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Home My WebLink About26324-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. 26324 Z Date FEBRUARY 2, 2000 Permission is hereby granted to: ASTRID GADDIS BETHLEHEM,CT 06751 for DEMOLITION OF EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 7020 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 126 Block 0011 Lot No. 006 pursuant to application dated FEBRUARY 2, 2000 and approved by the - Building Inspector. Fee $ 151 .40 Authorized Signat ORIGINAL Rev. 2/19/98 BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL Examined... ..�.., 20.� MAIL•TO: . . . . . . . . . . . . . . . . . . . . Appraved.:�a.y..... �J Permit No. ... ................................... Disapproveda/c .................................. .................................... ...................................................... ` ....(Building Inspector) .... L L; FEB - 2 200? APPLICATION FOR BUILDING PERMIT Ac Date. ... . . . . . . . . 2W� - ..:. "Fl``�47 INSTRUCTIONS a. 'This application must be'campletely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing 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 throughout 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. APPLICATION IS HEREBY M D E 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with Al 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) Q: ... .. yea (Mailing address of.applicant) •r �`�� State whether\\applicant is owner, lessee,�agent, arc\hitec ngi r, general C\Q?��7lt-actor, elect i�: i`,�p�,1er or,builder Name of owner of premises `'::��:�� ..... .......................... APPROVED AS NOTED (as on the tax roll 0 1 test deed) DATE: ,�rB.p 1� �~ a •� If applicant is a corporation, signature of duly authorized officer. FEE: BY NOTIFY BUILDING DEPA EN AT 765-1802 9 AM TO 4 I'M FOR THE ••••• '' (Name and title.of.corporate. FOLLOWING INSPECTIONS:officer) _ ` 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE QJ� 2. ROUGH - FRAMING &PLUMBING Builders License No. ..... 3. INSULATION Plumbers License No. ....... ,...... 4. FINAL - CONSTRUCTION MUST ••��• BE COMPLETE FOR C.O. Electricians License No. ..... .. ............ ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No. ....... STATE CONSTRUCTION & ENERGY 1. Location of land on which proposed work will be done........................ CODES. NOT .RE$PQN I$IE..FRR.. �DESIGN•OR CONSTR(i�1I.Qh4 ERRORS ........................�ec;�r:�... .. �� ............... ..�.�q.4�:�:e;\\ ...{j........�........ House Number Street Hamlet County Tax Map No. 1000 Section ...��..4�...... Block ...\........... Lot ....�_X....... Subdivision ...................................... Filed Map.No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupantyi ofTprop6 d�cbtZti-oction: �: . •� e,f Vv'E�t``o�`s1G `)l_�;��s=�Y2 TOM a. Existing use and occupancy .:. .�.. �, ... °�:rn: ..... .\1�'. . a` f::" ...... ff occupancy ....�\� •• •:`��•\ �` '��1Ld�G.'ll�l(/:xA iltiJ4 b. Intended use and OC �. lJ?�1.�` .. ................... :. mune UL wumK tuw- c Wicit 4pplrcabte): New Building ...,/,.... Addition .......... Alteration .... Repair ............ Removal ............. DMI tion ............ Other Work ............... (Description) i. Estimated Cost ... ..�......'........... fee ..............•..,.......,..................... (to be paid on filing this application) i. IE dwelling, number of dwelling units ....�....... Number.of dwelling units on each floor Ifgarage, number of cars ....................•.................. If business, commercial or mixed occupancy, specify nature and extent of each type of use.... .�.......... Dimensions of existing structures, if anyi Front..Ra e...!...... Rear ..R2�.•. .... Depth .��-� Height .......q ............. Number of Stories ... .......... L Dimensions of same stricture with alter4 ons or additions: Front *. Rear Depth .... .�......... Height ...s�. Number of Stories .............. Dimensions of entire new construction: Front .. �N..... Rear ............... Depth .............. Height ......................... Plumber of Stories ... .. ............ Size of lot: Front ..(.��.1............ Rear ...�P�...?im....... Depth ...J ......... 0. Date of Purchase ..................... Name of Former Owner ........................................ I. Zone or use district in which premises are situated ............................................................... 2. Does proposed constructionviolateany zoning law, ordinance or regulation: .. .1�`........-w......... 3. Will lot be regraded ....�4�.R........... Will excess fill be removed from premises:Q YES 4. Flames of Owner of premises :��1`n::n�.. .�S��5 Address'70QC�.; ,n��..�2.� �4hone No. ............. Name of Architect .... ?_ ... �- Address as.dvec �1�. chi horme No. )� .A9 S.0 Name of Contractor ...... .. ................ .. Address .. .........................Phone No. ............. 5. Is this property within 300 feet of a tidal wetland? * YES ........... ND .......... *IF YES, SQJIIM MM IDIS M FM4lT MAY BE REQUIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions rom property lines. Give street and block number or description according to deed, and show street names and indicate nether interior or corner lot. rn.lr k,l or '$, WC • £� = '� . ;Ise" .........:.....being duly sworn, deposes and says that he is the applicant vane of til) A �- (Cont; tom ,,a a c orate officer, et E saidsowmrr or'.owners; aiiel':is'cliily2'ai'thori�.ed to perform or have performed the said work and to make and file this ppl cati,oni f that•d1r stdf6i2iSts contained in this application are true to the best of his knowledge and belief.; and I_natfthe work''wili'lie`-perfo`rmeci -in-th6 manner set forth in the application filed therewith. worn to before me this _ ...... �6. .......day of�� .!�!�l Y.........0 Notary Amb •c .:. :-- .... (Signature of Applicant) ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk County Tern Expires June 8,202.1 A55REVIATIONS LINE / SYMBOL LEGEND ABV --- ABOVE GA --- GAGE, GAUGE PROPERTY LINE — — AFF --- ABOVE FINISHED FLOOR GV --- GALVANIZED SETBACK LINE — — • — — • — — • — AFG --- ABOVE FINISHED GRADE MET --- METAL EXISTING TOBE REMOVED/RELOCATED ................................................ AG --- ABOVE GROUND NTS --- NOT TO SCALE / ELOCATED BC --- BOTTOM OF CURB O.H.--- OVER HEAD WATER —w —w —w — BI --- BOTTOM OF ISLAND PLCS --- PLACES ELECTRICAL —E —E —E — CB --- CATCH BASIN PVC --- POLYVINYL CHLORIDE GAS —G —G —G — CONC --- CONCRETE RCP --- REINF. CONC. PIPE TELEPHONE —T —T —T — CONST --- CONSTRUCTION REINF --- REINFORCED SANITARY SEWER —ss —ss —ss— CONT --- CONTINUOUS/CONTINUE SD --- STORM DRAIN STORM DRAIN —SD —so—so— CPR --- COPPER ST --- STEEL DIAM --- DIAMETER TC --- TOP OF CURB FENCE —x —x — x — DIP --- DUCTILE IRON PIPE TI --- TOP OF ISLAND D.W.--- DOUBLE WALL TERM --- TERMINATE SPOT ELEVATION X 0.0' EXIST --- EXISTING U/L --- UNLEADED FD --- FLOOR DRAIN VIF --- VERIFY IN FIELD FO --- FUEL OIL WO --- WASTE OIL F/G --- FIBER GLASS WWM --- WELDED WIRE MESH FTG --- FOOTING LOCATION MAP NO SCALE 11 0 W w n � CD 1� � � O 0 >- 0000 X ' m W N Z 00 L� 0 W O 2 LAND N/F KURZ EXISTING \ ENGINEER: BULKHEAD N 20°�JO'00" W \ ALONG LINE -- — — — — — — — ._ 341.63' — — 2211 s S\ EXIST. �t �0 DEGK — „ \ ° - - • - - - - • - - • — EXISTING SIDE YARD SETBACK r k�.2 — OO Y� — — - - • — • — � — • - - • - - • - - • - - • - - • - - � -- • - - • - - • - - • - - • - - • - - •- - • - - • - - • - - • - - • - - EXISTINGc - - ` O� BULKHEAD \ PROPOSED GOVERED _ EXISTING 14" \ JEFFREY T. BUTLER, P.E. LINE OF \ EXISTING FRAME FRAME O EXISTING EXISTING \ DWELLING (2 5TORY) 02O 40" GARAGE 11 ALONG LINE REMAIN 20 BULKHEAD DEGK TO 20 O \• 10" O \ 0 PROPOSED _ � 6" � ADDITIONPROPOSED 14116� W _ _Ar- _ EXISTING_51DE YARD 5ETBAGK GAS SERVICE d) O W_ _ _ __ _ _ _ _ _ _- 77.1 ��+ \ G -G -G G -G -G -GG =G -G -G =G -G +- G -Gam-G -G -G - G - G =G =G -G -� •O� �� z �m' S 21 ° 4'40" E % In \ -1 338.46' o m EXI5TING \\ �t U Z >p BULKHEAD ALONG LINE \ W >- Q � LAND N/F PALMER p Z Iz CL �^--� cn o Q W U j Y �0:� J W D OO LL I�-1 p "'I � SITE PLAN � O Lr) rn 13 n In 0 20 10 0 20 40 60 80 100 ORAPHIG SCALE 1" = 20'-0" Z 01 O \ U z LLJ m F-- O Q i I PAG E : 1 L— of 1