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HomeMy WebLinkAbout29720-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. 29720 Z Date SEPTEMBER 10 , 2003 Permission is hereby granted to : VD 1 -b STEVEN W HOELL 239 OLE TOWN RD I EAST SETAUKET,NY 11733 u 2 Io 7 for l 111 CONSTRUCTION OF A NEW SINGLE FAMILY DWELLLING (MODULAR) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR at premises located at 355 ROCKY POINT RD EAST MARION County Tax Map No. 473889 Section 031 Block 0001 Lot No. 005 . 006 pursuant to application dated AUGUST 28 , 2003 and approved by the Building Inspector to expire on MARCH 10 , 2005 . Fee $ 1 , 352 . 10 Authorized Signature COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. c-9 7 w f:� Check Septic Form N.Y.S.D.E.C. Examined 20Contact: 3 Trustees � Approved 9 a ,20 03 Mail to: Disapproved a/c Phone: Expiration_ �3/ p 20 O4S Building Inspector APPLICATION FOR BUILDING PERMIT Date V- -, 20 INSTRUCTIONS a. thL application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. 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 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. W e of applicant or�n�amte,1 gration) 034' O� t V1/V1v v� � (Mailing address of applic t) (�3 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder C-)W Name of owner of premises (As on the tax roll or late deed) If ap li t is a corporation, signature of duly authorized officer ame and title of corporate officer) Builders License No..J �� - Plumbers License No. Electricians License No.1�� ,�t1��S�� ems&'L� ur ��'a Other Trade's License No. 1. Location of land on which proposed work will be done k'N` WC I1R, House Number Street Hamlet County Tax Map No. 1000 Section " _ Block 31� , Subdivision = DV:_ Filed Map No. n•r (Name) J 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: , a. Existing use and occupancy LP0 b. Intended use and occupan :Tlkyky► 3. Nature of work(check which applicable): New Building­ "./ Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Q c) O 0 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. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear_ Depth Height x Number of Stories_ y Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories {�ouSas a.`1•`S � 8. Dimensions of entire new construction: Front N t_ Rear Depth k-CE :Sy Height IeD 6 Number of Stories- tories_- t 9. Size of lot: Front f<�� Rear 'C�` 1 S Depth 10. Date of Purchase (O6 J Name of Former Owner LEN 11. Zone or use district in which premises are situated / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V 13. Will lot be re-graded? YES\/NO Will excess fill be removed from premises? YES NO� _ Vl- C Qb76�N�-b � 14. Names of Owner of premisess�cAaoW►+ ��l SP-��C Phone No. Name of Architect 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 NOy * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAYREQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO �7 * 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 OFVo being duly sworn, deposes and says that(s)he is the applicant in ividual signing v ed, (S)He is the ontractor,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. Swornip before me this day of 2003 ' ' ^ n W NotxvPublic Signature of Applic 80MNIEJ./OIgSIO No. 01 Pr 'W,!f NIS VA No.0100609 1�1� Toe Expiial*�,� / C.P. • :� SURVEY OF PROPERTY AT EAST MARION `�� A cr• _ ° 4 TOWN OF SOUTHOLD 308,43. E SUFFOLK COIIT Y, N. Y. 1000 - 31 - 01 - 5.6 SCALE Y' = 50' AUG 30, 2002 V14 po t p N �5 7 4#10 * s N. 6 A 1 2* a ae o 340 PLEASE NOTE • Minimum distance between well o P,op °`!�y` and cesspool is to be 150 feet. DWSLLO t PO` s LOT LOT ♦� `ti t �S .� W drsi •. � 300 <0 :,-_0�� aE' - s9 90 .54'10et s S. 6 I an fwngw with the STANDARDS FOR APPROVAL ;`- AND CCW TRUCT/ON OF SUBSURFACE SEWAGE DISPOSAC SYSTEMS FOR BANGLE FAAr11L.Y RESIDENCES � and WIN dW* by Me conditions set forth therein and on the � Permit to construct. NEW y ? Cl) �tP •.Metz �� C-) Q O d =s G AkY AL TERA TION OR AD0rnL M TO TMS SLRVEY If A WDLA WN TA �'•`jj' 3OF SEC T)O N 7209 AF TIE>� YORK NATE MX 4 Tiav LAN. � - rn Ln EXCEPT AS PER SECTIGINTT - ALL ER7�'11CA TXW NOTE, NOWO v ARE VALID FOR T/�JlE QALY F AREAS 43,427 sq. ft. ti N *.- 4906 �i1D AUP QIP COPES SEAR 9 OF TW SLOWEYOR LOT NUMBERS REFER TO ' MAP OP EAST 496 NlOgt� �TEME s'� The /ocallons of wells and cesspools MARION WOODS ' FLED /N THE SWFOLK COUNTY ,CONMC ItT Y �COAPLY tr11r T>e 'At TCOPY shown parson acre from /ie/d observations CLERK'S OFFICE AS MAP NO. 8739 (6311 765 - WZ) 763 - I797 t AMDy�. �16 A .ASD and or from data obtained horn others. 1230 TRRVE'CER S T ARO7iO(T - TO - A4 TE ARE Mar N ciaL R,� /►TN TW LAN. SOUTHOLD, N.Y. . 97 -- 301A okof SO�ryol � o Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G Telephone(631)765-1802 Southold,New York 11971-0959 '.�► �� BUILDING DEPARTMENT TOWN OF SOUTHOLD July 17th, 2006 �Sfc vim, Joseph Farro r /O 99-01 162nd avenue X Howard Beach, N.Y. 11414 RE: 355 Rocky Point Rd. SCTM# 031 0001 005.006 Dear Mr. Farro, Please be advised that your Building Permit#29720 issued September 10th, 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$1352.10 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. rMLD.7NSPWnON R19PORT1 DATE CONIlYII�IVTS ,�. FOUNDATION(1ST) C rA FOUNDATION(2ND) z O ROUGH FRAWaNG& y PLUMBING INSULATION PERN.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 0 O z m S , r . . y O x O