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HomeMy WebLinkAbout28026-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall . Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28026 Z Date JANUARY 22 , 2002 Permission is hereby granted to: KEVIN B & KAREN L CONERY ROOSEVELT ISLAND,NY 10044 for DEMOLITION OF AN EXISTING IN-GROUND 512 SQUARE FOOT IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 950 ROBINSON LA PECONIC County Tax Map No. 473889 Section 098 Block 0004 Lot No. 032 pursuant to application dated JANUARY 22 , 2002 and approved by the Building Inspector. Fee $ 66 . 80 % Authori' ed Signature ORIGINAL Rev. 2/19/98 .MAP 11.3434 "•` , �} O t s�� Z L > O_ L 7 Z C N77025' ION E 210-D0' FD•at•xaE_ Z . vs -;a 0 . C ilk N T < 91 0 m W r J 'I mz� � 5 77'26' 10' FO iSAO' W 22E 56' - c rsw.aww..�rw.a.r ��rsr..vw.w�wan�u+fwao.s rwer�at a._ . 3.L.Y.c...�.��rw.wsys+.�o.rrr+�osvrwcnw - - GUARANTEEDTO KATHRYN T. FOEHR ti L MAP OF LAND LOCATED AT PECON IC Tcftf4 OF SpurrmtO OOUNTY OF SUFFOLK ".'■ SURVEYED FOR KATHRYN ? FOEHR Im o..mr..e,. 14f - UAL • . Pro � Or m0cm i%MNNW �tiL ■. n. Y�— . „ �LAM I 30 .t sa.crr �sn'.�e sveaw�i�.sr.,.&.i■once wffaLK coVMn rwR yaw Meow •�••• � Q.+as s..s...n•al.. 16034 a. 1ITA.iT7►OSE w�w.ow�.o+�rtvesroww�o..�w.� s+<�.a:.e avmas .et owrr:IIz o 0 Sa ♦ NOC7C`fpNT.N.1f,tff7't ru«o. act._ sECT. e,K. DoT 1 1 i FINAL LOCATION ks-1-84 s��Ksess TOWN OF 9OUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 280o?W�i Check Septic Form N.Y.S.D:E.C. 1 Trustees Examined z ,20 Contact:, Approved r Z2. 120 Mail to: Disapproved a/c o Phone: f Buildingspector �;' L 2 ' `' APPLICATION FOR BUILDING PERMIT BL�v. Date 1 3 , 20 �— T. 4N of -2,o t_n INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 a Certificate of Occupancy is issued by the Building Inspector. 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. (Signature of applicant or name,if a corporation) ^�S- Me-i"] 5fo--Xt (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contract0r,x0Ie60,ician1'plumber or builder �W v► 2.,-' APPROVED V ED Name of owner of premises ?amu` C V% (as on the tax roll or latest d )b6 ry: NOTIFY BUILDING DE RTMENT AT If applicant is a corporation, signature of duly authorized officer 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED (Name and title of corporate officer) FOR POU-2U)CCNCRETE L"`581"Iu Builders License No. 3. gjSUR Ai10A 4. FINAL - CONSTRUCTION MUST Plumbers License No. BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Electricians License No. THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Other Trade's License No. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be done: C,CV-A L House Number Street Hamlet County Tax Map No. 1000 Section Ll hG�g �g Block 3 01 Lot Subdivision a-e-{,g"jL C14,10A,k Filed Map No. 3Y 31 Lot (o' (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy L K I +"S 1 ti -Gvu L, b. Intended use and occupancy 17e+%Dt' 3. Nature of work (check which app ' able): New Building Addition Alteration Repair Removal Demolition C Other Work (Description) 4. Estimated Cost ,goo• 'd 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 existing structures, if any: Front 6 Rear Z F -Depth Height Number of Stories`! Dimensions of same structure with alterations or additions: Front Rear.:qq, Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth _--� Height Number of Stories 9. Size of lot: Front 1190 \ Rear I C9 0 Depth 2ZD 10. Date of Purchase 5 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: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO �m�,y5� polis 14. Names of Owner of premises P,"t h (Ov 'l 'j Address_° s �Jt 10M Phone NO(z� Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO a IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK). SS'` c COUNTY OF- being duly sworn, deposes and says that(s)he is the applicant (Naive 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:before me this 200 -2-- Notary 00ZNotary Pubic Signature of Applicant Christina P.Haas Notary Public;.State of New York No:03-4982833 Qualified in Bronx County and Manhattan ljp `Commission Expires June 10,� r r TOWN OF SOUTHOLD PROPERTY RECORD CARD z 2-- OWNER STREET C X50 VILLAGE DIST. SUB. LOT e c- o --)n b. c- -r� FORMER OWNE N E ACR. _ 3 I �y' oz EDS, K, p:7o r S. W TYPE OF BUILDING RES.2)o SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 71�0 9L-nm am AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre, Value Per Value Acre f �•©�. r� >� ,- J Tillable 1 Tillable 2 Tillable 3 — Woodland Swampland FRONTAGE ON WATER j 3rushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD rota I DOCK � -�-_ _tea � ®�a'�. . � L� � � ■e■■■■■■■■■■■■■■■■ ,i. , .;: _ ` ®■©■■■■■■■■■■del■■■■■■■■■■■■ e■■NONE NNIMME a■■e■eERIe■■■■■■■■■e■■■■■■ ~ _ Pm � ` . ■■■■■■ ■■■■■■■■■■■■■■oun ■■■■■■ .. ► :. Basement •• e•. Fire Place ecreation Roo ormer Drivewa