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Home My WebLink About29246-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. 29246 Z Date MARCH 26, 2003 Permission is hereby granted to: JOHN E MCGREEVY 5 OAK CT NORTH MERRICK, NY 11566 for : DEMOLITION OF AN EXISTING SEASONAL RESIDENCE AS APPLIED FOR at premises located at 800 SUMMIT DR County Tax Map No. 473889 Section 106 Block pursuant to application dated MARCH 5, Building Inspector to expire on SEPTEMB 26, 0002 MATTITUCK Lot No. 005 by Fee $ 81.50 Signature ORIGINAL Rev. 5/8/02 83/26/2883 14:24 631-298-8514 FILE No.290 0~,~5 CHRISTINE D RIVERA FA~: LIPA PAGE 01 ~ 1/ 1 EriSa ~endel-JO~ebloed Electric De&~sn & Construction BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: SCTM# DISTRICT: 1,000, SECTION: ., BLOCK: __, LOT:__ ADDRESS: CITY: BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- ~, INFO / BP BP -Z / C/0 Z- ., INFO / BP PRE CO: Y OR N BP -Z / C/0 Z- SINGLE & SEPARATE CERTIFICATION-REQUIRED DATE REVIEWED: DATE SUBMITTED: SUBDIVISION: ZONING DISTRICT: / /03 / /03 CONFORMING? -Z / C/0 Z- , INFO -Z / C/0 Z- ., INFO NOTES: LOTS 40,000SF d00-24. Lot recognition(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time at%r 7/1/82 REQ. LOT SIZE: REQ. FRONT REQ. REAR ACT. LOT SIZE: PROP. FRONT PROP. REAR __ REQ. LOT COV. REQ SIDE REQ. HEIGHT ACT. LOT COV. ACT. SIDE PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: FAST TRACK WATER FRONT? PANEL #: FLOOD ZONE: DESCRIPTION: , COMPLIANCE: APPROVALS REQUIRED DTE: SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): __ TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: Pm~-[~EC~/l/7$ 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 NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO / PERMIT #: NOTES: FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1. ( (~C->~' SF)- ( ~c9c:> SF)-~ ~C)~- 2. ( SF)- ( SF)= SF X $ SF SF SF ~- SF INIT SF FEE .0'5 OTHER TOTAL FEE FEE =$ +$ +$ - $ 3. ( SF)- ( SF)= SF X $ =$ +$ +$ FINAL TOTAL: TO~WN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ___,20__ Approved .,20 Disapproved a/c Expiration ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 3 sets of Building Plans Plam~ing Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: ~ ~ · APPLICATION FOR BUILDING PERMIT , ,, ;~.__~ Date ,,2J- ,fi- ,20q :~ 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 conunenced 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. .;~ (Signfature of applicant or name, if a corporation) ?~' ~' (Mathng address .~r~' applicant) J?¢f- L architect, engineer, general contractor, electr/cim~, plumber or builder If applicant i8~, signature mlders L~c Plumbers Li~Ol~.ll~ ~ Electricians l ~,~lg~lffill~ Other Trade's License No.' . 1. Location ogled on which proposed work.will be done: ,~ff~ House Number Street County Tax Map No. 1000 Section Subdivision t~/k?r (Name) Block 000 7_ Filed Map No. Lot O o ,ff Lot 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 Estimated Cost ,, ~ 06> Fee If dwelling, number of dwelling units If garage, number of cars (Description) (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 o96 Height_ Number of Stories / Rear Depth '2~' Dimensions of same structure with alterations or additions: Front Depth. Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 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 ,/,~t~c~/"~,~ Address ~" ..F,~,,,, ,-, /f~lt 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 ora 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 pro~ STATE OF NEW YORK) J.~'/.l~.;~ ,~'~ ' being duly sworn, ~~~nt (Name of individual signing contract) above named, ~ ~ ~ · ~OUO~ ,~ (S)He is the ....... -~ actor, Agent, Corporate Officer, etc.) ..... ~,~-~~ of said owner or owners, and is duly authorized to perform or have performe4[l~ ~ ~llM~s application; that all statements contained in this application are true to the best of his kno~o~]~~ll be performed in the manner set forth in the application filed therewith. ~ ~llll~l~ ~ ~]tJO~ Swom~,b~fore me this D'q~_. day of !V~(/if 201~> "'--- '-- N~t~ry Public x./ - -- Signature/of Applicant N CLAIRE L. GLEW otary Public, State of New York No 01GL4879,05 Qualified in Suffolk~Co-u~lty~ _ Commission Expires Doc. 8. ~ £~-CL'I-C~'Ig0) : X~"_4 ~ XO~ 'O'c~ ~AI~Ci ±lNl4(lc5 ¢~ :OL NOI± IC3C]'~ ~'~?°00'00" ~ 7