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HomeMy WebLinkAbout27867-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMIS/UNTILFULL COMPLETION OF THE WORK AUTHORIZ PERMIT NO. 27867 Z Date NOVEMBER 5, 2001 Permission is hereby granted to : EDITH SIMM RD 1 2765 ELIJAAS LANE MATTITUCK,NY 1052 / for CONSTRUCT ADDITIONS AND ALTERATION 60 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2765 ELIJAHS LA MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007. 016 pursuant to application dated SEPTEMBER 13 , 2001 and approved by the Building Inspector. Fee $ 150 . 0 Authorized Signature V � COPY Rev. 2/19/98 suauINc DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE 8 CHIMNEY REMARKS: s[/C�J DATE INSPECTOR /L''� rim INSPECTION -REPORT • JDATS -'.a 'tea. CgMMBNTS .�aac^- as=s=.cc�acx FOONDATION ( 1ST)' �. QTION _�(2ND) o -- 0 ROUGH FRAME & , PLUMBING r [us ni MON PER N. T. STATE ENERGY a Vl CODE r --mss Ile- 'fir FINAL (n MDITIONAL COUNTS V. . 3a o - . a TOW"FSOUZ'SO C .� 9_s'' MWINGPERM1T AEPUUTION CHEM BUILDIWNG DEP �— r >° t Do you hm ornaed*e Wovh3&bdf=spill TOWN HALL ( ; .' EP Boardof8eal�h SOUTSOmNY11971 aft9ift Plsns_� TEL:765-1802 Septk Farm . I�Y.S D.B.Q • . 13�steee mod /� 20 Coate S �� tit - DisgVroved a/c • Plianx7o��ro . . Bpu�llpdiII$ APPLICATION FOR BUMMING PST. Date 20 INSTRUCTIONS a This application MC1S"T bo coapletel r Sited in by typewriter or is ink and submitted to tha Building Iaspedw wit sets ofplans,aocarataplot p1mto scala.Fee==ding to schedule b.Plot play showing loeadon of lot and of buildings on premises,mdlad=bn p to 4oining premises or public strxls auras,and waterways• o.The work covered by this appHcaden may not be omanmaaed before issuance ofBuilding Permit. d Upon approval of Us wHosttan,the Bu&ft InspeztorwM issue a BuOft Permit to the,q4AfCM3t Such apes shall be kept ori the prm*m available for iaepaction,thwq&ut tho work a No baildiag shall be ow%6d or used is whok or iapxt for any purpose wlaWo-ever until a Cevtif cafe of Occup . is issued by ft Biding bVector, APNX-. WN IS MEMY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordhmw of Su Town of Soothoki,S'nif&County,Now Yo*,and vett=applicable Laws,,Ox&wnces or Regullsdons,for the oonst =d=of buWam additions,or altxtions or for removal or d=oHdm as applicant agrees to oozrrply with all wHeable laws,ori,b 8 codes housing oodq and� and to suftrized inspectors-on praises and is building far aooessa:y mailed#. •. Bright gay Remod. & Bldg. Co. � .� arm ifs 138 East Montauk Hwy. Hampton Bay,NY 11946 / 510 Q728.2546 `�v G 14 75N State whether applicant is owner,lessee,agent,a engineer,g contract• ,electrician,phnnbecbznldea Name of owner of premises Pn (as.on the tax roll or latest deed) If applicant is a corporation,si -.of duly authorized officer (Name aid• < 'ofc� C`o�Eoer) a. Builders License No. ' l' ' oC n�� No / s Plumbers Lioemse No. Electricians License No. Other Trade's License No. 1. ' n f land on which proposed