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Home My WebLink About33519-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. 33519 Z Date NOVEMBER 8, 2007 permission is hereby granted to: THEODORE E PRAHLOW 1605 OLD SHIPYARD RD SOUTHOLD,NY 11971 for : DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1605 OLD SHIPYARD RD SOUTHOLD County Tax Map No. 473889 Section 064 pursuant to application dated NOVEMBER Block 0005 Lot No. 030 Building Inspector to expire on MAY 1, 2007 and approved by the 8, 2009. Fee $ 328.90 ,~C-d '. r Authorized Signature ORIGINAL Rev. 5/8/02 13,09b BUILDING PERMIT APPLICATION CHECKLIST 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: TOWN OF SDUTHOLD BUILi:1fN~ DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. Examined 1h ,20-.t!2 ,201L] Approved Disapproved alc Mail to: Expiration 1 Y,204 t~ BuIldmg Inspector Phone:] ~.s - <;' /I e e} " Ce3r-.2~ - ~G 7' ~ .-\ .' -'~'-\:;{\'\ .- \,"1 It.. \'-'" \ \ A~P~I~ATION FOR BUILDING PERMIT r;-~1 J" / \ '- J ~ Date INSTRUCTIONS ,- \ . \ '''' , ~--'~'. . ' \1:""~':;':-5.~ a. This applicati~,MU.&Tbe completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accura\e-ptOtplan 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. APPLICA nON 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. . r:, --'" "'(','~. \ f""7. \' 1....'."'. ',.- ' . ' \\\C,'I~1 \\~ \, ~ 16/~7 , , 20 cJl " ~ c::-, c:: ,:J c:::o ST; c.:nI0 SCIGS ( (Signature of applicant or name, if a corporation) /SO tJ,4-lQwlc....J OiC.- <SOJ'n4..tt..-a (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~"f( Name of owner of premises 7JlclJotJ,U;;' ,r?,e.1'1 N4>J A?pr.O'lED AS ~!C:ED (As on the tax roll or latest deed)., 1t;/'"7 If applicant is a corporation, signature of duly authorized officer DATE:~ B.P. #.I3. 'i9t:::; FEE:~o<. C:V. .. '_~ NOTIFY Em;,:. : . AT 765.1Sl~2 8 N' ''- h -:-HE FOU.C\',': if~', :'. . (Name and title of corporate officer) .. ;' Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. A4101/C4JA- ~M6 ~ 1. FC): " ~_.,,' i.~., ~,,::,; , ._, JI :.:J County Tax Map No. 1000 Section Subdivision CtJtj Fe -1 F Ct': E: ,J (;( I 2. W' ''-:! . 3. It,!;.. .-Ti:, 4. rLNI~ . r BE cor," ,.; ..Jd~..eoHST'.)," . ",-/ '~r:' THE Ham:fetQUIR []\~ ~~.;,r.) ::. r: (,.fEW YORK STM l ,(IT" ..r:~ SIBLE FOR Block O,S--DESIGN Cf5>t~CrlGrC) r ,,)N ER.ROAS. Filed Map No. ~(': /,' Lot " t.. \ I l. ,. ~r; ~' 1. Location of land on which proposed work will be done: /~ 00(""- O/-o J'fAf1'1,tU.-o t-rJ House Number Street (Name) r, __~'J",; J '! , .~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: .,. a. Existing use and occupancy ...J;JJ(.,L..C h:wl"'{ b. Intended use and occupancy ~~L-'Tid J " . 3. Natu.re of work (check which applicable): New Building " Repair Removal Demolition X Addition Other Work Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this applicatiop) Number of dwelling units on each floor.' 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 I Depth Jf-} /h1 S'~ (r Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories ". . Depth .... ...... ":. . ~ 8. Dimensions of entire new construction: Front Height Number of Stories Rear . -..... ; 9. Size of lot: Front ~o Rear <.~ Depth (~/;) 10. Date of Purchase Name of Former Owner 11. 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 -It:::= * 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 ~L (S)He is the 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. 20~ MELANIE DOROSK1 NOTARY PUBLIC, State of New York No. 01004634670 Qualified in Suffolk County '*'),1'\, D Commission Expires September 30~ N ~ ~ ~~ ~~ ~~ LOT NUMBERS REFfR TO "SUBDIVlSION MAP OF FOUNDERS ESTA TES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON MA Y 10, 1927 AS FILf NO. 834. HSe. Flrr fir e/. '" Unished grade e110.7 SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y: 1000-64-05-30 SCALE: 1.