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Home My WebLink About26929-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. 26929 Z Date NOVEMBER 16, 2000 Permission is hereby granted to: LISTA M CANNON PO BOX 671 NEW SUFFOLK,NY 11956 for DEMOLITION OF EXISTING ONE STORY SECTION OF DWELLING AND REMOVAL OF DECK AS APPLIED FOR. at premises located at 1050 ARSHAMOMAQUE AVE SOUTHOLD County Tax Map No. 473889 Section 066 Block 0002 Lot No. 027 pursuant to application dated OCTOBER 24, 2000 and approved by the Building Inspector. Fee $ 107 . 50 Authorized Sig ature ORIGINAL Rev. 2/19/98 t. T 4BOARD OF HEALTH . . . . ... . . . . . . . . 'FORM NO. 1 3 SETS OF 'PLANS ' TOWN OF SOUTHOLD SURVEY . . . . . ... . . . . . . . .... .. . . . . BUILDING DEPARTMENT CHECK - . . . . . . . . . . . . . . . .. . . . . . . . 2I 2OUO s TOWN HALL SEPTICFORM . . . . . . . . . . ... . . . . . . OCT SOUTHOLD, N.Y. 11971 DEC TEL: 765-1802 TRUSTEES .. BLDG.COPT• NOTIFY: . F 8 UTHOLD'` CALL 734-6681 Mike Examined. ,,,�1�-,--, 2p... MAIL TO: .Call ,for ,pickup. . l� Thank y ou. Approved.... ...:, ....., �' � Permit No. .i?�...9. ./.. ................................... Disapproveda/c .................................. ................................... ...................................................... of (Building I. tor)... . MMOL, 1600 APPLICATION FOU -PERMIT Date. .mG INSTRUCTIONS 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. Fee according to schedule. b. Plot plan shoving 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 comrenced 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. APPLICATIfN IS lEEMBY MM 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, ordinances, building code, housing code, and _ lati , and to admit authorized inspectors on premises and in building for necessary inspections. ' . `... .. `................. (Signature applicant,.or.name,-if a corporation) Box 722 , Cutchogue, NY 11935 nom.-».-�-� ........................................... _a ----.(Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,.general contractor, electrician, plumber or builde- ...........P q p q r.211...P.Qntrr 2 PA.R,1;........................................................................ ....... Name of owner of premises ........Lista.M...Cannon..............................DA DASKoND.... ..... (as on the tax roll or latest deed) !'- 'M If applicant is a corporation, signature of duly authorized officer. �� D FE��S O BY- ,,,,,-,-,,,none„-,,,,, -,-,-„ NOTIFY BUILDING DEP BY- , M TAT (Name and title of corporate officer) 7851802 9 AM TO 4 PM F R THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED Builders License No. "' FOR POURED CONCRETE ' 2 ROUGH - FRAMING & PLUMBING Plumbers License No. ......................... _ S. INSULATION Electricians License No. ..................... BE COMPLETE FOR C.O. Other Trade's License No. .................... ALL CONSTRUCTION SHALL MEET 1. Location of land on which proposed work will be done.................... THE REQUIREMENTS OF THE N.Y. THE CONSTRUCTION'&'ENERGY 1050 Arshamomaque Avenue, Southold CObES. NOT RESPONSIBLE FOR ...............................................................................DEEM-OR OONSTRUGTION ERRORS..... House Number Street Hamlet County Tax Map No. 1000 - Section ....66.......... Block ...... ......... Lot ........27..... Subdivision Beixedon Estates ,,,,,,,-„-„- Filed Map No. ,1472 ........ lot ,,,-,27 _..,.-. ...................................... ...... ... 2. State existing.use and occupancy of premises and intended use and �ec�pancy.of proposed construction: a. Existing use and occupancy .......................... a b. Intended use and occupancy y. section...and.removaL.of--deEk I a b 3. Rature of work (dwc:k wliidi ap)licable): New Ikiilding .......... ........ Repair ............ Remwal Y,..(�1eck Addition .. Alteration .. .... , �. Demolition X.(.1,??r t ilh�er Work ............... (Description) 4. Estimated Cost .......................... fee ...................................... (to be paid on filing this application) 5. If dtaelling, nurber of dwelling units ............ Nunber of dhael.ling units on each floor ... ............ Ifgarage, nxnivr 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 .................. height Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear Depth .................... lleigimt .................... Rnber of Stories .............................. 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Nun er of Stories ..................... 