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Home My WebLink About21737-ZFORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOU'[HOLD, N.Y. 21737 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ":/'~-~'~'~'"~'+'~'~'~'"'"~/'~"~'~" ~'~ ....... ~.o.Z~.~.....~.,.~....~ .............................. ..... ~~.~. ....... ,M'...,..~:...../.../.~... ....... ......... ~ ....... ..c,.~.-.......~ ;..~./ -_ ....... ~:~,/,.~:.~_ , ........ ~ ........... to ~. .~. ~. . :...... ~ ~.~ ~.I.,. Z:.,. . . . . . . .~. _~. . . . . . . . ~ ~ ~. ~ ~.r. . ~ ~. .,,y ........ . . .~. . .~ A<: ............ ~.?. . ........... ..... ~.+..~.~ ....... /..~.: ............................................. ':,,,,. ................................................................. ~ ~..-..~ ~:.~.~/~. ............... :....~_,........~.,~.>.~ ~ ....... ~/~/~ ~ ..................... ..................... at premises located at .............. ~..?...O..........~...,r:~...~..~.........~ ................................................................ CounlyTaxMapNo. 1000 Section...../.~..f~.. ........... Block.,,,,,,~),.,,~?,. ............ LotNo. ,,,~,(~ ................ pursuant to application doted ............. .~....,~..~...,.,.~ ........................ 19.....___~... ...... and approved by the Building Inspeotor. Rev. 6~30~80 , TRUSTEES John M. Bredemeyer, [II. President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tulhill William G. Albertson Telephone (516) 765- 1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS ~wn Hall 53095 Main Road EO. Box 1179 Southold, Nexv York 11971 :;~rch 1O, 1993 Samuels & Steelman 75235 Main Road Cutchogue, NY 11935 RE: Paul Leafy SC~4 ~1000-110-7-21 Dear Mr. Samuels: After an on sate inspection, the Southold Town Trustees found that the proposed activity is non-jurisdictional, under the Town Wetland Ordinance as per map submitted dated December 12, 1989. If you have any questions, please do not hesitate to call. Sincerely, Albert/Krupski Vice President Board of Trustees AK:djh . ,.. ....~¢~m,~n+~[. _--- Environmentalyork 11790-2355 Conse~vation(~ Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the uarcel ~'~ ' project is: " Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than 100' in length which was constructed prLor to 9/20/77. LandQard of the !0' above mean sea level elevation c?ntour on a gradual, natural slope.~4o,~ Landward of the topographic crest bfa bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the E~vironmental Conservation Law). Please be advised, howevgr, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographi~ crest without a Permit. It is your responsibility to ensure that all'necessary precautions are taken to prevent any sedimentation or other alteration-o~ d~sturbance to the ground surface or vegetation in this area as a result of ~our project. Such precautions may include providing adequate work area between the t0' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence~ barrier, or hay bale berm. ' ' Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please co~tac't this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility, of obtaining any necessary permits or approval~ from other agencies. Very truly yours¢ Deputy Regional Permit Administrator FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLO, N.Y. 11971 TEL.: 765-1802 ,\pproved ...... l 9.3Verm't No. )../7.-.W. Disapproved a/c ..................................... BOARD OF HEAIr TII ......... 3 SETS OF PLANS .......... SURVSY ................... CIIECK .................... SEPTIC FO~N .............. CALL · . / ...... ~ ......... ~[AIL · (Build!?,~Ynspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. Tiffs application must be completely filled in by typewr/ter or in ink and submitted to the Building Inspector, with 3 3t;; 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 publ/c streets v areas, and,[~,'v'mo,, a detailed description of layout of property must be drawn on tlie diagram which is part of this appii- ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issued a Building Permit to the applicant. Such permit ,.all 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 ~vhatever until a Certificate of Occupancy :all have been granted by the Building Inspector· APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egu ations, for the construction of buildings, addit ons or alterat OhS or for remo~.