HomeMy WebLinkAbout31852-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. 31852 Z Date MARCH 15, 2006
Permission is hereby granted to:
KARL & GABRIELA SPIELMANN
2650 HARBOR LANE
CUTCHIOGUE,NY 11935
for :
CONSTRUCTION OF AN AS BUILT ACCESSORY STORAGE SHELTER AS APPLIED
FOR. ADDITIONAL CERTIFICATIONS MAY BE REQUIRED.
at premises located at 2650 HARBOR LA
County Tax Map No. 473889 Section 103 Block 0001
pursuant to application dated MARCH 13, 2006 and approved by the
Building Inspector to expire on SEPTEMBER 15,~ ~
f ~ri zed/ li~
CUTCHOGUE
Lot No. 020.007
ORIGINAL
Rev. 5/8/02
'C:T77T':7::-.-E, ,.:~ ! t~-:~:,, ,
1500 Ho~ons L~e
sont~ol4 N~ Yo~k n~n
(631) 209-0676
A1 ~7~ 4g ' _GO/',bv' 2PO. OD
ZOT ~
FOUNDATION LOCATION: Febmar~ 2, 2004
Sca,e: 1,, = ;0Q - ~
E:~.JRVEY OF LOT I
~IT~ATE.-
TOI'~, 5OUT'HOLD
.~tFF-OLK COOl,IT'd, ~
N87°49'50.W
314.82'
LOT 2
N
JOHN C. EI-ILERS LAND SURVEYOR
TOWN OF SOUTHOLD
BUILDING DEPARTN~ENT
TOWN HALL ~ ~
SOUTHOLD, mY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. nor thfork.net/S~uthold/
Examined d/~///~ ,'~20 ~'
Expiration ,20
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
Contact:
'~dTF~ng In?//getol~ ~
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ~l~c~c~b.~-c
a. Th~ application MUST be completely 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 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 eYtension 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
:PutFhlio;:znet ~, ignr:;;;tOo:sO_~nPlpYreWn}tishe~sllaan~t~Cbaubill~l~V2rO~deicnet ~;~, "---,~-~.~ ibn~ictnigonCsO.~~~ons,~,/~/~~...._~ and to admit
' ' (S'~tdre of applicant or name, if a corporation)
-",,0"l! .~l; :~ (Mailing address of applicant) i [ q ~ ~
ctlmr a~.carg is o~tner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~,,¢ ~ ~_.~F~ ~ eo [v~ o,~-,v-~
(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.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section ) 0-~-~ Block 1
Subdivision Filed Map No.
(Name)
Lot 2 '(~ o~]
Lot c
2. State existing use and occupancy of premises and intended use and occupancy of proposed qo,nstmction: a. Existing use and occupancy C).¢o,~ 5~r~-e c~ ricer- ~owc,-q-~-
b. Intended use and occupancy Og~e,o 5~re c~
3. Nature of work (check which applicable): New Building.
Repair Removal Demolition
4. Estimated Cost ~ / ~q Fee
5. If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Alteration
(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 ,,,O I' Depth
Height_ / 2.' Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height_ Number of Stories
Rear
9. Size of lot: Front
10. Date of Purchase
Dimensions of entire new construction: Front
Height Number of Stories
Rear _Depth
Rear ~--'~r' ~ Depth ~ / ~-'
Name of Former Owner Lo~,i $ ~)~['r' O ~iN-, C)
11. Zone or use district in which premises are situated
14. Names of Owner of premiacs
Name of Architect
Name of Contractor
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__
g g50 v~.~o~,- k~
Address C~-~.b~,5,.~, .O. ~ Phone No.
Address Phone No
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. 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)
COUNTY
} °(~_('[.["/ ~Q') ~) (~.~1 }h~ 0_~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individdal 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 tme 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 ~ ~ -~
} ~ day of' ,L) P_CC__l~9-e~ 20 0,{.)
Nota~ ~blic
PATROl GANGI
NOTARY PUBLI~ ~e of New Yo~
~ in ~k ~un~
~ t
FORM NO. 3
NOTICE OF DISAPPROVAL
Date: December 21, 2005
TO: Karl & Gabriela Speilmann
2650 Harbor Lane
Cutchogue, NY 11937
Please take notice that your application dated December 20, 2005
For permit for an as built accessory horse stall at
Location of property 2650 Harbor Lane, Cutchogue, NY
County Tax Map No. 1000 - Section 103 Block 1 Lot 20.7
Is returned herewith and disapproved on the following grounds:
The "as built" accessory horse barn is not permitted pursuant to Article III, Section 100-30C,
"Permitted accessory uses."
"Horses and domestic animals other than household pets, provided that such animals shall not
be housed within forty (40) feet of any lot line."
The "as built" horse stall is noted as being +/- 21 feet from the property line.
/
Note to Applicant.~Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Z.B.A.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Tuthold/
,/
Examined ~/~,,[ ,20
^ppis_ 20__
Expiration ,20__
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
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
~ Date ~c~,~,~- ] ~- ,20 O.~
.;' ~ "'. -~ INSTRUCTIONS
-~V)> ......
, a..Th~s application MUST be completely filled m by t~ewnter or ~n ~ and submitted to the Buil~g ~sp¢ctor with 4
sets off's, accurate plot pl~ to scale Fee accord~g to schedule.
b. Plot pl~ showing location of lot ~d of buildings on premises, relationshp to adjoining premises or public streets or
~eas, and wate~ays.
c. The work covered by t~s application may not be commenced before issuance of Building Pe~it.
d. Upon approv~ of tbs application, the Building ~spector will issue a Building Pemit to the applic~t. Such a pe~it
shall be kept on the pre~ses available for inspection t~oughout the work.
e. No buil~g shall be occupied or used in whole or ~ pa~ for any p~os¢ what so ever until the Buil&ng ~spector
issues a Ce~ificate of Occupancy.
L Eve~ buil&ng pemit sh~l expire if the work authorized has not co~enced within 12 months after ~e date of
issu~ce or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the
prope~y have been enacmd in ~e ~terim, the Building ~spector may authorize, ~ writing, the extension of the pemit for an
addition six monks. Thereafter, a new pe~it shall be mquffed.
~PLICATION IS HE, BY M~E to the Building Depa~ment tBr the issuance of a Building Pemit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces 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 necessa~ inspections.~~
(~re of applicant or nme, if a co~oration)
(Mailing address of applic~t) I [ q ~ ~
State whether applic~t is owner, lessee, agent, ~chitect, engineer, general contractor, electfici~, 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 No.
Location of land on which proposed work will be done:
House N~ber Street ~
CountyT~ MapNo. 1000 Section }
Subdivision
me)
Hamlet
Block }
Filed Map No.
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
Sc. cf,'on
R~r~a~ Ccrm~cf, ~9o~t
APPROVED AS NOTED
DATE: ~ ~.__~.~_~ B~P, #
FEE: ,¢"/~'~' ~'!_ ~
NOTIFY BUIL'~, z Z'iTMENT AT'
766-1802 8AM 70 4 M FOR THE
FOLLOWING INSPECT }hS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CCFJCRETE
2. ROUGH - FRA,~¢~tLG & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET TH
REQUIREMENTS OF THE CODES OF NE
YORK STATE. NOT RESPONSIBLE FOI
DESIGN OR CONSTRUCTION ERROR~
"LL CODES OF
I "'OWN CODES
"TIONS O~
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