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Home My WebLink About25142-z 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. 25142 Z Date AUGUST 28, 1998 Permission is hereby granted to: DEBRA ANN DOKA 7125 PECONIC BAY BLVD LAUREL,NY 11948 - for CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL WITH FENCE AND DECK TO CODE IN REAR YARD AS APPLIED FOR "AS BUILT. " at premises located at 635 STANLEY RD MATTITUCK County Tax Map No. 473889 Section 106 Block 0008 Lot No. 014 pursuant to application dated JULY 31 1998 and approved by the Building Inspector. Fee $ 50 .00 ,I Buildin Inspec r ORIGINAL Rev. 2/19/98 --lZLD I;'S"�C;iU.+ JJDA E Q COMMENTS Z 93 -fl H �) =OUNDATION ( 1st) c m ?OUNDATION ( 2nd ) — r- 2.?. z � 6 v� ROUGH FRAME & V'A .PLUMBING ' y H INSULATION PER N . Y. STATE ENERGY CODE 9 4 . r FINAL V . z ADDITIONAL COMMENTS: x • � awe � . H y � ' H og z m •^o «•t k r ,- � ,� 7•--`rte.M . ,,, � ,� ,- , �; f IN fA lvr , ,ai� - s BOARD OF HEALTH . . . . . . . . . . .. . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . .. TOWN OF SOUTNOLD SURVEY ...I . . . . . . . . . . . . . . . . . . . . D BUILDING DEPARTMENT CIIECR 4 .. ................... TOWN HALL SEPTIC FORM JUL J I W8 SOUT1101.D, N.Y. 11971 TEI.: 765-1802 NOTIFY: pl7 BLDG. CALL cffDEPT. � ' OF SOUTHMM MAIL TO: . . . . . . . . . . . . . . . . . . . . ......... ........................... Alnl>rwc ... ..!:."...,. 19.(.� Penni l: No. ...�.k. ... Disapproved a/c ... .... ................................... . (IkdldingInst tor) �. APPLICATION FOR BUILDING PERMI'P Date. . . . . .. . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'Deis application mat be canpletely filled in by typewriter or in ink and sulmitted to tine Building Inspector wi 3 seta of plans,,accurate plot plan to scale. Fee according to sd:echile. remises or dnlic h. Plot plan slowing location of lot and of buildings on premises, relationship drawn on toe diagram which is parr. of st'recur,or, areas, and giving a detailed description of lsyont of property at Chia application. c. 'Bie work covered by this application Indy rot be comenced before issuance of Building Permit. d' Upon approval of this application, tine ]Wilding Inspector wilt Jamie a Building Permit to the applicant. Such permit shall be,kept on the premises available for inspection throiglout the work. e. No building shall be occupied or used in whole or in part for any puq*" whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPIAMICN IS HEREBY ME to the Building Department for the issuance of a Iluilding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Jaws, Ordinances or Regulations, for the construction of buildings, addition or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, arxi regulations,1and to adait authorized inspectors on premises and in building for necessary inspections• "�. ,, ; ' , .',ngr,e:o• ...............i:. `(Signature of applicdnt; •br nonan:; if a corporation) r"C13sIlPly: IM .w. ....... 1l ,N.�, „ (1Miling udrlrese,of-appl,icar,It) architect, engineer, general contractor, electrician, pludner or lxnilde State wlieUner:app��ic�{a�t9!91(��p�ti4a� ,'I: R01 M4 1n OT MA a MI'NSC ...•. - ....,..... ..................... iLl7illll) it ow 1 ..... .. ......... Name of cwner of prem fr) OR. }M�g g )';kC'?°� "�flU.i9 A &5idlf - att roll or latest deed) 95t�5YeRsS '1 .: a � 5 If applicant is a corpor`ationl si )6^41y authorized officer. 