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Home My WebLink About28308-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. 28308 Z Date APRIL 22 , 2002 Permission is hereby granted to: ARTHUR W & DORIS L AIELLO 11 PINE TREE ROAD . HUNTINGTON STATION,NY 11746 for DEMOLITION OF A 15 X 23 SUNROOM AS APPLIED FOR at premises located at 615 MARLENE LA MATT/LAUREL County Tax Map No. 473889 Section 143 Block 0003 Lot No. 026 pursuant to application dated APRIL 19, 2002 and approved by the Building Inspector. Fee $ 41 . 75 Aut ori ed nat ORIGINAL Rev. 2/19/98 TOWN QF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 r 3 sets of Building Plans TEL: (631) 765-1802 _Planning Board approval FAX: (631) 765-9502 Survey PERMIT Check Septic Form N.Y.S.D.E.C. Trustees Examined 14t 120 Contact: Approved ,20 Mail to: Disapproved a/c Phone.(C3/� Expiration ,20 i---=--- uilding Inspector 4 ,*PR 19 20OZ ' PLICATION FOR BUILDING PERMIT --T— - Date � y , 20 tt�c.ca . ;=,'J ,s 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant i owner lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises s A (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. Other Trade's License No. 1. Location of la d on which proposed work will be done: House Number Street amlet CountyTax Ma No. 1000 Section p � � Block <03 �-�.•;��.. .Iot '.j�� ,=r;-,�.,, Subdivision Filed Map No. (Name) �J 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 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 i' Depth Height Number of Stories /,J—' 2-3' - ---,_.� 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,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF t) W, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the ov_/_� (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 %9 day of P 20 o ,(- Notary Public Signature of Applicant ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk County Term Expires June 8.2=G 0 ( rcof �S 21 49 So 7s, 02 VEd AS TE -- -- - - DATE. x FEE: I• BY: 14)P2. S NOTIFY BUILDING DEPARTMEN AT 765-1802 9 AM TO 4 PM FOR THE w r FOLLOWING INSPECTIONS: 1."FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2- ROUGH - FRAMING & PLUMBING a INSULATION F 4L FINAL - CONSTRUCTION MUST BE COMPLETE FOR'0,0, . ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS-'OF"THE N.Y c - ��;`� r STATE CONSTRUCTION & ENERGY a CODES.. NOT RESPONSIBLE FOR. ,' DESIGN OR CONSTRUCTION ERRORS'. d 10 593.4 Pi�E � Al2z7_3 9 /0 v✓ -7,5. 49o'673.��' y _.. � O � a ocsc,eia,ED .Cl/.;- ry TOli�/,t/ O� LSOLJTiyOL p, col Al.&,j 7-0 GU.q,2.9�C/TE�,0 TO of NEW Y� CA Cam JMOit/!�/y�.gG Ti's G f7Nt� ??/TGC � all o a _ �,fR 9 w TOWN OF SOUTHOLD PROPERTY RECORD CARD ✓NER STREET 6 1 VILLAGE DIST. SUB. LOT t 6, / 1dV• i t 1 e. . RMER OWNER N 7 E ACR. 15 7c ZI S W TYPE OF BUILDING 0 SEAS. VL. FARM ' COMM. CB. MISC. Mkt. Value � ,1, - M s AND IMP. TOTAL DATE REMARKS P 576 3P0659,!73 2-goo ZZZ712-7 AGE BUILDING CONDITION 1N) NORMAL BELOW ABOVE R1 Acre Value Per Value Acre able 1 able 2 able 3 idland mpland FRONTAGE ON WATER ,hland FRONTAGE ON ROAD " seot_,, DEPTH -- BULKHEAD ,I DOCK NONE �i MENEMME EEMME00000000000000 Vis,'�}f {, �� ' ��,�4 Q�® e " ��®■ 00000000000000000000 N0000■000000■MEMEN®® + '9tt/axil ip( 4'd d ,� +v, i'�� .�� .. yyn':i1 :.� 1►V;/ a rx.�_ �: Sw ,�s ; ; ''1 ■■■e■®■ ■r��■■■■■.■■■■r■■■ NNW�/iMM�� p, No IN 000000rl ' m0000lli��00000000000 OMEo��i No MMM ONO MEN �000000000000 a o000000��00��000000000mom ndation asement • - Interior Finish Ext. Walls Fire • Place -• •• Porch2nd F1 Recreation R Dormer -- - • Driveway• - • ••- - Patio 0 . _ • • r BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: / /02 DATE REVIEWED: / /02 APPLICANT: DATERSUBMITTED: —/—/02 1 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: , LOT: STREET ADDRESS: CITY: SUBDIVISION: PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8: ZONING DISTRICT: CONFORMING? REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE REQ. REAR PROP. REAR WATER FRONT? DESCRIPTION: PANEL #: FLOOD ZONE: , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE:—/—/ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOWN HISTORICAL PRE (SPLIA): YES or NO NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/ C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF WIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. L SF)- 3 SF)= J SFX$ $ `� $. +$ _ $ .q 2. ( SF)- (SF)= SFX$ =$ +$ +$ = $