HomeMy WebLinkAbout25094-Z 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. 25094 Z Date AUGUST 10, 1998
Permission is hereby granted to:
MARIA PROIS
125 HARRISON ST
GARDEN CITY,NY 11530
for
CONSTRUCTION OF AN ACCESSORY GARAGE IN THE FRONT YARD AS APPLIED
FOR.
at premises located at 1405 BAYVIEW AVE GREENPORT
County Tax Map No. 473889 Section 052 Block 0005 Lot No. 012
pursuant to application dated MARCH 20 1998 and approved by the
Building Inspector.
Fee $ 35 . 00
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Rev. 2/19/98
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BOARD OF HEALTH . . . . . . %. . . . . . . .
r' �1FORM N0. I ,13 SETS OF PLANS . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
Y- BUILDING DEPARTMENT �CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWNHALL
11971 SEPTIC FORM . . .. . . . . . . . . . . . . . . .
997 SOUTD,
TEL: 765-1802 NOTIFY:
!l / ..-1 j CALL
Examined.'.... � , 19. MAIL TO: . ,{/.f,��_ .!.���j .
�!!!I
Approved..... ..u7..., 19 .�J Permit No.
..:............
Disapproved a/c ..................................
D (Build. ....... .....
(Bd ns tor)
APPLICATION FOR BUILDING PERMIT
-
Date. . ./.�^. . [ . . . . . . , I9.�
BLDG. DEPT.
TOWu nFSOUTHOLD INSTRUCTIONS
a. 'This ab i tion must be completely filled in by typewriter or in ink and submitted to the Building Inspector wii
3 set. ns, ite plot plan to scale. Fee according to schedule.
b. ': oL w: A:;;;.ieg 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 commenced 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 airy purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS 1EREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zane Ordinance of the Tam 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)A/, )!/�5 3
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
....................45r1 . ...........�..(...(............ ......./....................................................
Name of owner of premises ...............'..0 l.f..!l 1.!�..........�d!. ................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nano and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
I. location of land on which proposed cork will be done..............................................................
........../.�i`��.5......................../3.avv. 'exv Rr':.......S.�4o 1cl /V-y'................
house Number Streetqq rr Hamlet
County Tax Map No. 1000 Section ..... .251..... Block ...... ........ mot ....1'1.41.......
Subdivision ...................................... Filed Map No. ............... mot ...............
(Name)
2. State existing use and occupancy of premises and
intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... ,....F.. .'L!:I. .......5.L(,!?l.�'.:�2!ti:....(.�Q�! :�.......
b. Intended use and occupancy ......> .... l.�y...................
`..... .V
iwl
ymS.�...
,mp;r JHo15y$M
••.... @.]OOjF.Wtf.iRoveamunmo;;
3. Nature of work (check which applicable): New Iluilding .......... Addition ...Y..'.... Alteration .......... `
Repair ............ Removal ............. Damolition ............ Other Work ..................................
(Description)
4. `''Estimated Cos t{J..b..� fee ........................•'•. .................
(to be paid on filing this application)
5. if rkaelling, tither of dwelling units ............ blucher of dwelling units on each floor ............. ...
Ifgarage, timber of cars ....et...............................
6. If business, onmercial or mixed occupancy, specify nature and extent of each type of use..........
..........
31
7. Dihrensiahs of existing structures, if any: Front....,-�p.�...... Rear ......®...... Depth . ...........
�J
i
Deight .......9............... Number of Stories ...... ............. � :3.0
O.......
i
R �•�• .....
Dimensions of sere structure with alterationsffr additions: Front ....
... Rear ...
Depth g....... IleiF;f ht ...fa.�../.2/. Nudger of Stories r;:
8. Diuensions of entire new construction: Front ................ Rear ......... a,��e'Depilr................
Ileiglnt ......................... Ikmber of Stories .....................
+ �,�`...
1
9. Size of lot: Frit ....A.. 0 . Rear ......:5�........ Depth ....
10. [)rate of Purchase ....:r.f..7.1 ..... Name of Former Owner ...//....FJ. e.s� 1 /......:...::.....
11. Zone or use district in which premises are situated ........../......
.^^..//....................... ...
12. hoes proposed construction violate any zoningA<�law, ordinance or regulation: ....... ..........
13. Will lot be regraded ......A./�7......... Will excess fill be removed from prenises: YES �, r.
M)/ s "
��jj pp QQay
14. Names of owner of premises ../l J�J:.�!1AddressLYhI.4'7J.f�: ...... )?[pore
Uwe of ArchitecC .............. Address J..�✓.hr L „t' . llmone No.
Name of Contractor ................................... Arklress ...............................Plane No. ....... ... ..
15. Is this property within 300 feet of a tidal wetland? * YES .......... to ...(�....
*IF YES, SOUIIIHD 701-1 IMISIEE.S PCIAII.1' MAY BE IICQOiRI-.
Pd.OT DIAGRAM
locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
Irvin property lines. Give street and block nnber or description according to deed, and slaw street nares and indicate
wlhedwr interior or corner lot.
z/6' XNrcRrolt [oT- sEc144
. 511., yjLocKsj acoTil�
O
O(XJNl'Y Or
srn•ui (>t> Nw Y ,
......... .......................being duly swum, deposes and says dint be is We applicant
(Nae of individual signing contract)
above named,
Ileis the ................ ......... ...................................................................---
(Contractor, agent, corporate officer, etc.)
of said owhx:r or owners, and is duly authorized to perform or have performed the said work and to make aril file this
applicatirnh; that all statements contained in this application are Cnue to the best of: his knowledge and belief; arxl
that. the work will. Ix perfoned in the nnummer set forth in the application filed Werewith.
Sworn to be ••e ne this
...... day of .. . .... ...19..E�..
Nola Pic ... .. . ..... .....
ry ....U ...••.....:. ..... �.�.
NMr1l
L. verk (Signature of Applicant)
0050 CoarnUdonbpkN DOL 8.
atW IUK& J I A It WtrAK ii'i[ni �. oar.�..,..�.�.�,.- ...,.._�......._..
DEC PERMIT NUMBER ■ EFFECTIVE DATE
1-4738-01855/00001 March 2 1998
FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S)
Under the Environmental March 2, 2001
Conservation Lau
TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate !
1 I i
❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Duality ❑ Article 27, Title 7; 6NYCRR
of Waters Certification 360: Solid Waste-Management
❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑3. Artic a 27, Title 9;s Waste Ma agement
CRR
Supply
❑ Article 19: Air Pollution
❑- Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion
Transport Management
11Article 23, Title 27: Mined
❑ Article 15, Title 15; Long Land Reclamation ❑ Article 36: Floodplain
Island Wells Management
❑ Article 24: Freshwater Wetlands
❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37;
Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control
❑ Other:
PERMIT ISSUED TO TELEPHONE NUMBER
Maria Praia (516) 437-8825
ADDRESS OF PERMITTEE
125 Harrison Street
Garden Cit NY 11530
TELEPHONE NUMBER
CONTACT PERSON FOR PERMITTED WORK
same as above
NAME AND ADDRESS OF PROJECT/FACILITY
Prois Property
1405 Bayview Avenue
LOCATION OF PROJECT/FACILITY
Southold
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold Arshamona ue Pond
DESCRIPTION OF AUTHORIZED ACTIVITY
Construct a second story addition to the existing single family duelling and a garage. All work shall be in accordance
With the attached NYSDEC stamped approved plan.
By acceptance of this permit, the permittee agrees that the.permit is contingent upon strict compliance with the
ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of
this permit.
LAUTHORIZED
AL PERMIT ADMINI STRA- ADDRESS
ammarth DMG Bldg. 40, SUNY, Roan 219, Stony Brook, NY 11790-2356
GTU/RF DATE
March 6, 1998 page 1 of 5
6--
/I /r � --__ was .•:�".`_a"6° ,7 "�..�i'�r�`�aT>.' :s°"�'_ rl"'Ti�?i�� .�T� 1'9'T YTI;'i'/r _�
Board Of Southold Town Trustees `
SOUTHOLD, NEW YORK
t.
s, >e PERMIT NO. .qqO._ _ DATE: February_26, 19 .
J ISSUED TO ..... Mania .Prois.
71 R
4 �.
Pursuant to the provisions of Chapter 615 of the Laws of R
fhe State of New York, 1893; and Chapter 404 of the Laws of the �.
' c State of New York 1952; and the Southold Town Ordinance
en-titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
'£ IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on February. 25
19 48_, and in consideration of the sum of $ 150.00 paid by
Maria. Prois
of ..... N. Y. and subject to the
r Terms and Conditions listed on the reverse side hereof,
f ,of Southold Town Trustees authorizes and permits the following:
' t to construct a second story addition to existing dwelling
*u with gutters and leaders into drywells, and existing 8' X 10'decky
" attached to house and a detached garage as shown. Also permit
or existing 40' retaining wall with 3' & 6' returns, a 3' X 15' stat
' ase all in accordance with the detailed specifications as presented in
the originating application. a 39' retaining wall with 3' & 6' retur
As per survey dated Jan.8, 1998. A non-turf buffer at 1st tier. k
IN WITNESS WHEREOF, The said Board of Trustees here-
y 6y causes its Corporate Seal to be affixed, and these presents to IF
6e subscribed 6y a majority of the said Board as of this date.Lr)
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Trustees $
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Town Hall,53095 Main Road 4 4 Fax(631)765-9502
P.O. Box 1179 G Telephone(631)765-1802
Southold.New York 11971-0959 '0
�yOUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 8th, 2006
Maria Prois
10 Raymond Ct.
Garden City,N.Y. 11530
RE: 1405 Bayview Avenue
SCTM# 052 0005 012
Dear Ms. Prois,
Please be advised that your Building Permit#25094 issued August 10th, 1998 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit,please submit a fee of$75.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
AUli
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\10 SURVEY OF PROPERTY
AT Al SHAMCW OLE
TOWN OF SOUThIOLD
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Y.S. LIC. NO. 99618
fil"A TI".AW JWnRM= To It$.V.D. WEI23CT TR,AVE'LER STREET
SOUTH.D, AL Y. 11977
97 - 357