The URL can be used to link to this page

Home My WebLink About1000-125.-3-13: l~lil ~ · ; ~;'! FOR INTERNAL USE ONLY Date: ~- L~ Date Sent: ~"" / ..::-~-~¢,~';~t'c'~ ~'~'''~ ~'~ Project Name: Project Address: Suffolk CountyTax Map No.:1000- i.7,5 - ~ - /_~ Zoning District: (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: Initial Determination as to whether site plan is required: Signature of Building Inspector Planning Department (P.D.) Referral: P.D. Date Received: .z~ /.2_¢/43~' Date of Comment: ~' /~"'/(~ "~3igna~re'~f P~nning D~t. S~aCR~vi'ewer~ Final Determination Date: / / Decision: Signature of Building Inspector ~FOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. nor thfork.net/Southold/ PERMIT NO. Examined ,20 Approved 20__ Disapproved a/c BUILDING PERMIT APPLICATION CHECKDIST 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 Contact: Mail to: Phone: Expiration ., 20 gl:-" r~ ~ ~ ~ \!! ~} ¢'} Buildinglnspector ~[' ;)"f~ [ ~ r "~PPLICATION FOR BUILDING PE~IIT ~ ~, ~_9 , Date ~ ~-' INSTRUCTIONS ~A¥ t? ,200~ 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 waterxvays. c. The work covered by this application nmy 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 pem~it 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 al1 applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~¢(~g~cant or name, ifa corporation) . -60X 307 Ilqq.~o (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises L~q,~EL. Li/¢'~£ ¢Otfa,-rgy ct.~ _L"~C. (As on the tax roll or latest deed) If a~lioanrf, ts~ 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 which proposed work ~v,~ll be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ~, Filed Map No. Lot /.3 Lot St~Pe existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 0.0Lf) £TC//L.~q66 e>,q/~ b. Intended use and occupancy (LOLb O:Y0g.,~fE ~vq~/ ,: ' ~ Nature of work (check which applicable): New Building_ Repair Removal Demolition ~ otb Estimated Cost~ I00, 000 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work (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 ~ ~ t Rear 5~ q ' Depth 440iejht ....... ~D'+----- ......... Number of Stories Dimensions of same structure with alterations or additions: Front Depth °r0' Height ,20' Number of Stories 8. Dimensions of entire new construction: Front w~5-R~ Rear Height ,,2 02 ' Number of Stories I 9. Size oflot: Front q0?' Rear qt,.~5 * _Depth ~O Rear .Depth 10. Date of Purchase 3 !Z~3!2-O0~ Name ofFormer Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES.__ NO x 13. Will lot be re-graded? YES NO ~< Will excess till be removed from premises? YES NO 14. Names of Owner of premises ~o~48fL ~ldg$ do~ Address ~.q. ~ 3~ ~ Phone No. N~e of Architect Address Phone No N~e of Contractor ¢0A~d ~0~S-6~ ~[L~ Address Po ~ 3qq ~L~ ~ Phone No. 051-~q - qo6o 15 a. Is this property within 100 feet of a tidal wetland or a freshwater xvetland? *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 X 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 OF5 ../M~ ) ~o~lE~l~ P_ ~/21~'( being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 6 rc.a'~/~,'c (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 iris kmowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ] ~:~- dayof Notary Public 20 O(o FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date: May 30, 2006 TO: Joseph Pfaff for Laurel Links Country Club Inc. P O Box 307 Laurel, NY 11948 Please take notice that your application dated May 17, 2006 For permit for Demolition & construction of a barn at Location of property 4700 Route 25, Mattituck County Tax Map No. 1000 - Section125 Block3 Lot 13 Is returned herewith and disapproved on the following grounds: The proposed construction requires site plan approval. tuthorized Signature LASER FICHE FORM Planning Board Site Plans and Amended Site Plans SPFile Type: Project Type: Amended Site Plans Status: Incomplete Application - In Active SCTM #: 1000- 125.-3-13 Project Name: Laurel Links barn Address: 4700 Main Road, Mattituck Hamlet: Mattituck Applicant Name: Joseph Pfaff, Laurel Links Owner Name: Laurel Links Country Club Zone 1: A-C Approval Date: OPTIONAL ADDITIONAL INFORMATION End SP Date: Zone 2: Location: SC Filin.q Date: C and R's: Home Assoc: R and M ARreement: A date indicates that we have received the related information Zone 3: SCAN Date: SCANNED--------- Records Management