD ��O�gUFED(,�-CO BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o • 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#: 43735 Date: 5/13/2019 Permission is hereby granted to: 4760 Blue Horizons Rlty LLC C/O Mario Fusaro 12 Gilder Ct Northport, NY 11768 To: demolish an existing cottage as applied for. At premises located at: 4760 Blue Horizon Bluffs SCTM # 473889 Sec/Block/Lot# 74.-1-35.55 Pursuant to application dated 5/6/2019 and approved by the Building Inspector. To expire on 11/11/2020. Fees: DEMOLITION $304.60 1: $304.60 Building Inspector CTOWN 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 Suryy Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form ntact: Approved [ 20 / Mail to: Disapproved a/c Phone:/(Q `'(6a 0061 Expiration ,20 Bui ector APPLICATION FOR BUILDI RMIT Date 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,faLtbe construction of buildings,additions, or alterations or for removal or demolition as herein described.The applicant agre c s,ordinances,building code,housing code,and regulations,and to admit authorized ins r Moe fs-b a i i i for necessary inspections. MAY - 6 2019 r i ature of appy nt or name,if a corporation).p .®_ " $OWN OF SOLT71°aYGL (Mails g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises JR,06e -& \1 1 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. t p�j Zkr+ PJ u(' Other Trade's License No. 1. Location of land on which proposed work w�done: Hou umber Street Hamlet County Tax Map No. 1000 Section (WC� Block7# Lot I V gJ { 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 •f 4.ow0coy- ir dr - b. Intended use and occupancy 3. Nature of work(check which applicable): New Building le Addition Alteration Repair Removal Demolition S66 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 ex..sting structures, if any: Front 20 $ or Rear Z Depth Height /2 Number of Stories ®Ae 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 /0 / Rear 2;0 Depth 830 / 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 NOy 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 veoNO * IF YES, SOUTHOLD TOWN,TRUSTEES &D.E.C. PERMITWY BE REQUIRED. b. Is this property within 300,feet of a tidal wetland? * YES 6/ 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 * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF., ?—romp 7�Wr being duly sworn,deposes and says that(s)he is the applicant (Name dividual s ing ontract) above named, C4NNIE D.BIDNGfa (S)He is the Notary PublicBstateofNow York 50 (Con cto ,Agent,Corporate Officer,etc.) Qualffied in Suffolk County Commission Expires Aoril 14,iD ,o 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. Swornto before me t 's day of 20 Notary Public, Signature oflicant Michael J.Domino,President �QF SQ�Ty Town Hall Annex John M.Bredemeyer III,Vice-President �� 54S75cRoute 25 h O P.O.Box 1179 Glenn Goldsmith J Southold,New York 11971 A.Nicholas Krupski G Telephone(631)765-1892 Greg Williams Fax(631) 765-6641 ZIP BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9419A Date of Receipt of Application: March 8, 2019 Applicant: 4760 Blue Horizons Realty LLC SCTM#: 1000-74-1-35.55 Project Location: 4760 Blue Horizon Bluffs, Peconic Date of Resolution/Issuance: April 17, 2019 Date of Expiration: April 17, 2021 Reviewed by: Board of Trustees IN Project Description: Remove the existing cottage, including existing sanitary system and drainage structures; and remove invasive and dead trees. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Jenna Principi Design, dated July 14, 2017, and stamped approved on April 17, 2019. Special Conditions: No heavy equipment is to be,used within 25'from top of bluff; dead trees are to be flagged and inspected by area Trustee prior to removal of same. �- Inspections: Tree Removal Inspection & Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Michael J. Domino, President Board of Trustees •/ Do omit / E N N A / IF FRINCIPI ' - Vrz01O N \ ONE 3'223 cow 1, 7753 LOT 5 go LINO BLUE HORIZONS rr,,"(161)i2ig 0A10 , TOWN OF SOUTF-IC�LD Ewaikxwn g ; / i,✓1 / / , �/ \ 5JDIST 1 COUNTY. NE4^/�'QRK ^ rTNi DIST 100QSEC '74E3;_k. 0'' LO'i':'. 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