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Home My WebLink About28748-ZFORM 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. 28748 Z Date SEPTEMBER 17, 2002 Permission is hereby granted to: ROBERT EHRLICH 100 ROSELYN AVE SEA CLIFF,NY 11579 for : DEMOLITION OF AN EXISTING ACCESSORY GAP~AGE AND PORCH AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 018 pursuant to application dated AUGUST Building Inspector to expire on MARCH 22540 MAIN RD ORIENT Block 0005 Lot No. 005 22, 2002 and approved by the 17, 2004. Fee $ 88.40 ORIGINAL Rev. 5/8/02 Fax (516) 765-1823 Telephone (516) 765-1800 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: FROM: DATE: RE: Southold Town Building Dept. Southold Town Landmark Pres. Comm. - Herb Adler, Jr. September 13, 2002 Robert Ehrlich residence - 22540 Main Road, Orient Tax Map # 18-5-5 - APLIA No. OR 67 The Landmark Preservation Commission has reviewed demolition of the back proch and the garage on the above property and has no objection to this action. BLDG. DEP~, L ~ OF $OLiTi:IOLD ~ TOWN OF SOUTHOLD BUILDING Di~PARTMENT TOWN I~.~LL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net~Southold/ Expiration Approved ~ ,20~ Disapproved a/c ~' ~ding ] BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Surves( Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: - o ,, \ APPLICATION FOR BUILDING PERMIT ~,'' ~' ~ INSTRUCTIONS ~~ati°nMUST: ~ be completely filled in by t~ewfiter or in i~ ~d sub~tted to the Building Mspector with3 sets o~s, acc~ate plot pl~ to scale. Fee according to schedule. b. Plot pl~ showing location of lot ~d of b~ldings on pre~ses, relatio~Mp to adjo~ng pre~ses or public streets or ~eas, ~d watemays. c. The work covered by this application may not be co~enc~ before issu~ce of B~lding Pe~t. d. Upon approval of this application, the Building Mspector will issue a Buil~g Pe~t to the applic~t. Such a pe~t shall be k~t on ~e pr~ses available for impection t~ou~out the work. e. No building s~ll be occupied or us~ in whole or in p~ for ~y p~ose what so ev~ ~til the Building ~pector issues a Ce~ificate of Occupancy. f. Eve~ buildMg pe~t shall expire if the work au~odz~ has not co~enced witMn 12 monks a~er the date of issu~ce or has not be~ completed wit~ 18 mom~ ~om such date. If no zoMng men~ts or other re~lations affecting the prope~y have been enacted M the inte~, the Building ~spector ~y authorize, in writing, the extension of the pe~t for ~ addition six mom~. Therea~er, a new pe~t shall be require. ~PLICATION IS HE,BY M~E to the Buil~ng D~a~ment for the issu~ce of a Building Pe~t p~su~t to ~e Building Zone Ordinance of the Town of Southold, Suffolk Co~ty, New York, ~d other applicable Laws, Ord~ces or Re~lations, for the construction ofbuildMgs, additions, or alterations or for removal or demolition as herein described. The applic~t a~ees to comply with all applicable laws, ord~ces, bulldog code, housMg code, ~d re~lations, ~d to a~t authorized i~pectors on pre~ses ~d in building for necess~ inspections. (Signa~e of applic~t or nme, if a co~oration) mail~g ad.ess of applic~t) //~ State whether applic~t is owner, lessee, agent, ~chitect, en~ne~, general con,actor, electdci~, plmber or builder Name of owner ofpremises (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. ~r-~ Other Trade's License No. 1. Location of land on which proposed work will be done: }fl~e l~ufnber Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block .V ,'.::} .Lot : Filed Map No. ,~,~ . Lot State existing use and occupancy of premises and intended~ufle and occupancy of proposed construdt;on: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building_ Addition Repair Removal Demolition ~ Other Work Alteration (Description) Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ,,~/ t Rear r~ ~ j Height _/~ '* Number of Stories Dimensions of sa)ne structure with alterations or,additions: Front Depth J~//~ Height ~//'~. Number of ,~tories 8. Dimensions o f ent)re new construction: Front ~.//~ R~ar Height /V'///~ Number of Stories ,~'~ / ' / Size of lot: Front 10. Date of Purchase r-~ O 19 ,/ 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__ Depth ~,~V · Rear Depth NO ~ 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premise~s? YES NO /ab ,,~'o..r~ .d ' 14. Nines orOwn, ofpremises ~Z W~,~Address ~,eZ, Fg ~J~honeNo. Nme of~chitect Address ~ ' . Phone No NmeofCon~actor ~ ~/~ Address ~o ~ i PhoneNo. 15 a. Is ~is propc~ wi~in 100 feet of a tidal wetl~d or a ~eshwater wetl~d? *YES NO * ~ YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUI~D. b. Is ~is prop~ wi~in 300 feet of a tid~ wetl~d? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQU~ED. 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) COUNTY O S~ being duly sworn, deposes and says that (s)he is the applicant (Name 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 tree to the best of his knowledge and belief; and that the work wilI be performed in the manner set forth in the application filed therewith. 02 Sworn to before me this~ ~ ' N~t~ Public L~DA M. BOHN NOTARY PUBLIC, State ~ N~ ~ No. 01 BO6020932 Qualified in S~ofk Cou~ Term Expires March 8, 20~ Signature of Applicant Illlllllll IIIlll I IllflH 765-1802 6 AM TO 4 PM FOR THE FOU.OWINO INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ROUGH - FRAMING A PLUMBING INSULATION 4, FINAL - CONSTRUCTIO# MuB'r BE COMPLETE FOR CO, AU. CONBTRUCTION SH&LL MEET THE REQUIREMENTS OF THE STATE (~ONRTRUCTION & BNERQY CODE~. )lOT RESPONRIBLB --f ~v TOWN OF SOUTHOLD PROPERTY RECORD. CARD OWNER RES. LAND 00 SEAS. IMP. AGE VL TOTAL ~ooo BUILDING CONDITION VI LLAGE DISTRICT SUB. LOT Total Brushlor~.,-,..~,, House Plot Swampland Woodlcmd Tillable 3 NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable ) W ~ ~ ,-.,;-~ ,'¢L~$'//~C_' FARM COMM. IND. CB. t MISC. " DATE REMARKS ~ '~ ~ , ' '1 '~ --- ','' F'~ ' · ' ACREAGE Tillable 2 V /~ - &e -0/ I I Bldg. xtension xtension xtension ;reezewa~ ~arage Foundation Basement Ext. Walls Fire Place Porch PorchI Patio Bath Floor~. Interior Finish Hea~ Attic Rooms ]st Floor Rooms 2nd FIoor