HomeMy WebLinkAbout33920-Ztiler ,D E~'SI'ECTION REPORT I DATE I
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGE[ FRAIVE[NG &
PLU~-M~ING
LNSULATION PER N. Y.
STATE ENERGY CODE
FINAL
ADDITIONAL
FORM 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. 33920 Z Date MAY 20, 2008
Permission is hereby granted to:
for :
KAPETANOS
208 SUSSEX DR
MANHASSET,NY 11030
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR PER
SCHD APPROVAL
at premises located at 600 ZENA RD
County Tax Map No. 473889 Section 106 Block 0002
pursuant to application dated MAY 8, 2008 and approved by the
Building Inspector to expire on NOVEMBER 20, 200~9_- -~._____~ ~
Fee S 2,364.00 / ~/~/~izod S'
MATTITUCK
Lot No. 043.001
COPY
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
PERMIT NO. ~¢'~1 2_rD ~
Approved ,20__
BUILD1NG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health "(~
4 sets of Building Plans "'(
Planning Board approval
Survey x( ~ 5
Check '-(~ 5
Septic Form x( ~ 5
N.Y.S.D.E.C.
Trustees
Flood Permit /d/At
Storm-Water Assessment Form
Contact: ~/~}~t~:'..( I/~.~'6~c..q,
Mailto: //7 Z/~t~,~q ~/.¢~-
Disapproved
Expiration ,20__
APPL;AT~ii~MIT
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.
fi 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 IS HEREBY MADE to the Building Department for the issuance of a 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, aris} regulations, and to admit
authorized inspectors on premises and in building for necessary inspect~
(Signature/of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0
Name of owner of premises
(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 Lit ense No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
r Hamlet
House Number Street
County Tax Map No. 1000 Section //b ~ Block O Z Lot ~ ~, /
Subdivision ~/qPW, q / d /~'/ Iv o
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy V',qc,q~'7- ,d,,5,q/~
b. Intended use and occupancy .5/,o'o,L~ ,~',q~/d-
3. Nature of work (check which applicable): New Building i,/-'" Addition Alteration
Repair Removal Demolition Other Work
Estimated Cost 4~ 'aide. tyOO ~ Fee
If dwelling, number of dwelling units
If garage, number of cars
(Description)
I
(To be paid on filing this application)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front ~"/'~
Height_ Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front zv//~
Depth Height. Number of Stories
8. Dimensions of entire new construction: Front (a / ,~7", Rear G / ,~' 77.
Height .~
_Depth
Rear
.Depth
9. Size of lot: Front / ~,O, 77 ,e-/-
lO. DateofPurchase ~¢.~ 20t{005
Rear
Name of Former Owner
'.,"11. Zone or use district in which premises are situated f~ -- 4d~)
12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO /
13. Will lot be re-graded? YES__ NO ~vVill excess fill be removed from premises? YES ~/'NO__
14. Names of Owner ofpremises~/o//~r ~'~p~'~$ ~o~ :~c,~'~ Ol~lV~
Addresstw~,,/4~,~$,s~/g. f na~oPhone No. d4~ - ?Stq I qo ~.
Name ofArchitectv/,~,.t-%( gj'-)~'Zueo~.: £,/¢, Address/.qZ/,va,,~Z,,~,, ~.tT'" PhoneNo d~31 - 7ZZ~Ig, II
Name of Contractor Address ret .-a, eu_,v~, #o/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 R~QUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO J
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
· IF YES, PROVIDE A COPY.
NO J
STATE OF NEW YORK)
SS:
COUNTY OF &~'l )
'~'>ht/O ~C19~ YPxqq~ being duly swom, 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.)
day of *J~ O~ZX'
Notary Public
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.
C! :7, b3TOPHER S. DOD~'~/
Nola~ Public, State of Ne~/'/~ork ~ ~
Sworn to before me this 200% nco. No. 0~ DOe~ ~ ~,~L~-- ~
Commiesio~o ~IL~
t'~ure of Applicant