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Home My WebLink About31584-ZFORM 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. 31584 Z Date NOVEMBER 4, 2005 Permission is hereby granted to: JAMES & WF MOTT 42205 COUNTY ROAD 48 SOUTHOLD,NY 11971 for : DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 42205 CR 48 County Tax Map No. 473889 Section 059 pursuant to application dated NOVEMBER Building Inspector to expire on MAY Fee $ 341.45 SOUTHOLD Block 0003 Lot No. 025.001 3, 2005 and approved by the 4, 2007. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOL'D', N~ 11971 TEL: (631) 765-1802 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval FAX: (631) 765-9502 o/~'"~-k/ :1~ Survey www. northfork.net/Southold/ PERMIT'NO. ,,_~/'~' o ~ ~ Check / · S~tic Fo~ / N.Y.S.D.E.C. t/Id Tmstees Ex~ed litI] ,20 ~ Contact: A~roved 0/ q ,202~ ~ Mail to: Disapproved ~c Expiration APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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 par~ for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permAt 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 Perm/t 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. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest de~pPROVE0 AS NOT~D If applicant is a corporation, signature of duly authorized officer DATE: (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: House Number Street County Tax Map No. 1000 Section Subdivision (Name) FEE:dO'W-- NOTIFY BUILD:NG , 'PARI'[~IENT AT 765-1802 8AM TO d ~;,l FOR THE FOLLOWING INSPEC 1. FOUNDATION - %~;r; FOR POURED CC 2. ROUGH - FRAk~,'; ~ 3. INSULATION 4. FINAL - CON:T~UCTOrl MI.:ST BE COMPLETE u&~¢ON$TRUCTiCN Sm~,~ DEET THE ~IREMENTS OF THE ~ES~ NE~": ~K STATE. NOT ~E::',~S~E F~ o;i ~K~.Nap Ng. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition ,~ Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. _ ........... 7. Dimensions of existing structures, if any: Front Rear Depth _ Height Number of Stodes Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stodes Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordInance or regulation? YES__ NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No _Address Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF3-//,~/~SL(_ x j~ fl0 t~, ~ J ?~9~L being duly sworn, deposes and says that (s)he is the applicant (Name ofindividuat signing contract) above named, 4~e~s the (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 / . .:2prd day of ,/~b/~o'~-.4 ' Not~ Public H~ ~ Si~ature of App{icant NOT~ ~ ~ OF ~Y: ~ .... NO ~4~1 SURVEY OF SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C.T.M. DIST. 1000 SEC. 059 BLK. 03 LOT 25.1 25 13 0 25 SCALE: 1"= 50' 50 75 100 125 150 175 200 DATE: SEPTEMBER 17, 2005 S.C.D.H.S. ENDORSEMENTS 225 CERTIFIED TO: JAMES C. MOTT CHARLENE MOTT JOB NO. 2005-329 MAP NO. FILED: REV/SONS: HANDS ON SURVEYING 26 SILVER BROOK DRIVE FLANDERS, NEW YORK 11901 TEL: (631)-723-1954 - FAX:(631)-723-1329 MARTIN D. HAND L.S LOT AREA: 31,016 SO. FT. = 0.712 ACRE (ROAD LINE AS WIDEND - CALC.) 34,138 SO. FT. = 0.784 ACRE (DEED) ELEVATIONS HEREON REFER TO APPROX. MSL DA TUM AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS EXISTING WELL & SANITARY SYSTEM TO BE ABANDONED EXISTING DWELLING & SHED TO BE REMOVED ALLOWABLE LOT COVERAGE: 6,203 SO. FT. = 20 % PROPOSED LOT COVERAGE; 2,100 SO. FT. = 6.8 % TEST HOLE DATA TOPSOIL CIA YEY LOAM WI 5% GRA VEL MARL PALE BROWN FINE TO MEDIUM SAND & GRA VEL EL.39.0 +/- .2.0' ..4.Or -17.0'