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HomeMy WebLinkAbout26856-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. 26856 Z Date OCTOBER 20, 2000 Permission is hereby granted to: BENIGNO DEJESUS 806 LINNET STREET GREENPORT,NY 11944 for DEMOLITION OF FIRE DAMAGED SINGLE FAMILY RESIDENCE DOWN TO FOUNDATION AS APPLIED FOR. NOTE: REQUIRES CONSTRUCTION PLANS & SPECIFICATIONS BEFORE REBUILDING. at premises located at 395- A/K/A 806 LINNET ST. GREENPORT County Tax Map No. 473889 Section 048 Block 0002 Lot No. 037 pursuant to application dated SEPTEMBER 20, 2000 and approved by the Building Inspector. Fee $ 166 . 10 Authorized Signature ORIGINAL Rev. 2/19/98 RohvxN bo `� � 4°.4 BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS ] TOWN OF SOUTHOLD SURVEY SEP Z O ?n no, ` ?BUILDING DEPARTMENT CHECK . . . . . .. . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM E�I'Dr,.DLE i.��. SOUTHOLD, N.Y. 11971 DEC .. . - .. . . . . . . . .. .. ... . ... . . 'I`Ob11N OF SU!il"FlGLi) � TEL: 765-1802 TRUSTEES . . ����SC>S" NOTIFY: CALL . .'I&13 :: gY11:42 Examined... 16)/. ...... 2:.-0. MAIL TO: . :,�-0_r A�I d5 6k. Approved..... e ....., ,-C3�d Permit No. � �. .. n:f.. : ........ Disapproveda/c .................................. ..... ..................... ................................................ .. . . .. ......... .�--...... ( Building Inspector APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 2G. . . . INSTRUCTIONS a. 'This application must be caupletely 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 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 bekept 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. APPLICE1rION 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 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 r finances, building code, housing code, and regulations, and to admit authorized inspectors on premises and iniltl'ng for necessary ins tons. ...................(Si uie of licant, o name, if a corporation) ..... ........ 0. (Mailing address of applicant) u'l �.,, ...,, .„,. ,.q ..-: cL'j •ll„� lar ,..� -• n. m!'1 �'i 't S'� F State whether applicant is_owi> r, lessee;;sen agnt, architect, engineer,'general contractor, electrician, pltmber or builder .........�( .. Y ... ................................................................. Nameof owner of Premises;. .,..�. r.h ...N[ ....... .................................................. Ghie; tax rpll,br latest deed) - If applicant-is- :coipor`ation''sij nature'ao duly`audh rized officer. = - 'I CA a (Name and title ofTe9rporate off ' Builders License No.. .............. .... Plumbers License No. ......................... Electricians License No. ........r.7............. Other Trade's License No. � !.3 ...1�.� 1. Iocation of land on which proposed work will be done.............................................................. ... ��........ .i ��.�- .�5 � ............................................. ... ........................ House Number Street Hamlet ” County Tax Map No. 1000 Section ... .®.......... Block ...<.......... Ivt .3 .....---.. Subdivision ...................................... Filed Map.No. ............... Lot ............... (Nam) 2. State existing use and occupancy ofpremises and intended7,0,q�.e and occupancy of'proposed construction: f a. Existing use and occupancy ... .�� �.�.�...j 4?W .......................................... b. Intended use and occupancy ... �.� .��`f .. 4.��.� s. � .....5;r;.�;:tir;r1�,t'f•�, ":;�:pJ'.... ....... b 3. Nature of work (check wbid► applicable): New Building ....... Addition .......... Alteratior. .......... Repair ............ Removal ............. Demolition X......... Other Work ................................. Q (Description) 4. Estimated Cost ...(J JQ t........... fee .............................................. nn nnL (to be paid on filing this application) 5. If chaelling, number of dwelling units .-D�1 .... Umber of dwelling units on each floor ... ........ - If garage, number of cars .......`. ....................... 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 ............... Depth ................. Beight ......................... Number of Stories ...C)Aj:�_............ Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ... Nuhiher of Stories ..................... 9. Size of lot: Front .. f....... v-r -1,�,L .L .� ... Rear ....� ............ Deptth ! ...... 10. Date of Purchase ..................... Name of Former Owner ........................................ II. Zone or use district in which premises are situated ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. Q................. 13. Will lot be regraded .................../.�. Will excess fill be remwed /from pr ses: YES /&W 14. Names of Owner of premises tP.�21. ®. � �.�i.S.... Address Fok.l!�m,!I�! ��: Name of Architect ... ... .j Address ..............................;� ;L. n Phone No, Name of Contractor `:!f P� � �C .. , 114 Address40!�'.P: l •�- .. .Phone ,Al y .•�;J�l 15. Is this property within 300 feet of a tidal tland? * YES .......... .... I��79 we *IF YES, SWfI D TM TRUSIFLS PERMIT MAY BE REI�TIRID. �.. 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 nares and indicate whether interior or corner lot. &F 0eS:—j1WXe,0 crre4r e'�jGe/.2e � Q,-f:5 /•hsA ,D�c r il+•►y �rCo'�S? In WxF>: 0 cc A- Ge i/LiTj�s 3�pl+P LUa i� � m M W Z W WO �W W W 0 =W J W Ul -XIL WO m Z O w Z LL- Z QQ O Z NV6 O� 8 NLLrW �C� WZ� ® zaZOW Z� � � W � U0— C!3 ma ? ZCLa) 0Z0 O w �.wlr- Or. DHwYM, ��° 0000 �� W `wwt�7 SS �� ��, W � ►nJU. u. ae -Zu. m � WIOW ) U[1IT (A ?.�.? C7[-lL.... � V) g� w O m O ..�P�I n o ��s .... ........................ .•............_......being dul.y'sworth, delx)ses and says that he is the applicant �Nahe of individual signing contract) above named, leis 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 hpplication; 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 manner set forth in the application filed therewith. worn to before me this CCD ---- _ o ( .� 2.:Notary P ....ul ................... ...... ELIZABETH A STATHIS (Si lune o- .13.c . NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk County Tern Expires June 8,20-C.2-: OF ���!�.,-.! }' ; F$Ny'°N'F.iek>c a ,t �= �r (t - • .0 (t I1 ���� ,�:...3 { •.J' 3- t 1..� -l•.,. Ik l� ti rsa��-t'clr r t +6�0,e?'t; w';� Baa •M1.X X.r r Yr t Jf51 sir t, :i tS v;nr O l �r nr'nn o1 �� „r V 4 'P of'fie Now ywk Stati- A ?� r`h5r*r. Yr C'Jc&tion Uw. Oapies of fhla sumoy map not bearing i " r :he land Suryeyor's inked seal OL '• � • embossed seal shall not be considered htz r s {1 to be a valid true copy, Zp Q� �ry� 1 i Guarantees indicated hereon shall run V - Z•" only to the person for whom the survey LL is prepared,and on his behalf to the r cat, j title company,governmental-agency and lending institution listed hereon arW t zc ti +1 • to the assignees of the lending Invd- tution.Guarantees are not transferable � t to additional institutions or subsequent +{a }r owners. `rr T, Lj i 'AF 1 y Irk- F"I A p/� oZw...�1•;41G �V t Q t �'•y . h�A. 1 �o. ,• M i_. f taw.. F `M ! n,..t �rFY F. 1 4L < BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: /o /tea APPLICANT NAME: DATE SUBMITTED:—/—/— PROJECT UBMITTED / /PROJECT LOCATION STREET: CITY: SUBDIV. NAME: ARCHITECT/ENGINEER: 01430--,UFAST TRACK: YES or<0 SCTM# --- DISTRICT: 1,000 SECTION: 'f,9' BLOCK: ,2 LOT: ZONING: ZONING DISTRICT: R40, R80, AC, CONFORMING: YES OR NO REQUIRED LOT SIZE: SQFT. WHERE ACTUAL LOT SIZE FROM? - �j e , ACTUAL LOT SIZE: SQFT. REQ. REQ. REQ. FRONT: 'PROPOSED: SIDE YD: '/ ' PROPOSED: '/ REAR: 'PROPOSED: ' LOT COVERAGE: ALLOWED: % EXISTING: sf % NEW: sf % TOTAL: sf % CORNER? YES o N WAT ER FRONT? YES oR NO DESCRIPTION: SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o NO OTES: LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at anytime after July 1, 1983.) PROJECT DESCRIPTION: ADDALT,ACC OR wD: &,,, , 0,4/L ^e c AGENCY PERMITS REQUIRED FOR REVIEW NEEDE TOWN SPETIC PERMIT: YES o SUFFOLK COUNTY HEALTH DEPT: YES or O (BED #): DTE: / / PERMIT#:R10- NEW YORK STATE DEC: YES or SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or O FLOOD COMPLIANCE ZONE: P1; U. FLOOD ZOhT NYS ENERGY: YES OR EGRESS: VENT: LIGHT: NOTES: /6/O /11,14 cine 7`o v'Jrrs2aG1.] $/ 'p r C oevte ` f ( -� /,-' a /ate G _S' /14 rl 'w Xe as • a FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR // SF,/- ry , SECOND FLR SF INIT OTHER TOTAL TOTAL: /&// SF FEE FEE FEE OT( j $✓/ SF)- 6 SF)= /s // SFX $ to /C)+$_/ 6,—+$ 0.r = /'��• %