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Home My WebLink About32658-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. 32658 Z Date JANUARY 19, 2007 permission is hereby granted to: EVERETT P WEHR 420 SMITH RD PECONIC, NY for : DEMOLITION OF AN EXISTING SEASONAL DWELLING AS APPLIED FOR at premises located at 420 SMITH RD PECONIC County Tax Map No. 473889 Section 098 Block 0003 Lot No. 035 pursuant to application dated JANUARY 9, 2007 and approved by the Building Inspector to expire on JULY 19, 2008. Fee $ 310.00 ~ CJP~ I Authorized Signature ORIGINAL Rev. 5/8/02 LIPA 117 Doctors Path Riverlwad, NY 11901 Long Island Power Authority September 25, 2006 Mr. Everett 1589 Vestry Wantagh, NY Wehr Road 11793 RE: 420 Smith Road, Peconic LIPA Ref # TI00672815 & TI00672815 Dear Mr. Wehr: This letter is to advise you that there are no LIPA facilities at the above location per a field inspection on September 15, 2006. If you have any questions, please contact Fred Perez at (631) 548-7037. Very truly yours, Steve Aylward Design Engineer Electric Design & Construction ~.. ~-V(.<-.. SAlam TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. ~57 {;.. Do you have or need the follo~ing, before applying? Board of Health ,.-.,. 4 sets \)f Building Plans Planning Board approval Survey Check Septic Form NYS.D.E.C. Trustees Contact: 11t'L,20A ; / L 't ,20-.2.1 I Examined Approved Disapproved a! c Mail to: Expiration 1/ I" ,20~ AIA~ [ Building Inspector PhoneS-lip ~;).l, 6-,),31 &M 3)')- 5.;).s'} I JAN ~- L I,' -..-- 9 -~~ ,1 I APPLICATION FOR BUILDING PERMIT Dat ,204 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot 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 shaIl 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 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. ALL CONSTRUCTION SHALL S h h I. . MI=ET THE REQUIPlil='AENTS OF THE I I' .' I b b 'Id tate w et er app Icant IS ownet;'reoD'E~fffM~~Ptfflf; s~li.~.er, genera contractor, e ectnclan, p urn er or Ul er W ;u:-~ APPROVED AS NOTED Name of owner of premises ~U E[<. et-t r \tl) ~ H-r< DATE: 1: t 8 P. #~ff'~ (As on the tax roll or late!jfaeea) t... . [ VI If applicant is a corporation, signature of duly authorized officer N70TIFY BUIL[ _., i,-VENT AT 65.1802 8 MI . P" .CCR THE FOLLO'.'.'NG If:' '')iiS: 1. FO'j; 'ATION WC; RmU'RED FUn "JUF,EC' c' "CRETE 2. ROUGH. Ffe.'J., ..." PLU:,IBING 3. INSULA TIOi~ 4. FINAL - CO:S"" '''" . IOI~ MUST BE CO/JPLE :,. :,;R C.O. ALL CONSTRUe-,)\! 2H~LL MEET THE REQUIREMEN: ~ C.c TH" C)JES OF NEW YORK STATE. NOT flESPONSIBLE FOR (Mailing address of applicant) (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 whi LUID House Number will be don? .et Hamlet Street County Tax Map No. 1000 Section Subdivision tt'i? Block 3 Filed Map No. / Lot~ ~ 3~ Lot , " (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existingusean~ccupancy 0,'()')J.p Fnill/lt{ b'~(J/}Nj b. Intended use ~d oc~~pancy ~t lnol.L:M ()f/\ ) 3. Nature of work (check which applicable): New Building Repair Removal Demolition ../ Addition Other Work Alteration (Description) 4. Estimated Cost 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. 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 Rear Depth (t1oOS'B Fr) Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front rOb .oD Rear Ion .17 Depth t~ 7- 6'6' 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 'r?~?:d -et1 +, "" ( 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO A 13. Will lot be re-graded? YES_ NO+ Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No Phone No. , 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_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. 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: COUNTYO~ ~..d ( J. (.,(y J11'2- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the PI (. en+ (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 aU 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. S 20 I!l- ~~'1b~ Sign re of Applicant MELANIE OOROSKI NOTARY PUBLIC, State of New York No. 01004634870 Qualified in Suffoik County Commission Expires September 30.2QJ, 0 , SURVEY OF LOT C{ . MAP OF INDIAN NECK PARK FILED MAY ~"1.ICfI3 FILE No. 551 SITUA TE= PEvuNIC, TOJi'lN= SOlJTHOLD SUFFOLK COUNTY, NY SURVEYED 08-28-01 SUFFOLK COUNTY TAX # 1000-<18-3-35. .. CERTIFIED TO, MICHELE HEHR EVERETT HEHR zmr yrY -1YZ IZO ~mz -yO mGl~ rm orO . \5';<) yO" GlzO r~;<) m J:. \5' m o ;<) Z r -\ o " N190'31'OO"B \1, " , ~\ .----- ~ - ~ NOTES, . ~ ~ S ~ r Y ~G -1z IO ~~ mO r;<) 0" yO G11f mm r;<) \l'r 0-\ 2'0 " m G ~ m Cl " (; Cl G <l' g i:i .. ~ -n U'll ffi~ Qrn LOI 1 ,-j- 1,1, ',\ \\ " 0" " 0" O"!iV'l 5190'31' OO'''H MONUMENT FOUND AREA = 12,413 SF OR 0.28 ACRES GRAPHIC. SC.ALE ~~~ 1"=201 u -, N W*E S INDIAN NECK ROAD \)l C) Q 1'21.11' \ \ , I \ \ ffl\ ...../..~..\ ~I. .. I. ..0..\ // Q\ ................. ti1 \ ORIyE O\~1 ----- -LO' G\ In, \ ~) v',"v \Gtl \j \, ~\" '- / I., I' . " poOl s\ ~ .. 34.5' - - - - 2M)' 'I, c'r ;:;; ~ .L \I is' ()iG-\ c:l() ~(i\~ I I \, I ~ . . " ~\.t>' , '. ,~ , , I , I. J}~ fENCE S10GKA.OE: 1'21.0'1,' LOI \\ """"""w;,,,,J ,,"~m'km '''' <>dd;bon '0" "..-,,~~ "'''P '''''''"'"9'' ;"'_''',,~d 10"0 """~'P". ,,,01 '. a vlol"tk.vo uf ,~d;u" ''''0'', """-cl',,,;,,;,,,, 2, or th~ """ '0.->. Stat~ 0"""'0,"00""". 0."4 wple. 1,O'n lOG "'-;'1"'" of 'hi, '""'~~ mar""d ,,"h an "'-'g;""", of lh~ ''''''' ""v~'JQ'" stamped .ea- so..,,, b~ '_~n."'e'~<J to'''' ",,"d l",~ "''';~" G~'H:w';'''"J ;,dwl~d '",r",," '''J";'Y ,hat lhlo """v"y ~". p"~poc~d In a'.'.Q'''anc_~ ~"h lM ~. ;~"'.J Cu,'" "f F~'m.'"." foc I"'"" r-'-""~'J' ""<>plB" ,,, "'" N~~ YD,' ",'dB Ao;o,.I<>'"," of Pco'B;;;"",,1 LmdS,,,-vB,-J"'" C.,;",_","';""Uo", ",,," to lh~ ,,~,'''>' f,,,' ~.,o,,, .",-Jooh',.-"",," ,,," JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 N.Y.S. Lie. NO. 50202 REF.\\Hp server\d\PROS\01-263,pro I .J 1 II, ','