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Home My WebLink About1000-61.-1-15.3 SURVEY OF PROPERTY A T SO UTHOLD TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-61-01-15.3 SCALE V--30' DECEMBER 3, 2014 MA Y 13, 2016 (FINAL) jAsll'° APRIL 20, 2017 (PROP. GARAGE) fQ �OGC, i. OAF' � '\`O�fi�� +• '/ 30 GAP\�V�,A / P �GFr 16�_6G� •B �2�� Qp Poy N NOg <° O� O O 10 In (�\� 6� o Z$•, OG vo �,ti \6° ��yy5 ° @s J .0. ��. GONG cyF4c O 'L90 9yo91 t / •o - <° 0 <i Rp- P �24 i 0 o -0- o„N f GP• O\`' I J+ 0K 9SA �+ aP ,00 X62'12 / 00 ORP Fjo \ FRES F S E \ SRP CERTIFIED T0: FR OP pHeyy� BRIDGEHAMPTON NATIONAL BANKp NORTH FORK WOOD WORKS. INC. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ELEVAAONS AND CONTOUR LINES ARE REFERENCED TO NAVD 88 AREA = 20,001 S0. F7. < ANY ALTERATION OR ADD17ION TO THIS SURVEY IS A WOLAAONLIC. NO. 49618 OF SECAON 7209OF THE NEW YORK STATE EDUCAAON LAW. PEC VEYORS, P.C. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER77RCA71ONS ■ =MONUMENT (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 0 =R E B A R P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET A WHOSE SIGNATURE APPEARS HEREON. 14-130 SDUTHOLD, N.Y. 11971 SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N-Y 1000-61-01-15.3 SCALE: 1 �--30' DECEMBER J, 2014 MAY IJ, 2016 (RNAL) APRIL 20, 2017 (PROP. GARAGE) -j-'A. 9 lop" 'p ISO" 00 Ob N Al 7o- 0j -je 7- 0 AN tp va Ib & 1,151 IF I 24 d? d T�i o\5) -'d \\:e; <1 '-po CERTIFIED TO- BRIDGEHAMPTON NATIONAL BANK ct."E NORTH FORK WOOD WORKS, INC. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ELEVA71ONS AND CONTOUR LINES ARE REFERENCED TO NAW 88 AREA = 20,001 SO. [�T LIC. NO. 49618 ANY ALTERARON OR ADD177ON TO THIS SURVEY IS A VIOLA 77ON PEC-OlVe-SIRVEYORS, P.C. OF SEC7701V 7209OF 7HE NEW YORK STATE EDUCA77ON LAW EXCEPT AS PER SEC77ON 7209—SUBDIWSION 2 ALL CER77RCA77ONS 0 =MONUMENT (631) 765-5020 FAX (6,31) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF * =REBAR P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR 1230 MAVELER SIREET JWOSE SIGNATURE APPEARS HEREON SOUTHOLD, MY 11971 14-130 FOR INTERNAL USE UNC FY SITE PLAN USE DETERMINATI I 1 MAY 5 9 h 9 Town - initial Deter�Ination ria nod . Date Date:_ m _. Project-Narne.�._._ Project Address: District:�- Zoning �.� Suffolk County Tax Map-No.:' 00i0r7_ �'...�_ orcin doc ur nent rtion'a*to (Note: Copy of Irridixg Permit Apl�iication and su.pp g -proposed use o6•rases should be submitted.) -initial Determination as to whether use is permitted: Initial-Determination as to whether site pian is ding Ing �- Bi Sign to e �. nt (P.D.) Re'terra .�_ Planning DeRartme _ P.D.Hate Received: �5 1_ (7 Date of Cornnrent__ Comments; Signature of Planning p . S{aff Reviewer Final Determil,ition Decision :...___... ........_. .. M. __ ....._ _„ .., „c naf,crP....nf..,Riiildina...In_nPntnr-....,._.... TOWN OF SOUTHOLD BUILDING t-LRMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board ofHealth SOUTHOLD,NY 11471 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX: (631)765-4502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y,S.D,E.C, r Trustees C.O.Application Flood Permit Examined 120W, Single&Separate 2. 2011 Storm-Water-Assessment Form Contact: Approved ,20 Mail to&JC' tJ L A f/ 'j C Disapproved a/c OF 0. 6x55 /,447 //P7/ // Phone: dopQ7 Expiration 2 But t g ector APPLICATION FOR BUILDING PERMIT Date 1 XW y 2017 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 Insgectof 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 12 months after the date of issuance or has not been completed within 18 months from such date.Ifno 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 Southoid:,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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises ZAI C (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. �j'f? Plumbers License No. ZIW Electricians License No. Other Trade's License No .-- 1. Location of land on which proposed work will be done: 471 /-VXV25 s- Z "/ JrO147/474 House Number Street Hamlet ter^ County Tax Map No. 1000 Section _ Block. Lot fJ. 1 i Subdivision Filed Map No. Lot 2 State existing use and occupancy of premises and intended use and occup ncy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy C �1� 1�, CIAO- 3i Nature of work(cheek which applicable):New Building •:- Addition Alteration Repair Removal Demolttiori Otherorkt ,Sl/� � f ` (Description) 4 Estimated Cost ZAP _ Fee (To b&paid=filing this application) If dwelling,number of dwelling units t umber of dwelling units on each floor _ {! If garage, number,of cars ,6.z If business;commercial or mixed occupancy,specify nature and extent tafeac:type v- ' 't13 p i4 6 7 Dimensions of existing structures,if any:Front Rear ? Depth Sf,9 Height Number of Stories i Dimensions of same St r cture with alterations or additions: Front 42 .6—Rear 1 Depth r6, Height Number of Stories Z &I Dimensions of entire new construction:FromRear : Depth 24 0 Height ' Number of Stories � 9J Size of lot:Front 1471,46 Rear .'704 Depth 211,14 1 .Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any.zoning lqw,ordintlnce or regulation?YES NO 1 3.Will lot be re-graded?YES .NO .Will e=ess fill.b.e removed from premises?YES_NO AV 14.Names of Owner ofpremises af�tldl±JtY� dress. 11647WAW XI Phone No4y PP--79 Ob Name of Architect Address= Phone :v Name of Contractor' Address --Phone-No. 1 a.Is this property within 100 feet of a tidal wettard or a freshwater wetland?*YES NO IF YES,SOUTHOLD TO)t1NrTRUSTEES&D.E.C.PER TS Y B iREQUIRED. I b.Is this property within'300 feet ofa.tio'411 wet attd?*'YES ICO N .l IF YES,D.E.C.PERMITS MAY BE REQL ft� . 1 .Provide survey,to scale,with accurate foundation plan and distances to property lines. 1-.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 14.Are there any covenants and restrictions with respect to this property?*YES NO I IF YES,PROVIDE A COPY. S`1'ATE OF NEW YORK) S: C JUNITY OFSUCIPLI being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (Spe s the (Contractor,Agent,Corporate Officer,etc.) osaid 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 wil l be performed in the manner set forth in the application filed therewith. S�N=orn to before me this A Mr day of 1CAY— 20 TRACEY L DV VYER Notary Publi PUBLIC,STATE OI NEw0Z NO,01DW6306900 Signature of Applicant QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,221-9