HomeMy WebLinkAbout29927-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL o!
COMPLETION OF THE WORK AUTHORIZED) (3I / _4n �^_
PERMIT NO. 29927 Z Date DECEMBER 9, 2003 C�
Permission is hereby granted to :
SOUND AVENUE LLC 4850
51 MAIN STREET
SOUTHAMPTON11968
for
CONSTRUCT AN ADDITION ON A NON-CONFORMING BUILDING
APPROVED BY ZBA 4/19/64 . (THIS REPLACES BP 42320Z DATED 3/23/64)
at premises located at 4850 SOUND AVE MATTITUCK
County Tax Map No. 473889 Section 121 Block 0003 Lot No. 006
pursuant to application dated DECEMBER 1, 2003 wand approved *y the
Building Inspector to expire on JUNE . - 61 S . '
1
r
Fee $ 150 . 00 �'� y'
f
thorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 1
TOWN OF SOUTHOLD
RUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�ff SOUTHOLD, N. Y.
Examined ......�lj w.......1....., 19. ,/ Application No. .`.......................
Approved ...........................�.c. .., 19........Permit No. ............ ..
Disapproved a/c ... ...... ........v` .......... ... . ..
. .... . ... ....... . .....
..................... ...........� ................................
Buildin Inspector)
APPLICATION FOR BUILDING PERMIT
Date ..................)?arch....... . . 1964
.... . .......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this application.
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
permit shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 and regulations.
South.gnnton r'roauce Distr _tu.t=,rs Inc
..................................................................................................
(Signature of applicant, or name, if a corporation)
..........?.?... �:,.`.... op:............. .... .................................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.....................................Q�'n::Y'....................................................................... .. .
Name of owner of premises ....`:out .. :'r.tc> ....:r.�'�.L'.�..... ':Z.Ct.. ,.":.�. a. ....rnC.........................................................
If applicant is a corporate, signature of duly authorized officer.
.................................................................................................
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: .....YXZX .a ..................... Lot "x x
C! C C ,�� 1� i .Y.4-i -�
Street and Number .. :./.�......,.:�:,:,.,:...ri�.V.C�.�..........1,k,. ,,,. .., :}.................................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......TTS c.r.... 4�, z .�.`.: .. iJ?::i: ..". : .......................................................................
am
b. Intended use and occupancy . tilith
.......s ....... ..a '-..........itiori . . . .lt .. ..::::..s..............................
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._ �� q oZ-7 Check
'✓ Septic Form
N.Y.S.D.E.C.
Trustees
Examined 120 Contact:
Approved ,20 Mail to:
Disapproved arc
n Phone:
Expiration ,20 _! --
Buil(Yng Inspe r
APPLICATION FOR BUILDING PERMIT
Date 12- - 1 , 20 03
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 describe he
applicant agrees to comply with all applicable laws, ordinances,building code,housing code and regulatio , and to admit
authorized inspectors on premises and in building for necessary insp t .
ec�ions
ignature of appplljic t or name,if a corporation)
(Mailing address of applic t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises 4E5U :; 'p CAU u LLC-
(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 No.
1. Location of land on which proposed work will be done: 51s SGS::N c�AV6
42 50 s o Q t, a AV 6. rdA- tiv C
House Number Street Hamlet
_
County Tax Map No. 1000 Section ( -2- 1 BlockLot_
Subdivision Filed Map No. Lot
(Name)
1
SovNo
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S ?20 4g 20 V�N
h
d �S7 00
P� S /T'�0� /00,00,
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37.8' W
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block O Q
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conc block uj
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60-
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� fid
ip O7 17Cd9 39./•_ t.
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PrePared in accordance with the minimum
°�
standards for title surveys as established b;`VI P Ge L.I.A.L.S. and aPProved and adopte
Z o \-T, 1 �B for such use by The New York State
69 CNK Title Association.
.
SURVEY FOR
RANDA LL J. FEINBERG
AREA 2.2/70 ACRES AT MATTI TUCK
TOWN OF SOUTHOLD
pE NEW SUFFOLK COUNTY, N. Y.
��,t. 1000 121 - 03 - 06
oF*
SCALE '1't - 60'
� OCT. U , 1985
196 N.Y.S. LIC. NO. 49618
LAND CERTIFIED T0:
PEC VEYORS & ENGINEERS , P. C. TICOR TITLE GUARANTEE ,
( 516) 765 - 5020 RANDALL J. FEINBERG
54655 MAIN ROAD
SOUTHOLD , N. Y. 11971
85 — 35 5