HomeMy WebLinkAbout33054-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)
21, 2007
PERMIT NO.
33054 Z
Date MAY
Permission is hereby granted to:
VINCENT & MAUREEN PAPA
22 SOUTH KENNEDY DRIVE
CENTEREACH,NY 11720
for :
DEMOLITION OF EXISTING SEASONAL DWELLING AS APPLIED FOR
at premises located at
175 FIRST ST
LAUREL
County Tax Map No. 473889 Section 126
Block 0010
Lot No. 009.005
pursuant to application dated MAY 14, 2007 and approved by the
Building Inspector to expire on NOVEMBER 21, 2008.
Fee $
247.90
&~'-d CJL
I Authorized Signature
ORIGINAL
Rev. 5/8/02
"1'
TOWN 0F SOUTIlfOLD I
BUILDING DEPARTMENT \
TOWN HALL I
SOUTHOLD, NY 11971 M(rf I 42ilJ7 i
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netISoutholdl PERMiT NU.
330srlb
BUILDING PERMIT APPLICATION CHECKLIS1
Do you have or need tht: following, before applying?
Board ofHealth_p
4 sets of Building Plans__
Planning Board approval
Survey
Check~___
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
'cJt)} ,20m~
€'1?--/, zr1f11J.
Approved
Disapproved ale
Mail to:
Phone:
Expiration
,20
APPLICA TlON FOR BUILDING PERMiT
Date
fJ!/O
,
,20 0'/
INSTRUCTlONS
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 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 penmt 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.
.2 S" KfiNN,;r:D.( ~J/1 C/FNr".4e;HH
(Mailing address of applicant) . ~ IIi
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
-
Name of owner of premises VIN CiF ttJ1 <4- H A ulZ...CiF tv' 1/, jJ A fl A
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License Nott j-/. -r } '1 ~ ~ 1
Plumbers License No, l-'~+~~VC~ :'-''''-hl'''-'
ElectncIans LIcense No. ~ t- r-::.. ~ ~c \
Other Trade's License No,
1. Location ofland on which proposed work will be done:
1.J IS...!
House Number Street
L,1-Cl~eL
Hamlet
Lot IO-f;!-' "~
Lot
County Tax M~ No. I ~OO
SubdIVISIOn IiiO,e to f:l
(Name)
Section (()O V
rUT/oft L L.
Block I L Co
Filed Map No,
Yl.l
2. State existing use and occupancy of premisf:;s and intended use and occupancy of proposed
a. Existing use and occuva:ncy .
b. Intended use and occupancy_,.....
3. Nature of work (cbeck whicb applicable): New Building ~( Addition
Repair Removal Demolition -----11 /' ' Other Work
f "
4. Estimated Cost Fee
-"f
Alteration
(Description)
5. If dwelling, number of dwelliug units_I
If garage. number of cars
(To be paid on filing this application)
_Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extenJef each type of use. ~
7 D. . f" 'f F " 7,'. )"J>R fJ::, p~15Dept~b ~O i / r~L~rJ'
. Imenslons 0 eXisting structures, I any: ront t.- ear -/ (, ~ /J
Height Number of Stories / ,1' ~
Dimensions oLc~AmA structure with alterations or addjtions: Front Rear
Depth _Height-' Number of Stories
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. SizeOflot;Front~Rear /7'-1. ;'3 Deptb /.IIJ
1O.DateOfpurchase~NameofFormerowner .parRA Ie t(
Deptb
o
o?--!Jd ,e A-
Dc) u.. /.3 ;€ /1.-V A-
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_
14. Names of Owner of premises V. fJPrP~ Address;l.'z:; PboneNo. ~ 31 - 71Z--- 7792-
Name of Architect ~ trot K ..~T..... _ € ~ddress Phone No c:;;.:3 / 7 3 7 - 'i 7 'f' 7
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? .YES _NO V
. IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED.
h. Is this property within 300 feet of a tidal wetland? . YES_NO_
. IF YES. D.E.C. PERMITS MAYBE REQUIRED.
16. Provide survey, to scale, with accurate fOl.mdation plan and distances to property lines.
17. Ifelevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)oo is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor. Agent, Corporate Officer, etc.)
of said owner or owners. and is duly authorized to perfonn 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 :rnanDer set forth in the application filed therewith.
SWpbefor;';::fthis P-fJll,'L 20 07
tJ. . ~ -
~aryPUbli~
N Phyllis Fritz
otary PublIC Stat. 0' New Yorte
NO.Ol~
Qualllfed In Suffolk
Commlaalon Expl... Ju~~fl
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MELANIE 0 SKI
NOTARY PUBLIC, State of NewYodl
No, 01004634870
Qualified in Sul10lk County
Commission Expires September 3D, 2J2.1 D
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SUFFOLK COUNlY DEP~OF HEAlTH SERVICES
PERMIT FOR APPROVA1,Of.GONSTRUCTION FOR A
" SINGLE FAMIL,(:RES10ENCEAND
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'\1 A.U,f,q"
DATE 2/t3/C"'"
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I!.PPROVEO
\ T~!f'L MUM BEDROOMS h
IREs THI'EE YEARS FROM DATE OF APPROVAl
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SURVEY OF
LOTS 99 & 100
SUBDIVISION MAP OF PROPERTY OF
GEORGE I. TUTHILL & OTHERS
SECTION ONE
FILE ~". B61 flLEO JANUARY 15, 1929
SITUA TED AT
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.c. TAX No. 1000-126-10-9.3, a r
1000-126-10-9.4/' .:>
SCALE 1"=40'
JUNE 30, 1995 SURVEY lOT 100 &: HEALTH DEPT_ DATA
DECEMBER 12, 2002 ADDEO LOT 99
DECEMBER 27. 2002 REVISED BUILDING ENVELOPE
AUGUST 25. 2005 ADDED PROPOSED ADDITION
NOVEMBER 6. ::'006 REVISED AS PER S,C-O_HS_ INCOMPLETE NOTICE
JANUARY I I. :'007 REVISED PROPOSED 5:U'IIC2STlM TO A 5-5 BEDROOM
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TEST HOLE DA TA
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dotvnent uf existing sanitary system must be i
~~onn~ce with departm~t requirement Submit
";'~etedfom' WWl1....Ql1!L as proof.
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ANY. NOT SHOWN AR[ NOT GU.lll~IHElO
H.Y.S. lie, No. 4966B
ph A. Ingegno
d Surveyor
r,-rre Su"""",, _ Su~di.;si_ 5~~ P/Qn<
Con>lnn;IiQoLoyout
PHOltE(631)727-2090
fa'(631)727-1727
WJlWG ADDRfSS
P.O.6Q.1S31
Ri..me<ld. N<!~ York 1\901_0965
OfflCEStOCMUJAT
322 RQ.O.NOK[ AVENI)(
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