HomeMy WebLinkAbout29802-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. 29802 Z
Date OCTOBER 10, 2003
Permission is hereby granted to:
STEVEN C FABB
21 ELLEN PLACE
KINGS PARK,NY 11754
for :
DEMOLITION OF A 344 SQUARE FOOT BUILDING AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 099
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
Fee $ 41.60
1925 NAUGLES DR MATTITUCK
Block 0004 Lot No. 022
10, 2003 and approved by the
10, 2005.
:ho~ed S i~_q_D~~
ORIGINAL
Rev. 5/8/02
INSPECTORS
Victor Lessard
Principal Building, Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Date: April 20, 1993
TO:
Thomas Fabb & ors.
21 Ellen Place
Kings Park, N.Y. 11754
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance - CHAP. 45
Other Applicable Laws, Ordinances or Regulations
at premises hereinafter described in that:
RENOVATIONS & ADDITIONS HAVE BEEN DONE ON THE PREMISES
WITHOUT A BUILDING PERMIT
In violation of ZONING CODE OF THE TOWN OF SOUTHOLD-CHAPT 45
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the
law and remedy the conditions above mentioned IM~.nIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at: 1925 NAUGLES DRIVE, MATTITUCK, COtqfUY OF
SUFFOLK, NEW YORK
SUFFOLK COUNTY TAX MAP #1000-99-4-22
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
BUILDING INSPECTOR
encl.
(Cert. Mail)
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. 22020 Z Date APRIL 15, 1994
Permission is hereby granted to:
FABB, THOMAS
for,:
V~D VOID VOID VOID VOID VOID VOID BP#22020Z Re~fr fire damage a
ndX~u_~il~d back the dwelling to ori~~n before fire dwell-
ing was not
at premises located at 1925 NAUGLES ROAD
County Tax Map No. 473889 Section 099 Block
pursuant to application dated N/A
0004 Lot No. 022
and approved by the
Building Inspector to expire on OCTOBER 15, 1995.
Fees O.0O
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.netYSouthold/
Examined_ ~, 20
Approved _, 20__
Disapproved a/c
Expiration __, 20__
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Fom~
N.Y.S.D.E.C.
Trustees
Contact:
Building Inspector
APPLICATION FOR BUILDING PER/MIT
~ Date /O/,/~_ ,200__~_
INSTRUCTIONS / ,x,. --
a. This application MUST be completely filled in by typewriter or in inl~ 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 corranenced before issuance of Building Permit.
d. Upon approval of tl'fis 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 I2 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 pretrdses and in building for necessary inspections.
(Signature of applic~mt or name, if a corporation)
· (Mailing/address 6~fapphcant- )' ~
~ttate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
3uilders License No.
31umbers License No.
Electricians License No.
)ther Trade's License No.
)~Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000
Subdivision
(Name)
Section
Block
Filed Map No.__
Lot
Lot
State existing use and occupancy of premises and intended use an,d occup~,~cy of(proposed construction:
k a. Existing useandoccupancy ~'~__~;'/__/.-~'-./6~A//. ~/-_~.~-, V
b. Intended use and occupancy ~)ff, r~4t:~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost Fee
5. I f dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
(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
Height_ Number of Stories
Rear
Depth.
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. Sizeoflot: 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
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* 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.
NO
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.
oTATE OF NEW YORK)
UNTY OF S)S:
T&b~. ,~ r F/~/Ij>//'~ , being duly sworn, deposes and says that (s)he is the applicant
(Name of ]fidividual signing contract) aoove named,
(S)Heisthe ("_ ~::v . F~lz~$/.~_
(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,.,
_ ,/(').~ dayof_ff-~4a 2003
Notary4bublic
Signature of Applicant
UNDA J. COOPER
Notant Public, State of New York
No. 4~22563, Suffolk, Ceu?_tY_~
T~rm Expires December 3~