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HomeMy WebLinkAbout29304-Z FORM NO. 3 01D BUILDING TOWN OF SOUTHOLD U BUILDING DEPARTMENT I Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29304 Z Date NOVEMBER 13 , 2003 Permission is hereby granted to: MICHAEL ANERELLA 184-38 ABERDEEN RD JAMAICA ESTATES,NY 11432 for ALTERATIONS AND ADDITION TO AN EXISTING SEASONAL DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#25801 . at premises located at 855 PINE NECK RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0005 Lot No. 033 pursuant to application dated APRIL 16, 2003 and approved by the Building Inspector to expire on MAY 13 , 2005 . Fee $ 150 . 00 Authori ed Signa re COPY Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. -tS2 4614 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25801 Z Date JUNE 15, 1999 Permission is hereby granted to: MICHAEL ANERELLA 184-38 ABERDEEN RD JAMAICA ESTATES NY 11432 for WINDOW ALTERATIONS AND BATHROOM ALTERATIONS FOR SEASONAL DWELLING AS APPLIED FOR Amended to include alteration h addition to an existing seasonal dwelling as applied for. at premises located at 855 PINE NECK RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0005 Lot No. 033 pursuant to application dated APRIL 23 1999 and approved by the Building Inspector. Fee $ 75 .00 Additional fee of $75.00 for amendment. _ Authori Signatu ORIGINAL Rev. 2/19/98 �'"z� 1'� r'�Q-�rrn`� � Cie-L✓� d C4/ �QJ AIJ9 C6� ) '5'4q- gQAg�_ntrT>Frx�i. . .. .. .. . . . . . . . . FORM NO. 1 3-SETS OF .PLANS 4. ... ... . .. .. . . TOWN OF SOUTHOLD SUVE ... .. .. .... . ....... . . . . . .. BUILDING DEPARTMENT CHECK ... .... ..... . ... ... . . . . . . TOWN HALL SEPTIC FORM . ...... . . ...... .. . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: //�� _ n CALL 3q 7 %7d.q - (u!' 'k Examined ..� ., 19.,E.j a�3oy � MAIL To: . . . . .. . . . . .... �. ., ... Permit No. .. ........... w ............ 1131 e3 Dia/c .....I....... ................... `. .................... .. .................... r .... ..... (Building r) APPLICATION FOR BUILDING PERMIT _.._.1 Dat .. ., INSTRUCTIONS a. this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector vi 3 sr_ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings an 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 any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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. ( •gnature of applicant, or name, if a corporation) ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,*general contractor, electrician, pluuber or builde- .................. :� . ........................................................................ Name of owner of premises .........'.1� ....................................................... (as on the tax roll or latest deed) 1 If applicant is a corporation, signature of duly authorized officer. (Name aid title of corporate officer) Builders License No. ......................... Plumbers License NO. ......................... Electricians License No. ..................... Other Trade's License ND. .................... 1. Incation of land on which �proposed Awork will be done.............................................................. ..... J. .7...................!!I!!�r.!`! :)L..�22�-p............................................................. House Number Street Hamlet County Tax Map No. 1000 Section .....7.s ....... Block ........�...... Lot ..�1.......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................. .............. ........ b. Intended use and occupancy ........ .. ... ' .. ............................ ANY ALTERATION OR AVa7DV TO THS"VEY/S A MMA TM SECTION T AS��FOR IM MAP Abp *Q0 �,ME NEW YOW STATE 91X A LAW 1� SIVA OR VAS WARR 7W WK�7 OF TW SURVEYOR WMM S1 M MW APPEARS MDMOYM. ADDITIAVALLY TO OOhftY KM SAD LAM THE TERM ALTERED BY' Awr 9E USED BY ANY AHD ALL SLRVEYORS UTLRM A COPY OF ANOTMN SURVE'YOR'S l{AP. TERMS SMM AS WECTW AN T--To-DATE'ARE NOT N COIPLUNCE wITH THE LAM. AREA = 12017 ac. The local/ons of wells and cesspools shown hereon are from field observations and or from data obtained from others. ✓O l=/wAr wM Ma SMAVARDS FOR APPROVAL AAD CONSTRIiCMN OF"9MALE SEN'A6E AISPOSAL SYSTEMS FOR SA/6iLE FAME RESMMS eaI N aAtdi b.Y Mie cmd*x rel for*Mweb ad M PWW 10 emnel FE '9s 0" x'•.53. ..— FE sw � �ucr.K a�� e a o � o 3 off` CERTIFIED T0* ROBYN CANNAR/ATO ANERELLA ISUTTON LAND SERVICES, INC. m / o N o SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD 3 SUFFOLK COUNTY NY 1000 - 70 - 05 - Sig SCALE 1" = 50' W OCT. 1, 1998 0 rp 2 _ o A/ 83.4500+ M, _ �pF NEWy yk, 13.397' -10 At VCK ROAD f. {° Y: IC. NO. 496/8 f5/6O.7 Y P. 0. 80 1230 TRA V TREET SOUTHOLD, N.Y. 11971 . 98 - 315 184-38 Aberdeen Road Jamaica Estates, NY 11432 January 29, 2004 Mr. Michael Verity Building Department Town of Southold Town Hall Southold, NY 11971 Re: Permit Number 29304Z Dear Mr. Verity: Please be advised that effective January 30, 2004, I will transfer ownership of the property (855 Pine Neck Road, Southold,NY) for which the above referenced permit has been issued, to Anna Andrews-Acker, P.O. Box 429, Shoreham,NY 11786. Therefore, as of that date I request that your permit be transferred to Ms. Andrews-Acker accordingly. Sincerely, L Michael D. Anerella SO!/jyol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G Telephone(631)765-1802 Southold,New York 11971-0959 COU ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD June 20th 2006 Anna Acker P.O. Box 429 Shoreham, N.Y. 11786 RE: 855 Pine Neck Road SCTM# 070 0005 033 Dear Mr. Acker, Please be advised that your Building Permit#29304 issued Nov. 13th, 2003 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$150.00 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.