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HomeMy WebLinkAbout26452-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. 26452 Z Date APRIL 17, 2000 Permission is hereby granted to: BOOKER (ROSEN) 11780 SOUND AVE. MATTITUCK,NY 11952 for DEMOLITION OF STRUCTURES AS APPLIED FOR. at premises located at 11780 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 141 Block 0003 Lot No. 044 pursuant to application dated MARCH 29 , 2000 and approved by the Building Inspector. Fee $ 99 . 00 Au o ized Signature ORIGINAL Rev. 2/19/98 BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . .. TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL Examined.................. 20.... _ MAIL TO: . . . . . . . .k. . . .. . . . . . . . Approved.. .i1........? .. Permit No. aO S. ................................... Disapproveda/c ......•............................ ................................... ........................................ . ........... e- ,�Q _ ...V:'s : ............ (Building I .tor) APPLICATION FOR BUILDING PERMIT 'AR 2 ,820 Date. . . . . . . . . . . . . . . . . 20. . . . INSTRUCTIONS a.°•-Ih s-application mi6i�, a Mipletely 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 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be camxenced before issuance of Building Permit. d. Upon approval of this application, ,the Building Inspector krill 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. 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 regulations, and to admit authorized inspectors on premises and in building for nece ry i i s: ... .C. .... .... .................... (Signature applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is omierlessee, agent, architect, engineer, general contractor, electrician, plumber or buil.dc .....---•................................ .......................................................................... . .. Name of owner of.premises 0....... ....... .............................................. ....................... (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.............................................................. ./.! ??....... Ana../.a:v .....�Z�.ri:17:�. !<........:n ................ .... .. ........................... House Number Street Hamlet County Tax Nap No. 1000 Section ...f. .�:��.. Block ... ..©�... Lot Subdivision ....................................... Filed Nap No. ............... Lot ...............(Name) 2. State existing use and occupancy of premises and intended use and occupancy;of proposed construction: T ­-__ Ransting use and occupancy ............................. ...-.. .....................-... .......... ended use and occupancy ..l.C. :�,/„/Lo �...... .. :t, .,... ..........`............ �'�;IcS =l���Es i !S /-oR. .,�JEstilGL!7'idv�- •f:- Cx¢+`��% v'/v ,� v'n��/ r �• r.,u,ie ui WULK ku,ecx wu11c91 4ullcable): New Building Addition •• Alteration Repair ............ Removal ............. Derrolition .. ...... Other Work ................................. dl (Description) 1. Estimated Cost 7• ��i itO:............ fee ..... . .................. / (to be paid on filing this application) If (kwelling, nurber of dwelling/units ...J,•..... Number of dwelling units on each floor ...t........... If garage, number of cars .....v!`.............................. • If business, commercial or mixed occupancy, specify nature and extent of each type of use....!! .. .......... Dimensions of existinnff!g ,,structures, if any: Front,,. ►,�', ;,,..,, Rear 6!'� Depth .; ��, , . 11eight ....... , r f... Number of Stories ....a............ ... ..... � . .. O Dimensions of same structure with alterations or additions: Front ..../7 4... Rear A. . Depth ......1),,4.......... Height ..nc.�}........... Number of Stories ...�.�......• ....... Dimensions of entire new construction: Font „.,B-Jq.,.„• Rear ..A A ..... Depth -�•�...... Height ....n..✓. .............. Number of Stories ...�). ............ Size of lot: Font ... /..�7�. ..... Rear ......7(),�,'??: ). Date of Purchase .....A,!,4.....,.... Name of Former Owner ....U(Z,l ki 11��f'(:.................. I, Zone or use district in which premises are situated ...... . ................................................. :- Does proposed construction violate any zoning law, ordinance or regulation: .. . t. will lot be regraded IJEi:roe>;.v.z o� •••CYES) •"�••• ...... aded .�GCG '='.V/J. 1 excess fill be removed from premises: IDNames of Owner of premisesJ•�l••©. �c�c2k�2 Address `� C^!s? ���: $j'... .. Phone No. 7 .,i Name of Architect ... .. Address Phone No, Name of Contractor ... ... ........................ Address ...............................Phone No. .............. �. Is this property within 300 feet of a tidal wetland? * YES ......... *IF YES, SOUT(UD M4N TRII M13 PERMIT MAY BE W4JIRM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions -am property lines. Give street and block number or description according to deed, and show street names and indicate tether interior or corner lot. �i �E'C�co��: r a �£,�r ✓L /�+/p�,s� d� 2 GA/� T, A-4y7C- . jQCC2 jJ6'S-; Tc) 1,74, <C E S.VC 0 oll 4 0 i 3, RMwg . c 4 Re ox-.4c.-e -err-r C �' G0I1SrVcT�vM TF'A,cCIL yo ' 1� e�v��r� q,aa.AjrE.. 6n tAaVa() a}i L,g;,(" �JIl c� ^ /o � h C� ,4 �rA 3' nlr cif' Nib Y(1RK, (July O! .................. .... SS ..... :.....................bein duly sworn deposesp g yand says that he is the applicant ame of individual signing contract) ove named, isthe ...... .... ...................................... (Cantracto agent, corporate officer., etc.) ..•--• .•••••••••.••-�• •••••••••••••••••- said owner. or ss, and is duly authorized to perform or have performed the said work and to make and file this pl.ication; that all statements contained in this application are true to the best of his knowledge and.belief,; and at the work will be performed in the manner set forth in the application filed therewith. orn to before me this ... ...day of ... Notary Public ... CARO I C.HOGAN (Sipnalure Applicant) Notary Public,: - cl New York Quaiifie:airnC/ui{c:1�I�County Corr'?assior.Empires Pc-bruary 20, i , 41 { z LL P� Ionia11--L-02 �C. 1. LLJ r: i x PP OVED AS NOTED AA 6 �• DATE' 11 0 B.P. �- / k FEE: �� BY: <- / NOTIFY BUILDING D ART NT AT vG 765-1802 9 AM TO 4 PM-FOR THE F0 LL WI INSPECTIONS: 2 STORY SE _. - 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE - AM 2- ROUGH '- FRAMING & PLUMBING 3� .g9 a 3. INSULATION N10/F N 1 s �� O `lam 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALICE °.' 0 Jb ALL CONSTRUCTION SHALL MEET W I 7 THF;,REQUIREMENTS OF THE N.Y. 4. `�� STATE CONSTRUCTION & ENERGY x I ct+►'N oNU ,� �` - CODES. NOT R SPONSIBLE FOR Asi USE DESIGN OR CONSTRUCTION ERRORS z1 A5cc .Y- a. '•O z u00 1 z ,??: _. r" ram .°' '. - T9�. ':' �•v O �: Sj0 0u5E 5 s�-� ��= �m . �� ME ;SHED ,b m •s a r. p�AE H ppdR ,s r � „3 0 RA. RpIGE r;� Q , N 1N p15KE 37 n FR � GAy ; EppdR)a , vti Q� t Oa I NpuSE -� T ..ti x 1N p�SR Zr1, x. DN OL 051 E HOUSE TIE'- t _...__- - - - . ... .. _,.. ,<. -. .. •- , ._ o,.�MA'S.. .. _._. .. ,. - , . . . ... . . - __ :,. SURVEY OF PROPERTY A SI T UA TED A T V • , ° MATTITUCK � � ROAD) d . O R T H a pROS5lN0 TOWN OF S O U T H O L D r N O • ESE pF P a NEN1 d ° d P'IL R� �E I ��� SUFFOLK COUNTY, NEW YORK ° U 61a UNK FENCE , �� d CHp1N ,I58,47 HFADi ES t RNCEa3•E• ti S.C. TAX No. 1000- 1 41 —03-44 A. d • 48/4 SCALE 1" =20' ti APRIL 1 1 , 1997 7°2 ° �d a z �� DECEMBER 4, 1997 ADDED PROPOSED COMMUNICATIONS TOWER N 0 �N �' DECEMBER 18, 1997 REVISED PROPOSED COMMUNICATIONS TOWER NN CJF N P�1� CpNCOMp °° IN �O � ° r��o d MARCH 3, 1998 REVISED PROPOSED COMMUNICATIONS TOWER cE e' U+ o� JULY 13, 1998 ADDED PLOT PLAN FEN � (� d • 28. e > .G 0,5 p9W. e`jp Q Q `�y ° Z2 2�•2 :. e ° A o AREA = 11 ,517.67 sq. ft. N e 0.264 ac. co fir/ N ..0 / ° e� V G / ° e H1MN \Qe, Q a O '4� ° CERTIFIED TO: % �� / , ,,� d ° COMMONWEALTH LAND TITLE INSURANCE COMPANY MARTIN ROSEN OAd � rn e ES pOpL 9 O�OC W vi o VV0 O -a Ra CN`�NEY Q�gyp? r Z FENCE `,W 10 O O (1 CONC .71 Ul '0 un dz# BLDG. 0.4'E. Q qp 9 Y •a OJ UNATHORIZED ALTERATION OR ADDITION \y� TO THIS SURVEY IS A VIOLATION OF \Y SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. THE COPIES LAND SURVEYOR'S MAP NOT RING INKED SEAL R GF Q EMBOSSED SEAL SHALL NOT BE CONSIDERED �? TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND 1 LENDING INSTITUTION LISTED HEREON, AND a TO THE ASSIGNEES OF THE LENDING INSTI- TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE. r THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. O PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED Joseph BY THE L.LA.LS. AND APPROVED AND ADOPTED (����/�E FOR SUCH USE BY THE NEW YORK STATE LAND A. no TITLE ASSOCIATION. Land Surveyor Title Surveys — Subdivisions — Site Plans — Construction Layout n 'p, PHONE (516)727-2090 Fax (516)722-5093 •9� Ab. �F OFFICES LOCATED AT MAILING ADDRESS - N.Y.S. Lic. No. 49668 One Union Square P.O. Box 1931 Aquebogue, New York 11931 Riverhead, New York 11901 I i 97-204C