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HomeMy WebLinkAbout24123-Z FO~M NO. ii TOWN OP $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP, MIT MUST BE KEPT ON THE PREMISF.5 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 24123 Z Do,, .......... ~./...,a. .................. , ~9~.~. Permission is hereby gronted~to: "- ..~.l~_~~ ................... ...... ~~_..~..~ ....................... ..~~~...~..~.~.~:~ . ~..~~.~...~.~~.....~,~ .................................................................. ~, p,,~i~, ~ ~, ................. ~..~ .................. c~ ~,~ ~,~ ~. ~ooo ~,,~. ...... ~.~~k ......... .~ ....... ~, ~...~.(. ........ Building Insp~to~.  ................. ~~-~ .......... R~v. 6~30/80 FORIt NO. I TOI~N OF SOUTltOLD BUILDING DEPARTNENT TOi~l BALL SOUTHOLD, N.Y. ] 197 I TEL: 765-1802 · APR 2 2 ~ .ICATION FOR BUILDING PE~IT INSTRUCTIONS BOARD OF HEALTH ..~< ........... 3 SETS OF PLANS ............... t.- SURVEY ....................... cHEc ............ SEPTIC FORI! ........ NOTIFY: HAIL TO: .................... ~ 'Date ................ ,19 .... a. This application mst be ec~pletely filled in by t~ype~riter or in ink aed submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee aeonrding to schedule. b. Plot plan sl~oalng location of lot and of buildings on premises, relationship to adjoining premises or public s~reets or areas, and giving a detailed deseriptioa of layuut of p,o~et'ty must be drmeu on the diagran vhith is part of this application. c. ~ ~k covet~l by this application my not be ceat~-~-ed before issuance of Building Peri, it. d. Upon ~,,,~tl of this application, the Building Inspector will issue a Building Pemit to the applicant. pemlt slmll be kept on the e,~.ises available for inspection throughout the e. NO building slmll be accupied or used in ~aole or in pert for any pm-pose ~aate~r tmtil a Certificate of Occupancy shall have beea granted by the Building Inspector. APPLICATII~ IS ~la~si ~ to the Building Uepm!',,~,,t for the issuance of a Building Pemit pursuant to the Building Zone Ozdinanee of the To~ of Sontbeld, Suffolk Connty, N~ York, and other applicable Lines, Ordin~ces or Ik~ulations, for the construction of buildings, additions or iterations, or for r,,~al or a~nlition, as herein described. The applicant agrees to comply with all applicable lass, ordinances, building code, housing cede, and regulations, aha to ac~t authorized inspectors on p,,=dses and in_building for eecesse~/ inspections. .... ............... ~.Signatum of appllmt, or na~, ~f a (Nailing a~drass of applicaut) State ~daether applicant is o~er, lessee, agent, architect, eagineer, ~aeral ~tr~tor, el~tricim, pl~r ~ ~il~r. (as on the tax roll or latest deed) 'If applicant is a ¢orporatioa, signature of duly authorized officer. (Name and title of corporate officer) Builders License No .......................... Pit,ab,rs License Ilo .......................... Electrieiass License No ...................... Other Trade's LiCtmse No ..................... House Naat~r Street (~) ,( te 3. I~z~ture nf work (d~ck ~id~ applicable): ~ lluilding .......... Nldition .......... Alteration Repair ............ Removal ............. ll~nol itic~ ............ Otlmr ldork (~ripti~) 6. Estimet~ ~st .. ~ f~ ......... ~ ........... (to ~ ~id ~ fili~ this a~li~tim) 5. I[ ~lli~, a~imr of ~lli~ onits O [[l~r of t~lling ~mirs on e~t If garde, ~r of car~ 6. I~ I~i~ss, ~rcial or mi~ ~, s~ci~ ~ture aM ~tenE of eadl ~ o ~ ...................... 7. DimenMons of ~isti~ stnr~ms, if any: ~L ................ ~ar ............... ~pth ................. I~i~lt ......................... ~r of Stories ...................... Di~nsi~ of ~ ~tnm~re ~ith alterati~ or ~itions: ~t ............... ~ar .......... .....) ~pth .................... Ibi~t .................... l~t~r of glories / '~ ....(. 8. Di,ensi~ of entire ~ ~st~tion: F~t ........ ~ar ............... ~pth ........ 9. Si~ of lot: ~t .................... ~ar .................... ~pth ................... ..................... or .............................. II. ~ or ~ district in ~tid~ pr~i~8 am si~t~ ............... ~ .............................. ~ ........... '... 12. ~s pro~ m~t~tim violate a~ ~i~ 1~, o~i~me or re.latin: .... ~1 ............... 13. frill lot M ~ ~ ~ill ~es~ fill ~ ~ ~m ~mi~s: ~ .... , ............................... .............................. 15. ls this p~r~y wi~dn ~ f~t of a ~i~l ~tl~? * ~ .......... ~ PI.OT DIAGRAH l~cate clearly and distinctly all buildings, sd}ether existing or proposed, and indicate ali set-back dimensions fr~u property lines. Give street and block m~aimr or description according to ck~-~l, trod siva street na~es ar~l indicate ulmtlmr interior or corner lot. (~ne of individual signing contract) alx~ve lie is the ................................................................................................... (Cxmtractor, agent, corporate ol-~ieer, etc.) of said ~mr or o~ers, m~l is ihdy ~tl~riv~ to ~rfom or h~e l~rfo~ tim ~id ~rk and to rake a~ file this al~flication; that aH stat~nts c~tai~ in this a~licotion are tne to O~e Imst of his ~I~ and Imliefg and that tl~ ~rk will I~ ~rfon~l in tim mn~r ~t forth in the a~lication fil~ ~m to I~fore m this .... ........... ..... l~otary 15~btie ..................................... O~,NIEL C. MOONEY Nola~/'PubliG, Stats of New York NO. 30.48~2095 Qualified in Nassau Coon~ (Sig~rature of Al~licm,t) PLANNING BOARD MEMBERS RICHARD G. WARD GEORGE RITCHIE LATHAM, JR. BENNETT ORLOWSKI, JR. WILLIAM J. CREMERS KENNETH L. EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 TO: FROM: RE: John Boufis, Building Inspector Robert G. Kassner, Site Plan Reviewer North Fork Beer and Soda Main Road, Mattituck SCTM# 1000-62-3-7 DATE: May 13, 1997 At your request, the Planning Board has reviewed the floor plans and elevation drawings for the above project. As there is no change in the foot print of the existing building, and no increase in parking requirements, the Board finds that the changes to the front and side elevations are within the jurisdiction of the Building Department. The Board has no objections to the proposed project as long as the changes meet with all applicable codes. Town Hall. 53095 Main Road P.O. Box I 179 Southold. New York I 19714)959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (631 ) 765-9502 Telephone (631 ) 765-1802 January 9th, 2007 Maureen Mooney P.O. Box 731 East Marion, N.Y. 11939 RE: 11520 Main Rd. (alteration) SCTM# 122 3 5.1 Dear Ms. Mooney, Please be advised that your Building Permit #24123 issued May 13th, 1997 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $200.