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Home My WebLink About33556-z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DBPARTMBNT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PBRMIT MUST BB KBPT ON THB PRBMISBS UNTIL FULL COMPLBTION OF THB WORK AUTHORIZBD) PERMIT NO. 33556 Z Date NOVBMBBR 29, 2007 Permission is hereby granted to: MARY ROSB MINBR PO BOX 27 SOUTHOLD,NY 11971 for : DBMOLITION OF AN ACCBSSORY GARAGB AS APPLIBD FOR. at premises located at 1805 YOUNGS AVB SOUTHOLD County Tax Map No. 473889 Section 060 Block 0001 Lot No. 004 pursuant to application dated NOVEMBBR 27, 2007 and approved by the Building Inspector to expire on MAY Fee $ 70.00 .-"" ORIGINAL Rev. 5/8/02 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. 3355b~ 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 Storm-Water Assessment Form_ Examined Approved Disapproved ale .201- ,20_ Contact: Mail to: Expiration ,20_ Phone: ~ r--"~~~.."",. , I ro'''". r C , ,. -I , . i 'APPLICATION FOR BUILDING PERMIT i\!(Y\ 1 ') 7 .-- I',UV L.. Date Io~~ ,2007 INSTRUCTIONS a. This:application MUST ~ea cotPletelY fil~ed in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pl'ans. atcurateplot plantos Ie. ee accordmg 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 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. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder MeN! Name of owner of premises /lJ1fN /JJ;f'Vt1e.- -r (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 No. Plumbers License No. Electricians License No. Other Trade's License No. 1. s~#;,,~ Hamlet County Tax Map No. 1000 Section Subdivision 60 Block tJ / Filed Map No. Lot Lot {}C/ I (Name) 2. State existing use and occupancy of premises and intended use ap~d occupancy of proposed construction: a. Existing use and occupancy S/#'{(~ ,I2~/_ i?~/.t)Evd . b. Intended use and occupancy c..11'hn ~ , 3. Nature of work (check which applicable): New Building ~ Repair Removal Demolition V 4. Estimated Cost , 1~tt!J ,p.E Fee Addition Other Work -' Alteration (Description) 5. If dwelling, number of dwelling units If garage, number of cars / CA-1e..- . r (To be paid on filing this application) 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 / S . r Height 8 ~ () ,.. Number of Stories / , Rear Is-Ie; Depth /b.' I 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 I / I 9. Size oflot: Front 7/,{) Rear fPs'O Rear Depth 10. Date of Purchase Depth 33/w ,I~ 11. Zone or use district in which premises are situated 6/ ~fh hl",;,y li'rs. 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_ ,- Name of Former Owner Phone No. 7.3</-7!~3 Phone No Phone No. Address / Ip~ Ij()(/Jlfs ,IhI~" Address Address 14. Names of Owner of premises fII~ /}1,,,U- Name of Architect Name of Contractor 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO * IF YES, PROVIDE A COPY. ~ STATE OF NEW YORK.) SS: COUNTY OF ) ~1tVii:/ {' le/I-"""Kdil4//~ z.., being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the HI (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~fore me this <9.1 day of T1 CJV , ~aM.u11 ~ , Notary Pubhc 20~ ~~~.\.STe No.oiST6W Qualified in Suffolk County Commission ExpIres April 9, 20 lL 1805 YOUNf AvL 00 - 1- L( fY\~ (Y'v\JlP.~ .......< . .... ~'" ,,': /0..' ,. ~ . ~ "'j',,,.,,!,>" .,,~ ...... .~~.,,:.~: ~.,~\&~tii1c.) ~:>;!~I~'~"~ /:..;1.\,.,-, ~'";" ~ -. '" ~ ...,~.~-,,,,,, ..... ......... ..""" ..;"'ii-.)l' ,. _.. _~ ~!_ .', .., ,,,, .,,'j::tl t'!.,,' ~ j;. ,(t. I._-W't'. ,..:, ";' ., 4:j!.. ...,' ,_ :< '" (1""",'Y:'\I.t:0'.\(."'''~''''' ",'~;' .,,~~."iif:.'::' (~ .,\ "'\Ii .." " 't.', ,'J'c~. 71'1t~'~ ,~,-,," ,""'t".' ";;;"""~;o' " '"''''''''',,' I;l: 'l'j'.. ~~~\'~"""'li~,_)' .:' ": _11 ~;-'" 4'" "$...... .~...., 'j N'~' ,./!'.t, .' I..'..>..... _it;;:. , ~ S:u.~~ (,i" I "'.'~'. ',':' (;~~/ ," ,.,';._,.." ".,.~- ... . '':,~\''~>'''' 'I' ~ ~~.~~~i\"{'~~~';: "~' ~. f~ ;p;;~ \;\f __ ,~~' "" 'tortl'....!",.". ',." ....,< .'-' ~},<:'L ~~'I~~~-;'~!" .~~",~ .........;.".) ..~4t? ..i'~ '~_"1. ;.:. ;~... ,$;,~;;S.;~".'I.,'".i.;.;r~ ,~~.t!di.. n't":" ......'.... ,,'~- 't\"!V ,. .".~rit:. "'I- ~ ";Jl\'ll.;.;t". .:... :{ll} r1 ... . 1..~;.I~~~, ,;""". .." 'j' . "~'.,'.j;.~ ~~.,,.. 'J"";' :," "'. .1 " . , ,1lt"1.'~"" . " f. ", ')oit, ."....,' :.'-' -'. " " ~ ....~ "~,,; ~-, "~lf.~ t' J I - '-. ";':' 'I- ! 't~' I, , .. . '. . '. _ -;; _ ~..~,. hllli.d-' . ,,';J ,-,..."f':i,.;, ,~r~~ ~Y h' , .~ .' ....... i "\;. ' ':' fr. ,,;~: -, ,\\.., :", ." j', .,;.:.'::~..;~,;:",'f:" ~'~"~. . ~"'II~ .. ~ ~~~~~'i<t~.;.~,..,.:}(<gfj~~~.'j;S"":-,,,> '. -' --: -: ~ . , ~ 'j ;.t" -..:'~ 0.. .~.;.~-"',.': ,'. SURVEY OF PROPERTY SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK s.c. TAX No. 1000-60-01-04 SCALE 1 "=30' NOVEMBER 5, 2007 l'l/O/JLARJ{E J01ll'l 10. '7-Q" ~ 1407-1 9U1\.IlIl'G col'C\l.~1~ \ S10\l.i Q..' ... \ '!. F LLC N/O/COllPJoNY 1I0LVING V.V'.C, h )h..'\: . p... ;V>-~\) G \5 ()..o ~ AREA = 22,521 sq. ft. 0.517 cc. CERTIFIED TO: DAVID CICHANOWICZ UNAl11HORIZED AL1ERA11ON OR ADDITlON TO THIS SURVEY IS A VIOlAllON OF SECllON 7209 OF THE NEW YORK STAlE EDUCAllON lAW. COPIES OF 1HIS SURVEY MAP NOT BEARING THE lAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHAlL NOT BE CONSIDERED TO BE A VAUO TRUE COPY. CERllFICAllONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON fOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND UENDING INS11TUT1ON LISTED HEREON, AND TO THE ASSIGNEES OF THE UENDlNG INSll- TUllON. CER11F1CAllONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD. IF ANY. NOT SHOWN ARE NOT GUARANTEED. Nathan Taft Corwin III Land Surveyor Title Surveys - Subdivisions - Site Plans - ConstrucUon Loyout PHONE (631)727-2090 Fax (631)727-1727