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Home My WebLink About33682-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. 33682 Z Date FEBRUARY 12, 2008 permission is hereby granted to: SPIROS PAPADOPOULOS 565 INLET LANE GREENPORT,NY 11944 for : DEMOLISH AN IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 565 INLET LA GREEN PORT County Tax Map No. 473889 Section 043 pursuant to application dated FEBRUARY Block 0004 Lot No. 034 4, 2008 and approved by the Building Inspector to expire on AUGUST 12, 2009. ~, Fee $ 70.00 ------ Authorized Signature ORIGINAL Rev. 5/8/02 PERMIT NO. 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 Flood Permit Storm-Water Assessment Form~ Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 119071 TEL: (631) 765-1802' FAX: (631) 765-9502 SouthoIdTown.NorthFork.net Examined ,20 Expiration ,20_ -4)- "3> I /rW-. fl MJ,[.' ., \ 1'~<:1, Approved ,20_ Disapproved a/c~r<< Phone: -..; ;<1 APPLICATION FOR BUILDING PERMIT 4 ()~ ~. , ~ \ . Date ,20_ INSTRUCTIONS 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 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 ofthe 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. APPRO'lEDAS riOTED DATE: ,.,/,.2/" L... tr 3'3f./is?-?.. FEE: </70 =->(~/Z. NOTIFY BUll::. r-:n.;ENT AT State whether apiJIk1JlWis~nerplesset, fij:l6nfHltchitect, engineer, general contractor, electrician, plumber or builder FOllOWING INSHCT~. i. FOUNDATION> ''NO ",OQUiRED CYwrllL,2 ~ FOR POUI'lED '" .l,;: ,t 1'= Name of owner ~f~iffi~~IRAM:"~Y:W~~I~IG ?4 ("It Po f"DVLU<) 4. FINAL> CON2ToUCT'ON MUST (As on the tax roll or latest deed) If applicant is a cot'!ID~OO8IWlIl!'e:of duly authorized officer ALL C~UCTION Si-IAL L MEET THE (Name aRH<iltlij~&ii~tmijr;p OF NEW YORK STATE. NOT RESPONSIBLE FOR Builders LicensP'N'6GN OR COt;(.SJijUCTION ERRORS. Plumbers License No. wit> Electricians License No. w JfI' Other Trade's License No. N'I4- ~~~, ------ (Signature of applicant or name, if a corporation) 1'-14-'-1;;< 3'7 fL,,,-Nve I=-" L v;:' \-/\NC;; tVC.-v..- --/0<<..\<:: ,135 Lf- (Mailing address of applicant) I. Location of land on which proposed work will be done: ~65 IrvL~--r L{\-Nt:--; G'R~'f'Jf'ORf N'.Y 114'-t'j- House Number Street Hamlet Count yTax Map No. 1000 Section <..1733 g'l Subdivision (V I v~ Block 4- 3 - .'-f , Filed Map No. Lot 3 + Lot " 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy N I rl- . b. Intended use and occupancy rv" I ()- 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars ,vI" /Vlt>- (To be paid on filing this application) Number of dwelling units on each floor N 'II- 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height IVI" Number of Stories ,v) ~ Depth iVI" ,vI (r r/ ,,, Rear Dimensions of same structure with alterations or additions: Front '" \ y\- Rear,.r I,l- Depth iV Y\. Height r'\ " Number of Stories IV" 8. Dimensions of entire new construction: Front rV \4 Height Number of Stories Depth Rear 9. Size oflot: Front-10 0 t-€"t Rear I 'J \J ~ ""'~ Depth_ i 50 ;en', 10. Date of Purchase r:<-/ -1'l~i_NameofFormerOwner ('>1-N<""'-L~ ~1'V1""", Re21'1'CS I II. Zonf or use district in which premises are situated proposed construction violate any zoning law, ordinance or regulation? YES~ NO ;/ lot be re-graded? YES __ NO / Will excess fill be removed from premises? YES ./ NO ~ es of Owner of premises 51"1110; e of Architect e of Contractor '?o1(",.1V~f'o\Jl.-}\ddress >,s ItJL-l..~-L L..q.ToIj.O-, Address Address Phone No. 7{~'''I'3~'jiJ ( Phone No Phone No. IS a. Is his property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO v' * IF Y S, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ * IF Y S, D.E.C. PERMITS MAY BE REQUIRED. 16. Pro ide survey, to scale, with accurate foundation plan and distances to property lines. 17. If el vation 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 Y S, PROVIDE A COPY. F NEW YORK) SS: OF (}v C"'" tV;' ) Pi ,~o S ;::>(/1'400' Dv L S. being duly sworn, deposes and says that (s)he is the applicant (N me of individual signing contract) above named, (S)He is the I , (:)WNG"lZ., (Contractor, Agent, Corporate Officer, etc.) of said ner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all s atements contained in this application are true to the best of his knowledge and belief; and that the work will be perform d in the manner set forth in the application filed therewith. 20.QR... ~/ (~ 0'> / ~ V~y~.~1 ME KESIKIADIS Signature of Applicant Notary Public, State of New York No,Ol KE6160365 .Ouallfied !n Queens County CommisSion Expires December 1620..1..L .. ItJJd'" If 3'- '1'- J' OWNER ca TOWN OF SOUTHOLD PROPERTY RECORD CARD ~ )1~20 STREET j::'- , _oj c/ VILLAGE ,Ll/(, V/f DIST. SUB. LOT . C:" If" o -nESt, ACR. , 3'1".5-1 TYPE OF BUILDING i11 ()/){ [(:1,/) ...( S { b . A-::S-SUSE 6J r , 't (r - E /} W'i' W p, JI10 COMM. CB. ./ 0 FARM LAND IMP. TOTAL DATE 760 /06 /'000 &>0 ~ob ~u ?e> II / Mkt. Value NORMAL REMARKS l / ,) , . , /<-"'--f.t>' ,t..;,-' l -}---C,l",.:'-t{./ ;;~/' G/ j~? /t}'"'J , >~/ 3' / .~:} j ':7 :~; /L>~; {-( _l,/ ,1' f-.,.-- ,:"_ . i:( ( ,. " FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland -- ....-- FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD I 1(1{; 0J/:2.00.,.. /.:zno 1-6'""(/ I Swampland Brushland Hause Plat fatal DOCK 2T ~. A. 'f ';OP~..'.'~; ._'~_..'.~'k~ M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage -em+o O. B. Total F.- ',-' .I.~"""" : i ".,:; .'. . .':' .-. .', i . .\ >~ - 1 "c'" _'. .. J", )f ,,/ "- II X:LO" J 0"'0 / <10 ..., >- ~'a.O ( 3(,,0 ~ )( 01 , : /.::,- t S-x. If' S'S- ') :2./ X ')'S', ,trJ.t 7 .sWltn P~~/ ~ J"~ ~ . /.... ~ .~ .', I COLOR , . , . .' . " I./JOTUt..'AL . . , TRIM WHIT~- .s;.:;7) S7.:lD Foundation Basement . /,;;1. <f, 0 . Ext. Walls Fire Place Type Roof 7?i Recreation Room Dormer 3.$'0 .~o Driveway /.. /) . .J- 8' () I <fo", ' j~3.f/ . ID I~+V ,0 I ':>1" ~ J f..l ..'t, ,,1. ~I!> ., . ,J, /,V .. . ~F'''' 1/ (" / / V .f ~(, 6<. c E,. C.,Q,ilwL Bath Floors ,. 'Ad ", "'}"" Interior Finish wv .... ~r:J.'I'o-T. Heat V E.s f Rooms 1st Floor Rooms 2nd Floor oJ. SvB ~ OAK. t(}~) .>,:..2. Z..::.D. \1;:- ~ / Dinette K. LR. DR. BR. FIN. B. . Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION, S,C,T,M,#, THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A !:f1Wq 'I3-~-'J'f STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN o;;;;;ct S"tlon Blook Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark ( .f) lor each Question is Required for a Complele Application) 1 2 3 4 5 6 7 8 9 WiiI this Project Retain All Slonn-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run..off created by site clearing and/or construction activities as well as all Site Improvements and the pennanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? Th1s Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require land Disturbing Activities Encompassing an Area In Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Rjght-of~Way or Road Shoulder Area? (This item will NOT Include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? Ve. "'/11 n/ /(1 ~ [J [J [J [J [J [J NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl EXEMPTION: Ve. Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requiredl STATE OF NEW YORK, COUNTY OF """""o.~,~,~rv.7."".........., SS No bJ bJ /' ./ ./' ../ ./ ./ l!2 / . That I, ..."............................................................"."....".... being duly swam, deposes ,md says that he/. is the applicant for Pennit, (Name of individual signing Document) ......g..~.~.€~. And that he/sloe is tile (Owner. Contractor, Agent, Corporate Officer, etc.) Owner and/or representative ofthe Owner of O\vner's, and is duly authorized to perform or have performed the said '\lurk and to make and file tius application; that all st.'ltemenL~ cont.1ined in this application are tnlC to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ....,..,..""~,g"".".,,"""",,., day Of,,"~~'" 20.eP' Notary Pubhc: ....""~~/:J.~""",,......... ~~~~ ....,. .................................................................', DEME K~I'IDl&Pplicant) FORM - 06/07 Not ' KESIKI IS No,01KE6160365 ary P lie, Sta of New 'Ii Qualified in Queens County +1- Q'JO!'tNOd" E 60365 ork Commission Expires Deeember1620 Co "h- ~ I Ie In ' ~~I";;'lon Exr;ir' C'~_ ~V'..'.. ~_.~u rAA ~~U ,~~ OUI. ~ . __............... ..""......vnn..... J..lJ..&.z. ~ .....Uta..J..ll: l\.l'a:u.r I I I ! -......... " .," 'i ~ c '.. ..... ~ ~ ;)':, '"' . \'j U -I' "':l$I~ a: ~ ~...: ~ r.. <2: ~ II '" . <. ':i- ? ...... : ~) .:; ... 1..1 i1 .1 , ~ t. I: II I -J ';I. ~... 1.11: Q )I!~ ');1" '\\1"' ..\, ','ijt " PI: ., V; '~'I .' ~ ~- .Fd~ .l!; .:: . .:- !iI,.. ~r. "'1 ~ S 1; . ~ l1 ~!f ~ ~ f 7 ~: ~ ! ~ :~ ,. ... .... ~. ~~ r~ \',': ,.; r ~ II i ,:,. .~:,. 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