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. OWNER TOWN OF SOUTHOLD FORMER OWNER · r ,¢-!. -',, ,Vol ~_/,,,~,'. ' ~s. ~ s~s. w. ~ND IMP, PROPERTY RECORD CARD TOTAL DATE REMARKS AGE BUILDING CONDITION/ NEW NORMAL DIST. SUB. Z)~$,.'.','.3'~Z, TYPE OF BUILDING 16Z:'$'/! '¢ ', o0tl /abe ' Acre FARM Tillable LOT Woodland Meado~wl~a n~d House Plot Total BELOW ' ABOVE Value Per Value Acre · ,~ .~,,~ FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD · Bldg. :tension :tension :tension ,( ~rch eezeway lrage /,.S- P A Foundation Basement Ext. Walls Fire Place Type Ro°f Bath Floors Interior Finish Heat Rooms 1st Floor Rooms ')nd Floor Driveway Dinette DR. BR. Recreation Room FIN. B Dormer . - E/EL. r~. /'Y'/OOAIEY SUBJECT PREMISES KEY MAP SCALE 1"=600' TEST HOLE DATA 17' / / % % / / ~ ,'. I I I I -.' ~ / t // / /×~ x~ ~ x~J / / / / / ×~ /~ / / / ~c I / le,. / / / / / / NOTES: SUFFOLK S.C. TAX S.C. TAX S.C. TAX S.C. TAX SURVEY OF PROPERTY SITUA TED A T MATTITUCK TOWN OF SOUTHOLD COUNTY, NEW YORK No. 1000-122-05-1.2 No. 1000-122-0,3-02 No, 1000-122-0,3-5.1 No, 1000- 122-0,3- 17 SCALE 1"=20' JULY 12, 2006 DECEMBER 22, 2006 ADDED SITE PLAN JUNE 27, 2007 ADDED TOPOGRAPHICAL SURVEY AREA DA TA S.C. TAX No, 10,140 sq, ff. 1000-122-05-1.2 0.255 ac. S.C. TAX No. 15,546 sq. ff. 1000-122-05-02 0.$06 oc. S.C. TAX No. 40,618 sq. ff. 1000-122-05-5.1 0.952 oc. S.C. TAX No. 20,058 sq. ff. 1000-122-05-17 0.460 oc. TOTAL 84,142 sq. ff. 1.951 oc. 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 0z~ 2. FLOOD ZONE INFORMAT]ON TAKEN FROM: FLOOD INSURANCE RATE MAP No. 56105C0481 G ZONE X*: AREAS OF 500-yEAR FLOOD; AREAS OF IO0-YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM IO0-YEAR FLOOD, ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED, N.Y.S. Lic. No, 50467 Nathan Taft Corw n III Land Surveyor PHONE (631}727-2090 F~x (651)727-1727 OF OCCUpAncy UNO£RWRITER$ CERTIFICATE REQDIRED >, ROPGH . FRAM]I~G & PLUM~G ~-, FI[,,~L - CON~TRUC~ON ~UST ~E COMP~E FOR C,O. ALL CO~'~U~ION 8HALL ~E~ TN~ REOUIR~E~r OF~THE H.~ ~;TATE CONS~U~ON ~ER{~Y .,~ D~$ N~.~ REGPON~IB~ FOR ~G~ OR CON~U~ON ERRORS 3 8.' 11, 13. 1~. 15. ~6. t¥. 1E. 20° 21, 23. ~iNERAL NOTES , Firm Prevention and' B~ildiAg Code, ~.C.I.-318 ~einforced con~-~ ~ Al. ~Tlrtals for this project shall be installed in compliance 0 Th A~hitecC ~.- ~gineer ~nsu~e8 no responsibiltt~ for conltrO~ion ! ,, precadtious a~ prog~a~ ~n conn~tion wi~h wor~. there are no ~e ~x~reesed or impliel in the use of these plans. The architects of engineers certification applies only to this reqair~t6. ENERGY NOTES The followi~g:drawings have of the N.Y.S. IEner~y Conservation construction code. All (U) coeEficients for windows and skydomes ( 0.59 ) All (~) co~fffi~tents for exterior door or as noted All (~) 9*luee of walls R (19) MIN. as required. Ali (R) values,of Ceilt.ngs R (19) MIN. as required. InSulate all pipln~ as required per code. AIl (R) yalues o~ floors R (lq) MIN. 'as required. been prepared to meet all requirements NAX. 0.40 MAX. r 'N/ E.M'~"' MF_.V4 ¢_..LO&E~ II, J FLOOP-. 0 W'.4 tM ~:::,o N'k,'k'V,"H ,' //__ F~O k~T ELEV, .I I I