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Home My WebLink About29945-ZFORM 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. 29945 Z Date DECEMBER 17, 2003 Permission is hereby granted to: JEWELL Z GONZALEZ 1380 WATERVIEW DR SOUTHOLD,NY 11971 for : DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 078 Block pursuant to application dated DECEMBER 12, 2003 Building Inspector to expire on JUNE 17, 1380 WATERVIEW DR Fee $ 236.60 SOUTHOLD 0007 Lot No. 025 and approved by the 2005. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined / 2.-/~" Approved ~"~/5'- Disapproved ode t ,20 Expiration ,20___ BUILDiNG PERMIT APPLICATION CHECKLIST PERMIT NO. ff°t ~/~Y-~ Do you have or need the following, before applying'? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~-SqCx:? /~0 ~d~ ~, ~o~ Phone:~ APPLICATION FOR BUILDING PERMIT DEC I 22003 Date ,20__ ' INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 punic streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance o£ Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Pem~t to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced witNn 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations a£fecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the per~t for an addition six months. Thereafter, a new pcru~t shall be ~equired. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Perr~t pursuant to the Building Zone Ordinance of the Town of Sunthold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alteratiuns or for removal or demolition as herein described. The applicant agrees to comply with ali 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) APPROVED AS N&T, D State whether applicant is owner, lessee, agent, architect, engineer, generaq~7~~~i~builder NO~Y BUILDING ~_:EPARTMEN~ AT A~c:~//--'- 765-1802 8AM TO 4PM FOR THE Namcofowncrofpremises__ '~e~,Oc%.~ ~d,,J~cc;7-- 1. FOUNDATION - TWO REQUIRED FOR POUR~n O.~NCRETE (As on the tax roll or ~.atR~u~ecd)FRAM NG & PLUMBING If applicant is a corporation, signature of duly authorized officer 3. INSULATION (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 4. FINAL - CONSTRUCTION MUST BE COMPLETE ;OR CO. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block 7 Filed Map No. Lot ~:~'ff- Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:' a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height Number of Stoneg~,~, ,' 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 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? YES NO '~! 13. Will lot be re-graded? YES ~ NO Will excess fill be removed from premises? YES 14. Names of Owner of premises ~ Oo,ozaco-- Address /$~o Osc~tc,eo ~aa~ Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. NO Z 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BEx?REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ~-[l~O~k/ 2,,. ~/~ ,' ~-/Lo~D being duly sworn, deposes and says that (s)he is the applicant (Name of inffxvidual si~ing contract) above nmed, (S)He is 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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this / ~_ 7'7x day of ~Lj~0_aff~. 20 0-3 Notary Public ,' '~igna eofApphcant --ILE N0.~.99 12.-'09 '03 11:I8 :~: FCX: p,aGE 1/ LIPA 117 Do~tors Pafh R&/erllea~, NY 11E0'1 Dece~:~e= A, 2003 MS Stace¥ Bishop 120 Waterview Dr. Southold, NY 119~1 LIRA Ref. ~T10~338866 J. ~onz&le= 1380 wa[erview Drive, Meter ~044262293 Dear Ms. Biehop; This letter is to advise you ~ha~ the elec=ric service to the above referenced If you have any qumscic=ls, please con~ac~ Mr. Cherli~ Hicks a~ (631) 5~8-70~4. Vary truly yours, 8:eve~ ~. Aylward Design Engineer ~leotrlc Desi~ & Construo~ion SPA/th DATE REVIEWED: APPLICANT: ~or~,~o~\ .~ 7 DATE SUBMITTED: SCTM# DISTRICT: 1,000, SECTION: ~ , BLOCK: '~ , LOT: ~g" SUBDIVISION: ADDRESS:/¢r~ <~/, r ,_',~CITY: ~ZON/NG DISTRICT: __ CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z / C/0 Z- ., INFO / BP -Z / C/0 Z- , INFO BP -Z / C/0 Z-__ ., R',rFO / BP -Z / C/0 Z- , INFO__ SINGLE & SEPARATE CERTIFICATION-REQU]ILED NOTES: LOTS 40,O00SF -100-24 Lot recognition(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JM'L1997 100-25. Merger (A nonconforming at any time aft{ REQ. LOT SIZE: ACT. LOT SIZE: REQ. FRONT PROP. FRONT REQ. REAR PROP. REAR PRO JECT D ES CRIPTI O N.'%,,,,, ¢~ f~ ESTIMATED PROJECT COST: REQ. LOT COV. ACT. LOT COV. REQ SIDE ACT. SIDE REQ. HEIGHT PROP. HEIGHT ARCItlTECT/ENGffCEER: WATER FRONT? DESCRIPTION: PANEL # FLOOD ZONE: APPROVALS REQUIILED SUFFOLK COUNTY HEALTIt DEPT: YES or NO, (BED t/): ___ DTE: __._/ __/__ PERMIT #: TOWN SEPTIC RECEIPT: Y or N NEVV YORK STATE DEC: m~r-o~,cg/~/?s YES or NO SOUTHOLD TOVVN TRUSTEES: YES or NO TOVeN ZONING BOARD APPROVAL: YES or NO TO~VN PLAN. BOARD APPROVAL: YES ol NO TOWN H1STOIU[CAI, PIlE (SPL1A): YES or NO NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: DTE: / / PERMIT fl: DTE: / / PERMIT #: DTE: / / PERMIT #: DTE: / / PERMIT #: FEE STRUCTURE: FOUNDATION: __SF)-C 3.(_ SF FfiRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: SF INIT OTHER TOTAL FEE FEE FEE _SF)- (_ _ ~o SFX$,IS-$22 - +$ 2, +$ SFX $__ __=$ ..... +$ 4 $ .... SEX$_ _:=$___ ~$ +$__ FINAL TOTAL: