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Home My WebLink About44666-Z BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • SOUTHOLD, YNY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLAINS ARID SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit : 44555 Date: 2/5/2020 Permission is hereby granted to: Zuhoski, Shirley x i 900 Oregon Rd Cutchoque, NY 11935 To: demohah an existing accessory swirmmi ong pool and.aiccessory deck as applied. At premises located at: 11900 Oregon Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 83.-3-5.3 Pursuant to application dated 1/27/2020 and approved by the Building Inspector. To expire on 8/5/2021. Fees: DEMOLITION $383.20 Total: $383.20 Building InIpector 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 , e � � 6 6 � Survey Southoldtownny.gov PERMIT NO. y Check Septic Form MYSDEC. Trustees ti C.O.Application Wi; •_' Flood Permit Examined 20 5` Single&Separate Al = ® Truss Identification Form QN '� 202 Storm-Water Assessment Form Contact: Approved 20ti1o: Disapproved a/c r (, Z:n Phone: Expiration ,20 pector APPLICATION FOR BUILDING PERMIT J Date j/ , 20ylU 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, nd regulations,and to admit authorized inspectors on premises and in building for necessary inspections.&P06-1— // 50 10 (Signature of applicant or name,if a corporation) ll `joO pejg�Ga!>✓ PO (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 W fLl:�9 Name of owner of premises �- (As on the tax roll or latest deed) If applicant is a corpo ation, signature of duly authorizeA officer MA rzik� go-c') ,u mow' - (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 proposed 3york will be don l ' 90c) (Me601- House Number Street Hamlet, . . J County Tax Map No. 1000 Section t� Block •: ; Lot QC�� s Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and ' tended use and occupancy of prosed construction: a. Existing use and occupancyL�- b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work _ (Description) 4. Estimated Cost 300. c9 Fee _ (To be (paid on filing this application) 5. If dwelling, number of dwelling units Niimber,of dwelling units qn 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 fisting structures, if any: Front 6 6 1 � %�Rear 1 Depth / c _ Height I Number of Stories Dimensions of same structure with alterationj_or additions: Front 66, 7 Rear Depth i Height f�, Number of Stories 8. Dimensions of entire new construction: Front Rear Depth _ Height Number of Stories 9. Size of lot: Front 61 Ye 7 Rear J Lf, ��J Depth 6 10. Date of Purchase // r;0 )0��Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate anyzoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO " Will excess fill be removed from premises? YES NO 14. Names of Owner of premises P� Address Iq Phone No. _ Name of Architect Address Phone No _ Name of Contractor �' �'/�L� 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 BEPQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NOy * 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 �` ) /� / being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the W-6�AityL (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 before me this t� day of l,t6l( 202-0 ACEY L. DWYER PUBLIG,STATE OF NEWYORK Notary Public NO.01 DW6306900 Signature of Applicant QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 I � I CO)C LANE I ,3 Y i i I 10 LAND N/F OF JEANNE M. GRACE / 1000-083-03-004.5 LAND N/F OF NORTH FORK RECYCLING INC. �? �o (COMMERCIAL SITE) 1000-083-03-004. -b y (COMMERCIAL S1 TE) cli \\ �I`S - S 46'24'S0" E / / / / / / 473.1 % / ? E 6 6• CHAIN LINK FENCE "0 may' \\ S 47'01'00" EX— — _ 337.86 N � o= 3 x c� / o �v goy o U ro 6' PVCFENCE -62— h 30 \x\ x C" x 4X CHAIN Uy FNC. 3,\ M E SATE 13 - - —56_ ( / INGROUND aL �7 1 POOL C' 30.6' M �Y W O x M x Z o BRICK co a c, �O � 4g cO� n 3 SOPS c �ZmfO 6 /CONC. 40.8x41.6' Iii c% 1 / / / / / - - - - - - - - - - - _ / � Vh � I WOOD ♦r / O / / / / / ' — \ � � yy o'LL I DECK 3 .6' 16.0' / GATE x 4' C.L.F. / T O / / / / / / // / u _ — � C4 x oS A)` BRICK °�S 1.4 SLATE CONC. WALK ory / X / / / X / H � R.O.PS �� o PATIO / ry� (q / N 1 STORY — — — — / — tIn o 0' X6.6 a FRAME n x GARAGE / a (6 � a r. 00 G.F.EL. 60.9 —Z a to 30.3' / // / / / • s° U d X64— _ \ — 21.6 w x to cb. - _ Xpli / _ X / / / ham•. 1001, 4V ASPHALT DRIVEWAY/ �� 1 p / / / c6 t 54- / LO in LO / x yam' A 'A Go 47 AV / x In / � / / 246,159 S.F. OR to x / 5.65 ACRESco o r / / 47 / / to / .,�� / �\ o / / ' _ / , _ - - - - - - - - - -52/ CERTIFIED TO: LnLO r <3 y^• m ` J Nm pi / / — — ao� o / 11900 OREGON RD. LLC CIOx x / / FIDELITY NATIONAL TITLE 3N N 4 '03' 0" o - - - - ��i /5a/ MCLJ LLC ��F NES moo 233.52 H. gF �DFj BLOCK RET. WALL7FAR W N CONCRETE / \ x J / ,gip.-p a I THE EXISTENCE O rRl HT .POTATO BARN O / S�(O / � / / AND/OR EASEMENT( F RECORD ,''jI � LAND N/F OF WJF ;n / �, X x / ANY NOT SHOWN )1� OT-1 1000-083-03M / X X/ / GUARANTEED.(COMMERCIAL — — — — — Z / — —5z — —' UNAUTHORIZED AL T1 -0 D ON TO THIS SURVEY IS A VIOLA770N OF Z^ / / / — — / / —56— — SECTION 7209 OF THE NEW YORK STA TE \ a o o // EDUCATION LAW. _ _ a — / \ \ // o COPIES OF THIS SURVEY MAP NOT BEARING -N-46'03'00" WTHE LAND/ 560.89 EMBOSSED SEAL ESHA L NOT BEYOR'S INKED ECONSIDERED � AL OR GRAVEL DRIVE f / �, a• N o / 6 TO BE A VALID TRUE COPY. to Ln M _ —� GUARANTEES INDICATED HEREON SHALL RUN N — in to ONLY TO THE PERSON FOR WHOM THE SURVEY to in / LO IS PREPARED, AND ON HIS BEHALF TO 7HE / TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND r TO THE ASSIGNEES OF 7HE LENDING INSTI- 1000-083-003-03-0 06.1 LAND N/F OF F. E & SONS TUTION, GUARANTEES ARE NOT TRANSFERABLE. x (LANDSCAPING & CULTIVATED FIELDS) SURVEY OF DESCRIBED PROPERTY SITUATED AT • KENNETH H. BECKMAN, L.S. U TCH OGU E Surveying and Land Planning TOWN OF SOUTHOLD 1814 Middle Country Road SUFFOLK COUNTY Suite D NEW YORK Ridge, N.Y. 11961 (631) 345-9427 DWG. No. B19-19573.DWG S.C.T.M. 1000-083-03-005.3 DA APRIL 8, 2019 SCALE: 1" = 30' JOB No. B19-19573 FAX (631) 345-9429