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Home My WebLink About28180-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. 28180 Z Date MARCH 15, 2002 Permission is hereby granted to: HENRY F JR VANWYCK 34 SUNSET LANE GREENPORT,NY 11944 for . DEMOLITION OF AN ABOVE GROUND SWIMMING POOL AS APPLIED FOR at premises located at 475 ORCHARD ST ORIENT County Tax Map No. 473889 Section 025 Block 0002 Lot No. 020 . 013 pursuant to application dated MARCH 14 , 2002 and approved by the Building Inspector. Fee $ 15 . 00 Authorized Signa ORIGINAL Rev. 2/19/98 5uR�/EY cF PRoP62Ty' , 5/rcJA-nig /vowo�e <otME¢Gy IEN7- 7-,0 WA-1 TOWN Ur'Noc-r: 5 85 4or%o E -5uFFo&-K co v/v-rY, N.Y. J 53. 79 /G/5 77 s4.F�: tVVf 0 N S�rM /oao-25� 2- zo,J3 44j (V A._K arAsr 1� A6 &APOlat/ `� DC 171 V /-ck'"r Or b 3 til J 0 Q' k 13.8 cm" = Q v ee,•AQ ��Y V vr#L- SYr/�Y 'r'I.RTS CAS �*A J�So r-tt< • W I ' CO • r :Tin, ► r d I v resu, m ^1�0 •:f w/ ¢Z o 3& T' OJ� GH� Rp Cee-770=7E92 TrO: .5 7-�2E of- •s/�3TAMEL/t��717LE�C.vSu4ANc�COMPAw�y � �1� •P6COA.J/G iIBST�AaT SIG. �j�� UNAUTHORIZED ALTERATION OR ADDITION 10 THIS SURVEY ISAVIOLATION OF SECTION 7209 OF NEW:YORK STATE LAW !i COPIESOFTINSSU MMWNOTBMMTHELANDSURVEYORSkN"SEALOREMROSSED SEAL SHALL NOT RECONSIDERED TO DE AVALID TRUE COPY ,e 4- GUAIWMESORCERTMTOM MDICATEDNEREONUMFAINONLYTOTHFPEWNFOR WHOM THE SURVEY IS PREPARED,AND ON NIS DENALF TO THE TITLE COMPANY, GOVEFINMENTALAGENCYAND LENDING)NSPITMONLMM HEKON,AND 70 THE ASSIGNEES \k,. "N.c OF THE LENDING INSTIITITION GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS At UNDEFIGROUND UTILITIES AND UTILITY POLE LOCATIONS ARE NOT GUARANTEED.EASE A!EN,T ANDIOR Sl1DSllsiFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED .JOHN/ cCsAL LAGF-l��Q UNLESS PHYSICALLY EVIDENT ON THE PREMISB AT TIME OF THE SURVEY L/GE/VSEO LA�/O SuRVEYOrQ THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LIIIFS 59 Pee-4>Q dIfiVC E O.,Q, ARE FOR SPECIFIC.PURPOSE AND USE,THEREFORE ARE NOT INTENDED TO GUIDE 111E ERECTION OF FENCES RETAINING WALLS POOLS,PATIM,PLANTING AREAS.ADDITIONAL TO MANOQ vi I_1-,C, M,Y. //9.s 9 BUIIUINOAINDOTNERCONSTRUCTKIN G3/- 87'4-C.LCp su,evEy�G�: Fie.», .zoo TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMEN r Do you have or need the following,before applying? TOWN;HALL Board of Health SOL?THOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined 120 Contact: Approved ,20 Mail to: Disapproved a/c Phone: �p Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date 20 c0 2- �� 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 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. (Si e 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 Name of owner of premisesH� (As on the tax roll or latest d R QED AS NOTED If applicant is a corporation, signature of duly authorized officer DATE, 3 B.P.# (Name and title of corporate officer) MOTIF BUILDING DEPA TMENT AT 765.1602 9 AM TO 4 PM FOR THE Builders License No. FOLLOWING INSPECTIONS: Plumbers License No. 1. FOUNDATION - TWO REQUIRED Electricians License No. FOR POURED CONCRETE Other Trade's License No. 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST 1. Location of land on which proposed work will be done: BE CO TE FOR C.O. �f 75 Ole e ll'Aled CAU V01 TRUCTION SHALL MEET House Number Street 1R9QUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY County Tax Map No. 1000 Section Block .CODES'..'.NOT';R SPON �l,E� R Subdivision Filed Map No. of (Name) <. ., . 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 9P mot'611`'�C� 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition 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 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 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 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;inust provide topographical data on survey. STATE OF NEW YORK) ss- COUNTY being duly sworn, deposes and says that 4)he is the applicant (Name o individual.signing contract) above named, .(-W 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 applic tion; 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 A day of \"�C� Notary Public V Signature of Applicant BARBARA-ANN RUDDER Notary Pubilc,,Stato e`.-Now-York No.48!'M- oa Qualificii iaS!if906l;Counc) 'Commlrwori Expires April 14 - � TOWN OF SOUTHOLD PROPERTY RECORD CARD )WNER STREET VILLAGE DIST. SUB. LOT =ORMER 6WNE N E ACR. W TYPE OF BUILDING :S: SEAS. VL. FARM COMM. CB. MISC. Mkt. Value IMP. TOTAL DATE REMARKS A5 + Sckxtsv��t BUILDING CONDITION ) 3� �� - 25P410 Ye - 4 �,o Y NORMAL BELOW ABOVE �S--Vctvn ck +o n C C Acre 'Value Per Value Acre liable 2 ^^ II liable. 3 obdland • .. i A FRONTAGE iamphnd � ushland FRONTAGE ON ROADEa )use Plot DEPTH BULKHEAD a ,tai `+ DOCK