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HomeMy WebLinkAbout33132-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. 33132 Z Date JUNE 15, 2007 Permission is hereby granted to: ROBERT A DEVITO 2035 JACOBS LANE SOUTHOLD,NY 11971 for : CONSTRUCTION OF A BASEMENT 1/2 BATH AS APPLIED FOR at premises located at Cou~nty Tax Map No. 473889 Section 079 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 2035 JACOBS LA SOUTHOLD Block 0006 Lot No. 004.001 6, 2007 and approved by the 15, 2008. Fee $ 200.00 Autho~i zed Signature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~,BG~ [ ] FOUNDATION 2ND [ ].~L~ATION [ ] FRAMING / STRAPPING [ ,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSIRUCTIOli [ ] FIRE RESISTANT I~NETRATION REMARKS: /~ O ~ ~3 ~'~-- FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) -- FOUNDATION (2ND) ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE E~RGY CODE .. ~- ~ ~DITION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 1197~0 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration ,20 07 PERMIT NO. '~ 5 I'5 ~-& I Bt~ildi~'g 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 Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: t ~L~t.~,'~?~.-~-. ~ ~L~¢~ INSTRUCTIONS Date {~ -~J'-t~l~ ' 20 O'7 ~i ~0~ D~~" L~ . . a. This ~~~pletely filled in by t~ewnter or in 1~ and submitted to the Build~g ~spector with 4 sets of pla~s, ac~ate 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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building hspector will issue a Building Pe~it to the applic~t. Such a pe~it shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector issues a Ceaificate of Occupancy. f. Evew building pe~it shall expire if the work authorized has not commenced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the propeay have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pe~it for an addition six months. Thereafter, a new permit shall be required. ~PLICATION IS HE,BY M~E to the Building Department for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Somhold, Suffolk Co~ty, New York, and other applicable Laws, Ordin~ces or Re~lations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant a~ees to comply with all applicable laws, ordin~ces, building code, housing code, and re~lations, ~d to a~it authorized inspectors on premises and in building for necess~ inspections. ' ~Signa~e~f apph~ant or name, ifa co~oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~9~t"~ }/'Ay. '~I~X/',T'O (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. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Subdivision (Name) Section t(?Tr Hamlet Block ~ Filed Map No. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy '~. i b. Intended use and occupancy O/~,~-~d.~l:' ~.),/{.'~lq'~-O0~, 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units ~)l Pr If garage, number of cars Addition )~- Alteration Other Work (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 ~ ~ 4_-_ Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of ~tories Dimensions of entire new construction: Front Rear Height Number of Stories .De Rear 9. Size of lot: Front Rear _Depth 10. DateofPurchase ~.~ o), Name ofFormer Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 'ti``` 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES__ NO __ 14. Names of Owner of premises Address Name ofArchitectQ"~e-.g T'- /)6eta Ice, e-[ Address Name of Contractor Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO 7'-- 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 OF~: ~O{g.a..~'~C j/k ~1~ W"~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe Ot~_)¢lgq"- f'lt-a~t/"' ~ (C~'ntrhctor, 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 tq~ !)efore me this (O'~. day of .-.~O~a 20 e>'-'/ ~ ~' - Nota~yPublic '~- ~'- · ~' Signat~reofAp~'licant- SCOTT A. RUSSELL SUPERVISOR Town Hall, 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1889 OFFICE OF THE SUPERVISOR TOWN OF SOUTHOLD MEMORANDUM To: Elected Officials and Department Heads From: Supervisor Scott A. Russell Date: June 20, 2007 Re: Annual Fishers Island Town Board Meeting I'm pleased to invite you to the Annual Fishers Island Town Board Meeting, which will take place on Wednesday, August 8, 2007. If you are not able to attend, please designate a person from your department to represent you at this meeting. As you know, the Annual Town Board Meeting on Fishers Island is an excellent opportunity for the residents of the Island to meet and speak to their representatives on a federal, state, county and town level. The Fishers Island Ferry will leave from the Plum Island Dock at 10:00 a.m. on August 8th and return at approximately 4:00 p.m. The Department of Homeland Security mandates that a list of those using their parking lot be provided to them ahead of time, including full names and country of citizenship. It will be difficult for you to enter the property if you don't R.S.V.P. to my office - we will forward an attendance checklist to the PIADC. Please contact Ruthanne to let her know if you or your designee are able to attend. We need to know by Friday, August 3fa. Supervisor's Office Town Clerk Assessors Human Resource Center Police Department Zoning Board of Appeals Landfill Community Development Maintenance Public Works Department Land Preservation Department Code Enforcement Justice Court Recreation Center Tax Receiver Data Processing Historian Town Board Town Attorney Building Department Highway Department Trustees Planning Board Accounting Department Town Engineer PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 June 20, 2007 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Ural Talgat Samuels & Steelman Architects 25235 Main Road Cutchogue, New York 11935 Pellegrlnl Vineyards @ Richmond Creek 42100 Main Road, Peconic SCTM#: 1000-86-1-9.1 Dear Mr. Talgat: As a follow up to the letter sent to you dated June 6, 2007, the Planning Board is in receipt of the as-built site plan prepared by Samuels & Steelman dated October 18, 2001 and last revised June 8, 2007. The Planning Board reviewed the as-built site plan submitted at their work session on June 11, 2007. As you explained at the work session, the proposed drainage/dry wells and leaders have not been installed. After discussions with the Planning Board and the Town Engineer the drainage must be installed to the satisfaction of the Town Engineer prior to the issuance of a final site plan sign off. In addition, please ensure the installation of all handicap parking complies with New York State Code and ADA requirements. AS discussed, the five (5) landbanked parking spaces should be either shifted or adjusted so they are not directly abutting the existing 24.2' x 20.5' structure. Once the above referenced items have been completed, please contact this office, in writing so that a final site inspection may take place. In addition, please submit three 0) copies of the as-built site plan for review bythe Planning Board. If you have any questions please do not heskate to contact this office at 631.765.1938 between the hours of 8:00 a.m~ and 4:00 p.n~ Senior Planner Rita J. Pellegrini, Pellegtini Vineyards James A. Richter, Town Engineer Michael J. Verity, Chief Building Inspector File CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. ALL CONSTRdOTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. LA VT~ ~o ~ Y APP?OVED AS PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING PLUMBER CERTIFIOA QN LEAD CONTEh , PFf · CERTIFICATE Ol SQLOER USE[ SUPPLY S Y~ EXCEED 2/10 C ATE OCCUPANCY OR USE IS UN,LAWFUL WITHOUT CEFITIFI( ?F OCCUPANCY / /., V l.,< H ~'b ,~ ,4 5 ~..'~'~',,/i/ T LU