HomeMy WebLinkAbout29143-Z o�gUFF04Q9,
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Town Hall,53095 Main Road O Fax(631)765-9502
P.O. Box 1179Telephone(631) 7654502
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 20,2005
Michael&Melissa Cosgrove
P.O. Box 418
Cutchogue, N.Y. 11935
Premises @ 900 Leslie Road,Cutchogue,N.Y.
Building Permit#29143-Z
Suff. Co.Tax Map#1000-97.-9-3
Dear Mr. &Mrs. Cosgrove:
Please be advised that the above building permit has expired, and construction was not done.
According to the Code of the Town of Southold,a building permit expires in 18 months from date of issue,
with a 6 month extension allowed for a total of 2 years. Construction must begin within a 12 month period
or the building permit becomes void. Your building permit expired on February 5,2004. We have voided
this permit.
If You have any questions, please do not hesitate to contact this office.
Respectfully,
Southold Town Building Dept.
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. 29143 Z Date FEBRUARY 5 , 2003
Permission is hereby granted to :
MICHAEL P COSGROVE
900 LESLIE ROAD
CUTCHOGUE,NY 11935
for
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at 900 LESLIE RD CUTCHOGUE
County Tax Map No. 473859 Section 097 Block 0009 Lot No. 003
pursuant to application dated DECEMBER 31, 2002 and approved by the
Building Inspector to expire on AUGUST 5 , 2004 .
Fee $ 558 . 90
A rized Signature
ORIGINAL
Rev. 5/8/02
FIELD INSPECTION REPORT DATE COMMECm b
FOUNDATION(1ST)
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FOUNDATION(72ND)
2
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ROUGH FRAMING& �, r7
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE JD
FINAL
ADDITIONAL COMMENTS
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1 � .
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BOARD OF HEALTH . . . . .. . . . . . . . .
t FORM NO. 1 3 SETS OF PLANS
1 l TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . .. . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . ... . . . . . .
a TOWN HALL SEPTIC FORM . . . . . . . . . . .... . . . . .
SOUTHOLD, N.Y. 11971 DEC . . ... .. .... .......... .
S
TEL: 765-1802 TRUSTEE . . . . ... . . . . ....... . . . .
NOTIFY:
CALL . . . . . . . . . . . . . . . . . .
Examined... (s......., 2o.3 MAIL TO: . . . . . . . . .. . . . . . . . . . .
Approved..S,A.f 5........, 3... Permit No. .1 .... ....................................
Disapproveda/c .................................. ....................................
( .ilding LInspector)•..••..
APPLICATI,ON FOR BUILDING PERMIT
Date. I.z. .� , 2C. . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter'or in 'ink and''submitted to the Building Inspector wii
3 sets of-'plans, accurate plot plan to scale. Fee according to schedure. '
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 must be drawn on the diagram which is part of
this application.
c. The work covered by this application may not be camnenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will 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 MM to the Building Department for the issuance of a Building Permit pursuant to the
Building Zane 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.
A ..v v �.`.1 .. :...........
(Signature of applicant, or name, if a corporation)
......................
(Mailing address of applicant)
State whether applicant is owner, lessee, nt, arch' engineer, general contractor, electrician, plumber or builder
Nameof 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)
BuildersLicense No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on which proposed work will be done...... • ;F:S<1 Ze..1.` . .....................
................................................................r!ri.T�:�G.eC.................................
House Number Street
qq Hamlett
County Tau Map No. 1000 Section ......✓..7.... Block ....Q.�...... Lot .....03.
Subdivision ...................................... Filed Map No. . l.ot ...............
(Name)
2. State existing use and occupancy of_premises and intended use and occupancy of proposed construction:
Stir �/��?/L� /liL�.S/t��ic/
a. Existing use and occupancy ........ ... ?. 7. ....... ......................... ...............
b. Intended use and occupancy ...................... ................. ...... ....................
3. Nature of work (check which applicable): New Building .......... Addition ..k. Alteration
X....
Repair ........ Removal ............. Demolition ............ Other Work ..................................
��� /, (Description)
4. Estimated Cost ....1/..Va.o ....... fee ..............................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............ thuber of dwelling units on each floor ................
Ifgarage, number of cars ......................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...........
7. Dimensions of existing structures, if any: From . ... .::!�Re ............... Depth .................•
height ......................... Number of Stories ......................
Dimensions of same structure with alterations or additions: Front ............... Rear ............
Depth .................... Height .................... Number of Stories ............... ..
8.
Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Height ......................... Number of Stories ..................
