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HomeMy WebLinkAbout34349-ZFORM 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. 34349 Z Date DECEMBER 15, 2008 Permission is hereby granted to: ALFRED & MARY KNAPP PO BOX 443 PECONIC,NY 11958 for : DEMOLITION OF ACCY DETACHED ONE CAR GARAGE AS APPLIED FOR at premises located at 3175 SOUNDVIEW AVE PECONIC County Tax Map No. 473889 Section 068 Block 0001 Lot No. 011 pursuant to application dated D_ECEMBE__R 10, 2008 and~by the i~illing Inspeci~510 expire On JUNE / _~ ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ., 20 Approved ,20___ Disapproved aJc Expiration ,20__ PERMIT NO. ~DL~. DEPT, 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: Mail to: Phone: ~:t~j- _ j~fff ,9 Building Inspector APPLICATION FOR BUILDING PERMIT 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 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. ,n ~ , , - Aig~na~ure of*alj~p[icant or name, it~orporation)O'~'' (Mailing address of applicant) [ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises '~xLff (9 (0 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. Location of land on whichproposed work will be done: House Number Street County Tax MLJp~o. 1~;0 ~ection & ~> Subdivision FOLLOWING INSPECTIONS: 1. FOUNDATION. TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBJ_~, FO_R_ Block / Lot II Filed~ Map No. Lot State existing use and occupancy of premiseq a. Existing use and occupancy ] b. Intended use and occupancy and intended use and occupancy of proposed construction: Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost 4 [~'- {._.)0 Fee If dwelling, number of dwelling units If garage, number of cars d Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Height ! ~_ ,r~_~- Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories Rear 10. Date of Purchase C/ I ~'-! 6 ~ Dimensions of entire new construction: Front Rear Height Number of Stories Rear /~1 'ff~ Depth Name of Former Owner ~.~'(-0 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ Depth NO f 13. Will lot be re-graded? YES__ 14. Names of Owner of I$r~Thses Name of Architect Name of Contractor NO ~Will excess fill be removed from premises? YES__ NO__ ~4~,-~ i~/¥Address~t'~ q ~xx~ O, ¢ Phone No. ") (~ ~'%~ 3-",i~ (..) t 'Address Phone No Address Phone No. 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 f · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OFS[) (~L- [~-~: I q~ L, ~B,t. 1'212) being duly swom, deposes and says that (s)he is the applicant (Iqfin~e of individu&l ~igni~g ~contract) above named, (S)He is the ~'~.k,'r~..~~ (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 tree 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 before me th& , ~ _~ ~ D JCl- day of!) Cq~ ~ I~'V' 20 O~ ' ' NoW~u~hc MELANIE DOROSKI NOTARY PUBUC, State of New Yo~ No. 01D04634870 Oualifiefl in SuffolkOoun~., ~ } ~ ~ls~on ~ir~ Sept~ ~, ~ Sig~ of~pplicant 'V N47"O9'40'W S47'09'40'E N/O/F ALFRED & MARY KNAPP SURVEY OF PROPERTY A T PECONIC TO~fN OF SOUTHOLD SUFFOLK COU~TY, N.Y. 1000-68-0i-ll SCALE: 1~50' FEBRUARY 2G, 2008 UL N /O,/F ALICE BENNETT FAMILY ALICE BENNETT QUALIFIED PERSONAL. RESIDENCE CERTIFIED TO~ UNLIMITED ABSTRACT COMPANY ALFRED KNAPP MARY KNAPP COMMO'NW~-Ar TH L'AND~~ ~7~ITLE dNSE]RANCE COMPANY AREA=3.7851 ACRES TO TIE LINES ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SU~TDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COP/ES BEAR THE IMPRESSED SEAL OF THE SURVEYOR f~c~CONIC {631) 765-~ INa 49618 31) 765-1797 P, O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y, 11971