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Home My WebLink About29801-Z FORM NO. 3 � /� � �\ TOWN OF SOUTHOLD V J BUILDING DEPARTMENT Town Hall Southold, N.Y. G-- BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29801 Z Date OCTOBER 10, 2003 Permission is hereby granted to: A. SARRIS & WF (ROBERTS) 655 BAY AVE EAST MARION,NY 11939 for CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH WRAP AROUND PORCH AND CARPORT AS APPLIED FOR at premises located at 655 BAY AVE EAST MARION County Tax Map No. 473889 Section 031 Block 0010 Lot No. 013 pursuant to application dated OCTOBER 1, 2003 and approved by the Building Inspector to expire on APRIL 10, 2005 . Fee $ 1, 582 . 50 O z Authorized Signature ORIGINAL Rev. 5/8/02 FIELD:INSPECTION MORT i DATE C011Z<4IENT5 ' .ti FOUNDATION(IS7) C m FOUNDATION(2ND) z _ o ROUGH FRAMMG& H YLUbUMG . rn INSULATION PER N.T. y STATE ENERGY CODE O (,r/ FINAL tA ADDMONAL COlMENlS • O Jiz. m 1 0 x a w d 0 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLDt NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. c� Check Septic Form N.Y.S.D.E.C. Trustees Examined /gA 20 .03 Contact: Approved IJ ,20 0_3 Mail to: Disapproved a/c Phone: 72& 5— &p?S S� Expiration �v,20 OA Building Inspector APPLICATION FOR BUILDING PERMIT Date �D / , 20 INSTRUCTIONS a. This Dplication.MUST b, tely 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 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 of the 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. (Signature of applicant or name,if a corporation) (Mailing address of applic t) �l 7lZ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0&� Name of owner of premises f (As on the tax roll or latest deed) If applicant rporation, signature of duly authorized offs e and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on whic r poseA work will be done: al House Number Stre t Hamlet County Tax Map No. 1000 Section Block )0 Lot 1�3 Subdivision Filed Map No. Lot , (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ✓ClC„Q� ” b. Intended use and occupancy 51 2 c.0 .�•� C�P 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ��lP O, Fee (To be paid on filing this applic i9p) 5. If dwelling, number of dwelling uniumber of dwelling units on each floor If garage, number of cars e�-- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of ti few construction: Front Rear Depth Height / Number of Stories { 9. Size of lot: Front / Rear/,/� / V / Depth f 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 /NO13. Will lot be re-graded? YES Will exces fill be removed from premises? YES NO .� 14. Names of Owner of emises o & dress'00 bwe(X Powe No. !a� J d S Name of Architect s Addresses/fit one No F 3-z�)—� Name of Contractor Address 0c)4 Phone No.-6/47 eV 8 D,2-2- 15 ,2-2--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 jEQUIRED. 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 V/ f being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor,Xgent, 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 efore me this day of Q(i 20 Notary Public Signature of Applicant LYNDA M. BOHN NOTARY PUBLIC, State of New York No.01 B06020932 Qualified in Suffolk County Term Expires March 8,204, Applicant/ r p ' I7 Date. Owners Name: 1��FS ��,�,___� Reviewed7 Architect/ Date Engineer: Submitted: SCTM #: 2 District: 1.000 Section: �1 13 District: 10 Lot: �3 Project Subdivision Location: b '�V� L < Name: Sin&Ie 8 separate Required certification: (Yes/No) t-J A- Req. Req. ACA Zoning District: — 11,0(size: T'.6TO—Actual: O I (Lot coverage C/"J Propos _I Req. ( Req. ` c / Req. jPront Pard J✓ Proposed:,Q (Side Yard �/ J_.S Proposed [Rear Yard