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Home My WebLink About26550-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. 26550 Z Date JUNE 61 2000 Permission is hereby granted to: SALVATORE BARBATO (/Arper/Blazovski) 244 LENOX ROAD HUNTINGTON STATION 11746 for CONSTRUCTION OF A SINGLE FAMILY DWELLI WITH ATTACHED GARAGE AS APPLIED FOR. at premises located at 75 CLEARVIEW AVE SOUTHOLD County Tax Map No. 473889 Sect on 070 Block 0008 Lot No. 041 pursuant to application date APRIL 19, 2000 and approved by the Building Inspector. Fee $ 390.60 ! � Authori a Signature U ORIGINAL Rev. 2/19/98 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION ( 1ST) I n FOUNDATION (2ND) ------------------------- -------- ------------------------------------------------------- '� tl Ijr--- II O V ROUGH FRAME & I — a vl PLUMBINC n u ----------------- 1� II H II INSULATION PER N. Y. STATE ENERGY CODE------------- fl H II II jj 1 FINAL u sxxxxxssssssssxxxxxxxxxxx ��xxxxxsxxsssxxxxx=xx ---xxsxxsxssxaxx=xsexxxx�x=xsxss ADDITIONAL COMMENTS: l!J r� Q� z O r ro H r • 3. N<rhrre of work (check wihich applicable): New Building ` Repair ............ Removal ............. Demolition .. ..... Addition .......... Alteratio .�. � ............ Other Work ' rr � .............. 4. EsHimited Cost ...}. C? ��. •1 ...•. fee •.( • • • (Description) filing•this-application)•.••• 5. If rkael l ing, rniriretobe paidon r of dwelling units ............ tiumfrer of dwelling units on each floor If garage, rxber of cars ............. ........................ ................ n 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 ........ Deptih Ileiglht Number of Stories .. _ ... . Dimensions of sane structure with alterations or additions:.• �.� �•� Depth Front ............... Rear ............... ... Height .................... Number of Stories ... 8. Dimensions of entire new construction: Dont ....A-(l.' • /• .. •7"Rear ............... Depth (o lleijoit ......................... Number .... of Stories 9. Size of lot: Front ........\.�.Q./.... Rear .................... Depth c?o 10. Date of Purchase ..................... Name of rormer Owner ....... ....... II. Zone or use district in which premises aresituated ••••.•'••••..•--•-•••.'.•.•••••�- ...................:. . 12. Does proposed construction violate any zoning law, ••....................................... ordinance or regulation: 13. Will lot be regraded .................... Will excess fill be removed from .......... .... premises: YES NO 14. Names of. Owner of premises Phone No Name of Architect ...:� S e �• Address :�� ..��{ .• ............. ::'.......... •� Address .. ,•�S�vH .Q4rAone Noi time of Contractor ............................... Address ................ ... .Phone No. 15. Is this property within 300 feet of a tidal wetland? * YES .•- •• . *Ir YNS, 9Ul1 0HD MM UM-M.3 PM417 MAY BE lE(XIIIZ� NO .... . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr m property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Inn's O1' NU YORK XMIY OP ..... '';'.cam ...........being duly sworn, deposes and says that he is tike applicant iame of individual" signing contract' ?ove m7ned, n isdie .............. ...... ............ (CcmLractor, went, corporate officer,.etc.)•. •- ••- -- """""' '. said owner or owrx-rs, and is duly authorized to perform or have performed Che said work and to make and file this >ihlicatirnh; that all. statemnts contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in tike manner set forth in the application filed therewith. _urn to/b'efom rrr 01is .... ......1...........day of: Notary Public ............ .. .; ,�_ HELENE D.HORNE• •••.• - (S gnature of A ..... •-pplicant) ••- Notary Public.State of New York No.49b1364 Qualified in Suffolk Coun Commission Expires May 22, e7 41'/ BOARD OF HEALTH . . . . . . . . . . . . . . . FORM N0. I 3 SETS OF.PLANS• . . . . . . . ' . . . ' - . . } •7 TOWN OF SOUTHOLD SURVEY ? BUILDING DEPARTMENT CHECK EL`TDEPT TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . CF SOUT90LD SOUTHOLDa N.Y. 11971 .... TEL: 765-1802 NOTIFY: t CALL . . 7<. . . . . . . Examined...,�cc.,,�..........., z(i.... I_ MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..1R �o.......... 0 0.4�. Permit No.................. .................................... Disapproveda/c .................................. .................................... ........................................ ............ . ....... ........... (Building 'tor) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 20. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wii 3 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 giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. 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► permit shall be,kept on the' premises available for inspection throLghmt the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS HE[EBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tbwn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, 01 forremoval or demolition, herein described. The applicant agrees to comply with all applicable laws, ordi , building code, housing c and regu;ations, and to admit authorized inspectors on premises and in buildi for necessary in pections. ...... .. ...�N..... ..... .......... (Signature-of applicant, or i .a .orporation) .•.••(Mailing-address of.applicant)' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ........................................................................................................................ Name of owner of premises .........S a-\v "*`:��.:?.....a-.2�.5. o�- �....... ......... ........................ (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 work will be done........ .....�A-eA fl --'-� t................. .................. ..................... .0.:�c. :� . House Number Street Hamlet County Tax Map No. 1000 Section ........(.x.(>... Block ......(;'. ... Lot .....L�-�...... Subdivision ...... Filed Map No. .. �?. Lot ..... ..G..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............�(".'.-6-- .�,C--a.......................................... b. Intended use and occupancy .............0 P. 4�.Z f: ...�. .L'.` :�t� .................... i { TEST HOLE DATA (TEST HOLE DUG BY MCDOMn GEOSCIENCAl ON OCTOBER 18, 1899) 0.DARK BROWN SND, LOAM a ♦ SURVEY OF LOT 19 BROWNW MAP OF °' "'""°CWISE 5""°SW oW 4PP01*4TF FAIRVIEW PARK °F ►'nc SECTION ONE - ; rKE OWM FW M MEDW Sino SP ' �\ FILE No. 3388 FILED AUGUST 9, 1961 SITUATED AT PINE NECK LpTO TOWN OF SOUTHOLD WAM II PILE IIIPNN Few>n s"sp • S D1yeW SUFFOLK COUNTY, NEW YORK 78 22'50" S.C. TAX No. 1000-70-08-41 ~ f SCALE 1"=40' pOT 1°1.51' a A f OCTOBER 7, 1999 'S' 2 DECEMBER 9, 1999 REVISED AS PER S.C.D.H.S. NOTICE 0.35 MARCH 9, 2000 REVISED SITE PLAN 3 QVC FOIgVp 0.6' APRIL 17, 2000 REVISED SITE PLAN 'SO' NVIJ AREA = 21,345.30 sq. ft. p FENCE 0.490 ac. CERTIFIED TO: -`." ,� i TOPAZ ABSTRACT CORPORATION �" SUSAN BIAZOWSKI CATHERINE HARPER 150'1 j NOTES- 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM 2 ^Tn w EXISTING ELEVATIONS ARE SHOWN THUS:20�Q 2. MINIMUM SEFIM TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS. ^ _ L 1 TANK, 6' LANG. 4'-3' WIDE. 6'-7' DEEP g - 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq H SIDEWALL AREA. 'U2 POOLS; 6' DEEP. 6' dia. It 3 a M y ®2 PROPOSED EXPANSION POOL .V.. J� DO :i y; � NG ®PROPOSED LEACHING POOL SI TA6SM70W .; FNrL PROPOSED SEPTIC TANK n a < a n h 4. THE IACATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD •.° W �� -. v:_.-: �'• 0.6E S. S�C.D.H S REFERENCE No. R1 RVATIONS AND/OR DATA OBTAINED FROM OTHERS. ...<.. per' FENCE LOT ® NCVPREPARED IN ACCOROIVNCE WITH THE MON" \./ a GUti TEST 4000_ O O STANDARDS FOR TITLE AND I p o "�!D .a Z THE NEW YORK STATE LAW QV 161 8-2250" FOUND W yoN 'snNc t r i mss 1J0. SlATr CPALL •/ CL-CA ti / N.Y.S. Lic. No. 49668 V T. r M THIS ALIS A VIN 11 ADDITION 1-/VI TO THIS SURVEY B A NOIATKkI Of SECTION A V IV COPIES OF THE NEW YORK X��X Joseph A. ingegr�o EDlICA110N IAN. THE "_'�(: T T� COPTS OF TN6 SyRVEY MIP NOT BEIRIIG LOT 1`.JI TEMBOSSED O %%SEAL T��K CONSIDERED Land Surveyor am (CES t4c ONLY THE PEA°RSON FOR THE�SUM&Y OBER 1507 �w+mrpplL A ANo Rios Surveys — SubdWon° — Site Pan, — Construction LWT, LENIYM zoT® TRIM AND 10unnHE ok CB"MTTIf s� DBLF. PHONE (631)727-2090 Fax (s31)n7—nz7 0117�V THE EXISTENCE OF RIGHT OF WAYS OFFIM LOCATED AT MAILNVG ADDRESS 4 N � '60AIW/OB EASFNENTS OF-_IICORD. li ANY. NOT 9H/OVPN ARE woT pUARAN1EEp. 1780 R/arak/ Avenue P.O. Dox 1931 7 RirWrheod, Now York 11901 R'irerheod, New York 11901-0 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/19/00 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Total Paid: $10.00 Name: Kennedy, John 15 Addie Lane Nesconsett, NY 11767 Clerk ID: HELENEH Internal ID:9191 fig ii CIL - s,..,r «-_e Ilk Et) A s -VIP qTF OF Nom+y G � i I.! Y'&ST DATA (r HOLE am By It") twit�or sow Low a + $ my OF tttr�tt uaew w�ai �°� i LOT 1.9 ` v 30 FAIRVIEW "PARR MA won P*mWNWapt.s 4�`' _ s�c�7�,nr awe . nu No. &m FIuD /t xwp !. im all PM NECK TOWN Of SOUTHOLD ' S SUFFOLK COUNTY, NEW YMK 22130- S.C. TAX Mc 1060-70-08-41 °• DECEMM�Rffy19iY NOOSED AS'PW �Me rtn. AREA 21 .30 O i CERT m_ lIt u to TofuA TWrCT CORPORATIAN 00 'n fii""o ) �� M R ,7i 10 r raw LYNhM A I TO 4 Nwui is t.m**ALM& r ♦♦ f TMA 76 4 BOMM MM R M N 1F>�ENKL ARA ♦ ' 0 t per,_ ♦ SFS.. �}' \ War t.i'�n ppyyo, y •\� '4 1 � \ — , ® ��. AS fel llab ;' , • :� , SUFFOU COUNTY DEPARTM EW OF HEALTH SERVICES 4or PERMIT FOR APPROVAL OF CONSMUCTION FOR A H ♦t,� 'M°0q� +0 G FAMILX RESIDENCE ONLY �6 DATE HELL �� M APPRO♦GaJ w FOR MAMWM OF �' B m • MUMS 7HRBB YEARS FROM DATE OF APPROVAL , ♦ e st¢_ 110.00 Fk ♦ 40P �UEAMU ab;fllr�e �"� �.;. wirwE G�+� fir► ��t#', �� - aer t BUILDING PERMIT REVIEW CHECK LIST Applicant/ f( � Date Owners Name: fb p�j coo _ ,,at (IJ _ Reviewed: (o (P 00 Architect/ Date Engineer: Submitted: 40 SCTM #: District: 1.000 Section: _ Block: Lot: Project /l Subdivision Location: 7.s,� Cl XVIMA ) 44-eE_'w Name: Single& separate Required certification: des/No �j Req. O 3 S Rey. yMal 1Zoning District: qb [Lot size: 4UU u Actual:2 ] [Lot coverage Proposed: ?3, Req. `� ( Req. Req. SL] [Front Yard —\o Proposed: ` 0 1 [Side Yard ( � Proposed: 1 [Rear Yard Proposed: Project Description: N I AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. Q- D cl Q - a New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: