The URL can be used to link to this page

Home My WebLink About29607-Z FORM NO. 3 TOWN OF SOUTHOLD I 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. 29607 Z Date JULY 25, 2003 Permission is hereby granted to: ROBERT F SWING & WF 28 DYKE ROAD SETAUKET,NY 11733 for ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA DEC. #5225 ; FLOOD PMT INCLUDED; PRIOR TO 2003 at premises located at 445 ISLAND VIEW LA GREENPORT County Tax Map No. 473889 Section 057 Block 0002 Lot No. 027 pursuant to application dated JULY 24 , 2003 and approved by the Building Inspector to expire on JANUARY 25, 2005 . Fee $ 774 . 40 Authorized Signature ORIGINAL Rev. 5/8/02 FIELD INSPECTION REPORT DATE commmm 9 m 6' FOUNDATION(18T) _ ------------ --------_---- m eh FOUNDATION(2ND) z 0 1 e� ROLtGH FRAMING& s PLUMBING UggUiAT10N PER N.Y. - 3TAT`r ENERGY CODE FINAL ADDMONAL COMMI2M O z m m NJ Loloo O x l � 0 I i 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 5 ,20 03 Contact: Approved YPS 2003 Mail to: Disapproved a/c Phone: Expiration � ,20_P5 ,, 711 7 Building Inspector i It 1 1 Q 2003 APPLICATION FOR BUILDING PERMIT Date APP-tL :2g , 20 n b 'QLD INSTRUCTIONS a.This application 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.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 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 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 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. (Signature of applicant or name,.if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,general contractor, electrician,plumber or builder Name of owner of premises tZOV,-FR-T 4 C-v7,uA4 6LA. -1 0 C; (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer R CN 1T r ewe LAC7&Je,car (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: 445 sst-A►.3Dview Utz cul✓ G POP-� House Number Street Hamlet County Tax Map No. 1000 Section rJ Block ()C;2- Lot o2 1") Subdivision Filed Map No. Lot (Name) r r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 51 NCr(�C P,4y bWF_U_1 toG - b. Intended use and occupancy f2j tje,',L'V_7 C-4,t-4 i L�_ {�WE L-( O� . 3. Nature of work(check which applicable): New Building Addition x Alteration >c Repair Removal Demolition )c Other Work (Description) 4. Estimated Cost f! '7�, 000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, 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: Front 4 1'- 0`" Rear LA C- O%� Depth c2 Height 1 1) - 4 " Number of Stories I Dimensions of same structure with alterations or additions: Front 41 1- 01, Rear Depth 1;2 Height C2 ` - � Number of Stories 19- 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front �J O Rear - ` Depth r9Jr�J� - qt 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12- �0 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 bOP) - l'.i✓UA �6Addressa �a� Phone No. Name of Architect rRA 0 V-- ►p0-yArQjD Address,btto5 Mm 0 i-n-14'Rd'hone No 631-,,Q q ' l lama?_ Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES -,0 NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. qv� D5C OV IP- 1 I T E►l9 `�Ol� 16. Prov ode survey, to Scale', wit acCte found i'on plan and dis a cels to prop erfy lines. v� � SPP 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 OF,'-AWV0L K,) A&0.)kt-c>J1!/k being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the A-6m�IV (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 day of 20 0.3 Notary Mblic Signature of Applicant UNDA.l.COOPER Notary Public,State of New York No.4P22563,Suffolk County Tiara;&Piires Deceiriccr S4, I$i.0,14 06