HomeMy WebLinkAbout33708-ZFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIIADING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PER~IT NO. 33708 Z Date FEBRUARY 27, 2008
Permission is hereby granted to:
for :
JOSEPH D MONTICCIOLO
9 KRISTI LANE
WOODBURY,NY 11797
CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
County Tax ~ap No. 473889 Section 050
pursuant to application dated FEBRUARY
Building Inspector to expire on AUGUST
Fee $ 1,752.80
590 SOUNDVIEW AVE EXT
SOUTHOLD
Block 0004 Lot No. 014
19, 2008 a/Id approved by the
27, 2009.
~horize~ature
ORIGINAL
Rev. 5/8/02
~'~ ,rs INSPECTION REPORT [ DATE I COMMENTS
FOUNDATION (1ST)
FOLrNDATION (2ND)
ROUGH FR?d~I~NG &
PL [71VEBEN G
I_NSULATION }'ER N.Y. '-
STATE ENERGY CODE
~D~ION~ COUNTS
TOWN 6F SOUTHOLD
BU~ILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. north fork. net/Southold/
^p.rov [ ,2°
Disapproved a/c
PERMIT NO.
.~piration , , 20
TOWNQF ~r*I'THO' :
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Check
Septic Form
NY S D.EC.
Trustees
~ ~'~ ~'~ Conlact:
,~ Mail to:
Building Inspector ~
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
I
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building inspector with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining premises or public stteets 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 pu~ose what so ever until the Building Inspector
issues a Certificate of Occppancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after ~ 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. Thareui~er, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the
Building Zone Ordinance oftbe 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
applicant agrees 1o, .~a~, ~/vith all applicable !aws, ordinances, .buildin.g code, housin~ code, and regulations, and to admit ,
authorized insi~ectors an p]Mmises and in building for ecccssrxy mspecaons. ~
-; I 9 ¢ O~ ~' ~ ~na~ofa~licantor name, ifa corporadon)
~--/ ! '(Mailmg addiess or applicant) / '
State whether applicA~mt iS owner, lessee, agora, architect, engincor, general contractor, electrician, plumber or builder
(As on the tax roil or latest ~e~)
If applicant is a corporation, signature of duly authorized officor
{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 Hamlet
County Tax Map No. 1000 Section ..~) Block O4~
Subdivision Filed Map No.
(Name)
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy V~AAIT' !-A/q~
b. Intended use and occupancy oc'/A/~ /~-,6a64/g.y' ~.~'/p~'g,g~'
3. Nature of work (check which applicable): New Building. ~' Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost ~ll,~,~ at::~9o Fee
5. I f dwelling, number of dwelling units /
If garage, number of cars /
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commereial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear _Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth .Height. Number of Stories
Dtmens~ons ofenttre new construcUon: Front ~.OO Rear ~ o~
·
8.
Depth
Height .~_~', ~ ! Number of SE)des '~ ~'~
9. Size oflot: Front /~.~ / Rear
10. Date of Purchase ..~/~ / ~',~ Name of Former Owner
11. Zone or use district in which premises are situated
. pth ql. 75 t
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~'
13. Will lot be re-graded? YES
14. Names of Owner of premises ,L
Name of Architect ~l~a,aL~{l~ Addr~_~hone
Name of Contractor Address ~ Phone No.
15 a. ls this property within 100 fect 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.
v/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)
SS:
COUNTy
~J~}~-~O~t ~T'~CC IOLO being duly sworn, deposes and says that (s)he is file applicant
(Name ~,f individual signing contract) above named,
(S)He is file OWN ~1~
(Contractor, Agent, Coqmrate Officer, etc.)
of said owner or owners, mad is duly authorized to perform or have performed file said wofl~ and to make and file this application;
that all statements contained in this application are mae to file best of his knowledge and belief; and that the work will be
performed in the m~aner set forth in the applieatien filed therewith.
~Si~ature of Applic.~~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ New York 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
~Toseph & Mary Monticciolo
9 Kristi Lane
Woodbury, N.Y. 11797
,TULY 21sT 2009
RE:590 $oundvicw Ave. Ext.
5CI'Nt: ~ 1000-50.-4-14
To Whom It May Concern:
It has come to our attention that you have not started construction on your
Building Permit # 33708. We will be voiding said permit. If you choose to
renew your Building Permit, please send a check made out to $outhold Town
in the amount of $1752.80 upon receipt of this letter.
Any questions please call 631-765-1802
Respectfully,
5outhold Town Building Department