The URL can be used to link to this page

Home My WebLink About40823-Z ao�guFFnt�� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE vy • o� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40823 Date: 7/7/2016 Permission is hereby granted to: Young, Christopher 42 Cherry St Calverton, NY 11933 To: alter interior (demolition) of existing single-family dwelling as applied for. Additional certification/permits-may be required. At premises located at: 870 Love Ln, Mattituck �� I ►�oT OD q I L, SCTM # 473889 Sec/Block/Lot# 140.-2-17 Pursuant to application dated 6/30/2016 and approved by the Building Inspector. To expire on 1/6/2018. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 uil ing Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. L L New Construction)( Old or Pre-existing Building: (check one) Location of Property: 1 V\X,�Af y— j AVA 1,.,L K_1A <<S�Z House No. Street Hamlet Owner or Owners of Property: <;6_QeN A r>> qA-Z A NJ Suffolk County Tax Map No 1000, Section �4p Block Lot Z Subdivision Filed Map. Lot: Permit No. Lf 0 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: ` Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �6 -w Applicant Signature TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPAR x MENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 J, 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ,„ Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. " - Trustees C.O.Applications- Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: _ (� Approved ,20_k M it to: �� 7�A,04 �Q J�� Disapproved a/c ': Phone: SIG 31 — Expiration ,20 o [EC[E0V[E DD Bui in I ctor JUN 3 0 2016 APPLICATION FOR BUILDING PERMIT Date (, o , 20 BUILDING DEFT. INSTRUCTIONS TOWN OF SOUTHOLD` a. This application MUST be completely-filled in by typewriter or in ink and submitted_to the`Building Inspector with 4 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 waterways. 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 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 within 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 affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. APPLICATION 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, ordinances, building code, housing code, and re ulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 1.&QALCA�� is lA eve >r' Name of owner of premises S�e - (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. L cation of land on whic proposed work will be one: c House Number Street + ''• `f {?" '' = Hamlet County Tax Map No. 1000 Section i �:;: >=i e�-fBl'ock i' Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of pr' lses and inte de use and occupancy of proposed construction: a. Existing use and occupancy WAS b Q-- b. Intended use and occupancy OW k 3. Nature of work(check which applicable):Ne ing Addition Alteration Repair Removal p Other Work (Description) 4. Estimated Cost ,S�i ,�� Fee 1 (To be paid on filing this application) 5. If dwelling,number of dwelling units '1 Number of dwelling units on each floor If garage, number of cars i nn II 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 9v A 7. Dimensions of existing structures, if any: Front `�/� Rear rt/6 Depth Height 14c) Number of Stories .7_ Dimensions of same structure with alterations or additions: Front �, , , T4. ear;`�"� Depth Height Number oores 8. Dimensions of entire new construction: Front Rear ti thl Height _ Number of Stories Size of lot: Front Rear Depth , a.tal...i..a l 4.' HC id lai tli Ti/n� ?Date of Purchase Name of Former Owner ��►`' 11 Zone or use district in which premises are situated Al`'t'It 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NOXWill excess fill be removed from premises?YES NO x 14.Names of Owner of premises,wQ.N k:S�W x- Address 01t��c�Q�u�1, Phone No. 5`b 31 b Name of Architect Address Phone No Name of Contractor I 4 I /� Address — Phone No. — T , 15 a. Is this property within 100 feet of a tiddl'wetland or a-freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE 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•.f i'rldation plan and distances to property lines. N 17. If elevation at:any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect,to this property? * YES NO k * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) e,Je-N KAL IJe- . being duly sworn, deposes and says that(s)he is the applicant (Name of individual signi g contract)above named, (S)He is the c-DA A-2ib r (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 belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 20 _ - MELINDA L.TOPPIN NOTARY PUBLIC,STATE OF Registmdon No.47 364 Notary P i Q„al;t;utinsuffotkCouncy' Signatu e ofApplic nt Commission Expires May 31,o?o —�Ax AP //�� jam_ t c o ' Q•, �SV�e S 1 O I!`7 lA� 'r 1�/t�V�/!Z7\ L I J Y� 1� �J��"e"� (`UZ.\L I � :41v�A ,rv �1.«� \ �lA.� �' ►� � L-�P t-� r�c�l�` �1('� Nc� ��z.. l �b An L 0LON