HomeMy WebLinkAbout28584-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. 28584 Z Date JULY 23 , 2002
Permission is hereby granted to:
JOSEPH J CAVALIERE
2077 CENTER AVE
FT LEE,NJ 07024
for
DEMOLITION OF A SEASONAL RESIDENCE AND ACCESSORY GARAGE AS APPLIED
FOR
at premises located at 2200 NAUGLES DR MATTITUCK
County Tax Map No. 473889 Section 099 Block 0005 Lot No. 026
pursuant to application dated JULY 22 , 2002 and approved by the
Building Inspector to expire on JANUARY 23 , 2004 .
Fee $ 84 . 50
thor ze. Signature -
ORIGINAL
Rev. 5/8/02
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 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Surve
PERMIT NO. C2V Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 3 '20 Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration 120
N_N, [l ��__ Building Inspector
JUL 1 9 2002 i
s_j APPLICATION FOR BUILDING PERMIT
L..-
sLo3. r.:V:>>T. Date Q 200,1,XW;'j Ssr S;-'.,i?FtOtD ,
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 Bui lding hlspector
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)
.��'�0�
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises da,��
(As on the tax rol o late 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 land on which proposed ork will be done:
C�-�-0D
House Number 9treet Hamlet
County Tax Map No. 1000 Section 0 9 Block 0:::T.
S Lot.. �..
Subdivision Filed Map No. Lot 7
7777
(Nae)
7
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
;i. Existing use and occupancy
b. Intended use and occupancy
3. N ature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
. (Description)
4. Estimated Cost � � J'6-� 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 A,fl 15•,6 Depth /9 8
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
S. Dimensions of entire new construction: Front Rear f. Depth
Height Number of Stories
UY Sire of lot: Front /rid v_, 3-2— Rear 9 Depth
10. Date of Purchase � Name of Former Owner
1 I. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Wilt 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 l'ES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. 1s 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
Aqaes� being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signinj contract) above named,
(S)PI 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 al I 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.
Swornto b fore me this
day of 200,5
otary Public Signature of Applicant
JEFFREY SCOTT AW
Natty+FWAC6 Sw of now Y
Suffolk county•No.3731
Comminkin Exons Int 3QjhW
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO 771E PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
777LE COMPANY, GOVERNMENTAL AGENCY,
LENDING-INS77TU770N, IF LISTED HEREON, AND
TO 7HE ASSIGNEES OF 7HE LENDING INS77TU710N. TEST HOLE BY
GUARANTEES ARE NOT 7RANSFERABLE TO
ADD1770MAL INS77TU77ONS OR SUBSEQUENT OWNERS MCDONDALD GEOSCIENCE AppR VED AS NOTED
UNAU7HORIZED ALTERATION OR ADD177ON TO THIS 15 JAN 02 °' NSF SAMA�S
SURVEY IS A WOLA77ON OF SECUON 7209 OF DATE' B.P.#
THE NEW YORK ST47E EDUCA77ON LAW. ORIG. GRND. " RES%pENCE
o BY:
COPIES OF THIS SURVEY MAP NOT BEARING BROWN SAN ry
THE LAND SURVEYORS EMBOSSED SEAL SHALLPRMY �1JILDING DEPARTMENT AT
NOT BE CONSIDERED TO BE A VAUD TRUE 2'
765-1802 9 AM TO 4 PM FOR THE FD Co-
COPY.
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR S.C.D.H.S USE ONLY FOR POURED CONCRETE y g 0'2.3'2'
BROWN CLAfyR-dbbAc- FRAMING & PLUMBING F Z
3. INSULATION "E
4, FINAL - CONSTRUCTION MUST FD cM N 74'53 10 ROADWAY f
BE COMPLETE FOR C-O. PHA0 / C
ALL CONSTRUCTION SHALL MEET fol
13' -
TCCHHE�RREQUIREMENTS OF THE N.Y.
BROWN SILTI"LMECPONSTRUCTION & ENERGY T of WAY 1� y HOLE r J
CODES. NOT RESPONSIBLE FOFi�IGH FD �M' o gQ
DESIGN OR CONSTRUCTION ERRORS ev
C)03
22' 76 9'
BROWN FINE f HZONEFREI) o
TO COARSE SAND SW N�
RESIDENCE �
CESSPOOL
28' 0
fRAM � i"15 ' TO
I WEL
6g: -(0 ELL SHED
C SSPOO 3. .4 / coo
•
EtAg E 0.3 ' / 2.4
WELL \
4 3' Q
FRAME WE FD CM. ■
o BUILDING t j/ FD C
O w 5.5 5.6 74.00 to
� Ill t0
12.1 S 7g•00'OO"W N
�. CM.
SURVEYED: 14 JANUARY 2002 N®
SURVEY OF F LEOG
SCALE 1'= 30' - DESCRIBED PROPERTY
AREA = 13,202.72 S.F.
SITUATE
OR MATTITUCK, TOWN OF SOUTHOLD
.303 ACRES SUFFOLK COUNTY, N.Y.
TM# 1000-099-05-26
SURVEYED BY
SURVEYED FOR: LLOYD R. WEATHERS STANLEY J. ISAKSEN, JR.
ZONED R-4o BARBARA H. WEATHERS P.O. BOX 294
NEW SUFFOLK. N.Y. 11956
GUARANTEED T0:
631-734-5835
LLOYD R. WEATHERS
BARBARA H. WEATHERS
FIDELITY NATIONAL TITLE INS. CO.
L ENSED\ ND SUR OR
YS Lic. No. 49273 '0201102.
07/19/02 08:19 FAX 281 480 7526 KINKO'S HOUSTON THREE IN 10 002
117 Doctors PathL I PA o
Riverhead,NY 11901
Long Island Power Autl+orip�
July 12, 2002
Lloyd R. and Barbara H. Weathers
6721 Wildwood Way
Houston, Texas 77023
RE: LIPA Ref. #T100182813
Fred A. Cavalie
Naugles Drive
Mattituck, New York
Meter #039340916
Dear Mr. & Mrs. Weathers:
This letter is to advise you that the electric service to the above referenced
premises was removed on July 11, 2002.
If you have any questions, please Contact Dianne Danek at (631) 540-7234.
Very truly yours,
Erika Lendel-longe ed
Design Engineer
Electric Design & Construction
ELJ/am .
TOWN OF SOUTHOLD PROPERTY RECORD CARD
S & AIX-
OWNER STREET2 ST. SUB.
VILLAGE DI LOT
A
-FORMEROWNER N E ACR.
g'fir
SAL V A A)
S W TYPE OF BUILDING
L)
4
RES. VL. FARM COMM. CB. MICS. Mkt. Value
LAND TOTAL DATE REMARKS
f712
40 011 A", P15 L-3 76 r> e9
7 /
�16 0 7,06 V/ 7/7 4/ f:11A ytl , 4. cg:1 e-y
Llav�lp) a4o& Caval,YA-� -45 0e4-&,r's
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable
FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
Housev---Noi,� BULKHEAD
-Total DOCK
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