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HomeMy WebLinkAbout26823-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. 26823 Z Date OCTOBER 4, 2000 Permission is hereby granted to: BARBARA GRATTAN 427 OSTRANDER AVENUE RIVERHEAD,NY 11901 for DEMOLITION OF AN UNSAFE BARN AS NOTED. at premises located at 1855 DEPOT LA CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0001 Lot No. 009 pursuant to application dated OCTOBER 4, 2000 and approved by the Building Inspector. Fee $ 135. 00 Authorized ti nature ORIGINAL Rev. 2/19/98 ..•.._ ... ....�._........ ...-.__.�...._......__.. ................ ✓ .:LJ_ ..:i. ,_.._.ter........6/�tlia4 w.. h . ,. .. ......._. .. -_...........y brt ai✓sYAlliL.. 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 DEC . . ... .. .... ....... . . . . STRUSTEE .. . . ... ............ .. . TEL: 765-1802 NOTIFY: � . CALL 24) MAIL TO: .�n�• Approved................•' Permit No. ` 0. ••................................ Disapproved a/c .................................. .................................. ...................................................... ( R f s (Building Inspector) DICT 4 { 1UUU APPLICATION FOR BUILDING PERMIT ----'---_..o Date. 1... .... . .f., 'i JbPli'� 0�SCj!I7;i �_DINSTRUCTIONS a. This application must 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. - Feeraccording 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 must 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 HEEESY MM to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 all applicable laws inances, building code, housing code, and regulations, and to admit authorized inspectors on premises and i Juil- n or necessary in ti . .. ....Ak. .. ........... a(Signa a of applicant or if a ) �_L '(Mailing address of applicant) ......� l�6 . , V tis:} � ��+ State whether applicant is owner, lessee, .agentarchit„ect,;,engineer, ,gener`al contractor, electrician, plumber or buildE ................0. � ' .......... ... ::.q.� P'�f"�•^?�_�':�j'..:�j:` j<._� ............................. .......... Name of owner of premises ..... ' ............................................. (as on the tax roll.'or•la`test.deed) If applicant is a corporation, signature of:duly,authoriked officer.. ..................................................... _ (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Iocation of land on which proposed work will be done............................................................... .................. House Number Street HamletF County Tax Map No. 1000 . Section ...1.67 ...... Block ... .J......... Lot .l)..l........... Subdivision ...................................... Filed Map.No. ................ Lot ............... (Name) 2. State existing use and occupancy of premises and int /use and occupancy,of pro 'sed construction: a. Existing use and occupancy ....,....!.Y��1['..........:./.. S ...... ......................... b. Intended use and occupancy .......................................... P4 IA -3kt-5T ............... t T viS03.i;0.obi Y!'iiauo ____ ,,..'.•F,A 25�iyx3 o14.L"•"cifiiiGv 3. Nature of work (check which applicable): New Building �,� .. Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work ................................. (Description) 4. Estimated Cost .......................... fee .............................................. (to be paid on filing this application 5. If dwelling, number of dwelling u its .N ...., timber of do-Aling units on each floor ..N .......... Ifgarage, number of cars .... A............................ 6. If business, coauercial`or mixed occupancy, specify nature and extent of each type of use.... ............. 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileight ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height ................ Number of Stories ............. pp 8. Dimensions of ntire new construction: front .... Rear .!�! ....... Depth i A........ Height ....° ...............: Number of Stories N�t'�............... 9. Size of lot: Front ........... Rear . Depth (� 10. Date of Purchase �u --Y.....©. �...•Name of.Former.Owner ..I .. ...0 t. f...� If. Zone or use district in which premises are situated ...............................`...................................1 12. Does proposed construction violate any zoning law, ordinance or regulation: CJ 13. Will lot be regraded .y:��.�. ......... ill excess fill be repnv� yrs mu,5,es: �r. Phone ND �vQq L L / (�Q All 14. Names of Owner of premises.... Address � � .. No.. rb�JU Name of Architect .................................... Address .............................. Phone No. ............. Name of Contractor ................................... Address .............. .. ...........Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO V/ *IF YES, SOIJIIiCAD 1U1N MMMS PERMIT MAY BE RE(7[T=. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED DATE-10000 B.P. OZ� � L3 FEE: NOTIFY BUILDING D ART. TAT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED s c 1) IV, av FOR POURED CONCRETE 2..R000H - FRAMING & PLUMBING 3. 'INSULATION- 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR SIA.IE Or N 3W Y=2 DESIGN OR CONSTRUCTION ERROR$ CUUNIT OF . ....._ SS -- .. ..... :....`� �... ......being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, Ileis the ................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and.b6liefand that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this • 76.......-.day ofQC ..... 20p0.. Notary Public .... ll¢'.... . .. D LE133A� (Signature of Applicant) rrKM .Ndry Pd*,,ao o4 NOW Yolk No.OILE6020671 Oualied In Suffok County ConenhW B#m March 8,202Z- Applicant/ Date Owners Name: 0 � Reviewcd _ Architecu Date Engineer: Submitted: L� SCTM fl: f)istrict: 1 ,000 Section: NL Block LolProje rt `� -p S division Location, --------- e Single &- separate Required certification: (Yes/No) Req -- Rey. --------... ----------- — /.unmc Ihslnct 11.0(SiZe Actual J (I-ot covmgc I'n>pu:rd Rey Req Req. (Iron(Yard Proposed: 1 [Side Yard Proposed- J [Rear Yard Proposed J Project Description: AGENCP*ERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: NYSRPS ASSESSMENT INQUIRY DATE 10/04/2000 473889 SOUTHOLD SCHOOL MATTITUCK SCHOOL ROLL SEC TAXABLE PRCLS 120 CROPS TOTAL RES SITE 102 . -1-9 '� gsf 011/r TOTAL COM SITE 1855 DEPOT LA OG ACCT NO 13 OWNER & MAILING INFO ===I =MISj► _= ASSESSMENT DATA GRATTAN BARBARA IRS-S T** RES PERCENT 42 7ro0S3M;kvta ffiE I 1 n=, 7,500 **M&,XAB)LZt-f823 RIVERHMG EM11119 01 BAN 11,300 COUNTYTelephone(516)765-58.2 0 0 Southold,New York 11971 �Q R** TOWN 5,300 7,500 SCHOOL 5,300 ATO 11,300 ==DIMENSIONSSALES INFORMATION __________________________________ ACRES 26 . 00 BOOK 12023 SRLADATBEWy1Wt0U SALE PRICE 1 PAGE 004 7QV01M SMIUM dI BERTHA ===TOTAL EXEMPTIONS 1TOTAL SPECIAL DISTRICTS 4 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE 41720 6,000 95 IFD029 IPK090 IWW020 ISW011 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 I e<�y °f ,Of 0 Jo�et N Q of��e�sr Of {°ek�c,C' � G MAP OF PR OPER T Y Of {° .\N'ed r p' Kekv �-� \ \\ '� P of°r 6�5 p1' SI TA TE e\\ B�a� CUTCHOGUE Town of SO UTHOLD Suffolk County, New York ) S.C.T.M.: 1000-102-01-09 N `1\ O= i -z Q� 'Q NOTES: 1. AREA = 27.4 ACRES 2. THIS MAP WAS PREPARED FROM DEEDS ONLY AND / AND SOULD NOT BE USED FOR CLOSING PURPOSES \7 SUBJECT PARCEL L 12023 PG. 04 FOR BARBARA GRATTAN 2� DATE: OCTOBER 1, 2000 7 SCALE: 1"=100' JOB NO: GRATTAN OO - n ^ fi O O 'A 3 o � RN F � REM 8 �0 00 O . F ovs� O N O c3` 2. 6B� 62 p o 0- V; V; 0 o 0., m O°^ � 3 14 ° cS 0 n o ^ •W *o � o N o�o cow mN fi o `' o �1 ^3 Joseph A. Ingegno N.Y.S. Lic. No. 49668 t� ° �°o4 �-o„ O 0 0° -� � -�°� ° �6•�j1 0 ' o oIL o S °o �0 �^ S� Joseph A. Ingegno coo el � o` \ Land Surveyor 0' N,L etre Surveys - Subdivisions - Site Plans - Construction Layout N r-1 PHONE (631)727-2090 Fax (631)727-1727 0 OMCES LOCATED AT MAILING ADDRESS ° 1380 Roanoke Avenue P.O. Box 1931 Riverhead, N.Y. 11901 Riverhead, N.Y. 11901 -,,I o ,- e �F.. L - _ - - - _FDWG GRATTP