work will be dona: House Number vStreet Hamlet County Tax Map Na 1000 Secdion �'g Block Q Ll Lot 0 Subdividm Piled Map No. 10 ses aid use and o mgb1p�posed � co�st�cda e aadit. occq=WOpis a.' �iistingnse sod ooc�tpaaaY . b. •bA62ded vse sad occnpancq 1 'rr' Of wank check which livable):New Bulld�+� Addition= Alteratron NatureDemolition Other Wow Rep Removal (Descaptton) Estmvated•Cost 2� Fee (to be paid on filin8 his applicafian) . dn-,X amber of dwelling units Number of dwelling units on each floor if garage, number(yfi cars Nbusiness,comimercial.or mined ooaapa wn specify nature and extent of each type of use if•BarFront Rear Depth Dimensions of ezi�g eNum of Stories Height � e-) 3 Dimensions of Same strttcture with alterations or additions: Front Rear��� Depth Height /�� Plumber of Stories f • ,�G�nstivctian:Fmnt ear . �'��-t 3 Depth��• Dimesnaians of entire Number of Sturi�s Height Size of lot:FMCIt 1 1z fan C� / Name ofFomterOwner }.Date of pnrchaseS .. j ix 1.Zone or use&strict in which premises are Does ptaposed constriction violate any zonin$1aw,oranamce or reFdadon: C� 3.WE1 lot be regraded x1 -Wii1 pccxss frit be praaisem YES NO of Owner of 0 NO. �.Names one No Nemo of Architect Phone No.Zge -P Name of Contractor. P ddress �a, i.Is this property witbm loo feet of a tidal wetland? *YES NO • IF YES,SOUTHOLD TOWNTRUSTEES PEUATS i.Provide survey,to scale,with accurate foundation plan and astaaces to property limes. ).If elevation at any point on"edy is at 10 feet or below,must provide topographical data on smTey. LATE OF NEW YORK) SS OUNTY �© being d*siworx deposes and says that(s)he is ft applicant me of in&vKjud signs contract)above naMAd, Bright Bay Remodti & Bldg. CQ. 138 fast Montauk Hwy. ,)HO is the �'('�h (�/� /^ gWA —•' (Contractor,Agent,Corporate Officer,etc) '- ��1 W.228-2546 said ow=or owners,and is duly auftrized to perfonti or have paibnlaed the said work and to make and file this at all sur contained in this application=true to the best of his I wledge and ballot and that the work xfonned in the manner set forth in the applicationIRed tllercwi& worn tr, me this 3 dayof �e� rtxli Sigaaxtae ofApp No.4198857,Suffolk missCouMy0 Comion Expires May 31,20_.3 14 W N51'21 '10"E N ' 255.03 ~ *WD FENCE CONC. MON. —— —— CONC. MON.. 4�I FENCE0 9 f0 w U y FENCE Q 0.5' s. a � �y 0.2' S. Z 0.6' E. F7?AME 12.2 0 0.4' W. + SHED c6 O WOOD TRELLIS WD. FENCE + e � -_____ LNRf ---0-5,W �� O 27.3' DRIVEWAY GAR. —-w.706f 2 ? 0.4' W.µWD, FENCE 'e X WOOD ` N 0.3' W.7REILIS ,ti, W 26.9 W O 26.3'N 4a�p +� C/) FENCE j O 0.5' E. WIRE FENCE mmmm� — FENCE __1.6' N. CONC. MOM CONC MON. S51'21 '10"W 256. 