9 i7 I<; ( .2p `,e"k) + ho-1 ;'rP 1'1SVS0 1.ag .... (Name and title of corpotate"offf gra r" ; t`° �. s,: Builders License No.. t..•.;•n•F;,.,n+.,.•. Plurbers License No. ......................... Electricians license No. ..................... Other Trade'a License No. ................... i. location of land on which proposed work will be dune.W r� ..7•. .n.l�^. ..••}....•.••.• ...•...` .......��q 5a -.......................... ................................. louse timber Street �i IraaleC County Tax lisp No. 1000 Section ....I ...... Block .....4.......... net JI.4........... Subdivision Filed Map No. ........:...... Jet ............... (Nave) 2. State existing use and occupancy of premises and intended use and occu py of proposed construction- a. o struction:a. Wating use and occupancy ...0-.6:1.bQ-..�.�. .�.:-k....Poo .•'........................... b. Intender] use and occupancy .................. ..••• nil"IfWA............ y�otae:)�,o1Ru2 rxi kr;;�idan¢.0 Ci1r)�StR:,e:;0.o41 �.IC Yam aeniy0 nr:sT 4 II T 1 3. Mature of work (dteck Qildt appl.icable)s Now building .......... Atklltion .......... Alteration .......... ' Ileleir ............ Removal ... ......... nemolItion ............ Other Work ...................... It. r11o'' �m (Oeacrlpt{o i). n Estimated Cost ....... fea^.'..5Q.:1,}.l. .. .. ... . .. (to be paid oo fil{ng; lhi lication) ? _... _.. 5. If &P-Aling, otniter of dwellh>a'tsuits ............ anter of &eliing units amach or flo ... . Ifgarage, sorter of care ..... ............................ ......,_`-. • .. . �i,avST 6. If Ixmehmeas, oannercial or mlx7 toccupancy, specify nature and extent of eadu tyle of use...................... 7. Dimensions of existing stnn7 [u a, If anys Front................. Rear ............... Ilep[h .. ............... Haight ........................!. Mn1er of Stories ...................... Diuensloos of sais structure with alterations or 'txklitionst Front ............... Rear ......... .,. ,.. Depth .................... 11010 at .................... N.eler of Stones ..........I.... S. Diuensioos of entire new conatr4uctlont Front ................ Rear ............... Deptu ........,...... lallijut ...................... .i lAnler of Stories ..................... 9. Size of lot's PrOrit ....4.... ....... Rear .................... Depth ...,............... . 10. late of Purrdmase ..............L...... Nome of ironer OAier ........................................ 11. Zona or use district In phidt premises are situated ........................................................... ... 13. Will lot be regraded ,tio viol any zon no law, ordinance or regulations ........................ R .......... Will excess fill be removed from premises: YES N0 IZ. Ikon proposed axustuvcUlon viol 14. Ilanes of Owner of premisen ....,....................... tkklreas ............................... Nwne Pio. ............ Nave of ArdultecL• .............L.........•............. Acklreas .............................. I'Iwne No. ....�......, . Nrrne of Contractor ................................... Address ...............................Ilton No, ....I ....... 