The URL can be used to link to this page

Home My WebLink About1000-108.-4-11.3 . . . - - FOR INTERNAL USE ONLY A/OT~' 0I2/&/t1I4t...CoPf( AJR/17EHIAJ :RED, / '. SLTI: PLAN USE DETERMINATION . Initial Determination Date: ':f I.J() I -1 Date Sent: 1 I old I -1- Project Name:Llhdli (4..7'/7) Project Address: 415 Eu.rRr/S LA}./E; MATT/n/CK. Suffolk County Tax Map No.:1000- 100 - -"I - II. 3 Zoning District: 1-8 Request: f'O.,<..OCA-T,o# OF .17/1/ a--en"a /)I'v/O" /'JAJ Au "c;:,y/q-hU'f- hJ(JAO pm ;:;- . (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: lfiE I.S I'Eie/11/77eL) I~ PRIoR. cf'P€oAt:' EX(!e/'77CNv ~()V*-. . Initial Determination as to whether site plan is required: Snc PLAN /5.ee-oVIt2tiDk,e. /t:JO~ /6.:2 OF 77-/Ii: $CXl77ftJLD 7f;1L#' C'at>C" D -6. r~ Signature of Building Inspector Planning Department (P.O.) Referral: P.D.DateReceived:d?l)Zf I CJf Date of Comment: csl IU 1M o S (A,p $IzA- (' Comments: Jk. /.74r --;;;-w-..:, t!a4 /06,....6~tA :5~ 15 ~U/~ pr Dle~~~W~rm JUL 2 1 2004 l!:lj Z~p.,$-vL~ ~gn of anning crept. Staff Reviewer Final Determination Date: tTllr?-tJ I oc.( Decision: ~ JUl 2 6 3D4 U ~~-w 0', Southold Town annmg oar . , . . '. FOR INTERNAL USE ONLY ;\/OTF OlZlq/AlkCOPf( PJR/17t::N IAJ RED, I SJ:TE Pl.AN USE DETERMINATION ~s Initial Determination Date: '1 / c/{) / .4 Date Sent: 1 / .;ltJ / 4- Project Name:c&flAe (A-T,/7) Project Address: 415 E~.TI1I./5 L4;vE; MA7T'Tl/CK.. Suffolk County Tax Map NO.:1000- 1($ - -"I - I/. 3 Zoning District: 1-/3 Request: rtO,,,,-oCA-T/cw' OF ,/)/v,t).-Te.l?/"la /")rVNe ON ,4,/ ,kY/"/A/Fr tr/()AO pm ;::; . (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: /y I.S P~/11/~{) /~ PRIoR. .!"'''''euAt: &,({!e.o77~ ~OI/.4L. . Initial Determination as to whether site plan is required: Snt fJLAA/ 15 L!e-ov/t2li"t>k,e. loo,~ /6;2 OF ~ $CX/T1-ICJ/..1> 7lJtw/ t?O/JC o~;r~ Signature of Building Inspector Planning Department (P.O.) Referral: P.O. Date Received: d? /.7/ / CJf Date of Comment: (57 / .2- 6 / G4 Comments: Ik /~ ;;-...-..:. r1.:? /CJO-/b;z('&~ :5~ /5 'C'ium:.....f Z~~/P/_ -"SIgn e of anning D"ept. Staff Reviewer Final Determination ~ ~ J~l ~ D :04 ~ ~ Date: ~ / Decision: Soute,old Tow' I"la~r:~r >103f(1 Signature of Building Inspector ""II/IRELESS ACCESS TECHNOLOGiES, IHC .,,-/ 4217 RIDGE AVE. r"- UNIT #2 PHILA, PA 19129 i:t[I,~k,^~lc\ 8 , 263 , DATE ~ 3-180f360 4lI $~eP ~DOLLARS ID Commerce _Banlc Amlilflca's Most Convenient Bank" "'WJ 1- ~ ~/)';g, l \ f" II'~OO 2 b 311' .:03 b 0 108081: ,.i:;).. A.' .... ..... ~ 3b a.87Qa.7 811' ... FOR Building Inspector '-. \ ".; r~.' F, t:t]\~.~ \ .,::"~c-- "\:0 ii\" JUL \ 9 _JI. "'Ju. L-. . iJ,~:~J iD iO\N ',',. v_t- liS 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 , , 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 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. Cel B APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20_ one ~ompanx d/b/a AT&T Wireless (Signature of a Hcant or name, if a corporation) Jan R. Garigliano, Real Estate Manager 333 Crossways Park Drive, Woodbury, NY 11797 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder . Lessee Name of owner of premises William J. Baxter, Jr. (As on the tax roll or latest deed) '~ture of duly authorized officer Real.Es~ate Mana~er (Name and title f corporate officer) Builders License No. NJ II 0100711247 and NJ II 1000321237 Plumbers License No. N/A Electricians License No. N / A Other Trade's License No. N/ A l..r ocation of land on which proposed work will be done: .5 Eliiah's Lane House Number Street Mattituck Hamlet County Tax Map No. 1000 Section Subdivision 108 Block 4 Filed Map No. Lot 11.3 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of propose~onstruction: a. Existing use and occupancy Public Utility (Telecommunications) and acces8a.rv buildings b. Intended use and occupancy Public Utility (Telecommunications) and accessory buildings 3. Nature of work (check which applicable): New Building Addition Alteration .~epair Removal Demolition Other Work AT&T Wireless proposes to* fix one additional 2-foot flat panel antenna to existing monopole and (Description) en~lo~e related equipment in existing shelter. 4. hstimated Cost $1'j. 000.00 Fee 5. If dwelling, number of dwelling units N / A If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature '1nd extent of each type of use. 7. Dimensions of existing structures, if any: Front Height 102' AGL monopole Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height t~~~~rf,,1io ,,~e~~. AGL Number of Stories h~r .irnensions of entire new construction: Front Rear Depth Height 102' AGL monopole Number of Stories 9. Size oflot: Front 197' Rear 140.92' Depth 475.60 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated Limited Rusiness 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO -L 13. Willlotbe re-graded? YES_NO ---1L- Will excess fill be removed from premises? YES_NO_ Jr. 6915 SE Harbor Court 14. Names of Owner of premises William J. BaxterAtldress Stuart, FL 34996 Phone No. 772-225-4492 Name of Architect French & Parrello Assoc. Address~.;,BeN:'iso~h, Phone No 732-888-7700 Name of Contractor National Microwave Address 221 Hudson St. Phone No. 201-342~7300 Contractors, Inc. Hackensack, NJ 07602 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO x * 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. erovide 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 ) _ __ _.Jan R. Garigliano being duly swom, deposes and says that (s)heis the applicant (Name of individual signing contract) above named, (lORe is the Lessee (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. Cell ar n~ Company d/b/a AT&T Wireless ~ Signat re of Applicant . DOROTHY A. BELARD Notary Public, State of New Yoll< No.01BE6036810 Qualified in Suffolk CounlV 0 (2;> Commission Expires Feb. 7 I to_ .. , . f LASER FICHE FORM Planning Board Site Plans and Amended Site Plans ~~edata! _ ~ SPFile Type: Proiect Type: Site Plans Status: Incomplete Application - In Active SCTM #: 1000 -108.-4-11.3 Proiect Name: A T & T (Baxter) Address: 415 Eliiah's Lane. MaUituck Hamlet: MaUituck Applicant Name: A T & T Wireless Owner Name: Baxter. William J. Jr. Zone 1: LB Approval Date: j\/ erJ' Appl20J (1) SCANNED J U L 1 0 2008 Records Managemcnt OPTIONAL ADDITIONAL INFORMATION A date indicates that we have received the related information End SP Date: Zone 2: Location: SC Filina Date: C and R's : Home Assoc: Rand M Aareement: Zone 3: SCAN Date: