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
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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
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� 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)
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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
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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)
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FOUNDATION(2ND)
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PLUMBING
INSULATION PERN.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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