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Home My WebLink About32876-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. 32876 Z Date APRIL 4, 2007 permission is hereby granted to: J PERETZ 5795 ROCKY POINT RD EAST MARION,NY 11939 for : DEMOLITION OF MUD ROOMS (2) & INGROUND SWIMMING POOL AS APPLIED FOR at premises located at 280 ROSENBURG RD EAST MARION County Tax Map No. 473889 Section 021 Block 0001 Lot No. 003 pursuant to application dated MARCH 30, 2007 and approved by the Building Inspector to expire on OCTOBER 4, 2008. Fee $ 220.00 l!c:tc ~M (:JL . Authorized Signature ORIGINAL Rev. 5/8/02 ",. I; I TOWN OF SOUTHOLD BUILDING DEPARTMENT 3 TOWN HALL;AR 0 2f' SOUTHOLD, NY 11971 TEL: (6~J65-1802 FAX:'(631) 765-9502 www.northfork.net/Southoldl r ,.' BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. '3xl' t- Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Tiitktk. uelltHdukl Poe 816 ~rat'l.:JP";f 1/911- Phone 63/. 4t7J36U Examined "'r~ , 20~ APproved~, 20 'V 7 Disapproved alc Expiration If) fL,20J2L I ~~ector APPLICATION FOR BUILDING PERMIT Date 03/30/ ~ r ,20_ 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 shaH 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 ifthe 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 ofthe 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder --9/2CHE$C:{ Name of owner of premises O~6.sE PER-ETe-- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (N ame 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 work will be done: G~gc;. R..ock.<r PClII.JT R..tTTtD House Number Street County Tax Map No. 1000 Section Subdivision 021 E;Z;.sT H19t2/01.....J HamlealtO:lOTRAM J 1UJ"H:J,~iJ .., ...,waM '10 3TA'iil .oueU'l'mATL', nililaleAMtO .01/1 Block 01 'tMIllOx.m'UIHI1~~" ..JII U ..... ..3Sl~ llOt~l!1I ..0:> YM Filed Map No. .. 0 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy RES/Oe--<<.)"n"c;L b. Intended use and occupancy R.t=5 / CJC2.Y(?"q C 4. Estimated Cost 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition VPCOL Other Work Fee <i9-0- (To be paid on filing this application) Number of dwelling units on each floor Alteration (Description) 5. If dwelling, number of dwelling units 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 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 Rear Depth 10. Date of Purchase 03/Zt70=r . Name of Former Owner ..JUNE Vffi.(.t9CCI LClV R.,R't'hCiVD I II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO_ , 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 of a 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: COUNTY OF 6vIP1 k) FlZ/1IJIC UEL t.ElJt?ltH( being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the AJzc.HI'/l::c( (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 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. Sworn to before me this '3cf+'\ dayof~ 20~ ~ Jt.N 0 Oas::j?yy-,,~ ~ J J Notary Public \ MICHeU.e L MARTOCCHIA NOTARY PUBlIC. &TATE OF HEW_ QUA' ~ OIMAlIt568n .........cu IN IlUFFOUC CClUIIIY MY COMMISSION EXPIRES NCW.u.-.J,D Signature of Applicant " SURVEY OF DESCRIBED PROPER1Y AND PART OF LOT 1, AND LOTS 7,8,9 IN SUBDIVISON MAP PROPER1Y OF MARION G, RICHARDSON l<J SITUATE <n "- EAST MARION, TOWN OF SOUTHOLD ~ a SUFFOLK COUN1Y, N,Y, (/) ~ ~ lON; S;> G '1' la, '19" C Cl l<J l<J '" '<l I- '" I- o --J SURVEYED FOR: JESSE PERETZ i FM# 859 DATE FILED DEC .31, 1927 TM# 1000-021-01-003 N 06'47'00"( I 21.6' 1 N 07'36'00"W 22,1' -L I 12 f i GUARANTEED TO: JESSE PERETZ COMMONWEALTH LAND TITLE INS co. N 04'21 '00"[ 26.7' o o " to ~ ~ 4~rD ~ ~ ~ SURVEYED: 10 JANUARY 2007 3.5' 11.0' SCALE 1"= 50' AREA = 130,500 S.F. OR 2.996 ACRES N 76'30'00"( 0 I") 52.25' n PO< ~"' LOT 2 N 13'30'00"W 40.00' 2. PART OF 1 LOT 1 1 umnY "'"' N S 76'3000 W N 13'30'00"W 52.25' 20.00' LOT 7 I I .#,- - 6.9' '\ - . . CiWH' uHY r-- I -H;~ '" I ~ ~ I 5-1 !if 1\)t3~ , 8 ~ ~ I.... ._.ljNK...fEN.C ".. 0" , 01 ~~ ~I ~I ~I ~y WOOD FRAME RESIDENCE LOT B 6.3' .~ A ~~ . ~ ,bJwy : 1J A\:., D tJel.Ao<...crio\-..{ 'PooL- Sl~ '* kvt/ 12.0C7H J1OOmo\.-i FACI~& We.~TC-tQEG~ ,iI - I-tU'O tzooH AOOI1i o~ s~ ~Cl ~b -eCl.l'1ll{-t'OEdl N 56'50'OO"W 14.55' ~ q,f to ()) l() ()) ~ :30.3' ",l~ (:~\I:, "" , """" "'"' llt.OCI<FOl.lND_ AnON WAU. O'.arUNE ~ N/F KANEY " GUARAN 'fFfS lNoreA TED HfRE ON SHALL RUN ONL r TO THE PERSON FOR IitiOM THE SURV[Y IS PREPARED, AND ON HIS BEHALF TO THE TITlE COMPANY, GOVE:RNM[NTAL AGENCY, LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADOITTONAL INsnrUTlQNS OR SUBSE~UENT OItNERS. U.VAUrf.lORI;:ED ALTERA nON OR ADDITION TO THIS SV,,?V[Y IS A VlQl.AnCN OF SEcnON 7209 OF THE NE\I' YO.r?K STA T[ EDVCA nON LAW. COFIES OF THIS SUR'vn MAP NOT BEARING THE LAND SURVfYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE coPt'. ,0. ,~ il :1 ... I Sl.(jl\1 /) S00v/) N 83'43'02"[ 48.38' '-- OF Bwn THIS .......-to'O-\b ,,"'~. ....'<- ........... so?; ......... O.v q.. , " ~ ......... ~(u,<',<' ........ ~s " "''<- " 101.4' COVERED OPEN PORCH WjfWUNG auAA 100.5' 22.)' FRAME "" ~ GARAGE "'. "'" """" - STRA TMORS RD DAr[ -- (J) "! GJ o 1'1 l .lA' I ~ z ~ " ffi ~ o ~ ~ ~ o " ~ ~ ~ I I '01 ~I ~I I I ~I ~l ~1 ~I o g ~ 22.1' "" "'~, ~ <r:: o ~ E-; 2; ~ o ~ .,' ;>-; ~ U o ~ Ul N N 00 '-J ". "- .., ... <0 .... II lU i= ..-/ SURVEYED BY STANLEY J. ISAKSEN, JR. PO BOX 294 NEW S f'FOLK. NY I 1956 631 -7 4-5835 07R1563 -i '- ,. (. "'... -.:, \-', ~ ".J' ., ';,r \ " ,~' , A::- C-~~"'H71 ,