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HomeMy WebLinkAbout32300-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. 32300 Z Date AUGUST 22, 2006 permission is hereby granted to: B THERMOS 5 KNICKERBOCKER RD MANHASSET,NY 11030 for : DEMOLITION OF AN EXISTING SEASONAL DWELLING AS APPLIED FOR at premises located at 355 SOUND BEACH DR MATTI TUCK County Tax Map No. 473889 Section 099 Block 0001 Lot No. 019 pursuant to application dated MAY 16, 2006 and approved by the Building Inspector to expire on FEBRUARY 22, 2008. Fee $ 107.60 t~ C2iL : Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId/ PERMIT NO. J;lyf7 t; , ~3?3oD W ~ BUILDING PERM,T 6srULrtllV" vllJ::Lhc. De you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form NYS.D.E.C. Trustees . Contact: C /.AI'; 1< /<J&7UI- Mail to: dSof,g.,o/j -'-)},. .#a/h ~ Phone: SIt. '3$ '1- if.2.;lS Examined Approved Disapproved alc Expiration ?~,20~ Fre c';'--; , I' ;)}--!';._i':\"I.r~~':' Ii. '\ ~ i ! i i ",' ;.l'\! MAY , 6 ~ 'J" I '. L_ '~'h' _.1-'; I r . '..1, ' ., :~ -"'A" -. . j -L~~'.~~:'i _S\):)_i,~:.":;L~~ I~ Building Inspector APPLICATION FOR BUILDING PERMIT Date ..$0.... 20" k. '- INSTRUCTIONS This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of I ns, accurate plot plan to scale. Fee according to schedule. t. 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 South old, 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 appEcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorize~::ors on pr::::: and::din~ f:::sSary inspections. ~ k ) L t:iI1! L ft Q., _ 26.# ezp,..,..n/ e J (Signature of applicJMlf or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Q,J / ;t./K Jk~f / (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on which roposed wo i!JJ>LL' House Number Street 'J.<.t /19/- Hamlet County Tax M~. 1000 Section Subdivision k' ,A-; d;.i (Name) /'1 Block CJ / Filed Map No. Lot If Lot ,.. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .5>/";0- )'0 "'7 c4~ d7 .r b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ---- Addition Repair Removal Demolition""--- Other Work , Alteration (Description) 4. Estimated Cost JOb.d..~ Fee 5. If dwelling, number of dwelling units If garage, number of cars (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 Depth Rear Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front .2 7 Height . ~ F. <f Number of Stories _~ Rear .:(7 Depth V Y 9. Size oflot: Front So Rear $", Depth /S-6 10. Date of Purchase <:5l.-dIJj- Name of Former Owner 11. Zone or use district in which premises are situated ~ </6 r 12. Does proposed construction violate any zoning law, ordinance or regulation? YES ~O ~ A.f/# 13. Will lot be re-graded? YES~ NO~ Will excess fill be removed from premises? YES~ NO~ 14. Names of Owner of premises g. ~ ~rno" Address S;,od fr~~.,.d1~one No. cJ?.f-- i/ Y 7 Name of Architect ./. 'o~, 1<<.' 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 _NO -- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO -- * IF YES, D.E.e. PERMITS MAY BE REQUIRED. 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 OFStlt(..{)L\( ) CA:,,,L- (Name ofindividu ,,~ ~ being duly sworn, deposes and says that (s)he is the applicant signing contract) above named, (S)He is the CL (Contractor, A ent, 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. 20JJ.h ~/L.'6 MELANIE OOROSKl NOTARY PUBLIC, State of New York No. 01004634870 Qualified in Suffolk County., :\il I, Commission Expires September 30o<:UJJ.J b <>'" *'~~+-'\?>.o $" <;)~"?.;} S" ~~'I- ~ ~ ,>, ~ '2 '0 ,;,'" (j ~~o ..y~-0~ *<";,:0 I\>c,S ~'I- ~. ~~ <.)~ ,). 0' GV4" l'>.: ,,, .a .,,~~~ ,o...V... Y,:,0 ,:,'15 " . ~1 ,?/. . X/.- ". ~ ~<.) qp\J ,,1',,'. V' "'d'. 00. 00, <' '" "A '" 6 U'~~ ~((...: A't ".. +.. 0", 1;; ~ ~ ;,.<>,..if $-<" <:>~<iv <,0 # ~. '.6'" SURVEY OF LOT 21 BLOCK 1 MAP OF KIDD ESTATES riLED JANUARY 19, 1949 SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-99-01-19 SCALE 1 "=30' FEBRUARY 2, 2005 CAPTAIN FILE No. 1672 AREA = 7,500.00 sq. ft. 0.172 ae. CERTIFIED TO.' PAUL DiMARCO NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: iQJl EXISTING CONTOURS ARE SHOWN THUS, - -10.. - - '" "A '" 6 -rv.~ 1-<<.-; )-'t "" r.. "'.. ~ o o~ v \2./ ,-- , .- ... .- ',?----- /' ~<'>,\O ----"', Vo ,1 y--- ~ .0''0-----. - 0..\9----- zo-;;~~ ""., o o~ v TE ST HO (TEST HOLE DUG BY McOON EL_ 7.6 EL. 1.B GROUND WATER \ ". -/.._____1-0 " _____ lill' ,()(), .<0')<:'<:) <,'l-<'()'0 ,;,"'" S O~ ~~ _\+~o v V 0r ,-v, 'V~~/X'v S" ,~'I- ~. \ UNAUTHORIZED AlTERATION OR AODmON TO THIS su~ IS ^ VIOlATION OF SECTION 7209 OF THE NEW YORK STATE roUCATION LAW. COPIES Of" THIS SURVEY MAP NOT BEAAING THE LAND SURVEYOR'S INKED SEAL OR EMOOsstD SEAL SHAU. NOT Elf CONSIDERED TO BE A VAlID TRUE COPY. CERTIfICATIONS INDICATED HEREON SHAU RUN ONLY TO THE PERSON FOR WHOM THE SlJR'VU IS PREPAAED, AND ON HIS BO'ALF TO THE mLE COMPANY, GOVtRNMENTAL AGENCY ANO LENDING INSTlTVTlON USTED HEREON. ANO TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERllfICATlONS ARE NOT TRANSFERABLE. '" "A "'6 ,J'Co~ ~y/. )-'t "" "'" "", 1;; THE EXISTENCE OF RiGHT OF WAYS AND/OR EA.SEWEHlS Of RECORD, IF ANY. HOT SHOWN ARt NOT GUARANTEED. "i N.Y.S. Lie. No. 49668 oseph A. Ingegno Land Surveyor Title Surveys - Subdivisions ~ Site Plans - Construction Layout PHONE (631)727-2090 OFFICES LOCATED AT 322 RQANOl<E AVENUE RIVERHEAD, New York 11901 Fax (631)727-1727 MAILING ADDRESS P.O. Box 1931 Rivemeod, New York 11901-0965