Loading...
HomeMy WebLinkAbout29157-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. 29157 Z Date FEBRUARY 14 , 2003 Permission is hereby granted to : MALCOLM P MCALLISTER bb 11 MAHER AVE GREENWICH, CT 06830 for 4 ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at OCEANVIEW AVE FISHERS ISLAND County Tax Map No. 473889 Section 009 Block 0006 Lot No. 008 . 004 pursuant to application dated DECEMBER 26, 2002 and approved by the Building Inspector to expire on AUGUST 14 , 2004 .1 Fee $ 1, 371 . 30 Auth ized Signature ORIGINAL Rev. 5/8/02 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: I /1_/0; APPLICANT: VAws Er - DATE SUBMITTED: 12 /26/02 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: (, , LOT: STREET ADDRESS: ft1---A,01) — CITY: F-I• SUBDIVISION: PROJECT DESCRIPTION: 6 ESTIMATED PROJECT COST: S CHITE /ENGINEER: '}6m FAST TRACK? N0 SINGLE & SEPARATE CERTIFICATION-REQUIRED? 00 NOTES: LOTS 40,000SF-100-24.Lot recogn i tion.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8: ZONING DISTRICT: R-s,CONFORMING? _Y_ REQ. LOT SIZE: ACT. LOT SIZE:.Q REQ. LOT COV. ACT. LOT COV. REQ. FRONT 66 PROP. FRONT-71----�REQ �E ACT. SIDE REQ. REAR PROP. REAR ✓ RE EIGHT PROP. HEIGHT WATER FRONT? W` DESCRIPTION: PANEL #: FLOOD ZONE:_? -- APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or 10, (BED #): DTE:_/_/_ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y 4) NEW YORK STATE DEC: PRE-DEC 9/1/75 YEtor SOUTHOLD TOWN TRUSTEES: YE TOWN ZONING BOARD APPROVAL: YE TOWN PLAN. BOARD APPROVAL: YETOWN HISTORICAL PRE (SPLIA): YE NYS ENERG . YE R NO : EGRESS (18 .? 4 sq total) NT(SQ. FT. x 4%) �-'�- LIGHT(SQ. FT. x 81/o) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: 1 FEE STRUCTURE: FOUNDATION: �fi SF FIRST FLOOR: 2066 SF SECOND FLOOR: I y 1 6 SF OTHER: SF INIT OTHER r..-SAL TOTAL: q 2 1 SF FEE FEE FEE r 30 30 1. c I2 I SF)- ( e6o SF)= �� SF X$�=$ 12 21 +$ i�Sy +$ _$ 13�I 2. ( SF)- ( SF)= SFX$ _$ +$ +$ _$ L c P—LA I OF r'comz'ry of=_ ���E ✓ Tl M ��� Y�� a ztl A U14K_ Is., 1d7 Q� 25 ._��siiroiciwar�a °' � tit 410 "iSION MAN HAM ' �ZYa AVE':#:-t�ES� 1tX�6 • PZAe"RS S.S D Yb>RiC TEST FIOL>: 8=5e 54561 L3¢2 7 �o._ 5 si*,corny TAX MAP RSp'. �d=t7' GDt�(PACF SANDY Ttt L wx for_ 's wrloa or .MOTTLIa6 AT`(p" 14o WAZMF- :., pYD t.EpG8 p- 9 8 IA - � OtK COUNTY FJEPAf?T,YfENT Of HEAL fiy SERVICES rl�155 FOR-APPROVAL OF CONSiR!fC+:1 d Oc Single Family Re- DA e- 6` P�QPo DATE' -LZ-8 ( ; cA� p ] Hs F g \ Yna e r � � �• � PPRovEo � �-• `��,� 'F-o • TVA RS FR0h1 DAT F APP PSE OF NEyY J, � -� -�S� P1RES YEAVAI,,. QOf ff- It �— VV 0490 too Moi- jS,4s--O - 130,= OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . .BUILDING DEPARTMENT CIIECK TOWN HALL SEPTIC FORK _ _ _ . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NO I FY 3 CALL ; Examined -- . . . . . . . . . . . . . . MAIL T 0 : O j r a 'S Approved �. ./.�. . . . . . .,� . . . Permit No . .' � �. . . . . . . _ . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Q2 _t!k 0 a. . . . .,�'?�?Z INSTRUCTIONS a. This 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 areas, and giving a detailed description of layout of'property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 necessaryinspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. � ►� ( L, {�?NT{z�GTo ,��G. N`-C . . . . . ... . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . Name of owner of premises kK. AAL4x)i,K ,1?,,Kc.ACl-L�TE�. E. 1�fZg..t<p1TO. J%.�1.r�4"t STI:� (as on the tax roll or latest deed) If applicant is a corporation,.signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. 27 (9$:1:-.NI. , , , , Plumber's License No. �2" Electrician's License No. !Z.