15. Is this property within 300 feelt,of a tidal wetland? * YRS .......... ND .......... *1F YLrS, Scunl01D wim 1"Vil s Pi?LiMI't' MAY bg M. AlIRRA. PLAT DIAGRAM - locate clearly and distinctly t11 buildings, whether existing or proposed, and Inxlicate all set-iac:k dimensions from property linen. Give street and block mnl)er or description according to deed, and altow street nares arxl irxlicate udtether Interior or corner lot. OR I REQUIRED ED CERTIFICATE OCCUPANCY USE IS UNLAWFUL aar� APPROVEDNOTED 1 Val WITHOUT CERTIFICATE Ili 0'BYBY., 6 AM OF OCCUPANCY ! NOW K111111111111111 DEKA E AT 7118.18D2 Hl TO 4 PM FO HE ' �J(J FOLMYMN NVlMEC110N8: 1 i 1 FOVNOATWN • MIO REQUIRED "IMMEDIATELY" Z, PLUMBING INCLOSE POOL TO CODE IUPO9. INSUL/RION BEFNORE'WARN 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET SI'A'IY III? W14Y(M+l ( ( �y; THE REQUIREMENTS OF THE N.Y. ('1JIMIY Ulr T�' STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE "OR e b no- Q � � � DESIGN OR CONSTRUCTION ERRhRS .......... ... .. ... .. ... � ......leinll duly sworn, depwaes auxl says diet be is Lie applicant (Nast of {churl. signing AXNe rxuned, Qlle is Lite ............. �?. (.......... (Com)tractor, agent,- rorporate officer, etc.) of said anter or rxaern, noxi is duty zuthorized to lerfonn or have performed Lite said work ax)-to nuke arxl file Lhis 111l)IICaLirm; Lhnt till staLenents contptned in this application are the to the teat of bin knxywledge mxl Ixillef; atxl that the work will be performed In this nanmter set fort) in Line application filed therewith. Sworn Lo beforeme thus ....... 1�......dny of NoLary Public ....... .... .. ..... . ............... ROBERT I. COiT,JR, (Signnture of Appilcont) ary Public,Stte of New Yo Qualified t 8CS 72 k Courcy 'lsral Ellpires May 31,.�..�.. l am familiar with the STANDARDS FOR APPROVAL dwell"^9 s (pub/,z we td ) SCDHS Ref NQ e R 10- 97- 0002 AND CONSTRUCT/ON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and w111 abide by the conditions set forth therein and on the I� permit to construct. STANLEY 55.S ROAD Pubhc ivcilcr 7h S't • -- 57.7 S. 87•//00' E. 105.00' - mm- sze, 545' a f 3 � ti cr i O 35 ST �D SURVEY OF ne ; °,, coLOT 12 nr $ +sr CO " SUNSET KNOLLS " _ RED AN 5, 1968 MAP NO. 5023 '� a ' � �� AT MA TTITUCK 3 ----- TOWN OF SOUTHOLD C d �� SUFFOLK COUNTY, N. Y. J 1000 - 106 - 08 - 14 Scale: 1" = 30' Sept. 23, 1996 3 - Dec. 27, 1996 k Feb. 27, 1997 (certified) June ll, 1997 f certified revised 1 CERT/F1ED TO, -tune! APW' cont: ioondln 1 Au¢ B, 1997 ( final 1 .11 3 RURAL HOUSING O O CHICAGO T/TLE !NL# EtlA ffWY DEP:Azmma'"'rf OF MALTH SERVIM O A,i':%4D♦F�54S:,,tO y OX i'i>?9MI ZD Vppo`42r'"�ga5 FM 0) A.9LWGLZFAn�!L I� YtjL��Cz LOT 11 a LOT ® `� LOT 13 AUG 2 t 1997j6q� LsG .AU _� -99 _H..4.Rat �o O UN Zr:4N. _:_V'C4;0 CaL:''=l.�A 3'#t m*ff alis ply &-916=d{tit tIx*.4a ban bwn tSdFCnairipr odmr q=10 odd towd to —' ---- --- - "i__ " • —� ANY ALTERATION OR ADDITION TO T1*S SURVEY IS A VIOLA TJ N p`��.�.Et,�' tEaF r;�tv)- N. 88°47'00' W. P y " {"` °"} 5)o OF SECTION 7209 OF THE t W YORK STATE EDUCATION LAW L)t ke ai W¢ter anti P.7esptwAA3 T. Mer, 0 105.04' EXCEpr As PER SECTov 7209-SUIROIVISION Z. ALL CERrAFICA- BONS o� drve/%� HEREON ARE VALro FOR qTpHIS MAP AND COPES THEREOF oNL -�-- - Formerly WZE7NSCNMIDT SAID MAP cTURE APPEARS hER OK SSED SEAL OF THE SURVEYOR ; "":;',-;4 TP,J i-; . ADDITIONALLY TO CQMPLY WITH SAND LAW THE TERM ALTERED BY, < t Received MUST BE USED BYA�p AND ALL SURVEYORS UTILIZING A COPY The locations of wells and cesspools OF ANOTHER SURVEyDRS MAP TERAfS SUCH AS INSPECTED'AND P ,BURN Y , .C. shown hereon are from field observations BROUGHT-TO DATf'ARE NOT IN COMPLIANCE WITH THE LAW. (51 - AUG 2 0 1997 and or from data obtained from others. P. 0. YAW /230 iT tTOf Health Services ELEVATIONSARE An," /VCED AREA = 20,330 SO. FT SOUTHOLD, N.Y. If Of WastewaterMgmt. TO AN ASSUMED DATCIAi 96 - 272