HomeMy WebLinkAbout30260-Z FORM NO. 3 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall Q
Southold, N.Y. N �� I✓� I � I
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 30260 Z Date APRIL 26, 2004
Permission is hereby granted to :
KEVIN & CLARE MILLER
10 WILDWOOD LANE
EAST HILLS,NY 11557
for
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at 600 WUNNEWETA RD CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0011 Lot No. 013
pursuant to application dated APRIL 7, 2004 and approved by the
Building Inspector to expire on OCTOBER 26, 2005 .
Fee $ 1 , 224 . 90 p
t
zed Signature
ORIGINAL
Rev. 5/8/02
O��pF SO!/ryol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road 4 Fax(631)765-9502
P.O. Box 1179 CA
Southold,New York 11971-0959
�!,`• ��
COUNT`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
January 7th, 2009 FINAL NOTICE
Kevin d Clare Miller
10 Wildwood Lane
East Hills, N.Y. 11557
RE- 600 Wunneweta Rd. (New Dwelling)
SCTM: #104-11-13
Dear Mr. d Mrs Miller,
Please be advised that your Building Permit#30260 issued April 26th, 2004 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit, please submit a fee of$1633.20, at time we can
schedule an inspection by one of our Building Inspector's
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT
cc: code enforcement
cc: legal department
BUILDING PERMIT EXAMINER CHECKLIST
DATE REVIEWED: / /04
APPLICANT: DATE SUBMITTED: 4_/7/04
D �
SCTM# DISTRICT: 1,000, SECTION: i0� , BLOCK: __JL, LOT: _(_!> SUBDIVISION:
ADDRESS: &4)qe CITY: ZONING DISTRICT: CONFORMING?/I o
BUILDING PERMITS OP N/EXPIRED: PRE CO: Y OR N
BP -Z/C/0 Z- , INFO _/BP -Z/ C/0 Z- , 1NF0
BP C/0 Z- , O /BP -Z/C/0 Z- , INFO
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
LATS 40,0008F-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any.time/after 7/1
REQ. LOT SIZE: ACT. LOT SIZE:36 �jD REQ. LOT COV. o�o ACT. LOT COV.
REQ. FRONT PROP.FRONT Q SIDE ACT. SIDE
REQ. REAR PROP. REAR REQ. EI HT PROP. HEIGHT
PROJECT DESCRIPTION: r
ESTIMATED PROJECT COST: jQD GINEER: Pa�
WATER FRONT? ff0 DESCkIPTION: PANEL # FLOOD ZONE: X_
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT_i_�NO, (BED #):,J,"- DTE: '� /L /3 PERMIT#:&-03-0/tic-)
—TOWN SEPTIC RECEIPT: Y or N
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or DTE: / / PERMIT #:
SOUTHOLD TOWN TRUSTEES— YES or DTE _/_/_ PERMIT#:
TOWN ZONING BOA�D-APPROVAL: YES o DTE: / /_ PERMIT#:
TOWN PLAN. BOAR/ APPROVAL: YES or DTE_/ / PERMIT#:
TOWN HISTORICAL/PRE (SPLIA). YES o
NEW YORK STATE CODE COMPLIANCE (SE AG ): Y S o)NO
NOTES: V&AS S
i 2
FEE STRUCTURE: FOUNDATION: I S?9 SF
FIRST FLOOR: SF
SECOND FLOOR: F
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
1. ( SF)- SF _SFX$�d =$ IUB+$ /5-() +$ =$ 1 �2 7P
2. ( SF)- SF)= SFX $ _$ +$ +$ _$
3. (_ SF)- (_ SF)= SF X $ _$ +$ +$ _ $
i �
J i.0 FINAL TOTAL: $
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: 45 Wind Speed: 120MPH Seismic Design Category: B
Weathering: Severe Frost Depth:36" Termite: M-H Decay: S-M
Design Temp: 11 Ice Shield Underlay:YES Flood Hazards:
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
HEADERS: Y/N WALL STUDS:Y/N GIRDERS: Y/N
CEILING JOISTS:Y/N FLOOR JOISTS:Y/N ROOF RAFTERS: Y/N
LUMBER SPECIES AND GRADE: Y/N
DESIGN LOAD CALCULATIONS: Y/N
LIVE: Y/N DELI); Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N
WINDOW ANSCHEDULE:
SCHEDULE:
MIS-,
13 � AT REQUIREMENTS: Y/N l
E
MIC
5.7 S.F.: Y/N I
LI'sHT 8%: Y/N l
VENT 4%: Y/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 05/03/04 Receipt#: 0
Transaction(s): Subtotal
1 Septic Permit-Construct- Resid. $10.00
Check Total Paid: $10.00
Name: McCarthy, Management
46520 Route 48
Southold, NY 11971
Clerk ID: LYNDAB Intemal ID:93227
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,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. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20 Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Dat - , top
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 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.
RIC
(Signature bf applicant o name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises 2 V C I Q r e- Ak'i I on the tax roll or latest deed)
If pplicant ' corporati n, afore lmrized officer
(Name and title o corp ffi
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed wQQrkd
n n P- ra-� one:
House Number Street Hamlet
flvo.3 ;t!
County Tax Map No. 1000 Section .J D4 Block l ,,fit:,;�. ,7foN
Subdivision Filed Map No. ~' r'' c`- ;'.0
(Name) c:� •,�;t Ra�temrmeg
IL
CDState existing use and occupancy of premises and intended,use and occupancy of proposed construction:
a. Existing use and occupancy Vac am-Al
b. Intended use and occupancy VV ' ` / ✓V
Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Q co K Fee
(To be paid on filing this application)
If dwelling, number of dwelling units Number of dwelling units on each floor
'If garage, number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Fronts Rear Depth
Height Number of Stories
' Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
r
8 Dimensions of entire new construction: Front 5 O / Rear Jam'1 1�J Depth '( S
Height Number of Stories
Size of lot: Front L�(� ,(4qRear 1 0 Depth S .O
10. Date of Purchase Name of Former Owner Alrct .-�
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO V
13. Will lot be re-graded?YES V 110 Will excess fill be removed from premises? YES NO
14. Names of Owner of premises _Address Phone No.
Name of Architect i o ma 5 o n f r' ) Addressl N" U „ , `jPhone No Q l- B
'��T:JET
Name of Contractor e \-h Address 0 012 Phone No. J--7 ' l
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.
STATE OF NEW YORK)
SS:
COUNTY OF 5 D I
Jy10r✓LdIS 1/�7 �L�iit being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above natiied,
(S)He is the
(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.
Sworn to before me this
16'1'"-day Qf 1MaLd,4 20C)_�
Notary Public e of Applicant
Ruth Love
Nobly Public State of New York
No. 01 L06054063
Qualified in Suffolk County
Commission Expires March 5,20
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