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HomeMy WebLinkAbout34762-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34762 Z Date JUNE 9, 2009 Permission is hereby granted to: MADELINE C AS WEIMANN 4963 DRY CREEK RD NAPA, CA 94558 for : DEMOLITION OF EXISTING DECK ISSUED IN ERROR UNDER PERMIT#19128Z & C0#Z19222 AS APPLIED FOR. at premises located at County Tax Map NO. 473889 Section 099 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 450 SOUND BEACH DR MATTITUCK Block 0001 Lot No. 038.002 9, 2009 and approved by the 9, 2010. Fee $ 70.00 Authorized Signature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ [ ] ROUGH PLBG. ] INSULATION ~,~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF S~UTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~; / q ,20 Approved Lg' ,20 Disapproved a/c E×piration I : ,2o? t IOWN 0 ' ' PERMIT NO. -2'¥ ,y- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Plapming Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: 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. (Signature of applicant or name, ifa corporation) (Mailing address ofapp ic~ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED Nameofownerofpremises /}~{,~,,~31[~[22~--1~ ~--___-~.b.-.N~ \~'g/IE'~fft.~ '~ ~'~ ..... ' ' t~ ~ (As on the tax roll ~~/~v: .- ~ ~ If applicant is a co~oration, si~ature of duly authorized officer NOTIFY B~ILDING 25PAaTg[NT Al 7654802 8AM TO 4PM FQR THE (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Block FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUME{lNG 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STYE. N©T RESPONSIE{LE FOR~ . t~, ............. ? Lot Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended useandoccupancy ,IDi~-~t,~UC.~-A_ -O~ /~/=2¢A'd~t "~,~_ 3. Nature of work (check which applicable): New Building ///Addition Alteration Repair Removal Demolition ,// Other Work ~,~t S'rt~-~ O~C_l~ (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 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 Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear Rear .Depth Rear Numberof Stories ~!.i ,~ * Rear ~ ~,D_ep~h .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated l 2. 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. Names of Owner of premises Name of Architect Name of Contractor /~A Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO 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__ · IF YES, PROVIDE A COPY. NO STATEOF ~WY/,~1~? being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~-~ C.~J'~'"%(7,~ ~'0'9'~_ ~ (Contractor, Agent, Co¢orate 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. before me this dayof k,3 ~,~0~ 20 (~ Notary Public, State_ of New forl~--- -- r~o. utT06190696 Notary Public uommission expires Ju~y z~, LU.~ Signature of Applicant TTITUCK INLET OF $OUTHOLD SUF?OLK COUNTY, N.Y. I000-99-01-38.P $CAL~: 1"=40' APRIL 7. 200~ / / / / / / Certified to: / / / / James Meskouris / Chris Meskouris Lawrence J. Silberman, Esq. Lawyers Title Insurance Corporation FLOOD ZONE FROM FIRM J610JCO139 G MA Y 4, 1998. /' / \ / / / / / / / / i i / / / / × / / / / COASTAL EROSION HAZARD LINE FROM COASTAL EROSION MAP PHOTO 59-53J-BJ. LOT NUMBERS REFER TO BLOCK 2 "MAP OF CAPTAIN KIDD ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JANUARY 19, 1949 AS FILE NO. 1672. I am fern/l/or with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES end will ob/de by the conditions set forth therein end on the permit to construct. Elevotions referenced to N,G, V.D. The Iocotion of wells and cesspools shown hereon ore from field observotions end or from dote obtoinod from others. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7200 OF THE NEW YORK STAT~ EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ~f-iOSE S/GNA TURE APPEARS HEREON. AREA-25,496 SO. FT. TO TIE LINE R-25.00 77' TEST HOLE DA TA McDONALD GEOSClENCE 4/~J/o~ 2' MIXED SAND AND LOAM PAlE 8ROiffV FINE TO COARSE .SAND tffrH ~ , ~ ME?-> X~.~ (B¢~ ~ ,,~ .Y.S. LIC. NO. #9~1B 765-1797 ~ ~ ~STREET sou - .x09-122