HomeMy WebLinkAbout29494-Z Z
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
� [ ] FIRE/S'AFETY INSPECTION
REMARKS:-
DATE
EMARKS:DATE INSPECTOR
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. 29494 Z Date JUNE 13 , 2003
Permission is hereby granted to:
JGM MANAGEMENT CORP
734 FRANKLIN AVE STE 477
GARDEN CITY,NY 11530
for
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH WRAP AROUND
PORCH AND AGCY GARAGE AS APPLIED FOR (2 CO' S) ; FLD. PMT. INCLUDED; PRIOR TO 2003
at premises located at 4050 BAY SHORE RD GREENPORT
County Tax Map No. 473889 Section 053 Block 0006 Lot No. 027 . 002
pursuant to application dated DECEMBER 31, 2002 and approved by the
Building Inspector to expire on DECEMBER 13 , 2004 .
Fee $ 1, 112 . 50
Authorized Signature
COPY
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. � Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20_ Contact:
Approved lJ7 12003 Mail to: 1 O � Pa,
C ov�� u e.
Disapproved a/c 01fa
Phone: c7
Expiration /3 ,20-0a
�.:.� (� f !1 j r+` Building Inspector
AP ATION FOR BUILDING PERMIT*
e
r '+7cD Dat .3 20"
INSTRUCTIONS
a. This applicatio{"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.Plct 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 by 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 completp4 within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the inter,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 regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
( pplicant or name,if a corporation)
(Mailing address of applicant)
t'et,i 4yd� Pvtr ) N t tom
State whether applicant is owner, lessee, agent, architect, engineer, general contract r, electrician,plumber or builder
rc�k i -pct
Name of owner of premises SG e,4^A e vL+ r
(As on the tax roll or latest de d)
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 pro used work will be done:
N�� 8u X ore- o
House Number Areet Hamle
County Tax Map No. 1000 Section 63 Block Lot �-7 • Z
'division Filed Map No. Lot
ct _��
G W>� $)g)o0 W � .
J \fArl Av\Ge- 5R-ar:- n
FWMINSnMON REPORT DATE CONIlVIENTS
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FOUNDATION(1ST)
C
FOUNDATION(2ND)
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p
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ROUGH FRAMING& y
PLUMBING
INSULATION PER N.Y. y
STATE ENERGY CODE
h
FINAL
,
ADDMONAL COMMENTS
O
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ty
M
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SURVEY OF LOT 150 $ P/O LOTS 14q 4 151 -- - - -- - N
AMENDED MAP A OF PEGON I G BAY ESTATES �
FILED MANY la, 1133 FILE No. 1124
SITUATE: AR5HAMOMA4GUE ill,,
TOWN: SOUTHOLD
15UFFOLK 000NTY, NY
5U -00 v o�
AMENDED 12-15-2000, P10 \ '0
12-21-2000, 03-26-01
SUFFOLK GOUNTY TAX # UPj\,\G N4
\t r� Sf PTIG DETAIL Q= ,
1000-53-6-27.2 not to sGa l e ao
CERTIFIED TO: 3�p')Nc`� /,,; t/1 E
•' — \\\ MA%SMp52N EL- 6.7 proposed grades min EL= 7. inv.=
ALLIANGE AE35TRAGT \� S v" MSPti�5Y`' EL-F.e inv.- cover inv.- 6..5
J6M INVESTM NT Q pR 6 �\ g 15V septic min. pitch
`,1 leach in cover �r 0P 5000 gal.
E CORP ROP�jE ,- VV \ 2 otleeP min• pitch tank i A- per ft
ei5 3, - 1351 ri 3�, N rn Q goo s'f*
min. 2'
separation
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rn ground water _-7
TEST HOLE est N0`5
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NOTES:
• f' Q Qorna o s
i � Vncvthcr.¢ed ater�t_zCq Pr�d,�;lonsa op=t°e
MONUMENT FOUND r p Na E ry
0 PIPE FOUND Fti . 5 J mocked ry��� _ �i e fiord wrveyere
S
Q, omFed seal s re'°n�ldered de alld s
J
AREA = 10g38 SF OR 0.25 ACRES F� LAND 5 ert,i;_atic s;ndl_ated hereon s,an;iy th, t„;,
�ey rvos Fre�ored n _ :he e-
'est"n9 Gcde: - o Svrveis a [ed
dy the New Yor.$Cote Assoc,oten of Froi s5i�nal
Lond S�rveycrs. Sold certif'.ceticns 5hcll rvn onl°
WATER MAIN SHOWN FROM SUFFOLK COUNTY
WATER AUTHORITY MAP 22-R, DEG. 6, Iggb t�.neva`.yee,�iTa,an,,na,nstlt�t;cn �ert;r,��- I
PARCEL LIES ENTIRELY WITHIN FLOOD ZONE AE EL 8 151anc1 View Lane JOHN C. EHLER �e
rc[tronsf erx'e rc odd::"icnc.nstvt:.cns
A5 SHOWN ON FEMA MAP No. 36103G015q G 5\4\q8 S LAND SURVEYOR
6RAPHIG 56ALE I"=20' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
RIVERHEAD,N.Y. 11901
---- _- _ _ - 369-8288 Fax 369-8287 REF.—\\Hp server\d\PROS\20-293b.pr0
02/27/01 10:52 '$516 248 2261 DEMETRIOU & DEME C�IU41/001
• '4i i".
SUFFOLK COUNTY WATER A.UTHORXTY
Timothy J. Hopkins Administrative Offices:4060 Sunrise Highway,Oakdale, NY 11769.0901
General Counsel (631)563-0236
Fax(631) 563-0370
G
August 8, 2000
Michael Demetriou j Esq.
Demetriou and Demetriou
6481~ranklin Avenue
Garden Cite, NY 11530-5748
Re: Application for water service, Mrs.Helen Louca
Bay Shore Road,Greenport, SCTM #1000-53-6-27.002
Dear Mr. Demetriou:
Our records indicate that your client previously applied for water service for the above referenced parcel.
Subsequent to your application,the Water Authority has determined that the parcel is located within an
area of public water service and that water is currently available for the subject parcel if you are still
interested.
This letter of availability is not to be considered an action by the Suffolk County Water Authority as
defined by the New York State Environmental Quality Review Act regulations or a determination that the;
parcel is approved for building- You are responsible for obtaining any other permits or approvals that may
be required for the proposed project. The Suffolk County Water Authority shall not be required to provide
water for the project until all required approvals have been obtained.
This letter should not be deemed a guarantee of water availability at the time your client wishes to hook-up
and is subject to recission.
Please contact the SCWA's Regional Manager in Westhampton at 631-288-1034 for fees and conditions of
service.
Very truly yours,
John C. Milazzo
Attorney
cr: Herman J. Miller, Deputy CEO for Operations
Steve Romana, Regional Manager