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Home My WebLink About1000-120.-3-11.10 FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 5, 2013 TO: Patricia DiVello 220 Blossom Blvd. Mattituck, NY 11952 Please take notice that your application dated February 5, 2013 For permit to locate a ggenhouse at M Location of property 6885 Aldrich Lane. Laurel 7 Southold Town Naming Board County Tax Map No. 1000 - Section 120 Block 3 Lot 11.10 Is returned herewith and disapproved on the following grounds: The proposed construction requires site plan approval from the Southold Town Planning Board. You mai apply to this aeTowed, 4L Aut oricd 'igriatur CC: file,. Note to Applicant: Any change or deviation to the above referenced application may require additional review from the Southold Town Building Department. FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION Initial Determination 01- 3 Date Sent: a f 1 l3 Date: 02 � � 1 �:. Project Name:t�� t� , r�r I C% Project Address: a0 _ (�toZoning Suffolk County Tax Map No.:1000'- 3 - District: Request: r (Note: Copy of Building Permit Alic ppation and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted; Initial Determination as to whether site plan is required: Q Signatur u Iding Inspe or Planning Department (P.D.) referral: S P.D. Date Received: Date of trent: I .: � :r + Ic Comments: _ Signature of Planning Dept tall Reviewer I`il al et rail a� n Date:—/—/— Decision: ate: / /Decision: .qinnnfiirP of Riiildina InsnPctnr UK fs ,, a is if wo.. f y . k - = i 3 t 4 F t z f 4 . y r I M �1 yo- , °�'^-,,,, •�" F ,'„ �� ""`"�� ,,,;'kyr a � a 1� N .� a'r �,'� ��'4�";,'`�"ak6�'�,,.:� � r/` �^;,,, ,,, � gra 1, w✓ "�a. e ,�',,,, W w �, e r 4 „r r wr dma „,. .Y �� x o w, .ra ,; ,tlr»~ ,, �j,�q�+ ms P v fl�^ °.' 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H i r r ar� �' / ,r, �,.., ,�. 7 a rrr /:., �”" v ?'l..�l,✓ ir�«"....,,,;.,w•«s,.,".,,»,. ,n.w��,»..A�.�;,,m�.d'a„.s,. ..w,,,..,.n„®+uw«.r:.a,..�u�,ww,rr,,amuanrr ..!e a,�6, ;�,;}f i, d �i"�Po e,'aa r, r Mip(rv% ,,,f':`w/ �.,y yl"rry!,"Nr rk; /r,/, k,,. q Ali, /p�yfi/i3'r� l °o`*rr Jl kiraw� TOWN OF SOUTIJOLD v BUILDP,`'r PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans— TEL: lans --TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c N Phone: Expiration noctor - _ , r= q t aPPLICATION FOR BUILDING PERMIT M FEB -5 2013 €_ l Date "I 7 S— r3 20 INSTRUCTIONS a.This wain.ST be cot pletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets o a e. ee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship toad'oining premises or public streets or areas,and waterways. c.The wort:covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this 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, c.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 wort:authorized has not commenced within 12 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 Iv1ADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance ofthe 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 premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing address of applicant) 1(0/i e State whether applicant is owner,lessee,agent,architect,engineer, general contractor,electrician,plumber or builder Name of owner of premises ;mac t c- P, t QQ.L Lo — r 2) (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed wol'k will be done: 12 l ' [1 1y lc t' ' i&I,V_ House Number Street Hamlet p j County Tax Map No. 1000 Section— / Block 3 Lot Subdiv=ision Filed Map No._ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demo' tion Other!Fork (Description) 4. Estimated Cost l=ee (To be paid on filing this application) ... li lilh'CIII g,n mbir of d i-e-IHmi u;1tts N'iiF�iiTl.r of d;4=iiiln�.unit,on each floor If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot:Front Rear Depth 10. Date of Purchase Nanne of Former Owner 1 I.Zone or use district in which premises are situated 12. Does proposed construction violate any zoning taw,ordinance or regulation?YES NO / 13. Will lot be re-graded"YES NO \-Fill excess fill be removed from premises?YES NO 14.Names of Owner of premises Address Phone No. :Mame of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES,SOUTHOLD TOWN) TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO IF YES,D.E.C.PERMITS MAY BE REQUIREDA 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. 18.Are there any covenants and restrictions with respect to this property?* YES NO �— * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF W) 0 .t f h,�) being dn!}:sworn,deposes and says that(s)he is the applicant (Name of individual stgnu7g contract)a5ove named, iS)He is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or hate 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 theM Ey.;. paa of NOW Y Sworn to before me this No12 QNAW In KWY day of 20 # Notary Pudic Signature of Applicant r'3FFLI CATION CHECKLIST v � r need the following,before applying? r Bui;ding Plans ,ing Board approval y -k c Form S.D.E..C. ees Application d Permit le&Separate r-Water Assessment Form to: Building Inspector t„IPPLICATION FOR BUILDING PERMIT 1 \01 ' '' Date ? s– 13 20 t?r r;; iii FEB —5 2a1 INSTRUCTIONS a.This qpLL ST be cos ipletely filled r by typewriter or in ink and submitted to the Building Inspector with 4 IN sets o It, geese. ree according to schedule. b.Plot plan show�inE 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 ma_y not be coni menced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will,issue a Building Permit to the applicant.Such a permit shall be kept on the preernises available for inapeetion t1 i svhor, the wo-k. 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 !2 months after the date of issuance or has not been completed within 1 b'months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interin;,the Building Inspector may authorize,in wi iting,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 tile Buildina Zone Ordinance of the Town of Soutliold,Suffolk County:Nev,,York,and other applicable Law's,Ordinances or Regulations,for the construction of buildings.additions,or alterations or for removal or demolition as herein described.The applicant ab ees to comply with all applicable laws,ordinances.building code.housing code,and regulations,and to admit authorized inspectors on premises and in building for necessar\ inspections. Signature of applicant or name,if a corporation! (flailing address of applicant) j f?Sz State whether applicant is owner,lessee,agent,architect.engineer,general contractor,electrician,plumber or builder C.,-) Y\ef- Name of owner of premises k q� ,\)— � ` � (As oil.the tax roll or latest deed) If applicant is a corporation,signature of dully authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: i Z 0 3 11 ° 10 1klr�t';ci, t ane House Number Street Hamlet p/ County Tax Map No. 1000 Section —Block Lot t t Subdivision Filed Map:tiro. 1.0t 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy �� ys - i`eccFt ;. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition - Other Work St+- ,r, -.� 0,�PJ 'nr`j: r � (Description) 4. Estimated Cost l=ee - (To be paid on filing this application) . E J. :i_U��`Gii. ?,i�ilsiii ei of l�c,tix.�Uiiit� _�L.s.s�,b,?`��i t V.:iiltl`,_units 011 each floor If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories &. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: 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 -`'Fill excess fill be removed from premises?YES NO 14.Names of Owner of premises .Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 1; a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland? *YES NO * IF YES,D.E.C.PERMITS MAY BE REQUIRED. 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. 19. Are there any covenants and restrictions with respect to this property? * YES NO �"- *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF 1 beim duly sworn,deposes and says that(s)he is the applicant (Name of sndividuai sianung contract)above named, (S)He is the (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 theQL4ME 1j,' - N@Wy PMc,Slob of Nwm Yo* Sworn to before me this No. 12 day of 10CNAW In� 1 A AA ' 1 Notary Public Signature of Applicant