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HomeMy WebLinkAbout45248-Z 1T7 TOWN OF SOUTHOLD , gUFFOI�coGy moo BUILDING DEPARTMENT X TOWN CLERK'S OFFICE � , SOUTHOLD, NY jp44' 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#: 45248 Date: 9/28/2020 Permission is hereby granted to: Milius, Lawrence New Suffolk Ln PO BOX 187 Cutchogue, NY 11935 To: demolish existing swimming pool as applied for. At premises located at: 830 New Suffolk Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-6-7 Pursuant to application dated 9/17/2020 and approved by the Building Inspector. To expire on 3/30/2022. Fees: DEMOLITION $100.00 Total: $100.00 ector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health ti'C:> SOUTHOLD, NY 11971 4 sets of Building Plans ti 0 TEL: (631) 765-1802 Planning Board approval AJ C.1 FAX: (631) 765-9502 Survey YC- S Southoldtownny.gov PERMIT NO. Check Septic Form .0�C-2 ,N.Y.S.D.E.C. /L_-�, C2 Tiastees itJ C�2 C.O.Application A--a C7 _ Elood Permit,-- g2 Examined 20 01\1 Siugle&Separate.`, Truss Identification Form ti Storm-Water Assessment Form /V Contact: Approved ,20�b Mail W04eC JCC_ 12-IZ4 e{ S Disapproved a/caQ'l f 7 C i Gelog tee,,�V Phone(a3/- -7 p 0 - 7/ �3 Expiration 120 l ( << ! 1 Bu d' pector SEP 1 7 2020 APPLICATION FOR BUILDING PERMIT I3U rIiIP�'C ` 1 t t , Date!5:e,P :�y_ , 20 , .R. �, ��qD� ._- _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:�-,y 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.`Suci 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.sofever until the Building Inspector issues a,Certificate,gfOccupancy. 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 inspec ns. ^� (S gnature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ©&U� Name of owner of premise�wet?e dce Z71 &eS 'U 2-i c/ S (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer t:. J ; ,f (Name and title of-coiporate`officer) • t,.. Builders License,No.-.,; Plumbers License No.i�l-"I`',i,,,i,,,•'5 i,„12 Electricians License No. Other Trade's License No. 1. Location of land on which proposed work-301 be done: x.30 /tJe w .s N Y House Number Street Hamlet County Tax Map No. 1000 Section/0 7, C9 C2 Block Off. Cho Lot(:,-;70-•6900 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. Intehded.use and occupancy 3. Nature of work-(check which ap licable): New Building Addition Alteration Repair Removal 6 d/_ Demolition Other Work (Description) 4. Estimated Cost'X 3„ 0Uo — 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, comrxiercial-dr,mixed occupancy, specify nature and extent of each type of use. 7: Dii�eiisioiis of ex_isting-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 �` .�2- Depth /lf 3z7 / 3 , 7 10. Date of Purchase} 4-.5/ Name of Former OwnerT��Y'��' 11. Zone or use district in which premises are situated C,Co,5 L'f&e-- 12. Does proposed.Ge xur n violate any zoning law, ordinance or regulation? YES NO �rsd�C syo�E� 13. Will lot be re-graded? YES NO Will excess fill be removed from premises9�YES NO� k%", �3l -- 14. Names of Owner of premises-9ti'v S.11/11 L rw SAddres,4L"�'Z=,,f04"e-_ X/'/ Phone No7?o -7LS�` Name of Architect iX___' Address Phone No Name of Contractoi4o .G ctzd i Cee,--- Address Phone Nq-, /- 93315 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�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 dhy�covenanfs and iestriciions-with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: ' COUNTY OF5Ce77'0 ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH (S)He is the Notary Public,State of New York (Contractor, Agent, Corporate Officer, etc.) No. Qualified in Suffolk County Co mis$ion Expires April 14,2G of said owner or owners, and is duly authorized to perform or have performed the saiNlorlc 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. S obi to efore me th da21 _ 'Q -y y of�i � �0• � �° ` ' Notary Public , Signature of Applicant �•!'� -5•_ l" � '• �tv� •1`• . ;t, �' �� � 'tet RO ED AS NOTED• ;' �'• +, c,a ��;h � DATE: B.P.# —l' • b�` ' 2� r' rc"y FEE: �--j NOTIFY ,BUILDING DEPART T;•AT i. m 7-; , ' 765-1802 8 A TO 4 PM FOR'THE. V "; r'+ FOLLOWING INSPECTIONS: • . 1. FOUNDATION - TWO REQUIRED FOR, POURED CONCRETE 2, ROUG 'FRAMING & PLUMBING=3 Ne >`:I 4ti TFl 'GONSTRU J_ {,••- ^, ..,...N X110K-1A 1BT't: ,.,� `..,. _ Wit•- :.'; _ r,COCOMPLETE FOR C.O. — - --- --- - -- -A -Cb�TRIJCTION- SHALL - !U`` ,:j= �= -. -_ i• cl'l R UIREMENTS OF THE CODES.OF NES • YeRTE. NOT RESPONSIBLE,FCS " La j> Dg R CONSTRUCTION' ERRORS ��J � �?® .LT- il tT"'1 Sgby1� WITH ALL CODSI &RK'STATE & TOWI ,OQ. S _ AS REgIJIR•ED AND CONDI` 15 �,: iti p� ;, .< - - �f�-•'� .• - 1. �1 Y 3; ::v. 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