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~_~~ ...................
...... ~~_..~..~ .......................
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~..~~.~...~.~~.....~,~
..................................................................
~, 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