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HomeMy WebLinkAbout34583-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. 34583 Z Date APRIL 6, 2009 Permission is hereby granted to: P~ALPH PARISI & ORS. 17877 SOUNDVIEW AVENUE SOUTHOLD,NY 11971 for : DEMOLITION OF AN EXISTING DWELLING FOUND. AS APPLIED FOR PER TRUSTEES PERMIT #7021 at premises located at County Tax Map No. 473889 Section 051 pursuant to application dated MARCH Building Inspector to expire on OCTOBER 17877 SOUNDVIEW AVE SOUTHOLD Block 0001 Lot No. 004 27, 2009 and approved by the 6, 2010. Fee $ 342.70 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEP~RTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~J~ ,20 07 Approved d~/~l~ ,20 Oq Disapproved a/¢ ?~ Expiration ~o[ I,~ ,20 [0 sets c 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: Mail to: Phone: MAR 2 7 2009 a. This a,I~I~ST be con Building Inspector ?PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS tpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 ;ee 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 pm'pose 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 applicant) p,J c.( { t q-// State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '-~-e_a~ ~X'c~C~e,-~o[nfx ~('3e-~,ko_O a- )(As on the tax roll or latest deed) 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 Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 5- \ Block I Lot ~/ Subdivision Filed Map No. Lot 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost #~ au I VO 0 Fee State existing use and occupancy of premises and intended use and occupancy of proposed constructi'o~: a. Existing use and occupancy o b. Intended use and occupancy o~-,~ Addition Alteration Other Work 5. If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size ot'lot: Front ! O O. ~ 5 Rear .Depth I0. Date of Purchase Name of Former Owner t)eptn 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~/ 13. Will lot be re-graded? YES NO ~/Will excess fill be removed from premises? YES NO 14. NamesofOwnerofpremises 'Fe.[l~so~'~-- Address 1-/ ~,~,a_~(5~-, ~ PhoneNo. ~1~-992- /~ Name of Architect Address Phone No NameofContractor~n r3o~+~, ~l&c ~ Address/3/00~woo&Oc PhoneNo. 15 a. Is this property within 100 feet ufa tidal wetland or a freshwater wetland? *YES ~ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this prope~y within 300 feet of a tidal wetland? * YES ~ NO~ tOC r~ t~ ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide su~ey, to scale, with accurate foundation plan and dist~ces to prope~y 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 ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF~,{-~011c ) ~0~xc~ [~ , I~¢f'- ~0~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE O. BUNCH Notary Public.State of New Yorl~ (S)He is the CI~ e,q ~ .... ~..o:~0JB~6.1.8~0_50 (Contractor, Agent, CorpOrate'Officer, etc.) C0mrmssm Exp res April 14, of s8id 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 this '2/"'{ day of "~[~'~/~., 20 ~ Notary Public  - Sign*ature of/~.ppli~nt BOARD OF SOUTHOLD-TOW31 TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7021 DATE: ISSUED TO: TED AS~SANTE~ JOHN DECtCCO & RALPH PARISL PROPERTY ADDRESS: .1.7877 SOUNDVIETM AVE/,~UE,$OU;THOLD SC~FM#_51-1-4 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chagt~,r J~l.l o![~he T0wa Qode of the Town of .Southol~d.an~d)n aeeor.dance w. ith th.e Resolution of the Board of Trustees adopted at the meeting held on ~, and m cons~deraUon of application fee in the sum of $2 . , aid b ed ~DeciCco & Ral h Parisi and subject' the Tor~ a.A ~- J.2[~ ~fP Y~ ooara oilmstees authorizes and permits the foltiSwing- ~ · ' T ............" Wetland Permit to construct a 4'x129' stairwav with nlatform~ s. ame]o~at,on as prewously ex,s~g ?airs; demolish and removq ,ounoauoa and undertake construction activities such as ground dis 6 ne$ d cl~r~g activities associate0 with conswucfion of a new dw~ I cated no ~oser 1~' fr°m crest of bluff~ with the condition of a line, of s~aked:.h~ ,:a~s ~ith silt fen~ is installed along the landward side of the 25' buffer prior to construction, a 25' N~- ~s~anee Buffer is ~ be ma~ained, along the.mst aft~ B~.