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Home My WebLink About25475-Z ®�®gufFQ�,�co o� D,y� N Z Town Hall,53095 Main.Road O Fax(631)765-9502 P.O.Box 1179 �Jfolao�.. Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 16, 2004 Ms. Olga Shaskin P.O. Box 1649 Mattituck, N.Y. 11952 Re: Building Permit#25475-Z- 2nd floor addition & alteration Suff. Co. Tax Map#106.-5-12 Dear Ms. Shaskin: During a review of our files, it was noted that the above building permit has expired, and no construction was done. We have voided this permit. If you wish to do construction at a later date,please resubmit a new application. If you have any questions,please do not hesitate to contact this office. Respectfully, Southold Town Building Dept. it 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. 25475 Z Date JANUARY 19, 1999 Permission is hereby granted to: OLGA SHASKIN PO BOX 1649 MATTITUCK,NY 11952 for 2ND FLOOR ADDITION AND ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ALL CONSTRUCTION TO COMPLY WITH SUBCHAP B. at premises located at 1105 CAPT KIDD DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0005 Lot No. 012 pursuant to application dated NOVEMBER 20 98 and approved by the Building Inspector. Fee $ 84.40 Authorize ignatur COPY Rev. 2/19/98 DATE COHMENTS... 0 >11 FOUNDATION ( IST) nit ' it L —u. FOUNDATION (2ND) u n � n ri z ROUGH FRAME & it PLUMBING j !I lij it It II a CAI it INSULATION PER N. Y. H SATE ENERGY I n � � CODE N u N It it a � Ii I `a FINAL i v� II IY � - ----_ =_==_=___s--=- -------- -- -- U) -- ADDITIONAL COMMENTS: d H z r w ro H _ BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. I /3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF souniO1.D SURVEY .... . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK .. . ..... . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 1 197 1 TEL.: 765-1802 NOTIFY CALL Examined. ....:.. .., 1911 MAIi, TO: . .. . . . ... . . . . . . . . . . . . A{n{hravc'cl.................. 19.... Permit No. • Disapproved a/c .................................. .............. .... ..... 10 •V Oluilding innpecior) W APPL.ICATiON ,F0Q BIJIL..DiNG PERMIT NN 2 0 W [)ate. . . . . . . . . . . . . . . . 19. . . . BLDG.DEPT. INSTRUCTIONS app completely .filled. In by typewriter or in Iedt nix] submitted to the Ike IIdIng Tnspector �. 3 seta of plans, accurate plo:t,plan to scale. Fee according to adnedule. lm. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or 1xdnlic: streets or areas, and giving a detailed description of laycxht of property mist be dr". on the diagram Jilch is part. of this npplication. c. the work covered by this application ray not be ccmnenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issue a Building Permit to the applicant. tiurh permit slhall be.kept on the premises available for inspection thro::gl:out 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 11thilding inspector. APPLICNri.(N IS 1104W MALE to the lkillding Department for the issuance of a lluilding Permit pursuant to tune wilding 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. Ilhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations,,and to whit authorized inspectors on premises and in build ng ff r nspect 'oNIV h d GoNpaw� .60(a/ •(Sweature of. applicant or ame, if a coporaticni) 1755 Sub San EE K.a� .��X,../. t.7Pl�K:..(��,�2............ (gaoling address of applicant) State whether applicant is owner, lessee, agent, architec engines general contractor, electrician, plurdher or Ixnil( ................................................................................,...................................... Name of owner of premises ....... ..................................................................................... (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............................................................. .....1 aos.....C'.�t 4.1c�1...K. L .. ....................... err.!r.Ucc....................... douse Number Street l//hamlet County Tax Map No. 1000 Section ..... Np...... Block .....0�../.... i of ....1.2:....... �+��/:� Sulxlivision CA01"2.W. .0:1171 .r......... Filed Map No. .&.7 X..... I,ot ............... (Name) 2. State existing use and occupancy ofamises and intended use and occupancy of proposed construction: a. W a ting use and occupancy ....i:��,! � ................................................... b. Intended use and occupancy ..1'E!mL�.S.',. F!..................................................... .AL TT4-12.1 TA3,9019 ihoY WOM to s)s12,WWU9 retpii "N.M..4,19 VBM p1*3 ams 3. Miture of work (dhedc wlaidt applicable)t New Building .......... Addition .. .. Alteration K..... !repair ............ Removal ............. I)eamlitIon . ........... Other Work .................................. • (Description) 4. Estimated Cost 47e r.00o........ fee .............................................. (to be paid on filing this application) 5. If ck elling, ►xodter of dwelling units bolter of dwelling units on each floor ................ Ifgarage, ►aodter of cars ...................................... G. If Ixhsiness, eonrercial or mhoul'occupency, specify nature and extent of eadi type of use...................... 7. Uisteosiahs of existing structures, If any: Front.. :.!f!.... Rear ..;S:�!':J?..... Depth ...3A. Z...... al lk:ight ...f 5'. .4.. .�....... Maditer of Stories ...ONO ....... Dimensions of sere structure with alteqrat/iajhs Qr, ditions: Front ... 'ts 6 S4"� . Depth ......�.�t:? ........ lieight ....7r4.0..((�_��. .. ft,d:er of Stories .J.t � ••�.. I). Dicusenaiaha of entire new construction: Front ..J�.T.•..Y....... (tear MepUi :. '•.a'...: !Ileigl►t ..... G �.'.1:)........ Molter of Stories ..A416 ........... 9. Size of lot: Frrxht ....�dQ........... Rear .....1.w......... Depth ..... (........ :ah: 1(1 1a E ► •ha f ?on► Date Pl rc1 se ..................... Name o Fortier ()Vassar ..... II. Zone or use district in whidh premises are situated .....P.40.................................................. 12. Dees proposed cahstruetion violate any,zoning law, ordinance or regulation: ...AdQ...............• 13. NiII lot be regraded ..../.Q0........... Will excess fill be removed from premises: YES l ND'� 14. Nates of OA*r of premises ............................ Address .............................. P1ane No. ....... Mine of Ardsitect• .................................... Address .............................. Plane No. .............. Hare of. Contractor ................................... Address ...............nn .//.............Phone No. .............. 15. is this pmperty within 300 feet.of a tidal wetland? * YES .......... NO ...Kms..... *IF YES, S(II1liiilA MM 1'RUSMS PCNMIT MAY BE R1:(XIIRf.D. PIAT DTAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frat'property.13nes. ' Give atreet and block nniier or description according to deed, and slow street narses and indicate hAwtkxsr'W e-rj6r,br corner.1pl Al 'aril. (ll? N1J Y(XW,, (� SS (111111Y (ll' ......-?�l �1�..... ............Woll duly sworn, delxtses aaxl says flint lie is the appl.icaw.- (Nanse of iaxlividual signing contract) salxtve united, Ileis rise . '. ........................................................................ (Cahstractort nt corporate-officer., etc.) of staid owtier or ownera, and is duly audwized to ix-rfornh or hs►ve lerl'oriied the said work aaxl to nuke and file this s,lq►l icatiara; that all statements cc iwAtned ori this appl.icatioxh are true to 'thehest of fhis'kritiwledge aaxl k4ief; aM that the work will be perfonred in the uaarmer set forth in Use application filed therewith. '-?Vxtrn to before hate this .7V. ..clay of Notary Public .. ......... 4 q�'al ROBEiiT1.SCCfT.JR. •(Silhhsht:ure of Ai>til.ica►nt)•'•• •••.� Notary Public~Stag of New ffftalft ts'1WINC 8C rr, Tam Ea ekes IMhi S1. „1 CAPTAIN K100 DRIVE ioo•oo - N N ' S. 86.00,30, E• '1� w � o-�'�� 1 N 1 `� 3945 z i � �-_,_ ', o far 41 i 44.3• • se Q ff'J• [Oil SOT 9&4' LOT LOTN 4 O RE o 100.00 Pff'E N 86@00' 30• W. ovY WOE + /F j & K• Y N/O PAO SURVEY OF PROPER T Y AT MA TTI TUCK ' TOWN OF SOUTHOLD NOTES SUFFOLK COUNTY, 'N. Y. 1205. - LOT NUMBERS ARE REFERENCED TO "MAP OF CAI 'MO - 1IOi6 -. _ CAPTAIN KIOD ESTATES' FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK ON JAN. 19,1949 AX Y 30, AM FILE NO. 1672. AREA = 12,400 sq. fr. 04 NEW), ANY ALTERATION OR AMT/ON TO TINS SL4VVEY /S A VIMAT/AN OF SECTION 7P09 OF TH9 NEW YORK STATE &7XATM LAW EXCEPT AS PER 4EC'TX W 7909-S(bDy►VLSI M P ALL LERT MA{TMS hVICON ARE VAUP FOR TT+IIf MAP AAV COPES T'F.REOF OAL Y iF SAP MAP OR CORES SEAR TIE'/MPMSM SEAL OF TME SURVEYOR WHOSE S16NATUBE APPEARS HEMEOM Y.S. LIC. Ab. 46/8 AVPT FQMAor (LL4 YY TO COAft y IWTH SAD LAW THE MW 'ALTERED BY- P.C. AWT DEOF ANO SWVgYOOrS MAP. rEAW $ W aAOCIGHT-TO-D1 ARE AN CO 'LfALA oC AAV x.141 � IIIG Y. S�MET 9$ - 261