HomeMy WebLinkAbout31666-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. 31666 Z
Date DECEMBER 9, 2005
Permission is hereby granted to:
SUSAN ROGERS GRUN
1458 MONTAUK HIGHWAY
WATER MILL,NY 11976
for :
DEMOLITION OF AN EXISTING ROOFED OVER PORCH
at premises located at 54305 CR 48
County Tax Map No. 473889 Section 052
pursuant to application dated OCTOBER
Building Inspector to expire on JUNE
GREENPORT
Block 0001 Lot No. 006
14, 2005 and approved by the
9, 2007.
Fee $ 35.00
ORIGINAL
Rev. 5/8/02
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN
APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
INSPECTION SCHEDULE
Pre-construction, hay bale line
1 st day of construction
½ constructed
Project complete, compliance inspection.
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
November 16, 2005
BOAIID OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Ms. Susan Rogers Grun
1458 Montauk Highway
Water Mill, NY 11976
RE:
54305 COUNTY RD. 48, SOUTHOLD
SCTM#52-1-6
Dear Ms. Grun:
The Board of Town Trustees took the following action during its regular meeting held on
November 16, 2005 regarding the above matter:
WHEREAS, SUSAN ROGERS GRUN applied to the Southold Town Trustees for a
permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland
Ordinance of the Town of Southold, application dated October 14, 2005, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council for their findings and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on November 16, 2005, at which time all interested persons were given an
opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 97 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of SUSAN ROGERS
GRUN to replace the steps from the bulkhead, replace the concrete porch with wood,
and replace the roof over the concrete porch, with the condition the bluff is restored with
vegetation, and as depicted on the survey prepared by Joseph A. Ingegno last dated
January 8, 1998.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of $50.00 per inspection. (See attached schedule.)
Fees: $50.00
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/Ims
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO, ~2~:~
.Nov 16, 2005
DATE ....... : ............
ISSUED TO sus~ ROCERS CRUN
Pursuanf Jo J~ provisions of C~apfer 615 of ~e ~ws of
the Sfa~ of New YorE, 1893~ and ~apter ~ of fhe ~ws of lhe
State of New Yor~ 1952; and the Soufhold To~n Ordinance eh-
fffled ."REGU~TIN~ .AND .~E P~CIN~ OF OBSTRUCY~S
IN AND ON TOWN WATERS AND PUBLIC ~NDS and
REMOVAL OF SAND, GRAVEL-OR OTHER MATERIALS.F~OM
~NDS UNDER TOWN WA~RS?r and in acc~dance wlJ~'the
Resol~ion of The Board adopted at a meeting held oo ~...... ~,6.
Susan Rogers Grun
of ............. ~.~?.~ .................................. N. Y. and subject to the
Terms end ~ndlilons listed on ~he revere side ~reof,
of Southold Town' Tr~ees auJhorlzes end permi~ the following:
Wet,and Permit to repZace the step:s Erpm the bulkhead,repk~ce
coucreCe porch with wood, and replace the rooE over the concrete;
porch, ~ith the condition the b~uEE ~ restored ~th vege~at$o~,
and a~ .depicted on the survey prepared by Joseph A.
~11 in eoeordance with the det~i~ sp~Nic~tlons as pre~nfe~
.... d J
.~e ~gm~fmg epp,~h~, ated anuary 8, 1998.
IN WITNESS WHERE', ~e s~id Boerd 0f T~stees ~re-
by ~u~s ifs ~r~rete Se~l to be e~xed. ~nd ~ese ~[esen~
be *ub~ed by ~'m~j~ of the s~d ~erd es of th,s
TOWN OF SOUTHOLD
BUILD1NG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO.
Examined /~'//~ . , 20
Approved //~, 20 ~ //~._____~.- ~ Mail to:
Disapproved a/c
¢ (~Bui ng[~n e/ Phone:
Expiration ,20~ ~o(~ 7 ~ ~ ~ [ 0~
ldi
, :;, - : t t nPeUCAT O FOR umm a
[ .... } ~ Date {¢/
~ ' ~?'7"~ .... ; INSTRUCTIONS .'--
a. This application MUST be completely filled in by t~ewriter or in i~ and submitted to the Bulldog ~spector with 4
sets of plus, acc~ate plot plan to scale. Fee accord~g to schedule.
b. Plot pl~ showing location of lot and of buil~ngs on premises, relationship to adjoin~g premises or public streets or
areas, ~d wate~ays.
c. The work covered by this application may not be commenced before issu~ce of Building Pe~it.
d. Upon approval of t~s application, the Building ~spector will issue a Building Pe~it to the applicant. Such a pe~it
shall be kept on the premises available for inspection t~oughout the work.
e. No buil~ng shall be occupied or used in whole or ~ pa~ for any p~ose what so ever until the Building Inspector
issues a Ce~ificate of Occup~cy.
f. Evew building pe~it shall expire if'the work authorized has not co~enced within 12 months ager ~e date of
issuance or has not been completed within 18 months ~om such date. If no zoning amendments or other re~lations affecting the
prope~y have been enacted in the intehm, the Building Inspector may authorize, in writing, the extension of the pemit for an
addilion six months. Thereafter, a new pe~it shall be requked.
~PLICATION IS HE,BY M~E to the Building Depa~ment fur the issu~ce of a Building Pe~it pursuant to the
Building Zone Ordin~ce of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or
Repletions, 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, ~d regulations, and to a~it
authorized inspectors on premises and in building for necess~ inspections.
(Signa~e of ~plb~ ~ name, ifa co¢oration)
A . (~ailing address of applicant)
State w~e~er ~li~t i~ ow~er~ le~8~, ~t, ~il~t~ ~er, [aner~l ~o~tm~lo[, ~l~t~i~ ~l~ber o~ b~iMer
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
,2o03
APi R )VED AS NOTED
/~ DATE' \~' q BP// (
ameofownerofpremises 5UL~\ ¢06:[~'f5' ~TCx..-v~'
~As on the tax ~:.~.r l~o3'~eedJ~Y:
If applicant is a corporation, signature of duly authorized officer r~u~m¥ BUILDING i. :'['A~'MENT AT
765-1802 8AM TO 4':'M FOR THE
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
//~HOocation of land on which proposed z~ork will be done:
ouse Number Street'
County Tax Map No. 1000
Subdivision
(Name)
Section
FOLLOWING INSPECTIONS:
1. FOUNDATION . TWO REQUIRED
FOR POURED CO'~iCRETE
2. ROUGH - FRAk'.?'gG & PLUMBING
3. INSULATION
4. FINAL - 3C.y--'-n_!)CTION MUST
BE C? F; ~ - ' "0.
ALL COI'IS '?UC,-ION Sd~LL MEET THE
REQU!RF', '~T30FTHECODESOFNEW
YORK S;.¢,c ~T ~,F~n~Slm~ ~
/
Block Lot (%
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and oc.cupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
RNature of work (check which applicabl~New Building
epair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
~,/ Addition Alteration
Other Work
(Description)
Fee
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size of lot: Front Rear Depth
Depth
Rear
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 Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES L-//No
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS~ 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 foundation plan and distances to property lines.
1c~ALTf~elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
E OF NEW YORI~)S.
WY OFSo~-o} ~._) '
~ ~/M'X ~O(7-~'~ ~'Ct,,~, 1'"', being duly sworn, deposes and says that (s)he is the applicant
(Name of individlal signing contract) above named,
(S)He is 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 tree 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
LORI H. MONTEFU$CO
Notary Public. State of New Yolk
No. 02MO6Z09502
~ Q.ualified in Suffolk County
uomm~ssiofl Expires May 24, 20 __
Signa~nt