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Home My WebLink About27393-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. 27393 Z Date JUNE 12 , 2001 Permission is hereby granted to: EDWARD D & JUDY L DART PECONIC,NY 11958 for NEW ADDITION OF A PORCH, TERRACE, MASTER BEDROOM AND ALTERATION TO A FOUR BEDROOM SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 7930 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0007 Lot No. 007 . 003 pursuant to application dated APRIL 23 , 2001 and approved by the Building Inspector. Fee $ 637 .40 Authorized Signature COPY Rev. 2/19/98 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL [ ] FRAMING [ INAL [ ] FIREPLACE CHIMNEY REMARKS: DATE INSPECTOR ELD INSPECTION REPORT DATE COMMENTS lf- H )UNDAT I ON OST) I if 111 ji N )UNDATION (2ND) IIS-- ii o � n )UGH FRAME PLUMBING I�j---- j C n ii If if ii ii If ------- y H +SULATION PER N. Y. if y STATE ENERGY CODE u ii u -u I II jj I FINAL 1� u sscse====xsssss===exsss�=os==s=�----s=sx=ssse=r=x==s=xsx=s==s===s=s===xs=ex=xss=s===== O — ADDITIONAL COMMENTS: (� c H z a ro H 1 V�v1 l� tLr JV U 1 riVLL bUlLJINU 1 ,b 1A1I A.PPLI(;A'f lON CHECKL15' BUILDING DEPARTMENT' Do you have or need the following,before applying TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. Z?3 93 2r— Check Septic Form N.Y.S.D.E.C. Examined G111' Trustees.- 20 d / Contact: Approved 120 of Mail to: ,J19 — Disapproved a/c �,O , Pao Jitc Phone: 23 Lf-k 7 z ' r Building Inspector f _-- APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans,accurate plot plan to scale. Fee according to scliddule; -, 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 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 a Certificate of Occupan is issued by the Building Inspector. 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*a•lterations or for removal or molition as herein described.The applicant agrees to comply with all applicable laws, ordinances,building code,hour' ode, and lations, and to admit authorized inspectors on premises and in building for necessary inspections. (SiKaWe of applic r name, if a corporation) U r 367Pcc�y� c. c (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (ason the tax rill 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 ropo ed work will be done: , V� " ?Q050K, S House Number Street Hamlet County Tax Map No. 1000 Section Block 2 Lot v Subdivision Filed Map No. Lot (Name) Z. State existin ,use and occupancy of premises and intended use and occu ancy of proposed const cti n:'� ~ a. Exist,ng use and occupancy / Aoi c� , 1 b. Intc.Zded use and occupancy -lilt �,ttr >t/f�� 0 — (,✓��f �o��yS 3. Nature r work (check which applicable): New Building Addition_rX� Alteration Repair Removal Demolition Other Work (Description) 1. Estimated Cost f2�K� Fee (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front 43 `7 Rear Depth jt) Height 3 -3 1=-7 Number of Stories -21 Dimensions of same structure with alterations or additions: Front 3 7. Rear 57F-7, F7, Depth /00 Height 3,3 Number of Stories Z Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front�f�`Zj�j Fl Rear 2�5 Depth 0. Date of Purchase Name of Former Owner VC�fI 1. Zone or use district in which premises are situated _ — e5q)d 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded Will excess fill be removed from premises: YES 4. Names of Owner of premises 6cf b 1981 Address 5;c6ki/k& Phone No.23 Name of Architect 64A �f A> Address v5Z35 XAou Phone No73:1,6 Name of Contractor ihcehf Jyill�W' Address /Dern» ! �rah!(_Phone No. 7( - 2/2 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY B REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) --cc S: 'OUNTY Olv �ar . being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, i)He.is the (Contractor, Agent, Corporate Officer, etc.) F said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be :rformed in the manner set forth in the application filed therewith. worn t before me this /7�_ of rte! 20 (� N�oLtAalry ublic Signatu a of App ica t RE LEW �rY PubIT S ate of Now York No.01GL4878608 Commission ied in Suffolk Coyer y Expires Dec.e, rJrK1b e2,4 �2„ BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: /01 DATE SUBMITTED: / /01 APPLICANT NAME: bil-o SCTM# --- DISTRICT: 1,000 SECTION: 256 BLOCK: 7 LOT: 2.3 STREET: CITY:lee-,0.41e- SUBDIV. NAME: PROJECT DESCRIPTIO . AD AL ACC OR N/D: Aej &,v ,TG r--,e .AeV n 1*4;- 7/V f J&-1r-,0dAl ARCHITECT/ENGINEER: KQ� FAST TRACK: E ORNO SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES OR NO NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/93) ZONING: PERMIT ESTIMATE AMOUNT:–$—/Sam .00 PERMIT USE: EXISTING: _0%`° INTENDED: 5116 �/ AA& ZONING DISTRICT: R40 AC . Y CONFORMIN S R8 R NO REQUIRED LOT SIZE:_-?6' X SQFT. WHERE ACTUAL LOT SIZE FRO TAxcAIw ACTUAL LOT SIZE: 3;:�61fr SQFT. REQUIRED e 4/io REQUIRED REQUIRED IST FOUND:FRONT:SO 'PROPOSED:SZ' SIDE YD: S'/3S ' PROPOSED:-/26 '/ REAR:-S8 ' PROPOSED:-/---'I ' 2ND FOUND:FRONT: ACTUAL: SIDE YD: '/ ' ACTUAL: '/ REAR: ' ACTUAL: ' LOT COVERAGE: ALLOWED,�ZO % EXISTING: sf_% NEW: sf_% TOTAL: sf B % CORNER? E R NO WAT ER FRONT? YES O—R—OF DESCRIPTION: FLOOD CO IANCE ZONE: PRE-FIRM 3/18/80 PANEL #: /6'( FLOOD ZONE: X , AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APP TION TOWN SPETIC PERMIT: YES or SUFFOLK COUNTY HEALTH DEPT: YES or , (BED #): DTE: /_/_ PERMIT#:R10- APPROVALS REQUIRED: NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o N TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: ES R NO EGRESS: VENT: LIGHT: J; T-7 -k BUILDING PERMITS OP EXPIRED: BP% -Z/C/0 Z- /v 1.2 - HAVE PRE CO'S : Y O N- BP -Z/C/o Z- A /.a <<, NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR 16 68' SF INIT OTHER TOTAL TOTAL: 3662. SF FEE FEE FEE I'OT( SF)- ( 8-SU SF)= vzN/,2 SF X $ ,,2,-, =$ $ 6'32*