HomeMy WebLinkAbout33834-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. 33834 Z Date APRIL 18, 2008
Permission is hereby granted to:
DANIEL MOONEY
PO BOX 702
MATTITUCK,NY 11952
for :
DEMOLITION OF MULTIPLE BUILDINGS AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 122
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
MAIN ROAD
MATTITUCK
Block 0003 Lot No. 017.001
8, 2008 and approved by the
18, 2009.
Fee $ 2,635.00
Au[horized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTH.OLD
BUILDING IXEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
S outholdTown. NorthFork.net
PERMIT NO.
Examined
Approved
Disapproved a/c
Expiration
200?
20~'
200
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
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
..--~.-" · ':.' '~ ' 3~PPLICATION FOR BUILDING PERMIT
Date rte// 7 ,20 C>F2
i~,?~' "~' ~ INSTRUCTIONS
a. This application MUSTbe ~letely filled in by t~ewriter or in i~ and submitted to the Building h~spector 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 wate~ays.
c. The work covered by this application may not be commenced before issu~ce of Building Pe~it.
d. Upon approval of this application, the Building ~spector will issue a Building Pe~it to the applicant. Such a pe~it
shall be kept on the premises available for inspection t~oughout the work.
e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector
issues a Ce~ificate of Occupancy.
f. Eve~ building pemit shall expire if the work authorized has not commenced wi~n 12 months a~er the date of
issuance or has not been completed within 18 months ~om such date. If no zoning mendments or other re~lations affecting the
prope~y have been enacted in the interim, the Building ~spector may authorize, in writing, the extension of the pe~it for an
addition six months. Therea~er, 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 ofbuiI~ngs, additions, or alterations or for removal or demolition as herein described. The
applicant a~ees to comply with all applicable laws, ordin~ces, building code, housing code, and re~lations, and to admit
authorized inspectors on premises and in building for necess~ inspections. ~ ~' ~~
(Silage of applicant or name~ff a co~oration)
(M~l~g address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~aJ~ 0 t~ T- ~4,~ ~v~l)
(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:
House Number Street
County Tax Map No. 1000 Section
Subdivision
Hamlet
Block 0 23
Lot
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of. proposed construction:
a. Existinguseandoccupancy Q ¢.- i- t.1,' ~ 4
b. Intended use and occupancy.
3. Nature of work (check which applicable): New Building
Repair Removal ,~ '"" Demolition
Addition Alteration
Other Work
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(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 Rear
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 /~/t~' Rear
Height Number of Stories
Rear
Depth
9. Size of lot: Front
Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated ,"-'.~
f~ tiC)
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
~. 3'~Th%~ ~t~ Address Ph~.~
14. N~esofOwnerofpremises ~ ~ ~ ~ ~ ~
N~e of Architect Address Phone No
Nme of Con,actor 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 ora 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. (_ ~x . ~.~..~.~ ,~-,*.,~,.~,~
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 OF_~)?/~'~--~
. ~') ¢-~ ¢~J ~ .¢7' ~, (~ //'M--"O t? t/~ ~f/ being duly sworn, deposes and says that (s)he is the applicant
(N~ne of individual signing contract) above named,
(S)He is the
(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 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.
Sworn to before me this
day of A/ /9'2
ary Public
Commission Expires March 6, 20_
SUBJECT
PREMISES
KEY MAP
SCALE 1"=600'
/
/
/
TYPE PLANTING DATA SIZE QUANTITY
SUGAR MAplE 2-1/2' - S IT2' 7
(ACER SCCNARUM) DIA.
· 40'-0" O.C. MAX.
EASTERN RED CEDAR
NICK'S YEW 16'-0"
C~ (TAXUS MEDIA NICKS) 12'-0' - 109
DIA.
ANDORRA JUNIPER (JUNIPERUS
0 HORIZONTALIS PLUMOSA) 12" - 16" 111
:'4
/
/
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/
/
/
/
X
0
/
X
\ o //~
STAKED TREE AND BALL ROOT 'COVERING DETAIl
(~ot TO Sm, t.S)
SITI~ DATA:
TOTAL LOT AREA '84,142
TOTAL L~NDSCAPEO AREA PROVIDED 36.3, (30,579 SQ. FT.)
)
AREA INCLUDING THE FOLLOWINO SITE
ROAD ACCESS AND PEDESTRIAN WAYS
MINIMUM SIDE YARD PERMITTED 25'
PROVIDED SIDE YARD 17.4'
MINIMUM TOTAL SIDE YARD PERMITTED 50'
PROVIDED TOTAL SlOE YARD '80.9'
TEST HOLE DATA
(TEST HOLE DUG BY McDONALD GEO$C~ENCE ON J~UN£ B, 2007)
b'
SITE PLAN & PLANTING PLAN DESIGN
James V. DeLucca P.A.
50457
NO TEE:
SUFFOLK
S.C. TAX
S.C. TAX
$.C, TAX
S.C. TAX
REVISED SITE PLAN
LANDSCAPING PLAN
SITUA TED A T
MATTITUCK
TOWN OF SOUTHOLD
COUNTY, NEW YORK
No, 1000-122-05-1.2
No. 1000-122-03-02
No. 1000-122-05-5.1
No. 1000-122-03-17
SCALE 1"=20'
JULY 12, 2006
DECEMBER 22, 2006 ADDED SITE PLAN
JUNE 27. 2007 ADDED TOPOGRAPHICAL SURVEY
AUGUST 27, 2007 ADDED SITE PLaN
OCTOBER 19, 2007 ADDED DRAINAGE & SEWER
JANUARY 24, 2008 REVISED AS PER NYSDOT LETTER
AREA DATA
S,C. TAX No. 10,140 sq, fi.
1000-122-03-1.2 0.233 ac.
S.C. TAX No. 13,346 sq. ff.
1000-122-03-02 0.306 ac.
S.C. TAX No. 40,618 sq, ff.
1000-122-03-5.1 0,932 ac,
S.C. TAX No. 20,038 sq. f'.
1000-122-03-17 0.460 ac.
TOTAL 84,142 aq.
1.931 ac.
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: ~
F?L -- FIRST FLOOR
2. FLOOD ZONE INFORMATION TAKEN FROM:
FLOOD INSURANCE RATE MAP No. 56103C0481 G
ZONE X*: AREAS OF 5DO-YEAR FLOOD; AREAS OF IO0-YEAR FLOOD WITH AVERAGE
DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN
1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM IO0-YEAR FLOOD.
ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPI~IN.
5. SEPTIC SYSTEM STRUCTURES SHOWN:
PROPOSED EXPANSION POOL
QPROPOSED LEACHING POOL
(~ PROPOSED SEPTIC TANK
4, THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
5. PROPOSED TOTAL BUILDING COVERAGE = g,289 sq. ff. OR 11% OF LOT AREA
(EXCLUDING ROOF OVERHANGS)
5. PROPOSED TOTAL IMPERVIOUS AREA = 55,500 sq. ft. OR 65,96% OF LOT AREA
(INCLUDING ALL BUILDINGS, BUILDING OVERHANGS, SIDEWALKS AND ASPHALT PAVEMENT)
6. TOTAL LANDSCAPING AREA 28,642 sq, ff. OR 54.04% OF LOT AREA
(INCLUDING BUFFER AREA)
7. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUtdPED CLEAN AND
REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS.
LEGEND:
T.C. - TOP OF CURB
ELEVATION 12.5' EXCEPT AS NOTED ON DRAWING
T.A. - TOP OF ASPHALT
ELEVATION 12.0" EXCEPT A5 NOTED ON DRAWING
T,G~ - TOP OF DRAINAGE INLET
ELEVATION 11.5'
T.W. - TOP OF RETAINING WALL ELEVATION 12,5' TYP.
[] - A/C CONDENSER UNITS
~7 - PROVIDED PARKING STALLS
2 - BANKED PARKING STALLS
~- DRIVE UP WINDOW STACKING PARKING STALLS
THE EXISTENCE OF RIGHT OF WAYS
PARKING
TOTAL BUILDING AREA
TOTAL BUILDING AREA MINUS
REST ROOMS, STAIRS, UTILITY
ROOMS~ HALLS, ELEVATOR & WALLS
AREA USED FOR PARKING
BANK BUILDING
AREA USED FOR PARKING
OFFICE BUILDING
REQUIREMENTS
15.547 sq, ff.
85 STALLS
TOTAL PARKING (PROVIDED & BANKED)- 86 STALLS
Nathan Taft Corw n III
Land Surveyor
PHONE (631)727-2090 Fax (651)727-1727