~i~ a 4' wide access pa~"10 ~e staks, and as d~ted on the su~ey pr~ar~ ~-~h~ ~. EH/~s Land ~Y0r,:iast dated Janua~ 31; 2009and~.nnd received o~_.~ ~,~ .... ~aao,. ~.~-~ stair plan printed by EnXCOnsultants, Inc. last d~ted Ap~l Zig g005 and received on D~ember 26, 2008· la bY~ maj6tity ot"the saMB6ai-d ~ of this ~-'~-/~-/-4 TOWN OF SOUTHOLD PliOPERTY RECORD CARD DWNER ~ STREET//-/~ ~'/,~7 VIL~GE DISTRICT SUB. ' S W, ~ ~_.. ~ , , ~PE OF BUILDING ....,~-u s~ w~,~ I~d~ co~.~ I,~.Ic". I~'sc. ~ND IMP, TOTAL / DATE REMARKS ~ oo NORMAL BUILDING CONDITION BELOW AGE NEW Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot ABOVE Total LOT M. Bldg. Extension Extension Extension Breezewa' Garage O.B. Foundation Bath Basement Floors Ext. Walls Interior Finish Fire Place Heat Porch Attic - Porch Rooms 1st Floor Patio Rooms 2nd Floor Driveway .To__w,n of_ Southold ion, Sed,mentatmn & Storm-Water Run-off ASSESSMENT FORM RTY LOCATION: $.C.T.M. ~k THE FOLI.OWING ACTIONS MAY REQUIRE THE S["_~_M__!e_ _e!~_N OF A STORM-WATER~ ~' A D~RADINOf DRAINA.GE AND EROSION CONTrOl. ~P.~', ,r~ER B~ ESIGN PROFESSIONAL IN THE STATE OF NEW .l.tem Number: (NOTE: A Cheek Mar~ (~) for each Question Is Required for a Completa Applicetion) Yes ,-- 1 Will this Pmjent Retain All Storm-Water Run-Off Genemtad by a Two (2"] Inch Rainfall en Site? '~ 7./'"/-'r~- (This item will include all run-off craated by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of Impewloee surfaces.) / 2 Boos ~e Site Plan andka' Survey Show All Proposed Drainage Structures Indlceling Size & Looalion? ~/' r~ This Item shall Include all Proposed Grac~e Changes and Slopes Commlling Surface Watan~owl L 3 W~[ this ProJent Roqclra any Land Fining, Grading or Excavation whem there is a change to the Natural O L Existing Grade involving mom than 200 Cubic Yards of Material within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r'~ Five Thousand (5,000) Square Feet of Ground Surface? 5 Is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? -- 6 oneWill there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical PJse tOHuedred [100') of Horizontal Distance? D-- 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off r-'"l into and/or in the dtrectiou of a Town right-of-way? V-- 8 Wi, this Project Require the Placement of MateriaL. Removal of Vegetation and/or the Construction of r~ any em Within the Town Right-of-Way or Road Shoulder Ama? (This Item will NOT Include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundre(l (100) Year Floodplain of any Waterceurse? E~]~ NOTE: IfAnyAnswer 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.' Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to thta Question, a Storm.Water, Grading, Drainage & Erosion Control Plan is NOT Requlmdl y Notary Public: .............................................................. ~ .................. FORM - 06/07 STATE OF NEW YOILK, cou~rv oF ......- .~...~.~.~..... ss That I, ....~.~.._~..~..~"~'~.~ ........................ De/rig duly sworn, de~s~ ~d ~ys ~at h~she ~ ~e apph~t for Pen~ ~d ~t he/she is ~e ......... ~q..~.~..... ............................................................................................................................... · O~er ancot repr~en~ve of ~e Owner of O~er's, md is duly au~ofized to perform or have perforated m~e md file ~s appli~fion; ~at ti sm~men~ con.ned in ~is appli~fion are ~e to ~e ~~d ~ef; md · at ~e' work ~ll be performed in ~e m~ner set fo~ in ~e application filed he~ u0mmissi0n · ........ ............................ ..... , "',~'~i~*'r" ....................... .e, ITUATE~ ~LD T~ ~:)LtTHOLP .~,UI~::~K C, Ol,'NT~, N"r' APPROVED BY ie~m~o BOARD OF TRUSTEES T~ Ho~ ~Oo,~old e~,m~,~J~WN OF ,SOUTHOLD 08-26-2005 FL= DATE ,,~,~'/~' /i o 9 N FVL JOHN C. EHLERS LAND SURVEYOR