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.
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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
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Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
..$0....
20" k.
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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
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MELANIE OOROSKl
NOTARY PUBLIC, State of New York
No. 01004634870
Qualified in Suffolk County., :\il I,
Commission Expires September 30o<:UJJ.J b
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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.. - -
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(TEST HOLE DUG BY McOON
EL_ 7.6
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GROUND WATER
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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.
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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