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Home My WebLink About26403-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. 26403 Z Date MARCH 17, 2000 Permission is hereby granted to: SCOTT A RUSSELL PO BOX 547 CUTCHOGUE,NY 11935 for DEMOLITION OF CEMENT BLOCK CHIMNEY AS APPLIED FOR. at premises located at 515 OAK ST CUTCHOGUE County Tax Map No. 473889 Section 136 Block 0001 Lot No. 029 pursuant to application dated MARCH 16, 2000 and approved by the Building Inspector. Fee $ 15 .00 Authof-ized Signature ORIGINAL Rev. 2/19/98 i BOARD OF HEALTH MAR 6 s FORM NO. 1 3 SETS OF PLANS i TOWN OF SOUTHOLD SURVEY _ @ -^ ? BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM ` SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . ... . . . . . Examined.................. 20.... ]moi 'MAIL TO: . . . . . . . . . . . . . . . Approved.................. .... Permit No. .� o v ................................ Disapproveda/c .................................. .................................. ...................................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT. Date. !fdA . H. 6. . . . . . . . , 20j::"'. . INSTRUCTIONS a. This application mist be-completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 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. APPLICATICN 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 Canty, 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, ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for ssary inspections. .... .G'�..�1�. .............................. (Signature of applicant, or name, if a corporation) .. f"o de S S'2 (5 t,yCN�w,e N. `�. /i 9 3 S- (Mailingaddressof applicant) J State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............................................................................................................ Name of owner of premises .............. st> � A •,��s�(l..................................... . . ...................... (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.............................................................. lJ 0A moi• • ............... .. ......................................G:.. . (' ............ House Number Street Hamlet .. County Tax Map No. 1000 Section ....(3k....... Block ......(......... Lot .:K)........ Subdivision ....6�c � !-n . �- ................ Filed Map.No. ............. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed•construction: a. Existing use and occupancy ........... ' ..F�':m... ..e�l�''' ............. ..... ................ b. Intended use and occupancy .........5�1.44,f ...................................... ?............... • w Nature of work (check ,Aiidi applicabl New Building .......... Addition .......... Alteration .......... Repair ............ Removal .... .. Demolition ............ Other Work ........... (Descr ptYiofi Estimated Cost .......((2............... fee .............................................. / (to be paid on filing this application) If dwelling, nurlxer of dwelling units N 1 ..... Humber of dwelling units on each floor ................ Ifgarage, number of cars ............I........................ If business, commercial or mixed occupancy, specify nature and extent of each type of use........................ LY Dimensions of existing structures, if any: Front..... ....... Rear ...`.`.......... Depth ................. ... .. ........... Number of Stories .....� �:1. . 111111 Dimensions of same structure with alterations or additions: Front ....L a.... Rear Z Depth .....H ........... 13eight ...(Q f.t ......... Number of Stories .....:�........................ Dimensions of entire new construction: Front ..... Rear ............... Depth .............. Height ......................... Number of Stories ..................... Size of lot: Front ..... D........... Rear ......�R.......... Depth ...... ......... 0. Date of Purchase ......i.1.I............ Nave of Former Owner ....�'.'" eC s- SGlOti1G.••.•...••.•.. I. Zone or use district in which premises are situated .................C)................ ........................... f✓ � 2. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 3. Will lot be regraded ....t: !�........... Will excess fill be removed from premises: YES 4. Names of Owner of premises ..Sc..o++.A•eQ a5cil ........ Address ..SlS OAk•s-t'....tcff oPhone No. -S'71'7 Name of Architect ..................................... Address .............................. Phone No. ............. Name of Contractor ................................... Address ...............................Phone No. ............. 5. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... , *IF YES, SWIHOLD TOi,1N MMMS PM4IT MAY BE WgJIR®. 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 hether interior or corner lot. 28 ,waif B ra k k pp (. �1� G -,1'- 0-1dlw Ab6C 16 LE p(4czo , G�;w Nr', @v r C-i Alou-Furl --ticv..'7 Al/i roe wtT'4 7,0 67�1�rr� �ih f Ml rn•tE (x� rs�a Y�xzx, J SS IJN1Y � :.. . -Q // ..........being duly sworn, deposes and says that he is the applicant `lame of individual signing contract) )ove m7ned, istime ....... ................0�:' .l?2 2............................................................... (Contractor, agent, corporate officer, etc.) F said owner or owners, and is duly authorized to perform or have perfourhed the said work and to make and file this ppl.ication; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the marn-peer set forth in the application filed therewith. ,corn to before me this l(�... .... of XU-c.!t......X20 00 Notary Rib c ... �C••. ........ .. . C�RgLteo�e`NYork (Signature of nppli.cant) . No�ry Public o o1GL4879505 Qualified!bre Suffolk 8 oun 0V1 Commission Exp FIELD INSPECTION REPORT DATE COMMENTS ---------------------------------- -________________________ I! i t� �U FOUNDATION OST) II l RZ If cq FOUNDATION (2ND)--------------------- -- ------------------------------------ II ROUGH FRAME & PLUMBING II ij iiif u ii v. INSULATION PER N. Y. STATE ENERGY I-- i CODE it ii u II ---------------- ----_#--------__-_ gMFFO(IrcoG Town Hall,53095 Main Road ~� yt P�a�e 1 B Print Key y 03/1'f?'6 16)6`9':k 35 5 7 6 9 g6)i jk&0 9 9 0 5 21 �, ,* Telephone(516)765-1802 Southold,New York 11971-0959 Display Device . . . . . PA User . . • NYSRP1SUaM6ffl9MTUWffRY DATE 03/17/2000 473889 SOUTHOLD 5T 01?�NOMH(SICZDOL ROLL SEC TAXABLE PRCLS 210 1 FAMILY RES TOTAL RES SITE TOTAL COM SITE 136 .-1-29 ACCT NO 13 515 OAK ST � ________ ASSESSMENT DATA OWNER & MAILING INFO ===I=MISC ! **CURRENT** RES PERCENT RUSSELL SCOTT A !RS-SS 515 OAK ST ! 1 !LAND 400 **TAXABLE** ! BANK !TOTAL 2,500 COUNTY 2,500 PO BOX 547 2,500 CUTCHOGUE NY 11935 TA06107 **PRIOR** TOWN 2,500 ! !LAND 400 SCHOOL !TOTAL 2,500 ==DIMENSIONS =__!______= SALES INFORMATION ACRES . 14 !BOOK 11754 SALE DATE 11/13/95 SALE PRICE M 86,000 !PAGE 113 PR OWNER WINTE S =======TOTAL EXEMPTIONS 0 _____________!_= TOTAL SPECIAL DISTRICTS 4 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE !PK090 !WW020 !SW011 F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75 . 10- 03-050 F6=G0 TO INVENTORY F9=G0 TO XREF F10=G0 TO MENU