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HomeMy WebLinkAbout25826-z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PRE ISES UNTIL FULL COMPLETION OF THE WORK AUT RIZED) PERMIT NO. 25826 Z D to JUNE 24, 1999 Permission is hereby granted to: EDWARD WANKE 57 HARRIET Rb BAYPORT NY 11705 for CONSTRUCTION OF A NEW SINGLEILY DWELLING WITH TWO CAR GARAGE AND REAR DECK AS APPLIED FO . at premises located at 820 MT BEULAH AVE SOUTHOLD County Tax Map No. 47 889 Section 051 Block 0003 Lot No. 002 .007 pursuant to applic ion dated MAY 14 1999 and approved by the Building Inspect . Fee $ 87 .00 V©1� Authorized Signature ORIGINAL Rev. 2/19/98 XLD INSPECTION REPORT DATE COMMENTS y_ )IMATION ( IST) N u' � C ONNDATION====(2ND)==== __ __ ---------- -----------------_----------------------------------- M OUCH FRAME h PLUMBING MJF �— nI n r, r --------------_— --=e=—=_-- ----__=__ BOARD OF UEALTU . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . .. . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: r J. Examined.................. I9.... MAIL TO: . . . . . . . . . . . . . . . . . . Approved......K:: ...., 19.1..1. Penult No. .: .�!).-��..�" .. ................................ Disapproveda/c .................................. ............................... .......................................... .... ...... (Building Inspector) PLICATION FOR BUILDING PERMIT Date. . . . May. . .li . . . . , 19 99 INSTRUCTIONS a. This application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan stowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part o this application. c. 'Ihe work covered by thin application may not be com enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sue permit skull be kept on the premises available for inspection throughout the work. • e. No building shall be occupied or used in dole or in part for any purpose 4wtever until a Certificate of Occupancy shall have been granted by the Building Inspector. , APPLICATION IS HEREBY M" 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 aide, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. WARD ASSOCIATES, P.C. ............................................0......., (Signature of applicant, or name, if a corporation) 1500 Lakeland Avenue, Bohemia, NY 117 .......................0........................... (Mailing address of applicant) State whether applicant is caner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bile Architect ....................................................................................................................... None of owner of premises _„Edward E. Wankel and Judith A. Gordon .................................................................................... (as on the tax roll or latest deed) i If applicant is a corporation, signature of duly authorized officer. ..............................0........................... (Nam and title of corporate officer) Lawrence M. Feeley, R.A. , Vice President Builders License No. ......0.................. Plumbers License No. ......................... ' Electricians License No. ..................... Other Trade's License No. .................... I. location of land on which proposed work will be done............................................................. Mt. Beulah Southold ...............0.........0.. ........0..................... House Uxiber Street Hamlet County Tax Map No. 1000 Section .....51........ Block .....03......... Int ....?:7........ Sutxlivision ... Beulah Acres .._....... Filed Map No. ......... .bet ..A........... (Name) 2. State existing use and occupaor_y of premises and interxled use and occupancy of proposed construction: a. Existing use and occupancy Vacant b. Intended use and occupancy ...Residence ..... ........................................ .... . 1. Nature of work (check uhicli applicable): New Building ....X..... Addition .......... Alteration ........ .. Repair ............ Removal ............. Deml(tion ............ Other Work .................................. (Description) I. Estimated Cost .....$250,000 ............................................... (to be paid on filing this application) i. if rixlling, rurber of dwelling units ..., One timber of dwelling units on each floor ......N/A if garage, number of cera ....... wo ............................. i. if business, commercial or mused occupancy, specify nature and extent of each type of use.......N/A 7. Dimensions of existing structures, If any: Front........ N/A.... Rear ............... Depth .... ...... ....... Ileight ......................... Umber of Stories ...............•.•.... Dimensions of am* structure witlx alterations or additions: Front ............... Rear .. ....... ...... Depth .................... Height .................... timber of Stories ............... 5. Dimensions of entire new construction: Front ....40.It...... Rear ....4Q.(t:.... Deptlr . ..(S.lt....,. Ileigint 20 Ft.. Avg......._ limiter of Stories Two ........... ..................... 9. Size of lot: Promf t. f t. Depth ..........216.......... Rear ....216....04........ 10. Date of Purchase ....1999............ Name of Former Owner ..................................... ... 11. Zane or use district in which premises are situated .......R.44....................................... .......... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..,...,No ................ 13. Will lot be regraded ....TTS............ Will excess fill be removed from premises: YES NO I4. Names of Owner of premises Ed Wankel/Judy Gordon Address 57 Harriet Road Phaxe No 472.7«4v $a port,'NY*11705' .............. . .y. Ward Associates, P.C. Address ..1.5.00. Lake qnd Name of Architect ............................. � �1OOC ikx. 56:.1-48At Mane of Contractor ................................... Address ...............................Plxxne No. ......... 15. is this property within 300 feet of a tidal wetland? * YES .......... 110 ..X...... *IF YES, SO1fII D MM TMS`B .S 17EI3•lI'1' MAY FIC RE(XfII?M- . PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street nerres and indicate whether interior or corner lot. cno.aa��ay wooas rio.oe wne�. n�:���;oa;o�, A I �� Q- .19 - � b�`\ \1\ � $w�b I MOUNT' BEULAH \ AVLNUf ✓ ;+� v v SfAlr Op lltii YORK, SS O"tY OC �u pLC ....................... Lawrence M. Feeley, R:A. being duly sworn, deposes and says that the is the appl icant (Mare of individual signing contract) above named, lie is the Architect ................................................................................................... (Contractor, agent, corporate officer, etc.) of, said owner or owners, and is duly authorized to perform or have performed Un said work and to mike and file thin application; Haat all statements contained in this application are true to the bent of his knowledge raxl hel.ief; mxl that the work will be performed in the manner set for0i in the application Bled therewith. 9worn to before me this ... / ............day of ..1u, .........19.`13.... Notary Public ..................................... KARIN L STALTER Signature ' A licmrt Lawrence M. Feeley, R.A. Nbaty Public,State of Now York Y. No.49735M Qualified in Suffolk County Commission Exgtiraa October 22.IM 200o BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: &OPDtSLUDO-g Reviewed: 'Qp Architect/ Da te Engineer: g SogAIT6S Submitted: SCTM#: 1_�1 District: 1.000 Section: v� Block: 3 Lot: Z, _ Project Subdivision Location: v`� ���l7 be,. &OJA6Q Name:.,"r &�L l e5 Single&separate Requ' certtfication: Ye Req. Req. Zoning District: A [Lot size: Actual: .03 G=8 [Lot coverage Proposed: ] Req. Req. / Req. [Front Yard Proposed: ] [Side Yard 20/40 Proposed: 1 [Rear Yard (A 0 _ Proposed: ] Project Description: _ e4o VwLtI L5 AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. RM -O . 91--04573 New York State D. E. C. _ Town Trustees _ Town Zoning Board approval: _ Town Planning Board approval: _ Flood Plane Elevation ??? Flood Zone: �o N Notes 1 34E6T#g oF(P INDICA-Tet) '0 F13ONT LVA iOK) 19RG)4 rr6;o' Ncrrf FIEF New PLA-fvs L04- 13c, Sr-. 61 1200A. F25' S.F. ' 75ee MMM r-L4W—w�Oeck 20&5 *F. 00Di nbvft-6QCP Z>eo 39 (0 SF 30100 �Fx .20 < �0/2� p1