9. Size of lot: Front ...5E—.:SV.Os"V .V .............. Depth .................... `
10. Date of Purchase ..................... Name of Former Ownerp ..,......................................
II. Zone or use district in which premises are situated ...../'.T 6...............................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .....N.a.............
13. Will lot be regraded ..... 6........... Will excess fill be ed ff�� p�rreause yES
o C,ESLf 7b G�
14. Names of Owner of premises W-4e4.M-4e4Address 1?.(}..�3! ...:S�.I.Q�......H Phone No.
Name of Architect C[ �,Z. 0/4/�vE .. Address C���lv ..9.� P
�=L•• !� 3.............. Phone No.7-3�/....Y.!P.'
Name of Contractor ................................... Address ......c(-1/71-0a,v'C.........Phone No. .............
15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ..........
*IF YES, SQTIIIHD TOWN IMMMS PM41T MAY BE RE MM).
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block comber or description according to deed, and show street names and indicate
whether interior or corner lot.
SfAlr OF Nw WA,
SS
OUINIT OF .......................
... ���- =•-•'�"•�•," -,...........being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named,
11eis the ................... .........................
(Contracto , agent, rate officer, etc.) '-.- -••-•-•.•--.•�••.••••�•�•��•��••��-
of said owner or owners,.-and is, 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 malmer set forth in the application filed therewith.
Sworn to before me this
....... ........day of .. .` Y..2°.O ,. •r',
Notary Publ' ... ... .......
'ROSEBl1' Cul JR. York '(Signature.of•Appli.cant)•.'•'•.-
PubliC,Sta atif New
Notary . olk CountY
Qualified it,S � .
No.01SC4 2508
Term Expires May 31.
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TO�+'N OF SOUTHOLD ��F
SL FCXK CO(AVT
N. Y.
Scale: I"= 40'
.kre 4, 1993
Area = 461,079 sq.ft.
�a � �► niS Sae v67 ii*S 6"A..)
V 1c, 4LTZX,4�0 461
scb ioln-7z Opt/ (21 Z-710 L
CERTAF'A�D TOW �+t i SADOwsTV /N 01 cli
DAM Ia � ,�
DOAWA SADOWSKi
ARCS AVRTGAG•E ANC. �►� 9 {p8
PECOINC ABSTRACT, W. T
FARST AAEMAN TITLE N "AtXE CObPANY OF '., oM f0i
Now YOWK f606-S-03381
pE NEW Y,.
METrr3���'�i °a
Prepared in accordance SIM the n**mNn f 13
,fl.9hll IC. NO. 496/8
stwWwds for fft surveys as "labbbed
by Me L.I.A.L.S. and approved end adopted
for such use by The *w York Sloe Land l5/61
P. O.
Me AssocfoNon. ANAAN U Sv
SOUTHOL , 971
93-211 __ _ _ __
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: / l lo /0,3
APPLICANT: DATE SUBMITTED: 10181 /02
SCTM#DISTRICT: 1,000, SECTION: J97 , BLOCK: V , LOT: 3
STREET ADDRESS: 91�EFoR�_CITY: 1� SUBDIVISION:
PROJECT DESCRIPTION: Z rp
ESTIMATED PROJECT COST: -f�C/C NGINEER: FAST TRACK?
SINGLE & SEPARATE CERT ICATION-REQUIRED? lq°NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8:
ZONING DISTRICT: go CONFORMING?- V�
REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV.
REQ. FRONT PROP. FRONT SS' REQ SIDE — ACT. SIDE
REQ. REAR S0 PROP. REAR ,/ REQ. HEIG T PROP. HEIGHT
WATER FRONT? SCRIPTION:
PANEL #: FLOOD ZONE: X ,
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DERP. YES or 13ED #): DTE:—/—/ PERMIT#:R10-
TOWN SEPTIC RECEIPT: Y 010
NEW YORK STATE DEC: PRE-DEC 9/v7s YES oew
SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES
TOWN HISTORICAL PRE (SPLIA): YES O
NYS ENERGY. S R NO : '&4j, O- �7° �
EGRESS (18 H . 4 sq total NT(SQ. FT. x 4%) - --LIGHT(SQ. FT. x 8%)—
BUILDING PERMITS OPEN/EXPD: BP -Z/C/0 Z- ,
HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- ,
NOTES
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SE INIT OTHER TOTAL
TOTAL: VIQ 6215 SE 9a FEE FEE EEE 10
1. (CQ2 � SF)-�SF)= SFX$ �V =$ to �+$ 1' 6 +$ _$
2. ( SF)-( SF)= SFX$ =$ +$ +$ _$