15' J 12 0 0 `%�•��s TABOR ROAD AREA: 40,894 S.F. = 0.939 AC. CERTIFIED T0: SURVEY OF SUSAN WHITNEY SIMM O I DAVID SZCZEPANKOWSKI 7 CHICAGO TITLE INSURANCE COMPANY, POLICY NUMBER 3801-00917 MAP OF ELIJAH'S LANE ESTATES, SECTION 1 EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED S/TUA TE A T ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 774E 77ME OF THE SURVEY. FOR MA TTI TUCK WHOM TH�URVEYINDICATED PREPARED,HEREON AND ON HIL RUN S BEHALF O THE TTLY To THE �E COM- TOWN OF SOUTHOLD PANY, GOVERNMENTAL AGENCY AND LENDING INSM77ONS LISTED HEREON, SUFFOLK COUNTY, NEW YORK AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INS77TU77ONS OR SUBSEQUENT OWNERS „ , THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO SCALE. 1 =50 DATE. AUGUST 8, 2001 THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE- FORE ARE NOT INTENDED 70 GUIDE THE EREC77ON OF FENCES, RETAINING S C.T Y. DIST. 1000 SEC. 108 BLK.04 LOT 007.016 WALLS, POOLS, PATIOS, PLAN77NG AREAS, ADDITIONS 70 BUILDINGS AND ANY OTHER CONSTRUC770N. JOB N0. F3593 amt U V � ::.;.._,.:,, ;>: :•:• Q MAP NO. 6065 4L .: FILED: FEB. 14, 1974 :.:.::.: .. . .. : ..::::: '`>:;.: .: >;;.:......................... REVISIONS: 132 .;. • :.: Way Ho on Ba `'` N.Y. 46 (631) 7 8-5330 Marc E. Chariest, LS A!� Successors to Pau! T. Canalizo, L.S. Robert A. Kart, L.S. lice 050149 Good Ground Surveyors, P.C. BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: f 0/01 .DATE SUBMITTED:4 /13 /01 APPLICANT NAME: Stew.. —— SCTM# DISTRICT: 1.000 SECTION: /08 BLOCK:Q /� LOT: 9 9.b/6 STREET: 66 yc��l f5 L"e- CITY: �,K-WTVCX_ SUBDIV. NAME: �<< � PROJECT DESCRIPTION: ! tN a aV r u n g r ARCHITECT/ENGINEER: r FAST TRACK? PG SINGLE&SEPARATE CERTIFICATION-REQUIRED? N NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: ;q-yo CONFORMING? REQ.LOT SIZE: ACT. LOT SIZE. y� REQ. LOT COV. ACT. LOT COV. REQ.FRONT PROP.FRONTA5��REQ SIDE ACT. SIDEACZ 4Z REQ.REAR mo PROP. REAR /,TD v WATERFRONT? N DESCRIPTION: PANEL #: FLOOD ZONE: , AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REOUIRED: ' SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED ft DTE:—/--/ PERMIT#:R10- NEW YORK STATE DEC:- PRE-DEC 9/1/75 YES o SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA):. YES or 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 I�5911 -Z/C/0 Z q A cr–v 6.Q HAVE PRE CO'S Y OR N BP) 302,G 'r -Z/C/o Z ND c.o. 1W_L-LlSy1/s+tiAbe- gcx*! NOTF;S:. 1 �1.05 c/1 �� C � FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF SECOND FLR : SF INTT OTHER TOTAL TOTAL: SF FEE FEE FEE 'OT( SF)-LSF)= SFX$ _$ +$ +$ _$ 4V=1_el, OCCUPANCY OR 2 NOTIFY BUILDING DEPARTMENT A USE IS UNLAWFUL 7654802 • AM TO 4 PM FOR TNL WITHOUT CERTIFICATE A� OLLOWINOINSPECTION& OF OCCUPANCY' 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING I INSULATION 4t FINAL - CONSTRUCTION MUST ry BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. 1 ISTATE CONSTRUCTION & ENERGY UNDERWRITERS CERTIFICATE ODES. NOT RES ONSIBLE FOR REQUIRED CONST CTION ERRORS j 1:5 - 'X [� K11�x �, ° ' I 11 - - , f It i 1" " rl ; -_` - ACoF , � 1 94 _ Lo or X 1 -0 � _ ��.}, � _�Srt.l:''!L'! .rt T/! - i - '. ,6 a, - .-. � �.-.' —� :^vw`#'v,d�•4V�-'!£;N#`;x i�ir�',y'.zr,�'°�..; ' - r •+ rpt'. ijll 1:1 i n - i . 1-, fir. i.e ,r„.. iAr - ., 4r r J ' z :Ye a'Ff*.' �F f ',' x '-� x•.; i 'V a