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Home My WebLink About35089-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. 35089 Z Date OCTOBER 21, 2009 Permission is hereby granted to: ENTERPRISES INC DEPOT 320 DEPOT LANE CUTCHOGUE,NY 11935 for : DEMOLITION OF ROOF OVER WOOD PORCH (SEE OLD TAX#102-2-12.1) at premises located at County Tax Map No. 473889 Section 102 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 29325 MAIN RD CUTCHOGUE Block 0002 LOt No. 012.006 21, 2009 and approved by the 21, 2011. Fee $ 70.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Exmined Approved Disapproved a/c BLDG. DEPT. TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Boaxd of Health 4 seL~ of Building Plans Planning Board approval Survey. Check Septic Form Trastees Flood permit Storm-Water Assessment Form Contact: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ,20o9 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accura~ plot plan te 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 Ce~ificate of Oeeupancy. f. Every building permit shall expire if the wink 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 issumqee 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 ~moval or demolition as herein described. Thc 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. ~ o~ al~plicent or name, ifa corporation) (Mailing address of applicant) tj State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 4~ tl'M !li~.~ o~) ~K-; (As on the tax roll or latest deed) applicant is a corpomtion,~igna~of duly authorized officer ~(Iq~nod title o?~orporat~ officer) Builders License No. Plumbers License No. Electricians License No. Other Tmde's License No. 1. Location of land on which proposed work will be done: House Number Street Harriet County Tax Map No. 1000 Section [~}~-~ Block ~ ~ Subdivision Filed Map No. Lot Lot,J~'r~- /ao O 2. State existing use and occupancy ofpres~ises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy S ~1° 3. Nature of work (check which applicable): New Building Repair Removal '~ Demolition ~ 4. Estimated Cost '~ ~.~ - Fee 5. If dwelling, number of dwelling units If garage, number of ~ara Addition Alteration Other Work ~10 (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commemial or mixed occupuncy, specify nature und extent of each type of use. 7. Dimensions of exlsting structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front .Rear .Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase _Name of Former~ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Wilt lot be re-graded? YES NO '~ Will excess fill be removed fi.om premises? YES 14. Names of Owner ofpremises.,.J. ~2-~g4' Address/6iff r'7_~_t:~.~pD Phone No. Name of Architect Address ~ · C o rZ fi-co v ~Phone No Name of Contractor Address 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. PERM1TS MAY BE REQUIRED. Rear __NO X 16. Provide survey, to scale, with aceumte 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 NO ~ · 1F YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF~ ~ A ~ ~ t'l' 1-1. ~.~ ~.~;~,~ O ~. X being duly sworn, depeses and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~, ~/~ ~4 ~.~.. (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized m 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. Sworn to before me this dayof Notary ~blic SUSAN ~. NOTARY PUBLIC, State No. 01BE6034222 Qual~ied in Suffolk Coun~ Co~issien ~pims Decembe~ 06, 200~ 20 SCALE 1'=600~ FOR SURVEY OF PROPERTY 80UNDARY LINE ALTERAT 0N SLTUAT£D AT CUTCHOQUE IOWN 0F SU[[O[K OOUHIY, H[W YORK S.C. IA){ Ho. 1000-102-02-11 1000-I 02-02-12.! SCALE 1'=20~ JUNE 1, 2004- JULY 12, 2004 ADDED BUILDING COVERAGE OVER NEW PARCEL 2 JULY 15, 2004 ADDED BUILDING COVERAGE OVER NEW PARCEL ~ NY.S LIc No. 49666 in egno Land Surveyor PHONE (651)727-2090 Fox (6~1)727-1727 %, %, ~,Y OTE S LOT AREA DATA EX[STING PARCEL 1 16.772.11 sq. fl. 1000-i02-02-11 0.585 ac, EXISTING PARCEL 2 72,517.69 sq, 1000-'02 02-'2/ 1.655 ~]c. AREA TO BE TRANSFERED .3,452.17sq. fL FROM PARCEL 2 TO PARCEL 1 0.079 ~c. NEW PARCEL 1 20,224-.28 sq. fi. 0.464 ac. NEW PARCEL 2 69,069.52 sq. ff. 1.586 ~c. TOTAL 89,289.80 sq. fl, 2.050 cc. L BUILNNG LOT COVERAGE OVER NEW PARCEL I 2,569 sq. ft. OR 11 7% OF TOTAL NEW (STRUCTURES INCLUDE: HOUSE & ROOF OVER STOOP, GARAGE & PART OF SHED! 2. BUILDING LOT COVERAGE OVER NEW PARCEL 2 = 8,728 ~q. ft. OR 12.64% OF TOTAL NEW (STRUCTURES INCLUDE: MAIN BUILDING WITH PORCH & ROOF OVER STOOPS, BARN & SHED} PARO~.L 2 S.C. TAX No. 1000-102-02-12.1 '%, THE EXISTENCE OF RIGHT OF WAY~ AND/OR EASEMENTS OF RECORD, IF ANY~ NOT SHOWN AgE NOT 6UARAHTEED, % // PARQBL 1 ~.C. TAX N?i.l 1000-102-02-11 / / mARCEL i AREA PARCEL 2 AREA. 34-20