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HomeMy WebLinkAbout35023-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35023 Z Date SEPTEMBER 24, 2009 Permission is hereby granted to: ALAN R SCHMIDTCHEN PO BOX 196 EAST MARION,NY 11939 for : DEMOLITION OF ACCESSORY GARAGE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 031 pursuant to application dated AUGUST Building Inspector to expire on MARCH 10700 ROUTE 25 EAST MARION Block 0011 Lot No. 010 20, 2009 and approved by the 24, 2011. Fee $ 70.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN-OF~H~THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Disapproved a/c PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: I Expiration I~{~ ~5}CATIONFORBUILDINGPERMIT L I / NSTaUCT ONS a. ' ' " BtDG. DE?I. ns appnc~~ cQmnle~y filled in by t~ewriter or in ink and submitted to the Building Inspector with 4 sets ofplan 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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pemit. d. Upon approval of this application, the Building ~spector will issue a Building Pemit to the applicant. Such a pe~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 paa for any pu¢ose what so ever until the Building Inspector issues a Ceaificate of Occupancy. fi Eveu building pemit shall expire if the work authorized has not commenced within 12 months aaer the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the propeay have been enacted in the interim, the Building Inspector may authohze, in writing, the extension of the pemit for an addition six months. Thereafter, a new pe~it shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance of a Building Pe~it 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. ~gn~e~f applicant or name~if a co~oration) (Mailing'add'ss of applic~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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 1. Location of land on which proposed work will be done: House 1q4mber .... Stre4t ' Hamlet ' / County Tax Map No. 1000 Section '~ ( Block I j Subdivision Filed Map No. Lot Lot 1o State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,~'( ~IF~,_?_~-~ '"i~-~tl-P/(/.~ "~__~1 _"F--~qaJ~/~ [ _ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ ff O / 5. If dwelling, number of dwelling units If garage, number of cars / ..... Addition Alteration ~ Other Work (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front 7,~ Height ~ ~r Number of Stories .Depth Dimensions of same structure with alterations or additions: Front /if/t} Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front A/'/~ Rear _Depth Height Number of Stories 9. Size of lot: Front /~O t Rear /~.q/ t Depth c c lses 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-~aded? YES ~ NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises A~dress Phone No. Name of Architect Address Phone No Name of Contracto~L~ ~~ Address'lDO ~O k~ ,~.i> g~ Phone No. I,-3~ ~x] ~oO- 1-7 [,F' 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 cfa 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. 18. Are there any covenants and restrictions with respect to this property? * YES __ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONl'llE O. BUNCH Notary Public, State of New York No. 01BU6185050 (S)He is the Oualifl~l in :~fff. tgl~ P.,a,,nht (Contractor, Agent, Corporate Officer, etc.) Commission Expires Apdl-[~,i ~'0 J ~. of said owner or owners, and is duly authorized to perfbrm 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. S~vorn to before me thi~ dayof r s c~ ¢4z/0.;{c 20©~ Notau Public Signature of Applicant BURT S RELIABLE We ?l Take Care of It." HEATING · PLUMBING · AIR CONDITIONING Home Heating Oil and BTofuels Wednesday, September 16, 2009 Allan Schmidtchen 10700 Main Road East Marion, NY 11939 Acct. 5831B Dear Mr. Schmidtchen, The gas supply to the 2 back structures [garage and mobile home] has been disconnected at 10700 Main Rd. in East Marion, NY. If you have any questions, please feel free to call me at the number below. Your satisfaction is our first concern here at Burt's Reliable. Jack Becht Sales Engineer BLDG DEPT, Towr~ OF SOUTH0! D 1515 Youngs Avenue, BO. Box 696 · Southold, NY 11971 · 631-765-3767 · Fax 631-765-1744 ° www. burts.com '~,~-31-/i- TOWN 'OF $OUTHOLD PROPERTY RE( :ORD CARI~-~ ,,,~_ OWNER STREET [~)~700 VILLAGE DIST, SUB. FORMER OWNER : N ~ E S W TYPE OF BUILDING ~ES. ~/~ X.I S~S. VL FA~ COMM. CB. MISC. Mkt. Value . · I ..... AGE BUILDING CONDITION N~ NOR~L BELOW ABOVE FARM Acre Value Per Value . Acre Tillable 1 Tillable 2 tillable 3 Noodland ,, j ~ ~';,~t~,~:~O ~w~mplond FRONTAGE ON WATER / 3rushlond FRONTAGE ON ROAD ~' - aouse Plot DEPTH BULKH~D rotel DOCK 3-7 M. Bldg. COLOR Extension Extension Extension Porch Porch Breezeway C-orage Total Basement Ext. wo,,s Fire Place Type Roof Dormer Driveway Recreation Roorr Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Dinette K~ LR. DR. BR. FIN. lO Town of Southold Erosion, Sedimentation & Storm~water Run-off AssESSMENT'FORM ~op~ CourT'ON: S.C.T.~ ' ~ TH~ SUlSM -~ON OF A ~ 0 1' W'dl this Proje~ Re~dn All 8to~m-Weter Run4~f Geneial~d tr~ a T~ ~) I~ ~ ~? ~ ~,~e~ ~ ~.~ ~ ~~'~ ~as alIS~ Im~ ~ ~ ~ ~-~ s~.) 2 ~s ~e S~ P~n ~ 8~'~ P~ ~~.1~ ~ & L~on? ~ Grade Inv~ ~ ~n 2~ ~ Y~ ~ ~ ~ any Pa~ 5 6 7 8 9 Yes Is them s NatUral Water Course Rum~ng through the,Site? Is' this 15reject:within the Trustees judscfl~Jon o~ wilhln One Hundred [100') feet of aWetland or Beach? Wi l~ere be Site preparation on E)dsting Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to One Htmdred (100') of Horizontal Distance? into and/or in the direction of a Town right-of-way? Will this project Ctequirelhe Placement of Mateda~ Removal of Vegetatioh and/or the Co~tmctJon of any Item Within the Town Right:of-Way'or Road ShoUlder ;Area? {This item will NOT Include the Installation of Driveway' / NOTE: If A~qy Answer=to Questions One th[o~gh Nine is Answered with a Check Mark in'the Bex. a Storm-Water, Grading, Drainage & Erosion ContrOl Plan s. Requlre~ and Must be Submitted f~r Review P~' otto Is~uaace of Any Brdldlag PermEl EXEMPTIOI~ Yes NO Does. this [xoJect meet the minimum standards for classification as an Agricultural PmJec~ Note: If You AnsWerad Yesto this Quest°n, a st°rm'~vater, oradlng' ora nags & Er°sl°n C°ntr°l Plan is N~)T Requln~ll '~ b-'TATEOFNEWYOI1K, ~ Df ~ Il That I,. .............................................................................. being duly/worn, dcpos~ and ~Ts that he/she ..... ' No 0[aUS]~l) p. · · . (o~. con~o~, A~e.c. co~a~ c~c=, ~Edmmissi0nEXpires April .[4, 20_~.~.. Owner and/or represcntal~v¢ or'the Owner of Owncr's~ and is·dUly ~u ~horize. d to pcdorm or have pedormcd the sa~& work and to make and ~l¢ tl~ application; th~.t all sta~meaCs codta~ned in this application are true to the best oi~1~ knowte~ and belief; and d~t the work will be pcd'onncd in the manner set forth in thc applicado'n filed hcmwid~. Sworn to bcfor~ mc th~; (Signature Of Ann r~a~t) FORM - 06107