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Home My WebLink About35809-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. 35809 Z Date AUGUST 27, 2010 Permission is hereby ~ranted to: ALLEN OVSIANIK 8490 SOUND VIEW AVE SOUTHOLD,NY 11971 for : DEMOLITION OF Ai~ EXISTING INGROUND SWIMMING POOL AS APPLIED FOR at premises located at 8490 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 473889 Section 059 Block 0007 Lot No. 029.004 pursuant to application dated AUGUST 12, 2010 and approved by the Building Inspector to expire on FEBRUARY 27, 2012. Fee $ 70.00 // v- VA-uthori z ed ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL '~ ' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Y/~7' 20 /0 Approved Disapproved a/c Expiration ~'fO~ 7, 20 / ~ 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 "'~ 0, Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mailto: Phone: APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This 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 extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION 1S HEREBY MADE to the Building Department for the issuance ora 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 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 necessary inspections. , (Signature of applicant or name, if a corporation) (Mailing address of applicant) /t' ,ag'~ / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 60/. 'S t.,,4-/4, (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. ElecthciansLicenseNo. 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 /--/73o°°°9 fi?. Block Subdivision Filed Map No. Lot d?' 5/ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed co'n~truction: a. Existing use and occupancy b. Intended use and occupancy ~ ,~, err,~- Nature of work (check which applicable): New Building Repair Removal Demolition -. Estimated Cost j~'~, Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration OtherWork ~t:~,t(_ Pool ~ y~ ~ (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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front 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 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES NO ~Will 14. Names of Owner of premises ~;>t/st~,,~ ;~ Name of Architect Name of Contractor NO excess fill be removed from premises? YES__ NO / Address ~'r_~, ~,~J~ ~-o,~-,-*. Phone No. ~/- 7z.c- ~q~ I Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO J * 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 J * 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO J · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name 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 tree 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. Swom to before me this ]5 g~ dayof ~uffOy I- Notary Public TOWN OF SOUTHOLD PROPERTY RL~O'JlD CARD z~O~NE~R ~A/. £'-)~/5,~',~Jn;~(' STREET ~0 VlL~GE DIST. SUB. LOT A FORMER OWNER N E ' J ~ ~ ~e ~ /~p~, Ru~ S , W ~PE OF BUILDING RES. -~10 S~S. -- VL. ' FARM CO~. CB. ~lC~ Mkt. Value MND IMP. TOTAL DATE R~RKS / ' ' / .,, or o& ~ j I - , . Tillable, ~ PfI~j ~ ,~O, -- /~ g6 FRONTAGE ON WATER W~lond ~ FRONTAGE ON ROAD Meadow~nd ,I ~ o t~ DEPTH House Plot / /Z ~ ~ BULKH~D Total ~ COLOR ~[~/:~[- TRIM M:-Blclg. ~ EXter~i~n Extension Extension Porch Garage Patio Total Foundation. '~. ~ Bath · ~_L%-'O I 0 ~ Basement t-'--~ ~L-- Floors , ~' Ext. Walls Interior Finish Fire Place TyPe Roof Recreation Room Dormer Heat Rooms Ist Floor Rooms 2nd Floor Driveway [nette DR. FIN. B