-q , , , , , , , , , , , , , Other Trade's License No. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . • • • • • House Number Street Hamlet County Tax Map No. 1000 Section . Cee . . . . . . . . . . . . Block A.. . . . ... . . . . . . . . Lot .64. . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Ma No. (Name) P Lot . . . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy Of proposed construction: a. Existing use and occupancy . . .2C S(D etJ Lt . b. Intended use and occupancy . . S IDC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building. . . . . . . . . . . Addition t.. . . . L,` Repair . . . . . . . . . . . . . . Removal . . • • • Alteration . . . . . . . • . � . . . . . . . . Demolition Other Work . 4. Estimated Cost (Description) . . . . . . . . . . . . . . . . . . I . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. If dwelling, number of dwelling (to be paid on filing this application) nits . . . . . . . . • • • • . . . Number of dwelling units on each floor . . . . . . If garage, number of cars . . . 6. If business, commercial or mixed occupancy, specify ' ' ' ' ' ' ' ' ' • . • • • . 7. Dimensions of existing structures,if any: Front• atur� and extent of each type of use . . . . . . . I.". . Height .`. . . . . . . Number 2 _.. . . . . . . . Rear 77'--.`t. . . . . . Depth . S�.`; 10.`:. . . . of Stories Dimensions of same structure with alterations or additions: Front b c 'L". . . . . . . . . . . . . . . . . . . . . . . . . . . . Depth . .cj P.�. .l.Q." 3 t Rear . . 24. 1 . 2-1.1. . . . . . . Height . Number of Stories 2 8. Dimensions of entire new construction: Front ' ' • ' • . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . Rear 10. Date of Purchase " " . . . . • • • • • • • Depth 11. Zone or use district in which premises are situated , . ' ' Name of Former Owner . . . . , 12. Does prop IZ� C?. . . . . . . . . . . . . . . . . . . . Proposed construction violate any zoning law, ordinance or regulation: o.. . 13. Will lot be regraded Pv. i o�AS Will excess fill be removed from premises: 14. Name of Owner of premises M!�l pmo,,£,�nttk t�c¢�t,l� Yes o Name of Architect 4rl GYK. . . . . . . . . . 1�Address �6.13Q a.�tA0KW� C, Phone No.63j.Z -f 6I$. Address 1't9.� ?w�Y W$LW9Hfcfphone No. Name of Contractor Bp. �eAwt c�NG, ,RESTv�!tCe ,l Address P*9t. N 'S 44-7.F% 7 . Phone No. 15. Is this property within 300 feet of a tidal wetland? * ' *If yes, Southold Town Trustees Permit may be required. . . . . . equired. . . • " No. . .�. . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and:indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whetY.irr interior or corner lot. STATE OF NEWORK, -OUNTy OF . . . .Ulef:bI.!*. . . . . . . S.S . . . . ' • • • . ' . ' ' ' • ' ' • • • being duly sworn, deposes and says that he is the applicant hove name ( me of individual signing contract) le is the . . . . . . . . . . . . f 't�•�.r7!1' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) . . . ... . . . . . . . . . . . . . . . . . f said owner or owners, and is duly authorized to perform or have performed the said work and to Pplication; that all statements contained in this application are true to the best of his knowledge and belief;and h ork will be performed in the manner set orth in the application filed therewith. make and file this worn to before m that the Otary P i . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . County THOMAS F,DOHERTY J14, Notary Public state of New York No.4806559 Quallfisa in Sutfolk County • •�•�jn� . . . . . . . . . . . . . . . . Urni Expires 12/31dt:-- (Signature of applicant)