Proposed- Project 'ruposcd Project Description: AGEN—U ERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number / �lp-d3,ou91�1 Suffolk County Health Dept. ✓ C J New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes.: Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/01/03 Receipt#: 915 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 0915 Total Paid: $10.00 Name: Robert's, Custom Homes P O Box 372 Wading River, NY 11792 Clerk ID: LBOHN Internal ID:82501 I Off? famlHor w/1h Mi'STAIIK) FOR APPROVAL AND CONSTRUCTION OF SAGE SEWAGE7"- DISPOSAL P .� vicE y DISPOSAL SYSTEMS FOR S'�VGL'E FAA&Y RESVENCES and wkl abide by the condlrfl ms sal forih #web and on the f � " ,�,y . `s, /1 perndt to construct. s " A The locations of wets and cesspools - shown hereon are from !!eM observations � _ • G,• and or from data obMk►ed from others. N ��• ( r„ -a; iV-!. ZCIDA DA:I'E OF APPROVAL � -Cn OT 'I .i THi2�... .. .� :r 01 el P' N 0� °, -000` 6.39,,0 0 �� r -� Q��,n9 �r� ► 2000 �• y Q.° ek 001C e Z9 y f kst°n 800 c► c.�• � �o� Q ,30 �,• II �,, d r `�• �, ` try` 5 �, w a ^ b•39 g � • SURVEY OF PROPERTY 4lf• AT EAST MARIONsye � "'o TOWN OF SOUTHOW F K CO N. Y. StlF � COUNTY �k L 71000, °°00 40' �+ 'Cot TEST BORING �. 1' - 4W 0. �,► L., CJ' AM 20M sero a tot Brown My _ .20 �• \ �A . ,„�� yz'2° f(l P• n�r0 Pd. Brown Fka -10 �• �o . f .v `.J to Coarse Swed oft 10% prove/ Sw ELEVA TIONS ARE REFERENCED a �i by o S. LIC. NO. 49618 TO AN ASSUWD DATUM. 06 �T _ pC (6311 FAX 1") 765 - 1797 AREA = 4X6W a¢ ft. 1230 BTRAVELER STREET SOUTHOLD? N.Y. 1197/ 03 - 07 am famIllar th the 1 ,9— 03 _ p 9 4 AND CONSTRUCT!N OF SUBSURFACE 4GAL RFACRDS ESEWAE 2 L ' DISPOSAL SYSTEMS FOR SINGLE FAMfL Y RESIDENCES and wN ablde by the coed tans set forth therein and on the [1-J permit to construct. ��,e• The locations of we#s and cesspools shown hereon are from field observations and or from data obtained from others. o '00 15. 10to N00 PO el3 °ArN �• {,d rne o o g'30 N OLL 1.0 C 00 In R b•3 0 �Q Ji'na erg �P200• �' Z4° ol'oe 0 OW E• e 3 O 5?•202 �r� / n %o 4470 VA6 A �`y � O `00 SO 0 f 0 �E`5ox / ,'' Prh58 �ti 56.3g•3 & �•�` SURVEY OF PROPERTY '/ I o, , \ �"�'` 5• 1f f�Ud A T EAST MARION -� � TOWN OF SOU THOLD 1IL SUFFOLK COUNTY N. Y. tank 50' 200 00 \ 1000 - 31— 10 — 13 10' sY `5 D TEST BORING SCA'*.-AhVE 3 2003 Dark Brown �� G• t• Loam rOL Brown `i SandSSI[/ C •20,20 P•G• � ro�►^ 2.51 r"°^1 .nd GJ� �A�' Pd• Brown Fkm f y^N S• O nye / bo to coarse sand .`(60� NEW y0 c p D x ai l �� jE1' w Sero% grout ��a ♦. rjQ 'Pf o ►5 ay K l� . ELEVATIONS ARE REFERENCED : �i Y.S. LIC. NO. 49618 TO AN ASSUMED DATUM. l< �a�`�c IrCO , P.C. o �P' 11 02 X (631) 765 - 1797 AREA = 4X608 aq ft STREET S 11971 03 - 187 Town Hall,53095 Main Road Fax (631)765-9502 P.O. Box 1 179 Telephone(631)765-1802 Southold.New York 11971-0959 ten @h, \0\0" BUILDING DEPARTMENT TOWN OF SOUTHOLD February 13th 2007 Manuel Esteves 80 Sunset Avenue Selden, N.Y. 11784 RE: 655 Bay Avenue (accessory garage) 2ND NOTICE SCTM: 31 10 13 Dear Mr. Esteves, Please be advised that your Building Permit#2gJ03+ issued October 10th, 2003 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$90.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. pF SO�Tyol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 G Telephone(631)765-1802 Southold,New York 11971-0959 �O BUILDING DEPARTMENT TOWN OF SOUTHOLD July 18th, 2006 Manuel Esteves 80 Sunset Avenue Selden,N.Y. 11784 RE: 655 Bay Avenue SCTM# 0310010 013 Dear Mr. Esteves, Please be advised that your Building Permit#29803 issued October 10th, 2003 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$90.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT.