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HomeMy WebLinkAbout34903-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. 34903 Z Date AUGUST 3, 2009 Permission is hereby granted to: 6512 INDIAN NECK LANE LLC 78 CHELSEA ROAD GARDEN CITY,NY 11530 for : DEMOLTION OF EXISTING SFD AS APPLIED FOR at premises located at 6512 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 098 Block 0006 Lot No. 001 pursuant to application dated JULY 27, 2009 and approved by the Building Inspector to expire on FEBRUARY 3, 2011. Fee $ 945.10 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTH( BUILDING DEPAR' TOWN HALL SOUTHOLD, NY !1~ TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.neff~ Examined Approved Disapproved a/c JUL 7 2OO9 BLDG. DEPT. TOWN OF SOUTHOLD outllull]/ l'l~RNlrJ' NO. Expiration ,20__ Building Inspector 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 Contact: r-v~ao ~ ~Jo~ Mail to: ~}. ~?-.. b~Lr,O ~ APPLICATION FOR BUILDING PERMIT Date ~,4, ~'~ INSTRUCTIONS ,200:) a. This application MUST berck~pletely 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 adj dining prdmises 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, ff~ t~ A~ [ (~Si~namre of applicant~or ~'ame,X~a corporation) (Mailing address (Jr applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (As on the tax rDll or late~'t d~ed) 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 which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Block CO Lot Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~l~,Ug. ~'d,mrl~,,~. l;~Ol~[I.~3f.~,,~:I '~- . ~_ b. Intended use and occupancy ~tv~OV}T}O~ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost {~/1.~ ~:~. Fee 5. If dwelling, number of dwelling units If garage, number of cars 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 Height Number of Stories Dep~ ~-~ ~) Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 9. Sizeoflot: Front 10. Date of Purchase Dimensions of entire new construction: Front Height Number of Stories {%'&'~l /1'~4 Name of Former Owner 11. Zone or use district in which premises are situated Rear .Depth Depth 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. Names of Owner of premisesg06~'a,r { (A~ILr, ~ddress cm~0vTa (.~,I,¢,R. II$!<Phone No.~,~")'[~e'~' to~l NameofArchitect ~(h00Z~c~C. ~q~l~li~.~ Address ~l.,.g:_~Itof...t~.q,~:.. PhoneNo(~i~l")llg~-l~o-~ Name of Contractor (_ .ll~.~t6~ Address~~'~U~ ~ o '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. STATE OF NEW YORK) S: ~fdlg~ ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S~)s the ~ (Contracto~orporate 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 maimer set forth in the application filed therewith. /' Signature of Applicant BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6992 DATE: OCTOBER 15~ 2008 ISSUED TO: CLAIRE & ROB RICCIO PROPERTY ADDRESS: 6512 INDIAN NECK LANF~ PECONIC SCTM~ 9g-6-1 AUTHORIZATION Pursuant to thc provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Tru~tee~ adopted at the meeting held on October 15. 2008. and in consideration of application fee in the sum of $250.00 paid by Claim & Rob Riccio and subject to the Terms and Conditions as stated in the Resolution, tho Southold Town Board of Trustee~ authorizes and penniis the following: Wetland Permit to demolish the existing dwelling and construct a new dwelling, swimming pool, and sanitary system, with the conditions of a line of staked hay bales and silt fencing is installed prior to construction, the installation of gutters, leaders and drywelis to contain roof and pool runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, American Beach Gra~s is planted in-between the two bulkheads, and as depicted on the site plan prepared by Frederick Weber, last dated December 11, 2008, and received on December 15, 2008. IH WI'llqESS WHEREOF, thc said Board of Trustees hereby causes its Corporate Seal to be affixed, and ~ p~ to ~ ~bscrib~d by~ ~ajo~.of~e~ ~d ~oard ~ of this date~ New York State Department of Environmental Conservation 50 Circle Road - SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0360 Denise M. Sheehan Commissioner LETTER OF NON JURISDICTION -TIDAL WETLANDS Date: November 17, 2006 6512 Indian Neck Lane LLC c/o Robert & Claire Riccio 78 Chelsea Road Garden City, New York 11530 1-4738-03652/00001 6512 Indian Neck Lane Property 6512 Indian Neck Lane, Peeonic SCTM No. 1000-98-6-1 Dear Sir/Madam: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the property landward of the functional bulkhead greater than 100 ft. in length and constructed prior to 8/20/77, as shown on Aerographics Aerial Photograph Exposure # 71- 1999 and dated 4/6/76, is beyond Article 25 jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, George W. Hammarth Permit Administrator cc: Frederick Weber, Architect, 41 E. Maple Road, Greenlawn, NY 11740 Marine Habitat Protection, NYSDEC File DMG SURVEY OF PROPERTY 51TUA'"I~: .5OUTHOLO TOINN: ..~::2UTHOL[;;::> .5,1.,IFFOLK COUNT'F, NY 5UR'CEYED O3-OI-2OO4 TOPO 0-1-06-2006 SUFFOLK COUNT1~ TAX # I000-q8-6-1 N W S E / / / / / / 1', NOTES= MONUMENT POUND ELEVATIONS REFERENCE N®N/D '2q DATUM FLOOD ZONE A5 REFEP-.ENCED TO FEMA FIRM MAP NUMBER ,~81030OI64 ® DATED HAh" At:~A =26,18>O S.P. or' 0.60 ACRE RECORD DEED L.~89q CP. 324 ®RAPHIC SCALE I"= ~O' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Compaqserver\pros\04\04-124.pro