=20' AUGUST 29, 2006 .MA r II, 2007 (HEAL TH DEPT. INFO) MA Y 15, 2007 (TEST HOLE). ,jr;pf. /8, '2.007(~/~cdlbt?~) .5., pt. t~ 2007 (rv~CJ.f f) OCT. 30, 2007 (r."ls/ons) NOTE' SUBSURFACE SEWAGE DISPOSAL SYSTEM DESIGN BY' JOSEPH FISCHETTI, P.E. HOBART ROAD SOUTHOLD, N. Y. 1/97/ (63/J 765 - 2954 MOWN ... T AIL ~ ~O IE I'min IE lU. I os 3' 3' min. TESrHOtE 6174107 CLIO /DEI) SAID AM) LOAM ~I ~v ~~ . #~ ~ ~~ ~~~) tI.~~~':J Co."? ~~ -.; ...~ ~~ ~ '- (/..!J C ......~ ~ lEU CeNTeR POOL ground waler el 2.6 / SEPTIC SYSTEM CROSS SECTION ;-J.2/JJ:t GAL. PRECAST SePTIC TANK IY 4'.L1O. DEPTH 5 LeACHING POOLS 8' _ x 3' DEEP WITH 3' SAND COLLAR {SWJ 3' ABOVe GROUND WA TeR ;" ...o~ ~ ~-~ ~.>~. 'b~ ~ " ~~~ ''':t " ~, ..~~ LOT COVERAGE . EX/STING" 1/6~/""OO . 15J" "(, J ~. 6t' PROPOSED .. 1~40/7700 · 20" /?oo.f RUr? 0 /' f Co fl'1 pvlo::llDrJ S /540 59.1f KO~/7'>t / =- ~2 Cd If. 2&:-~~,3 or ~ 3 V r P~<:>V'Id..e e d..r'y we/I.s (1,'1>)(!3' QI..~~p' , -- ,. PALE BROWN FJIE: TO IrEtJifM SAte .. i'/.. 2..~ 7.7' I'A Tar Ii PALE MOWN F7foE TO I/ED4M SAND SP lif' BY McDONALD GEOSCENCE EXIS TlNG HOUSE 7;0 BE REIJOVED SHOWN HEREON .fi". '-Jr. 9/ ,. '6 EX/~TING CESSPOOLS TO BE REMO VED OR FILLeD IN EXISTING WELL TO BE ABANDONED . ~ ~. ~ "\ ~ <>~~ ... ~~<o~ ~~ ~.~d' ift ~ ~ t"~~'/" ~~ 4J;, ~ ~O /" "'J- ~~ ... FLOOD ZONeS x 8. AE (el. 8) FIRM 36103COl66 G 5/4/98 I am familiar with thi! STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RFSIDENCES and will abide by the conditions set forth therein and on the permit to construct. ~~ ..~ $'~ ~ r? v~ it~v Q '~ ~" The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. ANY AL TE:RA TlON OR ADDITION TO THIS SURVEY IS A VIOLA TlON OF SECTION 7209 OF THE NEW YORK STA TE: EDUCA TlON LA If. EXCEPT AS PER SECTION 7209-SUBDIV/SION 2. ALL CERTlF1CA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SieNA TURE APPEARS HEREON. FLEVA nONS ARE REFERENCED TO N.G. v'D. : _ .: r ; I.,~' ..0 ~ -a <:)~..t <o~ . ~~~~ .~ ~~~ ~~~ t;,~~ CONIC YORS, (631) 765-5020 FAX (631) 765-1797 P. O. BOX 909 1230 TRAVELER STREET 06 009 sou THOLD, N. Y. 11971 - ~ AREA-7,700 SO. FT. . =PIPE ~.~ TOTAL FARM DATE COMM. I IND. I CB. I MISC. I Est. Mkt. Value TOWN OF SOUTHOLD PROPERTY 'RebID CARD VIL~GE DISTRICT SUB. tAli; 0 lei.. . S ACREAGE E ,; '-I ,z. W TYPE OF BUILQING' VL. REMARKS ~~"-f4 / I ~ '. /.-572-0 '/ '-I"OD 'j J c> 0 1& 0 () AGE NEW NORMAL BUILDING CONDITION BELOW ABOVE Farm Acre Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD I (' Co (. "iIIable 1 illable 2 'iIIable. 3 v'oodland wampland rush land louse Plot otal "_......k~~.__~_,___~..__,.,~~"'''__o,,;.;.;..''~,_;''''~'''~"'''' 0 l 'fif.. S" - 3D , - - - 7 5 tL. I,..'.,.,....r-. I,. ~,'. . ,':,i . '/I" ..; , . ~ rtft 2J La r------." tdAh' , (, 'Iii L 1/)-4 .J ! I ! ! I r I t~ i I I f .. I/O, f- ~ 'j I I ! t ( a ! I I i I ~ .).1 I ! I I I I I.., '.0 ! I ,~ ----- I "'1 'Vi>-' Ij I I ! ; I I : I i i ~- i I : I i I i I , I I i I I : i i I , I ~ . Bldg. i~\ - I , Foundation ~t ! Bath I ;)':l't.4~ I I At I y' ?KA. V t J tension IOY..~1-: 3~O Basement Floors )/Vl<P ... LIJ () 0 .J fV\ 1'1f I tension 10'( 13 "; 130 Ext. Walls ~t, Interior Finish ..A...... J..... {<J S t .,.. ..{ i . h ,", tension Fire Place H.eat (), L . ) I 0'( (" :. ~; J 15-'113 - J 4 ~ 127 ;2. SO I,CI{p1 Porch Roof Type . f f / Porch Rooms 1 st Floor :!ezeway ./ . Patio Rooms 2nd Floor I d-.7 {.. q -- c:>(~ ,.. Driveway Dormer :rage ,,,:2 S .'~ I%:L B. '" .1/~ - ,) I'D /37 ~~c...., )~y~. -5 .-').1 V () / G /,-