9. Size of lot: Front .. Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed Brom premises: YES NO 14. Names of Owner of premises ........................... Address .............................. Phan No. ............. Name of Architect .................................... Address .............................. Phone bolo. ............. Name of Contractor .................................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *7F YES, SQTRM Thiol TIAISIFES PERMIT MAY BE REQUIRED. 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 whetlwr interior or corner lot. Removal of one-story portion of house and wooden patio (deck) Separate application is pending for a building permit for front porch and addition and alterations ( see separate architectural drawings) , rn.tr TIP) 34 Dr MIF angry or. `3a ':;,�l�Mv •cYia"ei:"�2uhoski •••• A•.y q,;. ,. �. � ...............being duly sworn, deposes and says that he ��'''�4°i� Y'� ��"•ei' 'i P'4 [ y is l'lme applicant' Mane or' .1vgit}ua sdignuip, F A'yau)"-q3 . 1XNe 4aFJ,-,,I 'and s �syFl�; ¢'U��e2' '�' ..4:•5'.°ik•"VJ a .4i e is a D,t r�a;c,t,or ii r owner........................................................ .Y9.V' *-EHG <,(,Fon;traetiir,"��,enC;lcoTjiorate officer, etc.) f said'fd aim °�rioia i� , cs;;` s`,`duly'.auC{igrized to perform or have performed the said work amxl to make and pfile this pplicatxo(n; that;all statements{ccmtaifiMy in this application are true to the best of his knowledge and.b6lief.; and ha.t the Qbrk"will' be perfoihned A the jfi4in er set forth in the application filed therewith. worn to before me this .......23rd .....day of . October......20.0.0 ..- Notary 0.00: _Notary Public A-694 LINDA R KOWALSKI .... . .. . ............ INotery Public,State of Now York (Si , tune of Appticant) No.62.4524779 Qualified In Suffolk CounW"��'� Commission Expires Nov.30, W SURVEY OF LOT #4 MAP OF "BEIXEDOH ESTATES" FILED 3-16-46 AS FILE # 1472 N SITUATE: SOUTHOLD TOM: SOUTHOLD W- - E SUFFOLK COUNTY, NY 5UR\/EYED 10-11-00 S SUFFOLK GOUNTY TAX # 1000-66-2-2-7 ').pope �> I I I 6� I I Ope �`ytmaj D 05 Po� Frog°�or o�o_-- 19,01 V� \O , uJ o.e .6� C, I 1� �^ Ito I ', 35'4. . I_ � -2.6, o"Jill -1100. c.J� v A j � o � � stone d�1Je I e 4, °(% 0\e 1 co 1 a' o Fronie O For, Framed ' �, .•l � 4 �:,'rl„la..l�,^w.n r.,lvrx. .y r, `� , ,' rwrlul nlln to t�rlrM`rrx,r rn�Ilw'141w^'nr',r.y.�., NOTE5: ` / my nn nl noon nn.x.w•r to rx `'� �t � /�( nr 111 w.r,l lrmq Fvlw r,lnrl lnr ruxr r.N,1ili'u,Y'yrw, �1/ nwl�ny xx,n„rn,ux'rrrl^.rx.r.rx'rwxx...nn . ■ MONUMENT 0 PIPE gerwy arltl IeMYn Inntnlutbn Iln etl Fexeen,mn tO,the Onnk�een of IM I.rr"-tlt.1- C—tRko- AREA = 10,'152 5F OR 0.25 AGRE5 inn an rot t a^,am^ �nitlo wroln a n PROPERTY RESIDES IN FEMA FLOOD ZONE X JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIG SGALE 1"_ 20' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\cannon.pro � ^ � TOWN OF SOUTHOLD PROPERTY RECORD CARD y COLOR TRIM tiV M. Bldg. , 1 o v SLa Foundation T ./.__E Bath 2" Dinette �` �' Floors K• Extension _ Basement y�,3 02 02- LR. Ext. Walls Interior Finish Extension r ',�~ f r. .4 DR. Fire Place Heat ��-'-, Extension i Type Roof ,(/113!!' Rooms 1st Floor BR. Rooms 2nd Floor FIN. B. Recreation Room Porch Dormer Porch Driveway Breezeway Garage Patio O. B. Total G w LOT COVERAGE CALCULATIONS OCTOBER 22,2000 L. Cannon Property 1000-66-2-27 Corner of Orchard Road and Arsmamomaque Avenue Beixedon Southold Existing: 942 sq. ft. —wooden patio areas 89 sq. ft. - two sheds 1281 —house footprint 2312 sq. ft. total existing New Project: 1281 sq. ft. —house footprint existing 89 sq. ft. —two sheds existing 94gfsgftremove"'woodenpatio7d`eck� - +409 sq. ft. for new 12' x 34'2" front porch addition 1779 sq. ft. (or 16.54%)new total as proposed 10/22/00 20% limitation=2150 sq. ft. ctLsro Remove on F-- S 1 br L Joey ('LuesT �Fa 2 .DP-Mo L-i 7-;o a) Pert-1 r A s 1I(GHLiGNTea aN P,TTAC9C-b SL-f 4 r 0 V Y(/�y ' I o /� pr�>, p W p \ LWC � IBUILDING � J1LI ApplicanU Date Owners Naive: — Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1 000 Section: —�!/T Block: Lot: Project �ySubdivision Location: Name: Sin&le&separate Required e7fe� certification: (Yes/No) Rcq Rcq Zoning District Loc siu. Wo Actual0 7S-2- ] (Lot coveragc �Proposed ] Req 0 Req. f Req. Jf [Front Yard �roposcd: ] (Side Yard Proposed: 1 (Rear Yard Proposed: ] Project Description: AGENCY PERMITS 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: �- ote • r �L `� 3s-