~m;~.my¢tition ~as herein described. ne applicant agrees to comply with aH applicable aws, ordinances, budding code, t/ousmg code, and regu!atmns, and to imit authorized inspectors on premises and i~ braiding for necessary -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant)/cfl.~. tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~ amc o£ owner of~remises ......................... . . .. , ........................ ' .... (as on the t.Jx roll orlatest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No --- Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ..... 'r ................ · ' 74'. 4 z /<44 .' Location of land on which proposed work will be done .......... ....... ' : ............................................................ ............... llouse Number Street Hamlet County Tax Map No. 1000 Section .. Y/dO. .......... Block O Z Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy · ' ............ ~ ................................ }.~' ~;:[¢I t" ? ............. .3. Nature of work (check which applicable): New Building .......... Addition .... 2alteration .......... Repair .............. Removal ............. . Demolition .............. Other Work ............... ~ ~ .c'~ c-x~. (Description) 4. Estimated Cost :~..-~'7. .... Fee .................. (to be paid on f~ling this application) S. If dwelling, number of dwelling units / Number of dwelling units on each tloor -- If garage, number of cars 6. If bus ness, commerc al or mixed occupancy, specify nature and extent ofeach tvr~e of use ;.-~ i. , 7. Dimensionsot'.existingstmctures, ifany Front .-"¢'./~. ,/Y./. Rear ....~¢~-¢?..'~../~ , Depth.~------------------~2.../~., . Height ..... :~...~.../.-to... ~u,nber of Stories ....... 4. ........................................ Dimensions of same stmctur,, with alterations or additions: Front . ./---/..¢~'....'~'.~. ..... Rear ..."/--~...~-~'. ,/.-¢~. ....... pth ,~?.~. t~..~ ,'~' igl ~.,~.. ~- ~ : De .... He it .. . Number of Stories .................. 8. Dimensions of entire new construction: Front .... :-. ......... 'Rear ............... Depth ............... Height ............... Nu_,m her of Stories ............... : .... · '~ .................. .:4 .... / · Sizeoflot: Front ..:~..~.:~..~5...f~-~.. .... Rear . ~-~5~ /-7' ~-nth -'5",'-~2 ~_~ · .~.r~. /-~ Date of Purchase - . ........... Name of Former Owner ...... : ...................... Zone or use district in which premises are situated ..... .~'.-. ~...¢~. ....................................... Does proposed construction violate any zomng law, ordinance or regulation: .... .'d~?.'..~? ..................... Will lot be regraded ..... ~v...~. ~ ............. Will excess fill be removed from premises: Yes Name of Owner or premises i~/~'.'~w~."...~./..~... Address L?.4~.,./4~;¢~..~.'..~.~one No. Name of Architect .~;~.,2/¢1.,~1Z-~., .dr~./~:~./~/~.' ... Address ~,~.Z¢~../¢//.x~. ~ .... Phone No..'~,.~¢. ~..'~/..~.. Name of Contractor ....... ~ .................. Address ................... Phone No ................ $. Is this property within 300 feet of a tidal wetland? ¢,Yes..~.. No ......... ~If yes, Souchold Town Trustees Permit may be required. PLOT DIAG ILA_M Locate clearly and distinctly all buildings, whether qxisting or proposed, and. indicate ail set-back dimensions from )roperty Lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or comer lot. I0. 11. 12. 13. 14. 76~1802 9 AM 1'0 4 F'M FOR THE FOLLOWING INSPECTIONS: 1. POUNDATION - I'WO REQUIRED FOR POURED CONCRETE 2. RQUGH - FRAMfNG & PLUMRING 3, INSULATION 4. F~NAL CONSTRUCTION MUST 8E COMPLETF. FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY COOES. NOT RESPONSIBLE FOR DES!GN OR CONSTRUCTION ERRORS ATE OF NEW YORK, S.S )UNTY OF ................. ..... ~4~t, ¢~...(-~.~...~/.~ ............. being duly sworn, deposes and says that lie is th~ applicant (Name of individual signing contract) irc named. (Contractor, agent, corporate officer, etc.) said owncr or owners, and is duly authorized to pcrfo~ or have performed thc said work and to m~e ~d file this Iication; that all statements contained in this application are trtm to the best of his knowledge and belief; and that the -k will be pcrfo~cd in the manner set forth in the application filed therewith. )m to before mc this ....................... ¢7 %. _-.: ......... ,,. ¢:: _ · . . ......... ~ ~f~ (Signature of applicant) Term Expires See. 3, 19_~ /